Loading...
ENC2022-0070Qwkrdu 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: 8/9/2022 LOCATION OF CONSTRUCTION (Street address or Description): AVENUE 58 AND STONE CREEK WAY PURPOSE OF CONSTRUCTION: TIE INTO EX PIED, TRENCH 12', BORE 1,163', PLACE 2 NEW VAULTS, 6 EX POLES REMOVED & PLACE RISER AT EX POLE DESCRIPTION OF CONSTRUCTION: FOR CHARTER PID3448787 PLACE NEW RISER, VAULT & REMOVE POLES DIMENSION OF INSTALLATION OR REMOVAL: APPROXIMATE TIME WHEN WORK WILL BEGIN: 8/31/2022 TIME OF COMPLETION: 9/1/2022 ESTIMATED CONSTRUCTION COST: $3,000.00 (Including removal of all obstruction, materials, and debris, backfilling, compaction and placing permanent resurfacing and/or replacing improvements) COMMENTS: In consideration of the granting of this permit, the applicant hereby agrees to: Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application. Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started at (760) 777-7097. To submit an inspection request, leave a message on the Inspection Request Hotline at (760) 777-7097 prior to 1:30 P.M. at least twenty-four (24) hours prior to the anticipated inspection. Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as the result of this work. UNITED FIBER COMM - CRYSTAL PENA 4280 LATHAM ST RIVERSIDE, CA 92501 Name of Applicant (please print) Business Address COCHRAN COMMUNICATION CONST 72230 VARNER RD THOUSAND PALMS, CA 92276 Name of Contractor and Job Foreman Business Address 478543 0000865 Contractor's License No. LANDMARK AMERICAN INSURANCE COMPANY Applicant's Insurance Company Finance Revenue Code PERMIT INSPECTION CUT/BORE $750.00 TRAFFIC CONTROL $673.00 TECHNOLOGY ENHANCEMENT FEE $5.00 TOTAL: $0.00 City Business License No. LHA141740 Policy Number PERMIT NO: ENC2022-0070 DATE ISSUED: 8/9/2022 EXPIRATION DATE: 8/9/2023 BY: AMY YU WORK INSPECTED BY*: PERMIT COMPLETION DATE*: 106101111111►1: Signature of Applicant or Agent (951)742-5836 Telephone No. (760)218-8693 Telephone No. *If the work is covered by a Subdivision Improvement Agreement, Subdivider shall request final acceptance of improvements from the City Council. LA tA GENERAL NOTES 1. BORE UNDER ALL CURBS AND GUTTERS. 2. PLACE VAULTS WITH LONGER SIDE PARALLEL TO CURVE. 3. USE NATIVE SOIL. 4. ALL CONDUITS SHALL BE SCH-40 UNLESS OTHERWISE SPECIFIED. ALL SWEEPS TO POLES SHALL BE SCH-80. 5. ALL CHANGES IN SKETCHES AND PERMIT LIMITS MUST HAVE PRIOR DEPTH APPROVAL BY THE CITY'S BUREAU OF ENGINEERING. 6. WHEN CROSSING EXISTING UTILITY LINES THAT ARE ALSO SAME DEPTH, PLACE CHARTER CONDUIT UNDERNEATH EXISTING UTILITIES TO PROVIDE ONE (1) FOOT MIN. VERTICAL CLEARANCE. 7. TRAFFIC CONTROL NOTE CONTRACTOR SHALL SET UP TEMPORARY TRAFFIC CONTROL PER MUTCD (LATEST EDITION) 8. PERMITTEE MUST REUSE THE SOIL WITHIN THE WORK LIMITS IN THE IMMEDIATE AREA FROM WHICH IT WAS EXCAVATED. IF ANY EXCESS SOIL IS GENERATED, IT BECOMES THE PROPERTY OF THE PERMITTEE. PERMITTEE MUST TRANSPORT ALL EXCESS SOIL OUTSIDE OF CALTRANS' RIGHT-OF-WAY, AND DISPOSE OF IT IN ACCORDANCE WITH ALL APPLICABLE ENVIRONMENTAL LAWS AND REGULATIONS. VICINITY MAP � MFG LOGO CUSTOMER LOGO LIFT PIN (2X) COVER BOLT DOWN (4X) 17"X30" VAULT Riviera MFG LOGO Merion i Hermitage a3 CUSTOMER LOGO LIFT PIN (2X) �i COVER BOLT L-0 DOWN (4X) 3$ 22" J 0 0 CL 8th Ave tn r+ 24"X36" VAULT UNITED FIBER COMMUNICATIONS INC ENGINEERING SERVICES WORK AREA LEGEND VAULT POLES WATER Charter EX. VAULT O STREETLIGHTS GAS ' PED ❑O TREES (} ELECTRIC pectrum S FH BORE PITS TELCO MANHOLE POTHOLES SEWER VALVES ADA RAMP il-T STORM DRAIN 3" POLYMER CONCRETE COVER (WITH NON-SKID SURFACE) POLYMER CONCRETE BOX (WITH OPEN BOTTOM) 3" YMER CONCRETE COVER 'H NON-SKID SURFACE) POLYMER CONCRETE BOX (WITH OPEN BOTTOM) —EEEE— CENTER LINE CURB & GUTTER BOUNDARY LINE BORE LINE TRENCH LINE __WV___F?W_ LANDSCAPE TO BE REPLACED TO ORIGINAL SURFACE a a a NATIVE SOIL BACKFILL @ 90% COMPACTION CHARTER PVC CONDUIT 3" MIN CONTRACTOR TO VERIFY DEPTH OF ALL UTILITY CROSSINGS AND KEEP A MIN OF 12" CLEARANCE VARIES VARIES a n d 3" MIN LANSCAPE BORE PIT/POTHOLE DETAIL N.T.S LANDSCAPE TO BE REPLACED TO ORIC SURFACE NATIVE SOIL BACKFIL 90% COMPACTION CHARTER PVC CONDUIT CONTRACTOR TO VEI DEPTH OF ALL UTILIT' CROSSINGS AND KEE OF 12" CLEARANCE VARIES LANDSCAPE TRENCH DETAIL N.T.S UNDERGROUND SERVICE ALERT ORE VOA a TOLL Call:cj FREE (M 811 www.call811.com TWO WORKING DAYS BEFORE YOU DIG REVISIONS: PROJECT #: EXISTING CONC. S.W. EXISTING CONC. S.W. 3448787 ADDRESS:58TH AVE AND MADISON ST LA QU I NTA, CA 92253 DATE: 7/27/22 1 OF 2 SCALE 111-401 (PVT. DWY) STONE CREED WAY R RW 58TH AVE 58TH AVE a ' 11 11't RW RW RW RW RW RW RW RW RW RW RW RW RW - RW d SIDEWALK SIDEWALK SIDEWALK F•. SIDEWALK o G G G G G G G G G G G G G SIDEWALK a • ,, I�CII G G SIDEWALK a_______________________________ r---, ---• 'd G G G G G G G G G �`G G G G G G G G G A G • ♦ a, , ,• d / m LANDSCAPE LANDSCAPE G LANDSCAPE ♦ ..d U LANDSCAPE LANDSCAPE LANDSCAPE d • • .------ _---------- _------- _------ _------ _------ ____--______--______-________-______---_____ • d ♦ d d• L___—------ — ---- --- ------ —------ —------ —------ ----------- —G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G—�/� G G O m S S S 5 S S S S S S S S S S S S S S S S S S S S S S S S S S S �5 S SS S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S 5 S S CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL L CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL L CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL CL � / � m U csi BP PH d����aaW W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W pWj H pH 1;�-E—E—E E E E E E EW W W W W W W W W W W W W W W W W W W W W W W W W W W 4� W W W W WSW W W W W W W W W PHz HEE—E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E ® DIRT DIDIRT E�E E E E E E E E E E E E E E N DIRT ix z DIRT ® DIRT p�nl RW RW W RW RW IV_ RW RW r� RW RW RW RW RW RW II RW RW RW RW RW RW RW ao EX. POLE #921802D PLACE NEW 24"X36" VAULT 428' 1-3" BP BP PH EX. POLE #921805D EX. POLE #921803D 8' 1-2" EX. POLE #921807D TO BE REMOVED 419' 1-3" TRENCH TO BE REMOVED NEW RISER BORE TO BE REMOVED I I PLACE NEW 17"x30" VAULT TO BE REMOVED 316' 1-3" EX. POLE #921804D BORE TIE INTO EXISTING PEDESTAL � I I BORE TO BE REMOVED LOCATION 8 1.211 EX. POLE #921806D TRENCH TO BE REMOVED EXISTING POLE #1150412 48' PLACE RISER SIDONIA WA Y 9 58TH AVE PLACE RISER AT 6 O'CLOCK 6 RISER 1 1150412 NEW 1-2" PVC RISER DETAIL "A" POLE RISER DETAIL UNITED FIBER COMMUNICATIONS INC ENGINEERING SERVICES Charter Spectrum' LEGEND VAULT POLES ® WATER —wWWw— CENTER LINE — EX. VAULT 0 STREETLIGHTS GAS RIGHT OF WAY --R�----- PED © TREES D ELECTRIC —EPEE— CURB & GUTTER -------------------- FH BORE PITS ® TELCO — T— BOUNDARY LINE - - ...... ...... - - MANHOLE POTHOLES ® SEWER S S S S BORE LINE VALVES ADA RAMP /7N STORM DRAIN TRENCH LINE -------------------- UNDERGROUND SERVICE ALERT FORE you TOLL Call: FREE 811 www.call811.com TWO WORKING DAYS BEFORE YOU DIG REVISIONS: PROJECT #: 3448787 ADDRESS: 58TH AVE AND MADISON ST LA QU I NTA, CA 92253 DATE: 7/27/22 2 OF 2 TRAFFIC CONTROL PLAN GENERAL NOTES A Traffic Control Permit is required for all work within the public right of way. Traffic control permits shall be obtained from the City of La Quinta Department of engineering prior to the start of any/all work. Responsibility to Maintain Temporary Traffic Control Devices It is the responsibility of the contractor to maintain temporary traffic control devices throughout the course of the project to the satisfaction of the Engineer. The contractor shall be responsible for any defective work, materials or equipment corrected, repaired or replaced within three (3) hours after notification by the Engineer. If the contractor is not capable of making such repairs and/or adjustments to the satisfaction of the Engineer within this time frame, the Engineer will order City or other qualified Engineers or technicians to make immediate repairs and/or adjustments. The contractor will be charged the entire cost of the work performed by City or other qualified personal (if paid by the City). The work performed by City or other qualified personnel will in no way waive maintenance responsibilities of the contractor. Restoration of Traffic Control Devices The applicant is responsible for restoring to original condition all striping, legends, signs and any other existing traffic control devices at the end of the work shift and at the end of the project. This includes any traffic control devices damaged by any means or rendered ineffective. Replacement or repair shall be per current City Standards. Plans and Specifications Contractors are required to have a copy of the permit, plans and specifications at the work site at all times. This includes any approved traffic control plans, detour plans, or any referenced plans from the WATCH manual, the CATTCH manual or the MUTCD. Any contractor failing to have these items will be shut down. VICINITY MAP S � �t,un Marian p Hermitage i i n � m u a � n ❑ a a >tia N Nerrn t 58th Ave 5 fA WORK AREA N.T45._ SUGGESTED ADVANCE WARNING SIGN PLACEMENT ROAD TYPE DISTANCE BETWEEN SIGNS* A B C URBAN (LOW SPEED) 25 MPH OR LESS 100 100 100 URBAN (HIGH SPEED) MORE THAN 25 MPH TO 40 MPH 250 250 250 URBAN (HIGH SPEED) MORE THAN 40 MPH 350 350 350 RURAL 500 500 500 2,640 EXPRESSWAY/FREEWAY 1,000 1,500 '- DISTANCES SHOWN IN FEET. THE A DIMENSION IS THE DISTANCE FROM THE TRANSITION OR POINT OF RESTRICTION TO THE FIRST SIGN. THE B DIMENSION IS THE DISTANCE BETWEEN THE FIRST AND SECOND SIGNS. THE C DIMENSION IS THE DISTANCE BETWEEN THE SECOND AND THIRD SIGNS. (THE "FIRST SIGN" IS THE SIGN IN A THREE -SIGN SERIES THAT IS CLOSEST TO THE TTC ZONE. THE "THIRD SIGN" IS THE SIGN THAT IS FURTHEST UPSTREAM FROM THE TTC ZONE.). TEMPORARY TRAFFIC CONTROL PLAN DIMENSION GUIDELINES SPEED "S" MPH )21 DIMENSION A/B/C ADVANCE WARNING SIGN SPACING 5 O DIMENSION L MERGING TAPER LENGTH DIMENSION L/2 SHIFTING TAPER LENGTH DIMENSION L/3 MINIMUM SHOULDER TAPER DIMENSION SUFFERSPACE )4-A) FLAGGERSTATION sTOPPINGSIGHT DISTANCE -s) oi1 (N E(4—B) MAXIMUM CHANNELIZER TAPER SPACING (3) MAXIMUM CHANNELIZER TANGENT SPACING (3) MAXIMUM CHANNELIZER CONFLICT SPACING (3) MPH ft ft ft ft ft ft ft ft 25 100 125 65 45 155 160 165 25 50 12 30 250 180 90 60 200 205 215 30 60 15 35 250 245 125 85 250 260 275 35 70 17 40 250 320 160 110 (305) (315) (335) 40 80 20 45 350 540 270 180 360 380 400 45 90 22 50 350 600 300 200 425 450 475 50 100 25 55 500 660 330 220 495 520 555 50 100 25 60 500 720 360 240 570 600 640 50 100 25 65P1 500 780 390 260 (645) (685) (730) 50 100 25 (1) Work on Freeways and Expressways shall meet the Caltrans Standard Plans and Standard Specification requirements. (2) Posted Speed or observed operating speed (whichever is greater). (3) Channelizer spacing shall be reduced in half at areas where work is taking place, on curves, or areas of head-on conflict. (4-A) Buffer space may be inserted in low speed urban areas and should be inserted in high speed urban and rural areas. (4-B) The Stopping Sight Distance should enable Road Users to see the Primary Flagger Station and safely stop. (5) Sign spacing in rural areas should be 500 ft. (6) " Table 6F-101(CA) signed 8/1/2022 conumonu6895 LEGEND PROJECT: 3448787 LFC Charter TRAFFIC CONE • FLASHING ARROW BOARD F7 STRIPE SOLID CURB & RAISED MEDIAN 58TH AVE & Spectru m ► TYPE 1 BARRICADE F FLAGGER • STRIPE DASHED - - - -- PAINTED MEDIAN --------- ADDRESS: MADISON ST LA QUINTA, CA 92253 SIGNALIZED INTERSECTION BIKE LANE CROSSWALK & LIMIT LINE UNITED FIBER COMMUNICATIONS INC WORK ZONE ® BIKE LANE DASHED ------------- BOUNDARY LINE ............... REVISIONS: ENGINEERING SERVICES DIRECTION OF TRAFFIC SIDEWALK CONCRETE PATCH DATE: 07-26-2022 1 1 OF 3 SCALE NORTH 1 "-50' PHASE 1 OF 2 NOTE: WORKING HOURS MONDAY - FRIDAY 9: 00 A. M. - 3: DD P. M. WORK DURATION: 7-2 DAYS BIKELANE V/ 0 T FLAGGER FOR VEHICULAR CONTROL CONTACT PROPERTY OWNER(S) 72 HOURS PRIOR TO START OF WORK AN INDIVIDUAL WILL BE ASSIGNED TO MAINTAIN THE CONES WHILE THE WORK ZONE IS IN PLACE CONTRACTOR TO PROVIDE ACCESS TO DRIVEWAYS AT ALL TIMES TEMPORARY "NO PARKING" SIGNS SHALL BE INSTALLED AT LEAST 72 HOURS BEFORE ENFORCEMENT. STONE CREEK WAY SIDONIA WAY 25MPH signed 8/1/2022 conumonu6895 LEGEND PROJECT: 3448787 LaFC Charter TRAFFIC CONE • FLASHING ARROW BOARD M STRIPE SOLID CURB & RAISED MEDIAN 58TH AVE & TYPE 1 BARRICADE F FLAGGER ■�" STRIPE DASHED --------- PAINTED MEDIAN --------- ADDRESS: MADISON ST S pec t r u m ► SIGNALIZED INTERSECTION BIKE LANE CROSSWALK & LIMIT LINE LA QUINTA, CA 92253 UNITED FIBER COMMUNICATIONS INC WORK ZONE ® BIKE LANE DASHED ------------- BOUNDARY LINE -••-••-••-••-•-••-••- REVISIONS: ENGINEERING SERVICES DIRECTION OF TRAFFIC SIDEWALK CONCRETE PATCH 0 DATE: 07-26-2022 2 OF 3 SCALE NORTH 1 "-50' PHASE 2 OF 2 NOTE: WORKING HOURS MONDAY - FRIDAY 9:00 A. M. - 3: DD P. M. WORK DURATIDN: 7-2 DAYS RO�AY (PRIVATE STONE CREEK 50MPH 50MPH 58TH AVE '- 58TH AVE ANDSCAPE SIDEWALK SIDEWALK SIDEWAL LANDSCAPE LANDSCAPE LANDSCAP SIDEWALK BIKELANE BIKELANE BIKELANE BIKELANE — PAINTED MEDIAN PAINTED MEDIAN PAINTED MEDIAN vj ® ® DIRT • • DIRT DIRT DIRT 36'—•-16' y SHOULDER TAPER BUFFER 0 FLAGGER TO BE POSTED AT SIDONIA WAY WHEN WORK EQUIPMENT IS NEAR AND/OR LIMITING SIGHT aoia�m $ DISTANCE FOR EXITING VEHICLES. 25MPH SIDONIA WAY FLAGGER FOR VEHICULAR CONTROL CONTACT PROPERTY OWNER(S) 72 HOURS PRIOR TO START OF WORK AN INDIVIDUAL WILL BE ASSIGNED TO MAINTAIN THE CONES WHILE THE WORK ZONE IS IN PLACE CONTRACTOR TO PROVIDE ACCESS TO DRIVEWAYS AT ALL TIMES TEMPORARY "NO PARKING" SIGNS SHALL BE INSTALLED AT LEAST 72 HOURS BEFORE ENFORCEMENT. N C046055 xP-11.31-a signed 8/l/2022 conumonu6895 UNITED FIBER COMMUNICATIONS INC ENGINEERING SERVICES ChLFCarter S pec t r u m ► LEGEND PROJECT: 3448787 TRAFFIC CONE • FLASHING ARROW BOARD M STRIPE SOLID STRIPE DASHED --------- CURB & RAISED MEDIAN PAINTED MEDIAN 58TH AVE & ADDRESS: MADISON ST LA QUINTA, CA 92253 TYPE 1 BARRICADE F FLAGGER ■�" --------- SIGNALIZED INTERSECTION BIKE LANE CROSSWALK & LIMIT LINE WORK ZONE ® BIKE LANE DASHED ------------- BOUNDARY LINE -••-••-••-••-•-••-••- REVISIONS: DIRECTION OF TRAFFIC SIDEWALK CONCRETE PATCH 0 DATE: 07-26-2022 3 OF 3 City of La Quinta The following General and Special Provisions are attached to and made a part of Permit Number ENC2022-0070 The following shall always apply: ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within the City of La Quinta's right of way ONLY. Whenever construction extends within private property, it is the responsibility of the permittee for his contractors to secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting work. TRACK -LAYING CONSTRUCTION EQUIPMENT: Cleated track -laying construction equipment shall not be permitted to operate on any paved surface unless fitted with smoother -faced street pads. All mechanical outriggers shall be fitted with rubber street shoes to protect the paving during excavations. Rubber -tired equipment only shall be used in backfill operation in paved areas. If the existing pavement is scarred, spalled, or broken during the term of this contract or if the pavement is marred, City of La Quinta shall request that these portions of road be resurfaced over their entire width. Resurfacing shall consist of one coat of two inches (2") of A.C. surfacing plus appropriate seal coat as specified above. PROTECTION OF TRAFFIC: All excavations and work areas shall be properly lighted and barricaded as deemed necessary by the City Engineer or City of La Quinta Public Works Inspectors. Suitable detours and detour signs shall be placed and maintained for the duration of the project. The City shall be notified twenty-four hours (24) in advance of any traffic detours or delineation. CARE OF DRAINAGE STRUCTURES: Any drainage structure to include corrugated metal pipe, concrete pipe, steel culvert and concrete structures encountered during excavation which necessitate removal shall be replaced in kind. In the event it becomes necessary to remove or cut existing drainage structures, City of La Quinta shall be notified prior to commencement of this work. Drainage structures and open drains shall be kept free of debris at all times for proper drainage. RIGHT-OF-WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the right of way. All paved surfaces shall be broomed clean of earth and other objectionable materials immediately after backfill and compaction. Existing gutter line and drainage ditches shall be replaced to their original standard or better. All excess material shall be removed prior to paving. Water tanker shall be used, as required, to sprinkle the job site to keep down dust conditions and shall be used immediately after backfill. DE -WATER OPERTATIONS: If de -watering operations are required and pumps are forcing water on City of La Quinta roads, it shall be the responsibility of the permittee (contractor) to control this water and to provide off-street barricades when necessary. CLOSING STREETS: No street shall be closed. A minimum of one lane of traffic shall be maintained at all times to provide limited access for the adjoining property owners and emergency vehicles. In the event it is felt by the permittee that he must close a street for any length of time, permittee shall contact this office to obtain the necessary permission. SPECIAL PROVISIONS The following shall apply when indicated: ® R1 NOTIFICATION: Permittee shall notify the City at (760) 777 - 7097 at least forty-eight hours (48) in advance of starting construction. ® R2 UTILITY CLEARANCE: (Substructures) Prior to making any excavations within the City of La Quinta right-of-way authorized by permit, the permittee shall contact all concerned utility companies relative to the location of existing substructures. Damage to existing substructures resulting from operations conducted under this permit shall be the sole responsibility of the permittee. ® R3 UTILITY CLEARANCE (Surface Structures) No work shall be done under this permit until all utilities are clear of the proposed work site. The permittee shall notify all concerned utility companies of the proposed work. ❑ R4 PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be surfaced with ( ** N/A ** ) inches of A.C. paving placed on ( ** N/A ** ) inches of ( ** N/A ** ) aggregate sub -base course having an "R" value of not less than ( ** N/A **) and in conformance with the City of La Quinta Road Improvement Standards and Specifications, Ordinance #461. ® R5 PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a slope of one-fourth inch ('/d') to one foot (1'). ❑ R6 GRADE CHECKING: City of La Quinta shall check grades upon receipt of plan and profile and/or grades as established by a licensed engineer. ❑ R7 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter (** N/A **) feet shall be removed. Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb, matching concrete gutter and concrete driveway approach shall be constructed in conformance with City of La Quinta Standard #207. ❑ R8 DRIVEWAYS: A.C. driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the property line and the existing road paving shall be two and a half inches (2 ''/2") of A.C. paving on (** N/A **) of class (** N/A ** ) aggregate base. ® R9 SIGHT CLEARANCE: Sight Clearance of six -hundred feet (600') in all directions shall be assured and maintained at all times. ® R10 SOIL STERILIZER: The area to be surfaced shall be treated with soil strerilizer. Rate of application shall comply with the manufacturer's specifications. City of La Quinta ® R11 COORDINATE WORK: The proposed work shall be subordinated to any operation, which the State of California or City of La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or City of La Quinta forces to preclude delay or interference with State or City of La Quinta projects. ® R12 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the centerline of all streets or property lines when included shall be completely tied out so they may be readily and correctly, replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the ties to these monuments shall be furnished to the City Engineer prior to the removal of any monuments. This office shall be notified upon completion or replacement of all survey monuments for proper clearance. ❑ R13 PAVEMENT CUTTING: Pavement will be mechanically saw cut to a straight edge prior to excavation. Method of pavement cutting shall be approved through the office of the City Engineer. (Under no circumstances shall excavating equipment be used to excavate prior to cutting or pavement.) Excavation material shall be placed in such a position as to best facilitate the general flow traffic. Prior to final paving operations, any damage to pavement straight edges shall be corrected. ❑ R14 LIMIT OF EXCAVATIONS: Excavations shall be limited to one -thousand feet (1000') of open trench before backfill operations must begin. All excavations shall be properly barricaded with lights overnight, on weekends and holidays for the protection of the traveling public. The Public Works Inspector shall determine the suitability of excavation barricading in each case. No excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless the construction material is actually on the work site. ® R15 BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to its use for purposes of producing and adequately consolidated backfill. Ant material which the City of La Quinta deems unsuitable (spongy or saturated material) which is encountered during excavation shall not be used for backfill, but shall be supplemented or replaced by an approved sand or gravel. ❑ R16 BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be placed on lifts not greater than three feet (3') and vibrated using vibrostamper or equivalent equipment. Alternate methods may be substituted, but in any case, a relative compaction of ninety-five percent (95%) shall be maintained with the structural section of the roadway. ® R17 BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than fifty percent (50%) of the total depth of the trench before flooding or a maximum of five feet (5) lifts where trenches are of excessive depths. Care is to be exercised that the backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the resulting compaction shall not be less than ninety percent (90%) or equivalent to the surrounding ground, whichever is the greater compaction. Where ponding or flooding is used for a maximum settlement, adequate dikes will be constructed to retain the water. Where jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and the water supply shall be continuos. ® R18 COMPACTION TESTS: If so required by the inspector, compaction test shall be made at intervals of not more than one - thousand (1000') feet and a maximum of one (1) test on each road. One (1) copy of each test shall be forwarded tot the City Engineer for approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. ® R19 COMPACTION TESTS: If so required by the Inspector, compaction tests shall be made for each crossing or service line. One (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Sections 6.3.001 of the Standard Specifications, Division of Highways, State of California, dated January 1973. ❑ R20 TEMPORARY PAVEMENT REPAIRS: After completion of Backfill and compaction operations, a temporary patch consisting of two inches (2") of SC-800 shall be placed on a prepared sub -grade. The SC-800 temporary paving shall be placed after a maximum of three -thousand linear feet (3000') or trench has been excavated and backfill operations completed, but in no case shall the placement of the temporary pavement exceed a five (5) day limit. ® R21 PERMANENT PAVEMENT REPAIR: After backfill and compaction have been completed, a temporary patch consisting of three inches (Y) of SC-800 shall be placed immediately. A permanent patch of Asphalt Concrete surfacing per City of La Quinta Standard 600 shall be placed no later than ( 5 ) days after completion of temporary road repair. ❑ R22 FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all patch areas as determined by the City Engineer. ❑ R23 STREET RESTRIPING: Where street striping is still visible on street to be excavated, such striping shall be replaced upon completion of permanent repairs. ❑ R24 TREE RELOCATION OR REMOVAL: Tree relocation within the City of La Quinta road right-of-way shall be accomplished by a licensed, bonded and insured tree service, and handled safely without interference or hazard to the traveling public. It shall be the responsibility of the permitte to maintain the tree in a vigorous growing condition at its new location. Trees to be removed shall be in sections, which can be handled safely without interference or hazard to highway traffic. The entire width of the tree stump, shall be removed and disposed of so that no debris remains in view of the highway. The stump hole shall be backfilled and thoroughly compacted as specified in the following paragraph. Where it becomes necessary to restrict traffic, the work shall be restricted to a maximum of five -hundred feet (500') at any one time. Adequate signs, flagmen and or barricades shall be provided to protect the traveling public at all times. Large holes resulting from tree removal shall be backfilled and compacted to not less than ninety percent (90%) or equivalent tot the surrounding ground, whichever is the greater compaction as determined by the impact or field method. Compaction tests shall comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. 1. 2. 3. El PERMIT NO. ENC2022-0070 For Charter PID3448787; Cochran Communications/ Place New Riser, Vault, and Remove Poles / Ave 58 and Stone Creek Way In addition to the standard permit conditions, the following shall apply: Pursuant to Section 14.16.320 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), all work shall be performed in accordance with the latest edition of the Standard Specifications for Public Works Construction (SSPWC) and as directed by and to the satisfaction of the City Engineer. This permit or copy of it shall be on the work site (usually the job trailer) for inspection during the actual work performed. The permittee shall submit inspection requests by calling the City Inspection Hotline at (760) 777-7097 before 1:30 p.m. and at least twenty-four (24) hours prior to the anticipated inspection. United Fiber Comm (Crystal Pena) and/or Cochran Communications Construction Inc. (Paul Bozarth), hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and erosion control. 5. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently, if required. 6. This permit is for proposed fiber to be installed within the R/W only (within 12ft behind face of curb). The permittee shall obtain written approval from the private land owner for any work or improvements on private property. 7. The City of La Quinta reserves the right to require modifications of the work be made at permittee's sole cost for further modifications as it relates to any sight distance concerns and/or improvement plan requirements as required by the City Engineer. 8. Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance 18 § 1, 1982), throughout the work site, the Permittee shall comply with City regulated work hours. Operation and maintenance of equipment within one-half mile of human occupancy shall be performed only during the following time periods: October 1 st to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m. Saturday 8:00 a.m. to 5:00 p.m. May lst to September 30: Monday -Friday 6:00 a.m. to 7:00 p.m. Saturday 8:00 a.m. to 5:00 p.m. Work shall be prohibited on legal holidays and Sundays. Note: Construction work (including setting up traffic control devices) is not permitted on any Arterial street (i.e. any 4 lane street) before 8:00 a.m. Special Conditions Page 1 of 5 PERMIT NO. ENC2022-0070 For Charter PID3448787; Cochran Communications/ Place New Riser, Vault, and Remove Poles / Ave 58 and Stone Creek Way 9. Work within 500 feet of a signalized intersection shall be performed between the hours of 9 a.m. - 3 p.m. Traffic control shall be set up after 9 a.m. and removed before 3 p.m. The Permittee shall contact the City Traffic Signal Maintenance Division at (760) 777-7070 if signal operation at the intersection is to be altered in any way. 10. Pursuant to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), at residential streets, advance warning signs and traffic control shall be installed and maintained in accordance with the latest edition of the California Manual of Uniform Traffic Control Devices (CA MUTCD) or the latest edition of the Work Area Traffic Control Handbook (WATCH). On Collectors to Arterial Streets, the permittee must submit a traffic control plan which shall be from or prepared under the guidance of the latest edition of the California Manual of Uniform Traffic Control Devices (CA MUTCD) or the latest edition of the Work Area Traffic Control Handbook (WATCH). Traffic Control plans not from the CA MUTCD or the WATCH shall be signed and stamped by a civil or traffic engineer registered in the State of California. It shall be the Permittee's responsibility to appropriately detour and barricade all construction sites. Pursuant to Section 14.16.290 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), street closures shall not be permitted. A minimum of two (2) travel lanes of paved surface shall be maintained at all times. 11. The permittee and/or contractor placing engineered fill must provide adequate time and safety for the Geotechnical Engineer of Record to perform soils testing during engineered fill placement. The testing frequency shall be determined by the Geotechnical Engineer of Record such that the fill can be determined to be placed according to the city approved plans. 12. Pursuant to Section 14.16.110 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), Permittee shall assume responsibility for repair of any pavement damage to any public or private street and for any damage to other City streets or facilities as a result of work performed under this permit. 13. This permit is not valid until the permittee submits, to the Public Works Department 2 weeks prior to start of construction, a letter from any owners of the driveways/access ways that will be closed down due to the construction. The letter must be approved by the city and at minimum state from the owner the following: A. Approval of the construction B. Plan identification C. Time Frame of Closure D. Alternative Routes 14. Any land on which Williamson Act contracts apply shall remain undisturbed. 15. The permittee shall place temporary no parking signs along the parking area affected by the construction. The signs shall be placed along the area 48hrs prior to the start of closing the area, and removed immediately after the construction completion date. Special Conditions Page 2 of 5 PERMIT NO. ENC2022-0070 For Charter PID3448787; Cochran Communications/ Place New Riser, Vault, and Remove Poles / Ave 58 and Stone Creek Way 16. Prior to excavating, if required, the Permittee shall contact Underground Service Alert at 811. It shall be the Permittee's responsibility to notify the Public Works Department of anticipated excavation which impact City facilities, including but not limited to traffic signal conduits and loops, irrigation lines, electrical conduits, and storm drain facilities. 17. Should additional work, materials, or modifications of the work be required in order to meet City standards, safety requirements, signage requirements, or to fit actual field conditions, the work shall be performed by the Permittee as directed by and to the satisfaction of the City Engineer at no cost to the City of La Quinta. 18. The City of La Quinta reserves the right to require modifications of the work be made at permittee's sole cost for proper sight distance requirements per guidelines in the AASHTO " A Policy on Geometric Design of Highways and Streets, 5th Edition" or latest, in the installation of all appurtenances abutting and within the public street right-of-way. 19. The permittee shall be responsible for calling the city inspector to arrange the city inspector to observe random trench compaction testing performed by a city approved material testing firm. If the inspector's phone number is unknown, the permittee shall call the Public Works front counter phone at 777-7075 or the Associate Engineer at 777-7047 to determine the city inspector's phone number. The inspector shall determine the number and location of the test location/s. The above testing does not relieve the permittee's responsibility for future repairs due to settlement at and near the locations of the work area. Materials testing must be performed under direct supervision of a California Registered Civil Engineer. 20. The issuance of this permit and the City approval of the related construction improvement plans do not provide a vested entitlement for all design parameters that may have been utilized for the plans. As such, plans approved for this permit may be "at risk" for further modifications as it relates to any follow up improvement plan requirements as required by the city or existing errors & omissions by the architect or engineer of record. 21. This permit is not valid until the permittee submits, to the Public Works Department 2 weeks prior to start of construction, the name of the City approved contractor, who shall submit to the City the following items: a. General Liability Insurance Company and Policy Number b. City Business License c. Contractors State License Number 22. The Applicant or Contractor shall furnish the City satisfactory evidence of insurance in the amounts provided in Engineering Bulletin for Indemnification & Insurance Requirements. This insurance shall be kept in full force and effect at all times by Applicant or Contractor during the prosecution of the permitted work and updated Certificate of Liability Insurance shall be submitted to the City. Each policy shall name the City as an additional insured. 23. The permittee shall haul all offsite debris to a certified landfill. Prior to hauling debris, the permittee shall inform the City (Inspection staff or 777-7047) of the name and location of the certified dump site. Special Conditions Page 3 of 5 PERMIT NO. ENC2022-0070 For Charter PID3448787; Cochran Communications/ Place New Riser, Vault, and Remove Poles / Ave 58 and Stone Creek Way 24. If public traffic lanes are required to be closed, this permit is not valid until the permittee submits, to the Public Works Department, a traffic control plan for review and approval prior to start of construction or parking on the paved R/W. 25. If traffic lanes are closed on an any Arterial street (any street with more than 2 lanes) within the City of La Quinta right of way, The permittee is required to provide an informative message board (approved by the City Engineer). It shall inform the commuters using the affected roadways of possible traffic delays, time of construction, and if possible alternate routes. The message board shall be provided for the commuters 48 hours prior to the start of traffic delays. The board does not have to be electrical or solar powered. 26. Pursuant to Section 14.16.370 of the La Quinta Municipal Code (Ordinance 10 § 1(part), 1982), backfill compaction within street rights -of -way shall conform to Section 306-1.3 of the latest edition of the Standard Specifications for Public Works Construction (SSPWC), except as otherwise specified herein. Native material may be used as backfill material provided that minimum compaction, achieved in the manner prescribed herein, is achieved. Backfill shall be performed by mechanical means; no water densified compaction via jetting or flooding or other means shall be allowed. It shall be the Permittee's responsibility to provide appropriate geotechnical supervision, testing, and inspection, onsite, at all times during backfill operations. Backfill compaction shall be achieved by the following conditions: A. When a firm foundation is not encountered due to soft, spongy or other unsuitable material, such material shall be removed to the limits directed by the Geotechnical Inspector and/or the City Inspector and the resulting excavation backfilled with pipe bedding material. B. Backfill materials shall be brought to or maintained at appropriate moisture content for compaction. The appropriate moisture content range shall be established at the onset of the project and ensured prior to use of the materials through progress testing on the stockpiles. C. The first length of trench backfilled shall be backfilled in the presence of the City Inspector. Compaction shall be tested at random depths at approximate three-foot vertical intervals as backfill is placed to ensure the effectiveness of the compaction methods and to establish the depth of lift that can be compacted. D. If lifts greater than one foot are attempted in this trial length of trench, compaction tests shall be taken within the lifts to ensure that the full depth of the lift is compacted. Upon satisfactory completion of this portion of trench, the City Inspector shall establish the maximum lift thickness to be compacted for the remainder of the project. E. In subsequent lengths of trench, the frequency of compaction tests shall equal one per each lift of backfill, per 300 linear feet of open trench, at randomly selected locations within the open length of trench. Special Conditions Page 4 of 5 PERMIT NO. ENC2022-0070 For Charter PID3448787; Cochran Communications/ Place New Riser, Vault, and Remove Poles / Ave 58 and Stone Creek Way F. The depth of the randomly selected compaction tests shall also be randomly selected except that where multiple tests are required in a given length of trench, the tests shall be no closer than three feet (vertically) from each other. G. If any compaction test fails, previously placed backfill (in the same length of open trench or previous lengths of trench) which is represented by the failing test (as determined by the City Inspector), shall be tested for compliance with compaction requirements. H. All costs incurred due to the conditions above shall be borne by the Permittee. Copies of all test results shall be furnished to the City Inspector. 27. All excavations within City of La Quinta right-of-way shall be backfilled, and temporarily paved if within the existing travel way, at the end of every workday as directed by and to the satisfaction of the City Engineer for the protection of the public. Lengths of open trench shall not greatly exceed that which can not be backfilled in the same day. Excavated trenches shall not be allowed open overnight; however, Permittee may leave a length of excavated trench, not to exceed twenty (20) feet in length, open overnight at a point where construction will begin the next day, provided that this length of trench is completely covered by steel plating. 28. All landscaping, irrigation, decorative rock, decorative concrete, lighting, sidewalk, etc., shall be replaced to its original condition. 29. Access and egress to all local properties shall be maintained at all times. 30. Permittee shall permanently stabilize any and all soil that was disturbed as a result of work performed under this permit with an approved dust control treatment. Soil stabilization shall be done immediately after completing the operation. 31. Pursuant to Chapter 12.56 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982) the City has designated certain city streets as Truck Routes. The weight limit for restricted streets (i.e., streets not part of the Truck Route network) is three (3) tons; trucks exceeding the weight limit may use a restricted street if making a delivery or pickup on the subject street, or if this permit specifically grants permission to use the street to deliver street construction materials and/or equipment. 32. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. 33. The permittee shall indemnify, hold harmless and assume the defense of the City from all damages, delay costs, costs or expenses in law or equity that may arise out of work under this permit. 34. If it is the intent of the permittee to cut the pavement and have it restored by a third party, the permittee shall postpone cutting the pavement until the intended third party has acquired a permit from the City to perform the required restoration work. Special Conditions Page 5 of 5 ACORU® CERTIFICATE OF LIABILITY INSURANCE DATE/Y) 06/19/19/20222022 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 S & L Risk Management and Insurance Solutions 1447 Ford St. #103 Redlands, CA 92374 CONTACT NAME: PHONN Ext : g09-253-7742 ac No): 909-253-7748 AIL n DRESS: service@sandlinsurance.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Landmark American Insurance Company. INSURED INSURERB: Scottsdale Insurance Company Cochran Communication Construction, Inc. 72230 Vamer Road INSURERC: Insurance Company of the West INSURER D : American Fire and Casualty Company INSURER E : Ohio Security Insurance Company Thousand Palms CA 92276 INSURER F : COVERAGES CFRTIFICATF NIIMRFR• DCVIQInkI NI IMRCo. 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. ILTR TYPE OF INSURANCE ADDL SUBR NUMBER POLIPOLICY MMIDDY� POLICY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE �X OCCUR X X LHA141740 1/1/2022 1/1/2023 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) $ 5,000 PERSONAL& ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY �X PRO- ❑ JECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: D AUTOMOBILE LIABILITY BAA56295736 6/21/2022 6/21/2023 Ea acoid.ntSINGLELIMIT $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED r NON -OWNED AUTOS ONLY AUTOS ONLY Comp/Coll Ded: $500 BODILY INJURY Per accident) $ PROPERTY DAMAGE Per accident $ $ B X UMBRELLA LIAB X OCCUR XLS0121536 1/1/2022 1/1/2023 EACH OCCURRENCE $ 3,000,000 F1EXCESS AGGREGATE $ 3,000,000 LIAB CLAIMS -MADE DED X RETENTION $ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA x WSD 5028908 07 1/1/2022 1/1/2023 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 E Property Insurance BKS56295736 1/1/22 1/1/23 Rented/Leased Equip: $100,000 Ded: $1000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Re: All Operations The following are named as additional insured per the attached endorsement: The certificate holder. Primary non-contributory wording applies per the attached endorsement. Waiver of subrogation applies to the workers compensation per the attached. CERTIFICATE HOLDER CANCELLATION CITY OF LA QUINTA PUBLIC WORKS & ENGINEERING 78495 CALLE TAMPICO LA QUINTA, CA 92253 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET WC 99 06 34 (Ed. 8-00) 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% of the total California Workers' Compensation premium otherwise due. Person or Organization ANY PERSON / ORG WHEN REQUIRED BY WRITTEN CONTRACT Policy Number: WSD 5028908 07 Endorsement Effective. 01/01/2022 Issue Date: 12/22/2021 WC 99 06 34 (Ed. 8-00) Schedule Job Description ALL CA OPERATIONS Insured: Cochran Communication Construction Inc Coverage Provided by: Insurance Co of the West Countersigned by: LANDMARK AMERICAN INSURANCE COMPANY This Endorsement Changes The Policy. Please Read It Carefully, ADDITIONAL INSURED BLANKET - YOUR WORK This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE Name of Person or Organization: y person or organization to whom or to which you are obligated by virtue of a written contract or by the issuance or existence of a written permit, to !provide insurance such as is afforded by this policy. 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; and/or "your work" defined for the additional insured(s) designated above included in the "products -completed operations hazard". This endorsement effective 1/1/2022 forms part of Policy Number LHA141740 issued to COCHRAN COMMUNICATION CONSTRUCTION, INC. by Landmark American Insurance Company RSG 16017 0615 Includes copyrighted material of Insurance Services Office, Inc. 1984 with its permission .... .._.. LANDMARK AMERICAN INSURANCE COMPANY This Endorsement Changes The Policy, Please Read It Carefully, WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE FORM SCHEDULE Name of Person or Organization: Any Person or Organization As Required By Written Contract The following is added to SECTION IV — CONDITIONS, 8. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US: We waive any right of recovery we may have against the person or organization shown in the SCHEDULE above because of payment we make for injury or damage arising out of your ongoing operations, "your product" or "your work" done under a written contract with that person or organization and included In the "product -completed operations hazard". This waiver applies only to the person or organization shown in the SCHEDULE above. This endorsement effective 1/1/2022 forms part of Policy Number LHA141740 Issued to COCHRAN COMMUNICATION CONSTRUCTION, INC. by Landmark American insurance Company RSG 14048 1008 Includes copyrighted material of Insurance Services Office, Inc. 1992 with its permission. Policy Number: LHA141740 COMMERCIAL GENERAL LIABILITY CG 20 010413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTNER 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 Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that. (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. CG 20 01 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 1