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ENC2022-0072
4 Qwkra — Gr.M ofibe nr•.srxr — 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: 8/1/2022 LOCATION OF CONSTRUCTION (Street address or Description): AVE 50 EAST OF PARK AVE PURPOSE OF CONSTRUCTION: PROVIDE PALM TREE TRIMMING SERVICES DESCRIPTION OF CONSTRUCTION: FOR PAINTED COVE: PALM TREE TRIMMING DIMENSION OF INSTALLATION OR REMOVAL: PROVIDE PALM TREE TRIMMING SERVICES ALONG AVE 50 FOR PAINTED COVE APPROXIMATE TIME WHEN WORK WILL BEGIN: 8/3/2022 TIME OF COMPLETION: 8/4/2022 ESTIMATED CONSTRUCTION COST: $3,025.00 (Including removal of all obstruction, materials, and debris, backfilling, compaction and placing permanent resurfacing and/or replacing improvements) COMMENTS: Provide palm tree trimming services along Ave 50th / Park Ave 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. CONSERVE LANDCARE - NOAH MCCOY 79635 AVE 40 INDIO, CA 92203 Name of Applicant (please print) CONSERVE LANDCARE LLC APPLIED ONLINE Signature of Applicant or Agent (760)507-7435 Business Address Telephone No. 72265 MANUFACTURING RD THOUSAND PALMS, CA 92276 (760)343-1433 Name of Contractor and Job Foreman Business Address 1073122 Contractor's License No. EXECUTIVE RISK INDEMNITY INC Applicant's Insurance Company Finance Revenue Code PERMIT INSPECTION TRAFFIC CONTROL $337.00 TECHNOLOGY ENHANCEMENT FEE $5.00 TOTAL: $0.00 Telephone No. 769390 City Business License No. 54309877 Policy Number PERMIT NO: ENC2022-0072 DATE ISSUED: 8/1/2022 EXPIRATION DATE: 8/1/2023 BY: AMY YU WORK INSPECTED BY*: PERMIT COMPLETION DATE*: *If the work is covered by a Subdivision Improvement Agreement, Subdivider shall request final acceptance of improvements from the City Council. T4,!t 4 4a" PUBLIC WORKS DEPARTMENT APPLICATION FOR PERMIT Date: 7/26/22 Tract No: M Project Name: Painted Cove La Quinta Vicinity:Park Ave / Ave 50th La Quinta Purpose of Construction (i.e.: Rough Grading, Offsite Street, etc.)IPalm trimming services. I M Description of Construction (i.e.: See Plan Set No. 01234) 11111h&palm trimming 0 services accordinq to ISA standard Dimension of Installation or Removal: Approximate Construction Start Date: 8/3/22 Approximate Construction Completion Date: 8/4/2 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: Noah McCoy Phone Number:760-507-7435 Name of Applicant/Owner: Conserve LandCare Applicant Address: P9-635 Ave 40, Indio, CA 92203 Applicant Telephone Number: 760-507-7435 Applicant E-mail Address: nmccoy@conservelandcare.com Name of Contractor: Conserve LandCare Contractor Address: 79-635 Ave 40, Indio, CA 92203 Contractor Telephone Number: jJ60-360-9000 Contractor State License Number: 1073122 Contractor City Business License Number: SIC-769390 Contractor E-mail Address: nmoy@conservelandcare.com ►A COPY OF THE CURRENT INSURANCE CERTIFICATE MUST BE PROVIDED Applicant or Contractor General Liability Insurance Company. Alliant Insurance Services, Inc Applicant or Contractor General Liability Insurance Policy Number: 54309877 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: 34 Work Area Traffic Control Handbook Mid Block Bike Lane Closure G20-2 ISC11 (MOD) W11-1 e W 16-1 ROAD C20 (BIKE) ELKS LANE CLOSED AHEAD ROAD W20-1 WORK AHEAD NOT TO SCALE CALE TRAFFIC CONTROL PLAN DIMENSION GUIDELINES TEMPORARY 7 SPEED Dimension Dimension Dimension Dimension L/3 Dimension "E" MAXIMUM MAXIMUM MAXIMUM CHANNELIZER CHANNELIZER CHANNELIZER MPH A/B/C (2) ADVANCE L MERGING L/2 SHIFTING MINIMUM BUFFER SPACE(4-A) TAPER SPACING TANGENT CONFLICT WARNING SIGN TAPER TAPER LENGTH SHOULDER and (3) SPACING SPACING (6) SPACING(5) LENGTH- TAPER FLAGGER STATION (3I STOPPING SIGHT DISTANCE (4.9) (0%) (-3%) (-B%l MPH Ft ft ft ft ft ft ft ft 25 100 125 65 45 (155) (160) (1.65) 25 50 12 30 250 180 90 60 (200) (205) (215) 30 60 1s 35 250 245 125 1 85 (250) 260) (276) 35 70 17 40 250 320 160 110 (3D5.) (31$) (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 1 660 1 330 220 (495) (520) (555) 50 100 25 60 500 720 ; 360 240 (570) (600) (640) 50 100 25 65 500 780 1 390 260 1 (645) (685) (730) 50 100 25 (I) ftik on Freewup SW FKVresawAYJ%mien meor Ins C840Aa P SISndBrd frtanf VAno 51And4Id SpeCin.;@UGn reauirenwnts 1 Posted Speed or observed operating speed (whichever is greater) (2) (3) Channelizer spacing shall be reduced lay, 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 (4.9) The Slopping Sight Distanos should enable Read Ueers to we the Primary Flagger Station and safely stop (5) Sign spacing in rural areas should be 500 ft_ _ - (0) r : Tabio OF-SOS(CAl City of La Quinta The following General and Special Provisions are attached to and made a part of Permit Number ENC2022-0072 The following shall always apply: ENCROACHMENT ON PRIVATE PROPERTY: is permi al7fbriCes ❑or❑ ® be accomp@3Ead - i in Elie Ci_ o La ❑dn[aS ri❑❑❑o❑❑a❑ ONLY I ene er consricrion a lends I i-in pri, a e proper, , i-lis Lie responsibi-k o I e permiLLae ror ds con,rac ors ® secoe permission rom ab❑Ffi❑ proper®o❑nersCSOc❑a❑EDDri0arbn m❑sme secoed bOCIDe permiF[be prior ® slaHhElDorm TRACK -LAYING CONSTRUCTION EQUIPMENT: C[eaCed Eflac®dn[iconsricLiibn eODpmenOsEaLLho0be permiLLDd ® operaCe on anopa[bd so ace Lniess ked _illu smooW_OrLaced sinee0pads❑0®mec[lanica❑o0Ti❑❑ars s1la®be 111bd ❑i® rmber sTee❑s❑oes Cd protbc[lDDe padn❑ dDrino e[caLjaGbnsE RdbberLked eOdpmenEDn®sL]aLLbe Lised in bacLUILLaperadon in pa[lad areas0ILIEB edsGn❑ paLemends scarred, spaLled, or bro[bn doin❑ DDe Lerm oohs coniracoor i=b paCemen0is marred, Ci®oOLa ❑ dnCa sLaL1lreooeso1lanrrr'ese por ions o❑road be resoCaced oCer Tbirenlre [lid ®❑Resolacin❑sDaMonsis❑o❑Dne coa❑D❑®o inc[las C211lo0❑[C1]soracin[lpT]s appropriate sea[boallas specified aboCe❑ PROTECTION OF TRAFFIC: n®eCcaDaGons and ❑or❑ areas sma®be proper® JLF-Fed and barricaded as deemed necessar❑ b❑ Lb Ci® ❑n[Ineer or Ci —o-La in a PLbk 0 or[-6 Inspectors❑ Sdlabla de®rrs and delI siLns saObe placed and main ained for [11b doatbn o❑rIDe profecC' e Cinsoa❑be no hied fIDenEMBo aDos L240in adElance ollan❑ [talk de[oos or deGheafion❑ CARE OF DRAINAGE STRUCTURES: On❑ draina❑e srmOc[Tlre CID inc®de corr❑La ed mefa❑pipe, concrete pipe, stee❑c❑mer❑and concrete sir c_Tes encoLnLered d rin eCoallafion ❑dc❑ necessila[e remoDaas❑alube replaced in dnd❑ In fine eien❑iobecomes necessar❑ [b remo[b or c❑_edsJhLldrainaoe sit-clres, Ci®oOLa ❑dn[a s❑aLLbe noGCied prior ® commencemen000LJs ❑ormDrainaLie slflocnres and open drains sliaTbe Cep❑Tee o0debris anaFVnes ror proper draina❑e❑ RIGHT-OF-WAY CLEANUP D❑nL]sLpL6 maC6riaOresf1L1h0 [mom e[ca[bGon and bacL1Doperakns sCaLLbe remoCed [mom Ea ri❑coo❑❑aLEE ® paced solaces s aLLLbe broomed cban o❑ear®and oI[er oblacGbnab[a ma[eria19 immediaCa®aFMr bacElffTiand compacGbn❑❑dsIn0 ❑❑fir lihe and draina0a di cites spa Elbe replaced Cb ®eir oridna slandard or beer❑❑UeCbess malaria Els❑aTbe remoEod prior ® padn❑❑ ❑ aCOr Cancer sL]aLLbe Lised, as refired, Lb sprinob me Cob siCe b I-eep do0n dCSOcondiCions and suaLlbe Lised immediaLanaLar back DE -WATER OPERTATIONS: I❑dema[Orin Eloperallons are re❑fired and ponps are [orcin❑ ❑a[Or on Ci®o❑La ddnfa roads, i❑sEla®be Q➢e responsibiGlIDoLine permiLLae CconibacCorOfo con[momis ❑a[er and la prodde ores reeLbarricades ❑❑en necessarm CLOSING STREETS❑do sfinee❑sllambe closed❑ ❑ minimon o❑one lane o❑[malk silaTbe mainlained a❑a®Gmes ® prodde Gmilad access for Do adCoinin❑ proper®oF-ners and emeroenc❑ Cedcaso In DDe eLon'-Ii❑is Ce®b❑ 09 permiLLae Ea❑09 m❑socbse a sweeeOCor an❑ [en❑CID o0One, permi ee s aLconlacLLis o ice ® obrain Ma necessarilpermission SPECIAL PROVISIONS The following shall apply when indicated❑ ® R1 NOTIFICATION: PermiDbe s❑a®noGIID QLO Ci®a❑F7030777 117097 all laas❑®r❑ ai❑0❑ODos 74811in ad0ance o0srar1h❑ cons r c ion ® R2 UTILITY CLEARANCE: [SmsT❑croes❑Prior CID madn❑an❑erballaCbns Flinn Da Ci®o❑La Oidnla ri❑O7lo®a1laO11D0ri0ed b permi , fine permiEee sEla®confac❑a®concerned Eilliln companies relame ro fine Cgcalibn ooe0s[ino sEbs[rpoZres❑ Dama -0 Co edsGh❑sEbslaOcmres res❑ThEl [mom opera lions cond❑clad cider As permiCeCaTbe fine sole responsibidlIDo®e permi ee❑ ® R3 UTILITY CLEARANCE ISolace Slaoc®es000 ❑or❑ sLa®be done a,der Ills permi❑pima®❑fps are clear o❑fine proposed ❑or❑sire❑ [❑s permiMe sDaHho[iDDaMoncerned F]IMTcompanies o❑Tb proposed ❑orm ❑ R4 PAVEMENT WIDENING: ❑rea be®een fine proposed concrete ❑❑fir fine and Hb edslind road pafemen❑sE]@Obe solaced ❑ice 07❑/❑ m❑inc0es o❑❑[COpadnFlplaced on ❑ rID❑/❑ rIDOinc❑es o0❑ 7111/0 ®❑a0oellaCe smFbase corrse Cadn❑an T2❑113ere odno❑lass Uan dm❑/d m0and in conformance dim Elie CifIDoElLa ❑dnla Road Impro COmen EIS landards and Specilica ions, Ordinance 114❑l ❑ ® R5 PARKWAY GRADING: ❑rea be®een fine proper® line and lap o❑fine proposed concrete cob sf[aTbe oaded ® a slope o❑ one®o® inc❑ m m® one ®o❑d ❑ R6 GRADE CHECKING: CI®O❑La ❑dnla s1laECDec❑oades Dpon receip❑oLplan and proille and/or oades as esfabGS❑ed b❑ a icensed endneer❑ ❑ R7 CURB REMOVAL FOR DRIVEWAYS: ❑ por[Ibn o❑ile edsih❑ concre[e cob and/or cob and ❑❑fir ❑m❑/d m❑CbeCisCa® be remoCOd❑ Cob and/or cob and ❑❑fir sflaTbe sa❑ c❑gxior fo remoQaini Depressed cob, maledn❑ concrete ❑❑fir and concrete driC3Oa❑approacOs❑a0be consT[lcted in conrormance JLL Cino❑La 1111nia Slandard 72070 ❑ R8 DRIVEWAYS: ❑[COdriCedaCs siia❑[be conslaCcfed as no❑® aQer edsGn❑draina❑e pal:16milSolacin❑be®een fine proper line and Ue edslhL] road padn❑ smallbe ®o and a La®incoes L2 ❑ ®o00[COpadnO on ❑®❑/❑ ®Oo❑class ❑®❑/❑ ®❑ a❑oe0a[e base❑ ® R9 SIGHT CLEARANCE: Si000Cbarance o-IsirTIDChdred Cee0LID0®in a®direcLions sCa®be assoed and maintained a0a® liirnes ❑ ❑ R10 SOIL STERILIZER: ❑Oe area b be solaced sfialtbe [meated ❑i® soiLs[meriiiLer❑ Race o0appkaGbn sCancomp®❑in no man acfoerre specikalions❑ City of La Quinta ® R11 COORDINATE WORKC[ e proposed ❑or❑sLa❑Ibe s bordina ed ro anDoperadbn, ❑1JcD zB S[a[e oDCaEbrnia or Cizo❑ La O[Inla ma❑condDc❑in -is area dLrin❑ ze period o--is permit ❑ or❑sOamlae coordinated ❑iH ze Sla[e or CiHoDLa Inla =orces la prec de delaLor in[er[erence Di®Slala or Ci®oLLa ❑ IJnCa pro[ecCa❑ ® R12 SURVEY MONUMENTS: Prior ® elbaCalbn or bellnnin❑ o❑consfDcfibn, a7llsl7Ce❑ mondnen@ 1111c1l eds[lon Me cenArtine o❑azs[aeeig or proper® fihes ❑❑en incHded szaHbe comp[ele®Hied o❑nso Hen ma❑ be readies and correcH4 replaced b❑a kensed cil7DenL]neer or sD•Ce[br aDze egaense oDze permiLLi�eD D compla[e seDODnoAs sDo❑in❑ ze ties ® zese mon[Inenlg slla®be NrnisDed ® ze Ciz ❑nElneer prior ® ze remoDaDoDan❑ monElmenCa❑ Ohs olbe sDa®be nofilied gaon comp[efion or replacemennonamso-Ce❑mononenlg ®r proper clearance❑ ❑ R13 PAVEMENT CUTTING: PaCemenDDiQbe mecllanica®saD cOD® a staaiODDed0e prior ® e1ba0i1bn11 Method ogaaCemen❑ c❑l lho sEalIIbe appro[ed Emo❑❑❑ He owe o❑ze CiH ❑nilneer❑ minder no circanslances s❑Bze[banafin❑ a❑1ipmen❑be Dyed ® eCcaDal6 prior 10 cDCmaDor paCemen®❑DcaDation ma[aria[laDaLibe placed in sDCDa position as Lb besDCaciiialle He Oenera®❑ <aaDbDPrior ® lhagaadn❑operations, anOdamaDe lb paCemenOs1dai1lDDed0es sCaTbe corrected❑ ❑ R14 LIMIT OF EXCAVATIONS: ❑DcaL1ifibns sOa®be Gmiled 10 oneMbUsand [0eD1l000®o❑open Itenc❑ be®re bacFM1 operations m[is Dbe11n0 ❑TeCcaE�ifibns sDaElbe proper®barricaded ❑iz mDlg oCerniODgon ❑eelbnds and Dofida[a ldr He pro[ecfion o❑ze [da[bGh❑ pEblibn n❑e PEblit ❑ or[la Inspec[or slia®de[ermine He sEllabil E o❑eCca1blion barricadin❑ in eac❑ caseD ❑o eCcaFa ion sDaaemain open Lora period e[beedin❑ IL19 15Dda[la❑ Do eCcaDalion sLaDbe made ❑class ze consfDcfibn malaria[ is ac aLHon QIe ❑or❑site❑ ❑ R15 BACKFILL MATERIAL: BaCDUD1lsCalEbe [flee oDbrDsF� room or ozer oruanic sLbslance de rimenlaDlb is Lise [or p❑rposes o❑prodDcinDand adeDOate®consoMated bacEIM [In ma[ariaDD[1c❑ ze CizoDLa 1111nta deems oaSIllable SponDOor sa7'7a[ed ma[eriaH❑Oc❑ is encoEhlered do -in❑ e[baEaJon sCallinonbe Csed [or bacEffu bn❑sEiazbe sgap[emenled or rep aced b❑an approCed sand or D•aLbu ❑ R16 BACKFILL SAND: BacFriIDSDaHbe appro[ed Ihansimdni❑ sand or en1iCa[on ❑and snaHbe placed on " no❑❑realer tan MTee [0e[13 and Ubra[ed LisinD Ubroslamper or eDUDalanDeDlJpmenH ❑Qarna[e meDbds ma❑ be sLbsd ed, bDDin an❑ case, a re[aaliLe compaction ol-hinepercenD[9511 OsllaElbe maintained ❑iz ze sfOcE[llrat]3ection oDze road Dam ❑ R17 BACKFILL PLACEMENT: BaCDtiIDSDa®be applied in lacers o❑noDmore Han Cim percenD150❑ DODQIe ®IaDdep® oDze taenc❑ betbre Fbodin❑ or a mallmDn oOfiCe leeD[51T9M []Dore fencOes are oDeCbessilb depD-sD Care is ® be elercised Henze bacElInna[aria l7s noEr.Eb[ec[ed 10 e®eme s❑e❑b❑ ®odin❑ operations❑ Bacuiluaa[eria[laCanbe placed so ❑a❑ze resulml compaction soaDho0be less lean nine® percenLI 90❑ Dor eDlJCalanD[b z9 soroLbdin❑ 17oOid, ❑LJcDeCer is ze Dealer compaction-1 ❑ Dare pondin❑ or ®odin0 is 11sed for a mallm❑m sefflbmenQ adeDDate dices ❑i®be cons[rDc[ed tb relain �e ❑a[er- ❑ere [e[lln❑ is Csed, ze 1018 snaMbe oCs11EUenn[ennz 10 reac❑ ze bo®m o❑eac❑ lacer and ze ❑a[er srpp s a jibe con in Dos❑ ❑ R18 COMPACTION TESTS: IDSO re❑I:Ired b❑ ze inspector, compaction [es❑sElaHbe made a❑in[erIalS o❑no❑more Elan one❑ HUCSand 11000H[eeCand a maOmDn o❑one AElles❑on eac❑roadnene d❑cop❑o❑Bac❑ Asas❑aTbe l0rnarded 10DH8 CiH n'Dneer for appro0aCand Cited prior ® malln❑ permanen❑repairs❑ Compaction <esS sDaTbe made as oOI[1hed in Secibn 3 01 oCze Slandard Specifibafions, Dillsion o❑❑i❑❑❑aCs, Slat onCafilornia, dared CanDar❑1973❑ ❑ R19 COMPACTION TESTS: IDso reDilred b0 Mee Inspec®r, compaction <es[g sCaTbe made [Or eacD crossin❑ or serL]ce the❑ One d ❑cope o-eac- es❑sCaTbe [or❑arded la ze CiH ❑nElineer [or approCa❑and [fled prior 10 maOn❑ permanen❑repairs❑ Compaction rosla sEe❑be made as onllthed in Sections ❑31001 o❑ze Slandard Specikafions, Didsion o❑❑i❑❑❑aE8, Slale oDCatbrnia, dated OanCarD197311 ❑ R20 TEMPORARY PAVEMENT REPAIRS: ❑ 6r completion oEbacnMI:and compac ion operations, a [emporar❑pa[dnconsislin❑ 0 o incOas 12FDoLSCII00 sDaElbe placed on a prepared sm®-adeD ❑tee SC-800 [emporarDpa11n[Is DaElbe placed a1mr a ma im::n oC[7-ee[T o sand [hear [eenG3000Hor Ihenc❑ Das been e[baEa[ed and bac❑tiIDoperafions comp[e[ed, b❑❑in no cases lath" e placemen o _e emporar❑pa[lamen❑e[beed a fi[la 1511da❑Unit ❑ R21 PERMANENT PAVEMENT REPAIR: ❑Ear bacn[IIDand compaction 11aC0 been comp[e[ed, a [emporarn pa[dn consisfin❑ o❑ ree inc❑es 3zo❑SC1500 sza[Elae placed immedia[elIIi] n permanen❑paICE] on❑spnaHConcre[e sorlacin❑ per CizonLa ❑ Linla Slandard D00 sCaJae placed no laler mien ❑®❑/❑ ®Ddatla aFMr complefibn oOtemporar❑road repair[] ❑ R22 FOG SEAL: ❑ [o❑ sea❑coa❑consistin❑ onan appGCatibn o❑aspnaEit emulsion sQ3zbe applied oCer aHpa[d❑ areas as determined b0 He CUT ❑nl1neer❑ ❑ R23 STREET RESTRIPING: -ere sibee❑siripinn is stiiIDdsible on s[aee❑[o be e[ba[la[ed, snc❑ siflipin❑ sElambe replaced gaon comp[eFbn o permanen repairs[] ® R24 TREE RELOCATION OR REMOVAL: nree relocation ❑inn He Cizo❑La nOnla road ri❑❑Eb®a❑sE1aTbe accompfianed b❑a icensed, bonded and insD-ed twee serdce, and Candled sate® Eli TbODinterlerence or Ca Card 16 ze taa1b1h11pCbk[l I❑ sCa be e responsibi illl]o❑ze permit 10 mainlain ze [Mee in a O❑oroC]s o-o❑in❑condilion a1I18 ne❑ bcafion❑ ❑rees o be remo ed s anbe in sections, 1111cncan be Eland[ed saleH Eli zo❑lln[ar[arence or Ee[lard 10 O❑❑❑a❑[aalkn ❑❑e entire [ id l o❑ii e ree s mp, sDa®be remoCed and disposed oDso HaDno debris remains in de❑ oDHe 1IDDDam ❑DB s❑7np ❑ore soanbe bacL"d and zoro❑n❑H compac[ed as specified in HB b®ninn parao-ap❑❑ ❑ ❑ere i❑becomes necessarn 10 res1ric111raEit, zB ❑or❑sEla❑be resiric[ed 10 a madmnm onfi[ezoidred ree❑1500HaElan ❑one fimen ❑de❑Care si❑as, ®Dnen and or barricades sDaDbe prodded b pro[ecDze CdaDaGhD plbfib aoaLknes❑ Lar❑e ❑ores resnlIInn Tom [Mee remoCa❑snazbe bac❑EMed and compac[ed 10 no❑ less mien nineH percen❑ 190n ❑ or e❑ODalan❑ro❑ze soro❑idin❑ ❑•oEhd, ❑OcneCer is He orea[ar compaction as delarmined bn He impac❑or field mezodn Compaction CosLs soanbomp®❑iHSeckn D1301 oDze S[andard Specikatibns, Didsion oDDiDDDa[-8, Sla[e oDCaGlornia, dared 1]3nnarn197311 PERMIT NO. ENC2022-0072 Painted Cove / Traffic Control for Palm Tree Trimming/ Ave 50 and Park Ave 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. Conserve Landcare, LLC (Noah McCoy), hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and erosion control. 3. This permit or copy of it shall be on the work site for inspection during the actual work performed. 4. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently, if required. 5. Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance 18 § 1, 1982), throughout the work site, the Permittee shall comply with City regulated work hours. Operation and maintenance of equipment within one-half mile of human occupancy shall be performed only during the following time periods: October 1 st to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m. Saturday 8:00 a.m. to 5:00 p.m. May 1 st to September 30: Monday -Friday 6:00 a.m. to 7:00 p.m. Saturday 8:00 a.m. to 5:00 p.m. Work shall be prohibited on legal holidays and Sundays. Note: Construction work (including setting up traffic control devices) is not permitted on any Arterial street (ie any 4 lane street) before 8:30 a.m. and after 4:30 p.m. 6. 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 Maintenance Technician at (760) 777-7070 if signal operation at the intersection is to be altered in any way. 7. 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. 8. 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. 9. 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. Special Conditions Page 1 of 3 PERMIT NO. ENC2022-0072 Painted Cove / Traffic Control for Palm Tree Trimming/ Ave 50 and Park Ave 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 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. Prior to excavating, if required, the Permittee shall contact Underground Service Alert at 1-800-422- 4133. It shall be the Permittee's responsibility to notify the Public Works Department of anticipated excavation which impact City facilities, including but not limited to traffic signal conduits and loops, irrigation lines, electrical conduits, and storm drain facilities. 12. Should additional work, materials, or modifications of the work be required in order to meet City standards, safety requirements, signage requirements, or to fit actual field conditions, the work shall be performed by the Permittee as directed by and to the satisfaction of the City Engineer at no cost to the City of La Quinta. 13. 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 with Section 306-1.3 of the latest edition of the Standard Specifications For Public Works Construction (SSPWC), except as otherwise specified herein. No excavation is anticipated in the Scope of Work or within this permit. 14. 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. No excavation is anticipated in the Scope of Work or within this permit. 15. All landscaping, irrigation, decorative rock, decorative concrete, sidewalk, lighting, etc., shall be replaced to its original condition. 16. Access and egress to all local properties shall be maintained at all times. Special Conditions Page 2 of 3 PERMIT NO. ENC2022-0072 Painted Cove / Traffic Control for Palm Tree Trimming/ Ave 50 and Park Ave 17. 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: No asphalt work is anticipated within the scope of work or this permit. 18. 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. 19. 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, 51h Edition" or latest, in the installation of all appurtenances abutting and within the public street right-of-way. 20. Pursuant to Chapter 12.56 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982) the City has designated certain city streets as Truck Routes. The weight limit for restricted streets (i.e., streets not part of the Truck Route network) is three (3) tons; trucks exceeding the weight limit may use a restricted street if making a delivery or pickup on the subject street, or if this permit specifically grants permission to use the street to deliver street construction materials and/or equipment. 21. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. 22. The permittee shall indemnify, hold harmless and assume the defense of the City from all damages, delay costs, costs or expenses in law or equity that may arise out of work under this permit. Special Conditions Page 3 of 3 / ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 12/30/2021 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 Los Angeles-Alliant Insurance Services, Inc. 333 S Hope St Ste 3750 Los Angeles CA 90071 CONTACT NAME: Lexi Abbate PHONE FAX A/C No Ext : A/C No), ADDRESS: labbate@alliant.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Executive Risk Indemnity Inc 35181 INSURED SPERLAN-01 Conserve Landcare, LLC 72265 Manufacturing Road INSURERB: AGCS Marine Insurance Company 22837 INSURER C: Federal Insurance Company 20281 INSURER D : Thousand Palms, CA 92276 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:766762637 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 Y 54309877 12/31/2021 12/31/2022 EACH OCCURRENCE $2,000,000 CLAIMS -MADE � OCCUR TED PREMISES (Ea oDAMAGE TO ccurrence) $ 1,000,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY jE LOC PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER: C AUTOMOBILE LIABILITY Y Y 54309837 12/31/2021 12/31/2022 COMBINED SINGLE LIMIT Ea accident $ 2,000,000 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 $ C UMBRELLA LIAB X OCCUR 5671-7287 12/31/2021 12/31/2022 EACH OCCURRENCE $ 5,000,000 X AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N Y 54309878 12/31/2021 12/31/2022 X PER OTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ NIA E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 B Inland Marine/Leased & Rented MX193086972 12/31/2021 12/31/2022 Limit $500,000 Deductible $2,500 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is included as Additional Insured as respects Liability arising out of work performed by the Named Insured. The insurance provided shall be primary and any other insurance maintained by the Additional Insured is excess and non-contributory. Waiver of Subrogation applies as required by contract. Certificate Holder is included as Additional Insured as respects Liability arising out of work performed by the Named Insured. The insurance provided shall be primary and any other insurance maintained by the Additional Insured is excess and non-contributory. Waiver of Subrogation applies as required by contract. 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. 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 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG20101219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations WHERE REQUIRED BY WRITTEN 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 the person(s) or organization(s) shown in the Schedule, but 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 for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. 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. CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 C. With respect to the insurance afforded to these 2. Available under the applicable limits of additional insureds, the following is added to insurance; Section III — Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement, the most we applicable limits of insurance. will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 © Insurance Services Office, Inc., 2018 CG 20 10 12 19 POLICY NUMBER: 54309877 COMMERCIAL GENERAL LIABILITY CG20371219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Oraanization(s) Location And Description Of Completed Operations 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 the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 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 contract or agreement; 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. CG 20 37 12 19 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLIC❑ ❑❑MB❑R❑ 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 - is endorsemen modi7es ins-rance pro❑ded -nder EL)e b®❑in❑❑ COMM❑RCI❑L ❑ ❑❑ ❑R❑L LI❑BILI❑❑ CO❑❑R❑❑ ❑ P❑R❑ SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: In orma-ion re❑dred [o comp[e[e [ds Sc❑ed❑[e, iuio❑s❑o❑n abo[b, ❑imbe s❑D❑n in me Dec®ralions❑ A. Section II - Who Is An Insured is amended 10 inc❑de as an addi[bna❑ insued an❑ s[a[e or ❑o[brnmenCe❑a enc❑ or sLbdil ision or polka❑ smdidsion s❑o❑n in ne Sc❑ed❑o, sm[ec❑[b Elle b®❑in❑ prodsions❑ 1. ❑ds insurance appiles one ❑ice respec❑ [b operadbns per[ormed b❑ [b❑ or on [bur beua® [br ❑11c❑ ®e shale or ❑D[brnmenCa❑a❑enc❑or smdidsion or poVca[:smdidsion ❑as iss❑ed a perm i [br a ❑Ellori Ca [ion ❑ ❑o❑e❑er❑ a. ❑❑e insuance a0lorded b s❑c❑ addi[lona❑ insued onlillappiles b De ern❑permiEDd b❑®❑❑and b. I❑ co❑era❑e prodded ® De addi[iona❑ insured is re❑dred b❑ a con[riac❑ or au-eemenq ®e insurance aEiorded b s❑c❑ addiliona❑insured ❑i®no❑be broader EDan Ma❑❑ ic❑ ❑o❑ are re❑EIred b❑ He conIrac❑ or aueemen❑b prodde [br s❑c❑ addiliona❑ insued❑ 2. ❑LJs insuance does no❑app®®❑ a. "Bodin in❑l d', "properm damage" or "persona❑and ad[brUin❑ in❑l d' arisin❑ o❑❑ o, operalibns periormed [or ELL- [edera❑ ❑D ernmengs[e[e or muiicipaMIE[:br b. "Bodi® inE-d' or "proper® dama❑e" inc::Ided ❑iMn me "prod❑c[S[oomp[e[ed opera[bns ❑a[]3rd"❑ B. ❑ in respec❑ b no insuance aulorded ® nose addilibna❑ insueds, He 1011011in❑ is added b Section III - Limits Of Insurance: ❑co❑era❑e prodded b ®e addilibna❑insured is re❑dred b❑a conirlac❑or a❑reemenq He mos❑❑e ❑i®pa❑on be❑a®o❑®e addi iona❑insured is ®e amoui[b1Ansuance11 1. Re❑Fired b❑ ®e con[Eac[br aueemenzbr 2. ❑usi[eb[e under IlDe appkab[e 1iniS o❑ insuance❑ ❑Eic❑e[Aar is less❑ [][As endorsemen❑ s❑allfl no[] increase e appiltab[e Unis oElnsuance❑ CG 20 12 12 19 0 InsErance Serdces Owe, Incg2018 Page 1 of 1 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 11 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designation Of Premises (Part Leased To You): Name Of Person(s) Or Organization(s) (Additional Insured): Additional Premium: $ 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 the person(s) or organization(s) shown in the Schedule, but only with respect to liability arising out of the ownership, maintenance or use of that part of the premises leased to you and shown in the Schedule and subject to the following additional exclusions: This insurance does not apply to: 1. Any 'occurrence" which takes place after you cease to be a tenant in that premises. 2. Structural alterations, new construction or demolition operations performed by or on behalf of the person(s) or organization(s) shown in the Schedule. However: The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 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 contract or agreement; 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. CG 20 11 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: 54309877-00 COMMERCIAL GENERAL LIABILITY 10-02-2461 (Ed. 7-15) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY INSURANCE FOR SCHEDULED ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Additional Insured: Location Of Covered Operations: WHERE REQUIRED BY WRITTEN CONTRACT ALL LOCATIONS (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) With respect only to the Additional Insured and at the Location Of Covered Operations shown in the Schedule, the following is added to SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 4.Other Insuranceand supersedes any provision to thecontrary: Primary And Noncontributory Insurance This insurance is primary to and will not seekcontribution from any other insurance available to the Additional Insured with respect to the Location Of Covered Operations shown in the Schedule under thispolicyprovided that: (1) The Additional Insured is a named insuredunder such other insurance; and (2) You have agreed in writing in a contract oragreement that this insurance would beprimary and would not seek contributionfrom any other insurance available to theAdditional Insured. 10-02-2461 (Ed. 7-15) Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. POLICY NUMBER: 54309877 Section IV -Commercial General Liability Conditions; 8. Transfer or Waiver of Rights of Recovery 8. Transfer Or Waiver Of Rights Of Recovery Against Others To Us We will waive the right of recovery we would otherwise have had against another person or organization, for loss to which this insurance applies, provided the insured has waived their rights of recovery against such person or organization in a contract or agreement that is executed before such loss. To the extent that the insured's rights to recover all or part of any payment made under the Coverage Part have not been waived, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. This condition does not apply to Coverage C. Form 10-02-1800(Rev. 09- Includes copyrighted material of ISO Properties, Inc. with Page 13 of 17 17) its permission POLICY NUMBER: 54309877 COMMERCIAL GENERAL LIABILITY 10-02-2494 (Ed. 7-15) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION OR NON -RENEWAL TO SPECIFIED PERSONS OR ORGANIZATIONS This endorsement modifies the following: COMMON POLICY CONDITIONS SCHEDULE Name(s) and Address(es): All Persons or Organizations as on file with us The following Condition is added: Notice Of Cancellation Or Non -Renewal To Specified Persons Or Organizations 1. If we cancel or non -renew this policy for any reason other than non-payment, we will deliver notice of the cancellation or non -renewal to any Person(s) or Organization(s) shown in the Schedule Thirty (30) days prior to the effective date of cancellation or non -renewal. 2. If we cancel this policy for non-payment, we will deliver notice of the cancellation to any Person(s) or Organization(s) shown in the Schedule Ten (10) days prior to the effective date of cancellation. 3. If notice is mailed, proof of mailing will be sufficient proof of notice. 4. Any failure by us to notify such person(s) or organization(s) will not invalidate such cancellation or non -renewal with respect to any other person(s) or organization(s). 10-02-2494 (Ed. 7-15) Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. POLICY NUMBER: COMMERCIAL AUTO CA20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Endorsement Effective Date: SCHEDULE Name Of Person(s) Or Organization(s): Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 POLIC-1 ❑❑MB❑R❑ L2015430L98137 COMMERCIAL AUTO 16-02-0316 Ed. 10 14 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTORY LIABILITY INSURANCE is endorsemen modilLas insoance proLided rider De Lo®❑in❑❑ B❑SI SS ❑❑❑O CO❑❑R❑❑❑ DORM ❑ i❑u respec❑ [o co❑era❑e prodded bu i is endorsemenq [IDe prodsions o❑ [IDe CoC-Ora❑e ❑orm app[ID lin[oss modi[~ied b❑me endorsemenLm [][As endorsemen❑c❑anlies LLLIe poLic❑eElacke on L❑e incepilon dale o❑tee poLit❑ L:hLoss ano®er dale is indicaAd be[o❑❑ Named Insured: Sperber Landscape Companies, LLC Endorsement Effective Date: 12/31/2021 SCHEDULE Name(s) Of Person(s) Or Organization(s): Inlormalon re❑[Ared Lo complele Ms Sc❑ed❑le, ilino❑sLb❑n aboLig, ❑i[Qbe sLb❑n in [Ilse Declarations❑ ❑❑e LOL®❑in❑ is added Lo I[am 5❑❑ LOther Insurance ❑o❑lLem B❑❑ [General Conditions❑ceder Sec[iibn I❑ ❑ LBusiness Auto Conditions e❑ Re❑ard[ass o❑ ale pro[7sions o❑ Parallap❑ 51an uro❑❑❑ d❑abo❑e, [Or an❑ Labia arisin❑ o❑❑o❑ae o❑nersElip, mainCbnance, Ise, ren[oq [oase, Loan, [ire or borro❑in❑ b❑an CihsC7ed❑o❑a co❑ered [A❑Co❑[or ❑[Ic❑ an [lhS[ired❑ is conTac[II1a[R obMa[i�d Co prodde primar❑ ins lance co era❑e Cb a cl[Lanq niis Colbra❑e ❑orm ❑iLube primar❑ and nonLconirib❑Lbr❑ ❑iLID respec❑Lo [Tile Persons or Or❑ani[:aCions in LIDe sc❑ed❑[o, re❑ard[oss o❑[Te aCl3i®biFMor e[islence o❑ o®er collac[ib[o insaance ceder an❑o®er Co❑era❑e Dorm or po[it ❑OI]a❑app%s on a primar❑basis ❑ 16-02-0316 Ed. 10 14 Page 1 of 1 POLICY NUMBER: COMMERCIAL AUTO CA04441013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Endorsement Effective Date: SCHEDULE Name(s) Of Person(s) Or Organization(s): Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the `loss" under a contract with that person or organization. CA 0444 10 13 0 Insurance Services Office, Inc., 2011 Page 1 of 1 POLICY NUMBER: (20)5430-98-37 COMMERCIAL AUTO 16-02-0322 (Ed. 11.15) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION OR NON -RENEWAL TO SPECIFIED PERSONS OR ORGANIZATIONS This endorsement modifies the following: COMMON POLICY CONDITIONS SCHEDULE Name(s) and Address(es): ALL PERSONS OR ORGANIZATIONS AS ON FILE WITH US. The following Condition is added: Notice Of Cancellation Or Non -Renewal To Specified Persons Or Organizations 1. If we cancel or non -renew this policy for any reason other than non-payment, we will deliver notice of the cancellation or non -renewal to any Person(s) or Organization(s) shown in the Schedule 30 days prior to the effective date of cancellation or non -renewal. 2. If we cancel this policy for non-payment, we will deliver notice of the cancellation to any Person(s) or Organization(s) shown in the Schedule 10 days prior to the effective date of cancellation. 3. If notice is mailed, proof of mailing will be sufficient proof of notice. 4. Any failure by us to notify such person(s) or organization(s) will not invalidate such cancellation or non -renewal with respect to any other person(s) or organization(s). 16-02-0322 (Ed. 11-15) Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. Workers' Compensation and Employers' Liability Policy Named Insured Endorsement Number Policy Number Symbol: Number: Policy Period Effective Date of Endorsement Issued By (Name of Insurance Company) Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. CALIFORNIA WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in Item 3.A. of the Information Page. 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, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule, where you are required by a written contract to obtain this waiver from us. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. Schedule 1. ( ) Specific Waiver Name of person or organization: ( X ) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: 3. Premium: The premium charge for this endorsement shall be 1.0 percent of the California premium developed on payroll in connection with work performed for the above person(s) or organization(s) arising out of the operations described. 4. Minimum Premium: $0 Authorized Representative WC 90 03 75 (05/18) WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC990662 NOTICE OF CANCELLATION OR NON -RENEWAL TO SPECIFIED PERSONS OR ORGANIZATIONS This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. This endorsement effective on at 12:01 A. M. standard time, forms a part of (DATE) Policy No. Issued to of the (NAME OF INSURANCE COMPANY) Authorized Representative The following Condition is added to PART SIX - CONDITIONS: Notice Of Cancellation Or Non -Renewal To Specified Persons Or Organizations 1. If we cancel or non -renew this policy for any reason other than non-payment, we will deliver notice of the cancellation or non -renewal to any Person(s) or Organization(s) shown in the Schedule THIRTY 30 days prior to the effective date of cancellation or non -renewal. 2. If we cancel this policy for non-payment, we will deliver notice of the cancellation to any Person(s) or Organization(s) shown in the Schedule TEN 10 days prior to the effective date of cancellation. 3. If notice is mailed, proof of mailing will be sufficient proof of notice. 4. Any failure by us to notify such person(s) or organization(s) will not invalidate such cancellation or non -renewal with respect to any other person(s) or organization(s). SCHEDULE Name (s) and Address (es): ALL PERSONS OR ORGANIZATIONS AS ON FILE WITH COMPANY. WC 99 06 62 (Ed. 01-16) Page 1 of 1