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ENC2022-0067owkra 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: 7/20/2022 LOCATION OF CONSTRUCTION (Street address or Description): ADAMS ST AT VIA GRAZIANNA: AND ON LA QUINTA DR PURPOSE OF CONSTRUCTION: DRY UTILITY WORK: GAS TIE IN: SAW CUT, REMOVE AND REPLACE AC AND WALK, TRENCH AND INSTALL GAS AND ELECTRIC UTILITIES DESCRIPTION OF CONSTRUCTION: THE CENTRE TM 37359: DRY UTILITY WORK -GAS AND ELECTRIC DIMENSION OF INSTALLATION OR REMOVAL: APPROXIMATE TIME WHEN WORK WILL BEGIN: 7/25/2022 TIME OF COMPLETION: 7/29/2022 ESTIMATED CONSTRUCTION COST: $32,895.00 (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. VERTICAL INTEGRITY INC - DAVID KINNETT 917 GLENNEYRE ST STE A LAGUNA BEACH, CA 92651 Name of Applicant (please print) Business Address VERTICAL INTEGRITY INC 917 GLENNEYRE ST STE A LAGUNA BEACH, CA 92651 Name of Contractor and Job Foreman Business Address 1057032 0102682 Contractor's License No. CLEAR BLUE SPECIALTY INSURANCE COMPANY Applicant's Insurance Company Finance Revenue Code PERMIT INSPECTION EXCAVATION $750.00 TRAFFIC CONTROL $673.00 TECHNOLOGY ENHANCEMENT FEE $5.00 TOTAL: $0.00 City Business License No. AC010001804 Policy Number PERMIT NO: ENC2022-0067 DATE ISSUED: 7-20-2022 EXPIRATION DATE: 7-20-2023 BY: WORK INSPECTED BY*: PERMIT COMPLETION DATE*: Signature of Applicant or Agent (949)279-2418 Telephone No. (949)447-0048 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 4Q PUBLIC WORKS DEPARTMENT APPLICATION FOR PERMIT Date: 2022-06-13 Tract No: 37359 Project Name: The Centre at La Quinta (aka Solterra) Vicinity: E. of Adams S. of Hwy 111, directly W. of Walmart Purpose of Construction (i.e.: Rough Grading, Offsite Street, etc.) Dry Utility work, Gas tie it Sea ni ci it, rerno a AC & Walk, trench & install, replace AC & Walk. Description of Construction (i.e.: See Plan Set No. 01234) Plans by I.I.D. and The Gas Company Dimension of Installation or Removal: Gas tie in from Adams Street. Dry Utility install adlancent to Adams and on La Quinta Drive. Approximate Construction Start Date: 6/15/2022 Approximate Construction Completion Date: 12/15/2022 Estimated Construction Cost: $ $50,000 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: David Kinnett Phone Number: 949-279-2418 Name of Applicant/Owner: Vertical Integrity, Inc Applicant Address: 917 Glenneyre Street Suite A Laguna Beach, CA 92651 Applicant Telephone Number: 949-447-0048 Applicant E-mail Address: dk@verticalintegrity.net Name of Contractor: Vertical Integrity, Inc. Contractor Address: 917 Glenneyre Street Suite A Laguna Beach, CA 92651 Contractor Telephone Number: 949-279-2418 Contractor State License Number: 1057032 A,B Contractor City Business License Number: Contractor E-mail Address: dk@verticalintegrity.net ►A COPY OF THE CURRENT INSURANCE CERTIFICATE MUST BE PROVIDED• Applicant or Contractor General Liability Insurance Company: Applicant or Contractor General Liability Insurance Policy Number: Office Use Only: Inspection Fee: Permit Fee: As -Built Deposit:_ Dust Control Deposit: Credit Amount: Office Use Only: Assigned Permit Number: Approval Date: Expiration Date: Issue Date: Administrative Authority Application for Permit pose - TOTAL FEE DUE: RE: Encroachment Permits - Compliance with Insurance Requirements Per Engineering Bulletin #97-04 please provide proof of the insurance items and endorsement certificates below: O General Liability - $1M per occurrence / $2M general aggregate O General Liability - Additional Insured Endorsement (for ongoing and completed operations) O General Liability - Primary / Non-contributory Endorsement O Automobile Liability - $1M combined single limit O Workers' Compensation - Statutory Limits / Employer's Liability $1M per accident or disease O Workers' Compensation - Waiver of Subrogation Endorsement 78495 Calle Tampico La Quinta, CA 92253 760.777.7000 I- AC` I IAIC II I -WAY SAFETY, INC SALES -RENTALS MANUFACTURER CHINO OFFICE - 909-591-1781 = !r U W H 1L Q a- 7- D N.T.S. VIA GRAZIANNA 0-I 5-2 //i 11�A1r — — — — — — — — — — — GENERAL NOTES 1. All traffic control devices shall conform to the latest edition of the Manual of Uniform Traffic Control Devices (MUTCD), the MUTCD California Supplement, and the Standard Specifications for Public Works Construction. 2. The City Engineer or his representative has the authority to initiate field changes to assure public safety. 3. All traffic control devices shall be removed from view when not in use. 4. Work hours shall be restricted to between to unless approved otherwise. 5. Trenches must be back filled or plated during non -working hours. 6. Pedestrian controls shall be provided as shown on the plans. 7. Temporary "NO PARKING" signs will be posted 24 hours prior to commencing work. 8. Access to driveways will be maintained at all times unless other arrangements are made. 9. The contractor shall replace within 72 hours, all traffic signal loop detectors damaged during construction. 10. The contractor shall replace within 24 hours, all striping removed or damaged by construction work. (Striping may be replaced temporarily with tape). 11. All Workers shall be equipped with an orange vest (or a reflective vest at night). All flaggers shall also be equipped with a hard hat, C28 "Stop/Slow" paddle and shall be trained in the proper fundamentals of flagging traffic. 12. The contractor shall maintain all traffic control devices 24 hours per day and 7 days per week. 13. A minimum of twelve (12) foot travel lanes must be maintained unless otherwise approved by the Department of Public Works. 14. All night work will require written approval from the Department of Public Works. Lane closures, road detours, road closures, and traffic signal modifications associated with overnight construction activities will require warning signs be placed at least one week in advance of starting construction. 15. A solar powered flashing arrow board shall be required on all arterial street lane closures. Legend: W20-1=ROAD WORK AHEAD W20-3=ROAD CLOSED AHEAD W20-5(RT)=RIGHT LANE CLOSED AHEAD W4-2(RT)—RIGHT LANE MERGE LEFT W20-5(LT)LEFT LANE CLOSED AHEAD W4-2(LT)=LEFT LANE MERGE RIGHT C20(BIKE)=BIKE LANE CLOSED AHEAD C30(BIKE)=BIKE LANE CLOSED W 11-1/W 16-1=BIKE SYMBOUSHARE THE ROAD C30(CA)—LANE CLOSED W 12-1=SPLIT ARROW R3-7(LT)=LEFT LANE MUST TURN LEFT R11-2=ROAD CLOSED R9.9=SIDEWALK CLOSED R9-11-SIDEWALK CLOSED AHEAD USE OTHER SIDE R9-l1A—SIDEWALK CLOSED CROSS HERE G20-2=END ROAD WORK Symbols: F = Sign • = Cone w/ Collar %////Qi = Work Area j —Type III Barricade �=Arrowboard ® =Driveway �$ =Signal signed 7/13/2022 sc 6829 J _" AVENUE 47 350' r 3 O D M 7 _ r 7 M Z n FE � D v� O ► b ESE AUTO CENTER DR.(25MPH) CITY OF LA QUINTA CONTRACTOR: T.B.U. INC. LOCATION, ADAMS ST. @ AUTO CENTER DR. DESIGNED BY:L,I, IN— ACCT NLI SHEET I ❑F. z CITY I, D. NO. GAS LINE I -WAY SAFETY, INC SALES -RENTALS MANUFACTURER CHINO OFFICE - 909-591-1781 N.T.S. VIA GRAZIANNA W20-1 540'MERGING TAPER R3-2 Cc W = J !L' _ R3-2 U Lu H a o � J s b Ar\ANAC' C`T // Gnnni i\ Legend; Symbols: W20-1=ROAD WORK AHEAD f - Sign W20-3=ROAD CLOSED AHEAD =Cone w/ Collar W20-5(RT)=RIGHT LANE CLOSED AHEAD W4-2(RT)--RIGHT LANE MERGE LEFT = Work Area W20-5(LTrLEFT LANE CLOSED AHEAD -Type III Barricade W4-2(LT)-LEFT LANE MERGE RIGHT =Arrowboard C20(BHCE)=BIKE LANE CLOSED AHEAD ® -Driveway C30(BIKE)=BIKE LANE CLOSED W I I - 11W 16- 1 =BIKE SYMBOL/SHARE THE ROAD O -Signal C30(CA)-LANE CLOSED W12-1=SPLIT ARROW R3-7(LT)=LEFT LANE MUST TURN LEFT R11-2=ROAD CLOSED R9-9=SIDEWALK CLOSED R9-1 1-SIDEWALK CLOSED AHEAD USE OTHER SIDE R9-I IA=SIDEWALK CLOSED CROSS HERE G20-2=END ROAD WORK C 3 C D m A = signed 7/13/2022 sc 6829 AVENUE 47 p, 50' 350' y J)" O al ME AUTO CENTER DR.(25MPH) CITY OF LA Q U I NTA ACCT. N0, CONTRACTOR: T.B.U. INC. LBcanGN: ADAMS ST. SHEET 2 ❑E. AUTO CENTER DR. CITY 1. D. NO. DESIGNED BY:1-0. Diaz I -WAY SAFETY, INC SALES -RENTALS MANUFACTURER CHINO OFFICE - 909-591-1781 L/ N.T.S. Legend; W20-1=ROAD WORK AHEAD W20-3=ROAD CLOSED AHEAD W20-4=SINGLE LANE AHEAD W20-5(RTrRIGHT LANE CLOSED AHEAD W3-4=BE PREPARED TO STOP W4-2(RT)=RIGHT LANE MERGE LEFT W20-5(LT)=LEFT LANE CLOSED AHEAD W4-2(LT)=LEFT LANE MERGE RIGHT C20(BIKE)—BIKE LANE CLOSED AHEAD C30(BIKE)=BIKE LANE CLOSED C9A(CA)=FLAGMEN SYMBOL W 11-1/W16-1=BIKE SYMBOUSHARE THE ROAD C30(CA)—LANE CLOSED W12-1=SPLIT ARROW R3-1=NO RIGHT TURN SYMBOL R3-7(LT)—LEFT LANE MUST TURN LEFT R11-2=ROAD CLOSED R9-9=SIDEWALK CLOSED R9-11-SIDEWALK CLOSED AHEAD USE OTHER SIDE R9-11 A —SIDEWALK CLOSED CROSS HERE G20-2=END ROAD WORK AUTO CENTER DR.(25MPH) Symbols: F = Sign • = Cone w/ Collar Work Area j = Type III Barricade (R—Arrowboard ®=Driveway 0 =Signal r=Flagger PRIVATE DRIVEWAY signed 7/13/2022 sc 6829 N.T. L/ AUTO CENTER DR.(25MPH) PRIVATE DRIVEWAY CITY OF LA QUINTA CONTRACTOR: T.B.U. INC. LOCATION: ADAMS ST. @ AUTO CENTER DR ACCT. NN, SHEET 3 OF. 3 CITY 1. D. NO. DESIGNED BY:1-0. Diaz EXCAVATIONS FOR PERMrr NAME CITY --- --- OF COUNTY a O4 a'p xx 3y _"¢a O Wu F C[O]ul �S4LIATRE PEST= 2 h iv >� O 3� �a I 1 - 565' OF 2" P—M OPEN TRENCH BY DEVELOPER PRIV. PROP. IN EARTH (JT. E,T,C) I-10'OF 2"P M I-10'OF 2"P M I-10'OF 2"P M F arv.PR°Plx�a°„OR TETC, aVPR°PIN °,ss°�T, arv.PR°Plx�a°,ss°E T, I I PE TEE µ-G I N H 110' 23 2 28 3i 3j 0 sukfiLa W d I I 21 I I 28 P7 30 236 33 TS o 13 17 fl yg° b CURB) _CUR431 .J 14 — i �CAC1A I_'CL6:81 L'CL1RS1 -~ `'CIJRBI r a 87 Sq ' I 32 37 .JI °]79 1 12 51 r � J 14 B I — — — 12e 127 128 � �j r, _ I I 66 rl I 49 QD 125 ]74 2 1 II 1 :j ,2350, Vb I DE 5479A-p76 4" PE 064 VIA 9 ILU IL mwin1W.l� ISOLATION AREA AFFECTED YES II \ PRESSURE DISTRICT AFFECI e Y := I-80'OF 2"P M I-70'OF2"P M 1-115'OF 2"P M I-120'OF 2"P M BUSINESS DISTRICT AFFECTED YE'_ PaiV. PRov. AEnnW T EDP. E.r C, Parv. vaoP.,, Ena°n, tjT PO.Ei.cf a°rTEiiT PEc� EOy . EVi,i°" SIIPPLY LINE AFFECTED Y[' varv. Paov.wPA MV. PRov.lx REGULATOR STATION AFFECTED YES VALVEIS) REOUTAED YES_ N,: v I -235' OF 2" P_M REVIEWED BY. J. CAZARES OPEN TRENCH BY DEVELOPER PRIV. PROP. IN EARTH (JT. E,T,C) C. P. REVIEWED BY: I NOTE: NO NEW STEEL PIPE OR CASING INSTALLED BY LCAZARE3 DATE ZMJM22 6w_GTAMARES DATE 211=22 SHEET 1 OF i GONSTRILCYION COMPLZ'MN CURRE NT OWNER d DATE DATE ev -- DATE 7�ba 0211 T;2022 PRE CONSTRI)MON NEETINr. YES ❑ F22 REQIMED .—ACAS COI�ANY REpPE5EYT.:::'::. LOCATION INFORMATION DUIOE PAGEa 569N7 CITYOF I.AQUINTA CVYNTYOE RRMRSIDE RP I BAME Spl/T1{EASi CT RAME PALM DES - kRESSURE TEST ATI,Sg BLEAR SUAVEY AR EATS:PIPE wD86AF FECT ED F A. LIT ItS LOGLTIW , A TO I.O"JITR]H ' V _ PR ICTA 41084 ep' Nst PRE IMAOP 60# SEt i MOP 55# MwUm:EBSURC: L1VnLCl1A 100 pSlp r AYWARAt. 120 PSG CLASS LCCATIGN 2 3 PLANNED INFORMA'RGI ABOYF TI�LP+E ISO,V P- 41230 ACruAi fEill ¢uFp/Y/Tlpk pE3OW :1@S UHE UPFL'I LNEa PAEgy)RE GADpE YERlAL! SUPPLY WE PRE, AMn Il woA TEST PFa=^ P91C B. OROR OVER YES ND TEST LAEpIDN1• -R_E§_ TMlIg q1 s RSf _ A01 _ RliRppER QTMER DIIBATOI�HR3. ANp.9R,A1H PC8 MECARULE ip44 PCB FREE AREA HGr SP0T � ❑ HDF plgralCT ❑ SSFL - GATE R1I1IUA4 r BUSINESS LEAK SURVEY AREA; PRBRNALF _ [ UMT4 OR SYFfCH WpEniCABLE I YES Q ND❑ PAPlT TrtLE: CATIMMICALLY PRO1ff: TZD YES ❑ NO £ _ CPAREa. ,�1 �,M1TE• PRONE e G$g OR]DGE OR$P.W IKvD LVE; 9. rE5 ❑ NO® VILLA FFK BE LEFT EnMo: YES ❑ NO F YES ROUTE AS•BuRT COPY TO Sp SUPER1RgOH i- ENVIROHIffil[RL CLEILR ANCE AEOu1REp= YES ❑ Nou - ISSUED ar CWYE srQRu WATER: BNPs anLr p sco swPw ❑ rc� APP[]CANTSWPPP ❑ wr SPECuq ETIMININRENTAL CONSIDE TION5 YES ❑ NOQ w� �w IF YE59EE RFGIGII ETMRONMENTAL AOysmjj a � U QMISMLANEO S P1, ANNNr, LLO z- [.I a .AHED STARING. REQUIRED rE3 NO o z vACVE18 awRED: rEs ❑ rrc a i - - PIPEUNE MARIFAS RE:QUNEO. YES ❑ NO [[] - p0 IIF YE$ommP 5r LCCATIpryi - Oa - JGIfT TRENCH rE3 Q Atl 0., PERMITTikG PERMD F I LSsuEDeY � PERMFf § ISSVEGBT / win Fr V1EWEG. PRIN• NAMF 4n:- I ON 1-65'OF2"P M OPEN TRENCH BY DEVELOPER PA OF PRIV. PROP. IN EARTH (JT. E,T,C) M P PA • FPA J. CAZARES 315122 AREA MRR RPPM FOSIP3 REVIEWED' PRINT TAME pA"1. y` R $w mrl wk INSPECTOR mABANDON 1 PIPELINE SAMPLING REQUIRED d WER OAS STANDARD!040MI yq ❑ NOD CAFE cr+ALrciE aBCR TO hrvkw 597a¢ -ok CRp591NG SEYY@R LATERALS: YES 0 NO❑ o --- - oa I1uMSER OF LATERALS CLEAAED § METHWIS]USE070V `Y LOCATIONS; wA� OPEN TRENCH ❑ DAMERA ❑ POTHOLE ❑ ___ E%PpSEp Br FJ[CAYRFIpH ❑ T^•^SFD x+pe O'::; OTHER METHCO Ow IFA POSRIVE LDCsAYIOH CpOyp NOT aE _ GETEAMINEO IW! TE THE AODRESSILMT10N 4 w AND REAWN ri ON THIS S%EYCH CT DATE w k' p �_ FC5_!P% DATE DESIGN � waN =a CHANGES 1 SFAE CFIANGES M TO THE r•I M31WOW IFORCOMPONE]R YES [] NQ❑ pn IIF YES TECHNICAL SERVICES APPRaVA IS REO1IIREDI N€ P gg REGlpN F.TIa DATE: p - ° IJPAATEDi/RER• TSS DATE .a iw !PA lFPA w-. 13ACKPILL TYPE d USED LIE(l"kGAL CC —ACTION. YES ❑ ROLL i`I op GAS GAS HANDLIN5 mz= REVIENEDARD PERFORMED R PER GAS STO nsa Od YES ❑ NO ❑ _ - IIF ND PLEASE PROVIDE EXF¢ANATMN COT SMc-TCH. — �O sBN D+TE PANT NAME I TfTLE oa REVIEM PLANNING PRINT BY CARLOS:LOREs of 17:31 am, Fib 14, 2022 CREW FpgplAN. coup wr PLANNED AE-BUILT I TOTAL MEET 7OTAL FEET '. DATEMO yTOVfI VEp DRTE ]F DATE. INSTALL hKIN N1ITFI AT LEAST 30" INSRALLED MAIR 1lTTH INSTALLED. fiET1RED ONJDB OPERATION GFF JO8 CmSR BELCw GUTTER FLOW AT LEAS COVER . M lIK CENTER a PLAN IRE= •1� NSMSa DR',MS AR + PARCEVCASE s 22-ZDIIIB REP kWs (� .mn 661orc SDCalGaa DESIGi.. Iiir DESIGN NAME g CFA'f1�� TiOAIET CRDER oP s CAD FILE =302076AAwu ry +n NOFiFICATIOHa p000202O7E77 -:.%e =" City of La Quinta The following General and Special Provisions are attached to and made a part of Permit Number ENC2022-0067 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. ENC2022-0067 The Centre TM 37359/ Install Dry Utilities — Gas and Electric / Adams St at Via Grazianna and on La Quinta DrGraJefferson St at Derek Alan Dr In addition to the standard permit conditions, the following shall apply: 1. 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. 2. This permit or copy of it shall be on the work site (usually the job trailer) for inspection during the actual work performed. 3. The permittee is responsible for obtaining a valid separate permit from other City, or County jurisdictions if any of the work or traffic control devices extend into other City, or County right of way. 4. The permittee must compact any disturbed soil within the paved right of way back to its original condition or compact to a minimum density of 95% based on ASTM D1557 and be placed while the soil is at +/- 2% of optimum moisture, which ever compacting effort produces the greatest density. 5. Any asphalt removed during potholing shall be replaced with City approved mix asphalt or equivalent. Temporary (Cold Patch) is not acceptable as an approved asphalt mix. The asphalt shall have a thickness equivalent or greater than the removed asphalt thickness and shall obtain a density of 95% or greater based on maximum density obtained by the ASTM Marshall Mix Design Method. 6. Vertical Inegrity, Inc. (David Vinnett), hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and erosion control. 7. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently, if required. 8. 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. 9. 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 (ie any 4 lane street) before 8:00 a.m. Special Conditions Page 1 of 4 PERMIT NO. ENC2022-0067 The Centre TM 37359/ Install Dry Utilities — Gas and Electric / Adams St at Via Grazianna and on La Quinta DrGraJefferson St at Derek Alan Dr 10. The permittee shall block off the work area to prevent access and provide alternate pathways if applicable. 11. 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. 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. 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. 14. Pursuant to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), at residential streets, advance warning signs and traffic control shall be installed and maintained in accordance the latest edition of the California Manual of Uniform Traffic Control Devices (CA MUTCD) or the latest edition of the Work Area Traffic Control Handbook (WATCH). On Collectors to Arterial Streets, the permittee must submit a traffic control plan which shall be from or prepared under the guidance of the latest edition of the California Manual of Uniform Traffic Control Devices (CA MUTCD) or the latest edition of the Work Area Traffic Control Handbook (WATCH). Traffic Control plans not from the CA MUTCD or the WATCH shall be signed and stamped by a civil or traffic engineer registered in the State of California. It shall be the Permittee's responsibility to appropriately detour and barricade all construction sites. Pursuant to Section 14.16.290 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), street closures shall not be permitted. A minimum of two (2) travel lanes of paved surface shall be maintained at all times. 15. 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. 16. 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. Special Conditions Page 2 of 4 PERMIT NO. ENC2022-0067 The Centre TM 37359/ Install Dry Utilities — Gas and Electric / Adams St at Via Grazianna and on La Quinta DrGraJefferson St at Derek Alan Dr 17. The permittee shall be responsible for calling the city inspector to arrange the city inspector to observe random pothole backfill compaction and testing if requested by the inspector. 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. 18. 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. 19. 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 20. 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. 21. 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. 22. 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. 23. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to its original condition. 24. Access and egress to all local properties shall be maintained at all times. Special Conditions Page 3 of 4 PERMIT NO. ENC2022-0067 The Centre TM 37359/ Install Dry Utilities — Gas and Electric / Adams St at Via Grazianna and on La Quinta DrGraJefferson St at Derek Alan Dr 25. Pursuant to Section 14.16.375 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), permanent pavement replacement shall be completed no later than seven (7) days after the completion of the work. Permanent pavement replacement shall conform to the following conditions: A. Existing asphalt concrete pavement shall be sawcut one (1) foot beyond trench edges. Edges shall be straight and clean. B. Permanent pavement replacement structural section, within all trenches, shall be 1" thicker than existing of asphalt concrete over the same existing thickness of crushed aggregate base or crushed miscellaneous base, meeting the requirements of Sections 200-2.2 and 200-2.4 of the Standard Specifications for Public Works Construction. The replaced pavement and base material shall be compacted to 95% relative compaction and respectively tested, for each 300 linear feet of trench. Verify exact structural replacement section thicknesses with the City prior to installation. C. Permanent pavement replacement shall be installed using a City approved 3/4" max medium asphalt concrete as the base course lift and a City approved 1/2" max medium finish course lift for capping. Asphalt concrete mix design shall be approved by the City prior to its placement. D. Any existing lane striping or any existing detour lane striping affected by this resurfacing shall be replaced in kind by the Permittee, as directed by and to the satisfaction of the City Engineer. Affected traffic signal loops shall be removed and replaced in kind. The finished pavement surface shall be smooth, consistent, and shall conform to the surrounding grades. 26. 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. 27. 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. 28. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. 29. 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. 30. If it is the intent of the permittee to cut the pavement and have it restored by a third parry, the permittee shall postpone cutting the pavement until the intended third party has acquired a permit from the City to perform the required restoration work. Special Conditions Page 4 of 4 / ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/27/2021 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: Valentin Torres D.L.D. Insurance Brokers, Inc. PHONE FAX 17712 Mitchell North AIC No Ext : 949-553-5663 AIC No), ADDRESS: vtorres@dldins.com Irvine CA 92614 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Clear Blue Specialty Insurance Company 37745 INSURED SHOPREA-01 INSURERB: GuideOne National Insurance 14167 47260 Adams Owner LP c/o Shopoff Realty Investments, L.P. INSURERC: Texas Insurance Company 16543 INSURER D : 2 Park Plaza, Suite 700 INSURERE: Irvine CA 92614 INSURER F : COVERAGES CERTIFICATE NUMBER:81104349 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/DDIYYYY POLICY EXP MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y AC010001804 12/21/2021 12/21/2024 EACH OCCURRENCE $10,000,000 Fv� CLAIMS -MADE OCCUR DAMAGE TO PREMISES('a a oNcur ence)$ 100,000 X MED EXP (Any one person) $ 5,000 Deductible: $50K PERSONAL & ADV INJURY $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $10,000,000 POLICY ❑ PRO- JECT ❑ LOC X PRODUCTS - COMP/OP AGG $ 10,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 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 $ B UMBRELLA LIAB X OCCUR RT21174076C 1/1/2022 12/21/2024 EACH OCCURRENCE $5,000,000 X AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ C 2nd Excess T122XWUP-01333-01 1/1/2022 12/21/2024 2,000,000 Per Occurrence/Agg DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 30 Day's Notice of Cancellation Except 10 Day's for Non -Payment of Premium. Development of 131 Single Family detached rental homes: REAL PROPERTY IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, DESCRIBED AS FOLLOW: LOTS 1 AND LOT A AS SHOWN ON MAP ENTITLED TRACT NO. 37359, IN THE CITY OF LA QUINTA, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA, See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City of La Quinta 78495 Calle Tampico La Quinta CA 92253 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD / A� " CERTIFICATE OF LIABILITY INSURANCE DATE (M M/DD/YYYY) 06/13/2022 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 June King NAME: Kessler Alair Insurance Services, Inc ACC Ext : (909) 931-1500 A/XC, No): (909) 932-2133 E-MAIL jking@kessleralair.com kessleralair.com ADDRESS: License # OA 91387 INSURER(S) AFFORDING COVERAGE NAIC # 12487 N. Mainstreet, Ste. 240 INSURERA: California Auto 38342 Rancho Cucamonga CA 91739 INSURED INSURER B : State Compensation Ins Fund 35076 INSURER C : Vertical Integrity INSURER D : 917 Glenneyre St. Suite 7 INSURER E : INSURER F : Laguna Beach CA 92651 COVERAGES CERTIFICATE NUMBER: 22/23Auto/WC 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 INSURANCEADDLSUBR INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ —] DAMAGE TO CLAIMS -MADE OCCUR PREM IS Ea occurrence)l $ MED EXP (Any one person) $ PERSONAL &ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ❑ PRO ❑ LOC JECT PRODUCTS -COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANYAUTO A OWNED �/ SCHEDULED AUTOS ONLY /R AUTOS BA040000060142 07/01/2022 07/01/2023 BODILY INJURY (Pe accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED I I RETENTION $ r $ WORKERS COMPENSATION xi B AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? Y (Mandatory in NH) N/A Y 9270056-2022 03/01/2022 03/01/2023 SPERTATUTE 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 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Encroachment permit. Waiver of subrogation applies to workers' compensation. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of La Quinta ACCORDANCE WITH THE POLICY PROVISIONS. 78495 Calle Tampico AUTHORIZED REPRESENTATIVE La Quinta CA 92253OF ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ADDITIONAL COVERAGES Ref # Description Compehensive Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount 250 Deductible Type Flat Premium Ref # Description Underinsured motorist BI single limit Coverage Code UNDSG Form No. Edition Date Limit 1 300,000 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium rOFADTLCV Copyright 2001, AMS Services, Inc. ENDORSEMENT AGREEMENT BROKER COPY WAIVER OF SUBROGATION BLANKET BASIS HOME OFFICE SAN FRANCISCO EFFECTIVE MARCH 1, 2022 AT 12.01 A.M. ALL EFFECTIVE DATES ARE AND EXPIRING MARCH 1, 2023 AT 12.01 A.M. AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME VERTICAL INTEGRITY, INC. 917 GLENNEYRE ST STE 7 LAGUNA BEACH, CA 92651 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. THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2.00% OF THE TOTAL POLICY PREMIUM. SCHEDULE PERSON OR ORGANIZATION JOB DESCRIPTION ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER BLANKET WAIVER OF SUBROGATION 9270056-22 RENEWAL SP 6-57-93-75 PAGE 1 OF 1 NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED AT SA�NFRFRANCISCO: MARCH 2, 2022 2572 AUTHORIZED REPRESENT IVE PRESIDENT AND CEO SCIF FORM 10217 (REV.7-2014) OLD DP 217 AGENCY CUSTOMER ID: SHOPREA-01 LOC #: ,CORE) AGENCY D.L.D. Insurance Brokers, Inc. POLICY NUMBER CARRIER 4DDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE NAIC CODE NAMED INSURED 47260 Adams Owner LP c/o Shopoff Realty Investments, L.P. 2 Park Plaza, Suite 700 Irvine CA 92614 EFFECTIVE DATE: Page 1 of 1 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE AS PER MAY RECORDED JULY 21, 2021, IN BOOK 479 OF MAPS, PAGES 6 THROUGH 10, IN THE OFFICE OF THE COUNTY RECORDER OF SAID S: 600-340-050 (PORTION OF THE LAND); 600-340-051 (PORTION OF THE LAND); AND 600-340-052 (PORTION OF THE LAND) Drism Included. +$8M GL limit is bound efft 12/21/21 with Clear Blue Specialty Ins Co. 00,000 General Liability - Clear Blue Specialty Ins Co. - Pol #AC010001804 00,000 General Liability Excess $2,000,000 - Clear Blue Specialty Ins Co. - Pol #ACO2-0001297 City of La Quinta is Additional Insured as required per written contract as respects Operations of the Named Insured. Insurance is Primary and Non -Contributory. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: AC010001804 COMMERCIAL GENERAL LIABILITY CG 20 12 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: Where required bywritten contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured any state or governmental agency or subdivision or political subdivision shown in the Schedule, subject to the following provisions: 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. However: a. The insurance afforded to such additional insured only applies to the extent permitted by law; and b. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 2. This insurance does not apply to: a. "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or b. "Bodily injury" or "property damage" included within the "products -completed operations hazard". B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contractor agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 12 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condi- (2) You have agreed in writing in a contract or tion and supersedes any provision to the contrary: agreement that this insurance would be Primary And Noncontributory Insurance primary and would not seek contribution from any other insurance available to the This insurance is primary to and will not seek additional insured. contribution from any other insurance available to an additional insured under your policy pro- vided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1