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ENC2022-0079a& Qa�ftev GEM afthe DFSFRT — 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: 9/812022 LOCATION OF CONSTRUCTION (Street address or Description): OLD TOWN: MAIN ST EAST OF DESERT CLUB DR PURPOSE OF CONSTRUCTION: SET UP TRAFFIC CONTROL FOR HOMECOMING PARADE DESCRIPTION OF CONSTRUCTION: LA QUINTA HIGH SCHOOL HOMECOMING PARADE DIMENSION OF INSTALLATION OR REMOVAL: SEE ATTACHED TRAFFIC CONTROL PLAN APPROXIMATE TIME WHEN WORK WILL BEGIN: 9/21/2022 TIME OF COMPLETION: 9/21/2022 ESTIMATED CONSTRUCTION COST: (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. Signature of Applicant o gent DESERT SANDS UNIFIED SCHOOL DISTRICT - MICHAEL MAGNERA 79255 BLACKHAWK WAY LA QUINTA, CA 92253 Name of Applicant (please print) TOPS N BARRICADES INC Name of Contractor and Job Foreman 787664 Contractor's License No. SOUTHERN CALIFORNIA RELIEF Applicant's Insurance Company Business Address (760)772-4150 Telephone No. 44-503 JACKSON STREET INDIO, CA 92201 (760)347-2111 Business Address Telephone No. Finance Revenue Code TOTAL: $0.00 LIC-0103875 City Business License No. SCR 00101-36 Policy Number PERMIT NO: ENC2022-0079 DATE ISSUED: 9-20-2022 EXPIRATION DATE: 9-20-2023 BY: AY WORK INSPECTED BY*: PERMIT COMPLETION DATE*: *If the work is covered by a Subdivision Improvement Agreement, Subdivider shall request final acceptance of improvements from the City Council. PUBLIC WORKS DEPARTMENT APPLICATION FOR PERMIT Date: 8-17-22 Tract No: Project Name: La Quinta High School Homecoming Parade Vicinity:Old Town La Quinta Main Street Purpose of Construction (i.e.: Rough Grading, Offsite Street, etc.) Traffic control for the parade Description of Construction (i.e.: See Plan Set No. 01234) Tops N' Barricades will block traffic in Old Town La Quinta to safely allow the annual homecoming parade to qo down Main St. Dimension of Installation or Removal: Barricades and signage will indicate road closure. Approximate Construction Start Date: September 21, 2022 Approximate Construction Completion Date: September 21, 2022 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: Michael Magnera Phone Number:7607724150 Name of Applicant/Owner: Michael Magnera Applicant Address: 79255 Blackhawk Way Applicant Telephone Number: 7607724150 Applicant E-mail Address: michael.magnera@desertsands.us Name of Contractor: Tops and Barricades Contractor Address: 44503 Jackson St. Indio, CA 92253 Contractor Telephone Number: 760 347 2111 Contractor State License Number: Contractor City Business License Number: Contractor E-mail Address: ►A COPY OF THE CURRENT INSURANCE CERTIFICATE MUST BE PROVIDED• Applicant or Contractor General Liability Insurance Company: Applicant or Contractor General Liability Insurance Policy Number: Office Use Only: Inspection Fee: Permit Fee: As -Built Deposit:_ Dust Control Deposit: Credit Amount: Office Use Only: Assigned Permit Number: Approval Date: Expiration Date: Issue Date: Administrative Authority Application for Permit pose - TOTAL FEE DUE: 6w w�g s NO SCALE 350 BE AVD. BERMUDAS DESERT CLUB DR. I?.S€ft7 cL C1,ORD D INS 51 ISEIILTFRN SEE NOTE 6 12' ;12, .. .,j, lol R,I-z 11 _ LID TOW ROAD 50 . � � ;. CLOSED 60, 570P QUINTA amp R� ROAD pE6 ' G O!! SED ING rE G =TRWM NOTES: �.,.x�G, oo R;+ AVD. LA FONDA G 1, ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN ACCORDANCE WITH REVISION 6 OF THE 2014 CALIFORNIA MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES (Ca.M.0 T.C.D.) R'-' 2. TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED. ADDITIONAL TRAFFIC CONTROL MAY BE REQUIRED TO FACILITATE Ex G/ CALLE ESTADO PUBLIC SAFETYAND TRAFFIC FLOW IF DEEMED NECESSARY BY Se 5 (ca CITY OF LA QUINTA REPRESENTATIVE. 3. THROUGHOUT EACH WORK PERIOD, CONTRACTOR SHALL INSPECT TRAFFIC CONTROL (SIGNS, BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN ACCORDANCE WITH TRAFFIC CONTROL PLANS. 4. CONTRACTOR SHALL MAINTAIN A MINIMUM 10 (TYR 12')' TRAFFIC GALLE CADIZ LANE WIDTH AT ALL TIMES. 5, ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED ATALL TIMES 6. THIS TRAFFIC CONTROL SHALL BE IN PLACE WEDNESDAY SEPT. 21, 2022 FROM 2:30 PM UNTILAPPROXIMATELY 7:00 PM, PARADE STARTS AT 5:30 PM. DESERT CLUB SHALL REMAIN OPEN WITH MAIN ST. CLOSED UNTIL 5:15 PM, JUST BEFORE THE PARADE STARTS. THEN DESERT CLUB WILL BE CLOSED AND MAIN ST, OPENED FOR oesEx7ewe THE PARADE, ALL TRAFFIC CONTROL DEVICES SHALL BE RETRO ctosEOAr N SF. REFLECTIVE AND IN GOOD CONDITION. ALL BARRICADES SHALL R"dTE BE EQUIPPED WITH FLASHING LIGHTS. 7. THE CONTRACTOR SHALL NOTIFY SUNLINE TRANSIT IN ADVANCE TO REQUEST CLOSURE OF AFFECTED BUS STOPS DURING THE EVENT.: 8. THE OFFICER AT LA FONDA & MAIN ST., THE BEGINNING OF THE PARADE, WILL MOVE TO MAIN ST. & AVD BERMUDAS AFTER THE PARADE HAS STARTED. THE OFFICER AND THE OTHER OFFICER AVE 52 ALREADY STATIONED THERE WILL HELP FLOATS NEGOCIATE THE LEFT TURN FROM END OF THE ROUTE TO DISBURSE.' BUS STOP LIBRARY r J `p_Cf AHEA aNeq 275' wz .s R12 r Raab CLOSED °'- `;: - �RpFES$ "�'° SEE NOTES ALLEFORTUNe �Mp C24577 a. thl* POLICE OFFICER OR VOLUNTEER o"sEnq c�ua CLOSERA7 �--- MARCHING/WALKING UNITS h9Al R SF. lESE ALTERNATE RouTE _ �'- FLOATS Homecoming Parade PdmeCwhdy La Quinta High School FraAlc CwW Dw* by ftpww By C Tops N Barricades, Inc. Ron Fifield (800)852-TOPS XX 9/06/22 1 Pend ingi PERMIT NO. ENC2022-0079 Traffic Control for La Quinta High School Homecoming Parade / Main St East of Desert Club Dr (Permit for City Streets Only) In addition to the standard permit conditions, the following shall apply: 1. The applicant shall be available during the event by phone at (760) 772-4150 x 25102. 2. 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. 3. Desert Sands Unified School District (Michael Magnera), hereinafter referred to as "Permittee",shall be responsible for providing continuous dust and erosion control. 4. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently, if required. 5. The permittee shall remove all signs immediately after the completion of the event. Sign removal should be accomplished by the completion of the event on September 21, 2022. 6. 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. 7. The permittee is responsible for obtaining a valid separate permit from the California Department of Transportation Department (CalTrans), other City, or County jurisdictions if any of the work or traffic control devices extend into the CalTrans, other City, or County right of way. 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. 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 without Public Works Director approval. 10. Prior to excavating, if required, the Permittee shall contact Underground Service Alert at 811. It shall be the Permittee's responsibility to notify the Public Works Department of anticipated excavation which impact City facilities, including but not limited to traffic signal conduits and loops, irrigation lines, electrical conduits, and storm drain facilities. Special Conditions Page 1 of 2 PERMIT NO. ENC2022-0079 Traffic Control for La Quinta High School Homecoming Parade / Main St East of Desert Club Dr (Permit for City Streets Only) 11. 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. 12. The Applicant or Contractor shall furnish the City satisfactory evidence of insurance in the minimum amounts provided in the Engineering Bulletin for Indemnification & Insurance Requirements. Limits are subject to review but in no event less than the following: —General Liability — $1 M per occurrence / $2M general aggregate —General Liability — Additional Insured Endorsement (for ongoing and completed operations) —General Liability — Primary / Non-contributory Endorsement —Automobile Liability — $1 M combined single limit —Workers' Compensation — Statutory Limits / Employer's Liability $1M per accident or disease —Workers' Compensation — Waiver of Subrogation Endorsement 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. 13. 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, 5ffi Edition" or latest, in the installation of all appurtenances abutting and within the public street right-of-way. 14. 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. No excavation or backfill will be required on this project. Reapply if excavation is required. 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. 17. 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. 18. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. 19. The permittee shall indemnify, hold harmless and assume the defense of the City from all damages, delay costs, costs or expenses in law or equity that may arise out of work under this permit. Special Conditions Page 2 of 2 Southern California ReLiEF CERTIFICATE OF COVERAGE Issue Date 9/2/2022 ADMINISTRATOR: LICENSE # 0451271 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Keenan & Associates AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 4204 Riverwalk Parkway Suite 400 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE Riverside, CA 92505 AFFORDED BY THE COVERAGE DOCUMENTS BELOW. ENTITIES AFFORDING COVERAGE: 951-715-0190 ENTITYA: Southern California ReLiEF ENTITY B: COVERED PARTY: Desert Sands Unified School District Riverside Schools Insurance Authority ENTlrvc: Star Insurance Company an p y 47-950 Dune Palms Road ENTITYD: La Quinta CA 92253 ENTITY E: THIS IS TO CERTIFY THAT THE COVERAGES LISTED BELOW HAVE BEEN ISSUED TO THE COVERED PARTY NAMED ABOVE FOR THE PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN. THE COVERAGE AFFORDED HEREIN IS SUBJECT TO ALL THE TERMS AND CONDITIONS OF SUCH COVERAGE DOCUMENTS. MEMBER ENT LTR TYPE OF COVERAGE COVERAGE DOCUMENTS EFFECTIVE/ EXPIRATION DATE RETAINED LIMIT / DEDUCTIBLE LIMITS A GENERAL LIABILITY COMBINED SINGLE LIMIT EACH OCCURRENCE [ ✓] GENERAL LIABILITY [ MADE OCCURRENCE SCR 00101-36 7/1/2022 $ 50,000 $ 1,000,000 1CLAIMS (. [ ✓I GOVERNMENT CODES 7/1 /2023 [ ] ERRORS & OMISSIONS A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT EACH OCCURRENCE [✓I ANY AUTO SCR00101-36 7/1/2022 $ 50,000 $ 1,000,000 [ HIRED AUTO 7/1 /2023 [ NON -OWNED AUTO [ GARAGE LIABILITY [ ./}AUTO PHYSICAL DAMAGE A PROPERTY SCR 00101-36 7/1/2022 $ 25,000 $ 250,250,000 [ ALL RISK 7/1 /2023 EACH OCCURRENCE [ EXCLUDES EARTHQUAKE & FLOOD [ ] BUILDER'S RISK A STUDENT PROFESSIONAL LIABILITY SCR 00101-36 7/1/2022 $ 50,000 $ Included 7/1 /2023 EACH OCCURRENCE WORKERS COMPENSATION [ ] WC STATUTORY LIMITS [.A OTHER [ ] EMPLOYERS' LIABILITY $ $ 1,000,000 E.L. EACH ACCIDENT $ 1,000,000 EXCESS WORKERS COMPENSATION $ 500,000 C [./EMPLOYERS'LIABILITY WCE-0953361-22 7/1/2022 E.L. DISEASE - EACH EMPLOYEE 7/1/2023 $ 1,000,000 E.L. DISEASE - POLICY LIMITS OTHER $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL PROVISIONS: La Quinta High School homecoming parade in the City of La Quinta on Wednesday September 21, 2022. This coverage shall be primary to the certificate holder's coverage as respects to the actions and activities of the Covered Party due to their sole negligence. $2,000,000 annual aggregate as requested by contract. CERTIFICATE HOLDER: La Quinta HS Homecoming Parade 9/21/2022 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cltyy of La Quinta THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 78495 Calle Tampico ACCORDANCE WITH THE POLICY PROVISIONS La Quinta CA 92553 John Stephens AUTHORIZED REPRESENTATIVE ww.cccrsontinc.o m 70099960 1 DESERSAN 1 22/23 Super Pool P&L w/WC I Tiffany Lyon 1 9/2/2022 1:18:53 PM (PDT) I Page 1 of 4 DISCLAIMER The Certificate of Coverage on the reverse side of this form does not constitute a contract between the issuing entity(ies), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the coverage documents listed thereon. eCmsOnline.com 70099960 1 DESERSAN 1 22/23 Super Pool P&L w/WC I Tiffany Lyon 1 9/2/2022 1:18:53 PM (PDT) I Page 2 of 4 ENDORSEMENT ADDITIONAL COVERED PARTY COVERED PARTY COVERAGE DOCUMENT ADMINISTRATOR Desert Sands Unified School District SCR 00101-36 Keenan & Associates Riverside Schools' Insurance Authority Subject to all its terms, conditions, exclusions, and endorsements, such additional covered party as is afforded by the coverage document shall also apply to the following entity but only as respects to liability arising directly from the actions and activities of the covered party described under "as respects" below. Additional Covered Party: Cit of La Quinta 78 95 Calle Tampico La Quinta CA 92553 La Quinta High School homecoming parade in the City of La Quinta on Wednesday September 21, 2022. This coverage shall be primary to the certificate holder's coverage as respects to the actions and activities of the Covered Party due to their sole negligence. $2,000,000 annual aggregate as requested by contract. Authorized Representative Issue Date: 9/2/2022 70099960 1 DESERSAN 1 22/23 Super Pooi P&L w/WC I Tiffany Lyon 1 9/2/2022 1:18:53 PM (PDT) I Page 3 of 4 EXCESS WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY POLICY Waiver of Our Right to Recover From Others Endorsement We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us. This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Any third parry who requires you to provide this waiver. This endorsement is effective until the next Anniversary Rating date of 7/l/2023. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. Company No. Insured: Desert Sands Unified School District Policy Number: WCE-0953361-22 Endorsement Number: 8 Endorsement Effective: 7/01/2022 Printed on: 5/19/2022 Form No. 46 93 WC 0807 © Copyright 1983 National Council on Compensation Insurance, Inc. 70099960 1 DESERSAN 1 22/23 Super Pool P&L w/WC I Tiffany Lyon 1 9/2/2022 1:18:53 PM (PDT) I Page 4 of 4