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ENC2022-0084owkra G F M ofibe 1)I.M-I I- - ENCROACHMENT PERMIT PUBLIC WORKS CONSTRUCTION See below for Finance Revenue Codes For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS. DATE: 10/21/2022 LOCATION OF CONSTRUCTION (Street address or Description): 52260 MONROE AND AVE 52 PURPOSE OF CONSTRUCTION: Pothole to Locate Existing Utilities DESCRIPTION OF CONSTRUCTION: POTHOLE EX UTILITIES FOR CAPISTRANO TM 31910 DIMENSION OF INSTALLATION OR REMOVAL: 12" x 12" APPROXIMATE TIME WHEN WORK WILL BEGIN: 9/26/2022 TIME OF COMPLETION: 9/30/2022 ESTIMATED CONSTRUCTION COST: $27,000.00 (Including removal of all obstruction, materials, and debris, backfilling, compaction and placing permanent resurfacing and/or replacing improvements) PK91 LFA1►1:11011161 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. KANA SUBSURFACE ENGINEERING - ERICK CASTRO Name of Applicant (please print) KANA SUBSURFACE ENGINEERING - JUAN TOPETE 12620 MAGNOLIA AVE RIVERSIDE, CA 92503 APPLIED ON ETRAKIT Signature of Applicant or Agent (909)204-5987 Business Address Telephone No. 12620 MAGNOLIA AVE RIVERSIDE, CA 92503 (760)271-1081 Name of Contractor and Job Foreman Business Address 1002768 Contractor's License No. EXECUTIVE RISK INDEMNITY INC Applicant's Insurance Company Finance Revenue Code PERMIT INSPECTION CUT/BORE $750.00 TECHNOLOGY ENHANCEMENT FEE $5.00 TOTAL: $0.00 Telephone No. 765147 City Business License No. 54303188 Policy Number PERMIT NO: ENC2022-0084 DATE ISSUED: 10/21/2022 EXPIRATION DATE: 10/21/2023 BY: AMY YU A J' 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. TEMPORARY TRAFFIC CONTROL PLAN Palmdale Esi-ales- POT HOLDING FOR INSTALLATION OF IID STRUCTURES Popp Rd CITY OF INDIO Dav Rarkitia if WORK ZONE Monroe t & 52 rid Ave-, I ndi G+ CA i 1r .W,. DEC 19 CITY OF LA QUINTA u� COUNTY OF RIVERSIDE Cahulll� Dr WORK ZONE Rlcochlol Way Dx seab1 getrt Way it TEMPORARY TRAFFIC CONTROL GENERAL NOTES: 'a Tho rcrughbT ed trail 1. REQUIREMENTS RELATED TO TRAFFIC CONTROL PLANS AND WORK AREA MAINTENANCE, i r Systems THE CONTRACTOR SHALL FOLLOW THE LATEST ACCEPTED EDITION OF THE MANUAL OF ��r�� CALIFORNIA UNIFORM TRAFFIC CONTROL DEVICES (M.U.T.C.D.) AND ALL RELATED SECTIONS nch OF THE STANDARD SPECIFICATIONS FOR PUBLIC WORKS CONSTRUCTION, INCLUDING WORK ZONE La CranDe Way SECTION 7-10 " PUBLIC CONVENIENCE AND SAFETY' AND 302-4.4 " PUBLIC CONVENIENCE AND TV Mounting fvl c TRAFFIC CONTROL 2. ALL STRIPING AND MARKINGS DOES CONFORM TO THE LATEST 2018 EDITION STATE OF CALIFORNIA STANDARD PLANS AND SPECIFICATIONS, INCLUDING rc STANDARD PLAN A-20, DETAILS. 3. THE CONTRACTOR SHALL PROVIDE FOR ACCESS TO ALL ADJACENT PROPERTIES, AND DRIVEWAYS AT ALL TIMES. Vfa 1a Serena St -Amen-D 4. FLASHING YELLOW BEACONS, TYPE "B", SHALL BE USED ON ALL W20-1 SIGNS AND ON ALL TYPE III BARRICADES GUARDING THE WORK AREA OVERNIGHT. VICINITY MAP (N.T.S) 5. ALL SIGNS SHALL BE REFLECTORIZED AND STANDARD SIZE. 6. ALL TUBULAR DELINEATORS AND CONES SHALL BE 28" MINIMUM HEIGHT, REFLECTORIZED AND MAINTAINED ERECT IN THE INDICATED POSITION AT ALL TIMES, AND SHALL BE REPAIRED, REPLACED, OR CLEANED AS NECESSARY TO PRESERVE THEIR APPEARANCE AND CONTINUITY, AND SHALL INCLUDE A 12" HIGH -INTENSITY LEGEND: REFLECTORIZED SLEEVE, IF USED DURING NIGHT-TIME HOURS. 7. THE CONTRACTOR SHALL MAINTAIN, ON A CONTINUOUS BASIS, ALL SIGNS, TYPE 11 BARRICADES WITH SIGN = �� DELINEATORS, BARRICADES, ETC., TO ENSURE PROPER FLOW AND SAFETY OF TRAFFIC TRAFFIC CONE _ • DURING CONSTRUCTION. 8. THE CONTRACTOR SHALL HAVE ALL SIGNS, DELINEATORS, BARRICADES, ETC., PROPERLY SIGNALIZED INTERSECTION = G INSTALLED PRIOR TO COMMENCING CONSTRUCTION. SPRING STAND 9. CONSTRUCTION OPERATIONS SHALL BE CONDUCTED IN SUCH A MANNER AS TO CAUSE AS LITTLE INCONVENIENCE AS POSSIBLE TO ABUTTING PROPERTY OWNERS. CONE MOUNTED SIGN = I� 10. ADDITIONAL TRAFFIC CONTROLS, TRAFFIC SIGNS, OR BARRICADING MAY BE REQUIRED IN TYPE III BARRICADES WTH SIGN = THE FIELD. THE CONTRACTOR SHALL BE RESPONSIBLE FOR THE PLACEMENT OF ANY FLAGMAN ='' ADDITIONAL DEVICES NECESSARY TO ASSURE SAFETY TO THE PUBLIC AT ALL TIMES DURING CONSTRUCTION. EXISTING SIGN = ��in�0., Under Ground Service Alert sC10N _ CTTV OV TXTT)TO _ T A OTTTNTTA _ COTTXTTV OV DT1fUDCTTID ��F��,�'o,. Under Ground Service Alert 1 � ��. 22-237 WORK HOURS: MON— FRI 7:00 AM TO 4:00 PM I I TEMPORARY TRAFFIC CONTROL PLAN PHASE 1 M► I G20-2 POT HOLDING FOR INSTALLATION OF IID STRUCTURES D U RAT 0 ORK � N: 2 DAYS ROAD I I END WROAD WORK AHEAD II W20-1 I I G20-2 II ROAD WORK LO END AHEAD I ROAD WORK PHASE 2 W20-1 kill LO II AOESAD III DURATION: 2 DAYS co C24 CA I I I I I I M LO LANE II I I � CLOSED I II I C30(CA W 1 1-1 I iI I N I I I I I STHEE U I I I ROAD a j U) 1 W16-1 LU w ILL U-1 IL III co I� U-1 LANE I CLOSED I I o II >< p II I C C30 CA I } o 0 N I (n SIGN LEGEND: 350' 4 �z � I C30 CA C30 CA C30 CA I I �_ I N Z i G20-2 j I LANE LANE LANE R4-7a • • END w CLOSED i ROAD WORK CLOSED CLOSED o ROAD a R3-6(LT) KEEP WORK i � y AHEAD w RIGHT I I R9-3 R9-3 3 W20-1 w o I USE USE ♦� - I 0 � I CROSSWALK CROSSWALK Z o mo BIKE LANE , R9-3BP (L) R9-3BP (R) o CLOSED I ♦ I RAISED CEN SC11CA li 12'MIN ------ COUNTY OF r-------------------- Q MONROE ST (50 MPH) 100' BUFFER SPACE ROAD c� 200' SHOULDER TAPER 350' 350' G20-2 0' Iv , WORK AHEAD G20-2 I � �' o ln ; . � S10P STOP SiOPi END Z IC:) SHOULDE Z I ROAD WORK END R9-3 R9-313P L cn I CLOSED SHOULDER ROAD W201O 3 R36(LT) I LJ WORK R3-6(7o AHEAD AHEAD C30A(CA C24(CI W20-1 0 12' IN z --- ---- ---- ----- ---- I co - ----- ---- I ROAD 12 MIN WORK lO RAISED CENTER MEDIAN G20-2 AHEAD OF LAQUINTA ——-- ROADWORK a W20-1 — — — — — — — — — — — — + — z ROAD ° LANE R9-3 R9-3BP R MONROE ST (50 MPH) RK CLOSED W AHEAD RKE 8a o STOP S10P SiOPI G2o D2 C3O GA ROAD WORK ~z, W20 1 LEFT 00I I w 350'LO U I co o ROAD WORK AHEAD G20-2 1 a � I T ROAD WORK 1 W20-1 i � I I� I I 0 w I LEGEND: TYPE 11 BARRICADES WITH SIGN = �� TRAFFIC CONE = • SPRING STAND = �C CONE MOUNTED SIGN = b TYPE III BARRICADES WTH SIGN = F°oE yOG Under Ground Service Alert ��wE; CITY OF INDIO — LA QUINTA — COUNTY OF RIVERSIDE „��°�E y°G Under Ground Service Alert 22-237 o of Southern California �m�P �To�A � o of Southern California � Call: TOLL FREE No. 6354 " ° Call: TOLL FREE 09 ,24 * /clvl- PAGE 2 0 F 5 IIII 1-800- 227-260o PLAN PREPARED BY: MONROE ST AND 52ND AVE Illlf 811 TWO WORKING DAYS BEFORE YOU DIG lgpE � �F P BRIAN WELLINGTON TWO WORKING DAYS BEFORE YOU DIG SIGNATUREDATE: 10/ 0/2022 WORK HOURS: MON- FRI 7:00 AM TO 4:00 PM PHASE 3 DURATION: 1 DAY CONTRACTOR TO ASSIST PEDESTRIANS THROUGH CONSTRUCTION WORK AREA 0 CONTRACTOR TO PROVIDE FLAGMAN IF LINE OF SIGHT IS OBSTRUCTED BY CONSTRUCTION VEHICLES C30(CA) C30(CA) G20-2 END LANE CLANEROAD WORK CLOSED ♦ ROAD WORK 12' MIN T -V 350' LEGEND: TYPE 11 BARRICADES WITH SIGN = �� TRAFFIC CONE = • SPRING STAND = x CONE MOUNTED SIGN = b TYPE III BARRICADES WTH SIGN = I � ROAD ♦ I I WORK AHEAD I I W20-1 I IIL IIM IKE LAN CLOSED II I I AHEAD I C24(CA) II I I o M II I �I I I I • I I II I II I W I I W IJ I o I • I I BIKE LANE I I I I I CLOSED I SC11 CA I ;i I III � Id _I C30 CA I I II � LANE Ip CLOSED R9-3 R9-313P L f I v, '� I dO1S dOIS l2l I� ' MIN Io0� 12' MIN ��. 03 MONROE ST (50 MPH) I z R9-3 R9-3BP R R3-6(LT) R3-6(LT) _z o u� U.0 i0' BUFFER SPACEI C) G20-2 END ROAD WORK TEMPORARY TRAFFIC CONTROL PLAN POT HOLDING FOR INSTALLATION OF IID STRUCTURES G20-2 END ROAD WORK W11-1 SHARE THE ROAD W16-1 N SIGN LEGEND: b R9-3 R9-3 USE � F=CROSI R9-313P (L) R9-313P (R) 350' R4-7a KEEP RIGHT I 1 RAISED CENTER MEDIAN G20-2 S10Pi ROAD WORK I I I I I ROAD M I WORK AHEAD W20-1 PHASE 4 DURATION: 1 DAY G20-2 END ROAD WORK / W11-1 SHARE THE ROAD W 16-1 MONROE ST (50 MPH) T 1 ROADWORKAHEAD BIKE LANCLOSEDPALMDALEESTA I AHEA W20-1 NTRANCE W4-2 R C20 BIKE 350' 350'� 350' 125' 200' SHOULDER TAPER MONROE ST (50 MPH) FAS / \ LANE / CLOSED C30 CA 00' BUFFER SPAC / ROAD � WORK "111A W20-1 0 co R9-3 R9-36P(L) 12' MIN R9-3 R9-3BP R G20-2 END ROAD WORK BIKE LANE CLOSED C30 BIKE � yiv =v v FE — — CITY OF INDIO— � z r EX. R26(S) � MERGING T. CONTRACTOR TO ASSIST PEDESTRIANS THROUGH CONSTRUCTION WORK AREA END R9-3 R9-3 G20-2 MM CROSSWALK ROAD WORK R9-3BP (L) R9-3BP (R) 350' ROAD WORK AHEAD W20-1 RAISED CENTER MEDIAN — — — — — — COUNTY OF RIVERSIDE --- _ — — — — — — —CI#F-- -O4A BENT -A— — - G20-2 S10P S10Pi END ROAD WORK I I I I o I "' co I ROAD I WORK AHEAD � + w2o-1 N b a cr1 b 22-237 WORK HOURS: MON- FRI 7:00 AM TO 4:00 PM PHASE 5 DURATION: 2 DAYS G20-2 END ROAD WORK 100' TRANSITIO SHOULDE WORK CLOSED ZONE SPEED LIMIT C30A CA R2-12 2z, 12' MIN RAISED CENTER MEDIAN CITY OF LA Q U I N TA — — — — MONROE ST (50 MPH) ROAD WORK AHEAD R4-7 W20-1 I 350' R4-7a KEEP RIGHT PHASE 6 DURATION: 1 DAY G20-2 END ROAD WORK TEMPORARY TRAFFIC CONTROL PLAN POT HOLDING FOR INSTALLATION OF IID STRUCTURES 55' UFFER 160' SHIFTING TAPER 350' SPACE 350' ROAD SPEED WORK rlmIT Dot*uMir 40 AHEAD W3-5a 40 W20-1 --�---- - i 2 V&A IN RAISED CENTER MEDIAN —CITY OF LA QUINTA - / LANE CLOSED R4-7a KEEP C30 CA ~ RIGHT 0 0 ROAD WORK AHEAD W20-1 MOUNTAIN SPUR DR G20-2 END ROAD WORK MONROE ST (50 MPH) -_--- RAISED CENTER MEDIAN —COUNTY OF RIVERSIDE _ _ ---- - CIW--GF�4 4"T — — — — — — -- .-- -. -- - -- -_ __—�___-=a---- -_-- -- _ _' • • • 350' J I �---- R3-2 R3-2 LANE LANE LANE RORDD CLOSED CLOSED < > < CLOSED AHEAD C30(CA) C30(CA) / C30(CA) � W20-1 � 12' MIN RAISED CENTER MEDIAN jl I I 12' MIN 12' MIN RAISED CENTER MEDIAN / ROAD WORK LC OSED FAS AHEAD AHEAD I STOP STOP G20 D2 ' ROAD WORK W20-1 C20 BIKE W4-2 L o 0 ROAD 350' 350350' - 00' MERGING TAPER WORK 100' BUFFER SPACE AHEAD TF-20 LEGEND: MOUNTAIN SPUR DR TYPE 11 BARRICADES WITH SIGN = >---< TRAFFIC CONE = • SPRING STAND = �C CONE MOUNTED SIGN = b TYPE III BARRICADES WTH SIGN = 22-237 PHASE 7 DURATION: 1 DAY G20-2 END ROAD WORK �1 T ROAD WORK AHEAD W20-1 LEGEND: w ry JE W I 1 RAISED CENTER MEDIAN i5 z 15 cr 0 0 SiOP STOP STOP o �I I C) I 350 I I I I 0 w z w TYPE 11 BARRICADES WITH SIGN = >---< TRAFFIC CONE = • 1 BIKE LAN CLOSED AHEAD C20(BIKE) 350' C'� W11-1 SHARE THE ROAD W16-1 COUNTY OF RIVERSIDE — STY---aF L -Q U-IAJ-TA- 350' - - I 2 ' 00 SHOULDER TAPE I* TEMPORARY TRAFFIC CONTROL PLAN POT HOLDING FOR INSTALLATION OF IID STRUCTURES BIKE LANE CLOSED C30 BIKE MONROE ST (50 MPH) ,,P........RAISED CENTER MEDIAN — — — 1.2'—M I N FAS W1 —6 LT D CENTER MEDIAN — 12' MIN — X RIGHT LANE MUST -,-) TURN RIGHT R3-7(RT) LANE CLOSED C30(CA) 350' MONROE ST (50 MPH) MERGING TAPE / ROAD WORK AHEAD W20-1 �ocinr RAISED CENTER ME[ T2� MIr— CITY OF LA QUINTA 0' 0 0 ROAD WORK AHEAD �-W2o-1 SPRING STAND = MOUNTAIN SPUR DR �C CONE MOUNTED SIGN = b TYPE III BARRICADES WTH SIGN = G20-2 END ROAD WORK RIGHT LANE MUST TURN RIGHT R3-7(RT) y c� x r L�7 RAISED CENTER f L� � o W12-1 G 22-237 ■ 11111 ■■■■ ■ ■111111 DDD LILIM ] EIDD D ODL-PODDEd DDDDLIDDOrODLIDLIDDD LrD OMLILIDd LID DDd D DdD D DLPDDD E❑ E ®FEE 111ir E[][]20220D08E The following shall always apply: C_ R-iiiiM -i DR o_i ❑R000R000Tils Der it autjori[as []or[] to be accoifisiad iitfn toe Citoof La Duintas rigEL of Dan ONLYDWDenerer construction extends Ditfn LriLate LiroFert , it is toe resDonsibilitDof toe DerDittee for LIs contractors to secure L-Lerbission fro[] abutting ❑roEert[]o[]nersCSuc[]autporiE�ition Dust be secured b[]tpe EerE ittee Dior to starting Dorm ORDDDLIDDDEIDD DDDDDRDDOEIDD DDDELMDODOCleated tracaladng construction eCuiDDent soall not be DerDitted to operate on anDCOCad surface unless fitted []it[] s[]ootEer-faced street padSEAll Eeclianical outriggers sliall be fitted []it[] rubber street s[]oes to protect the Eating during excaLbtionsD Rubber -tired ebuiDDent onlosoall be used in bac[?ill oDaration in LOL-ed areasu If the existing LOL-aDent is scarred, spalled, or broLtrn during tDe terD of tfs contract or if tDe DaLiquent is barred, Citpof La Duinta soall rebuest tDat tDese portions of road be resurfaced oCer t[]eir entire EidtEE Resurfacing soall consist of one coat of t[]o inclies (21 of ALCDsurfacing Elus a[]DroDiate seal coat as specified aboLbE DRDDDDOEIDD DD ORF -All excaLAtions and Doro areas soall be L-roDerlD IigLted and barricaded as dee-ed necessarD bD Cie CitD Engineer or Citpof La L uinta Public Wor[-6 InSpectorSE Suitable detours and detour signs soall be laced and ❑ aintained for the duration of the DroiectDTDe CitosDall be notified tnent[Mour Fours (20) in adEance of anotraffic detours or delineationo EERE EE DRE®[][]E EEREEE[]R[]EEAnIldrainage structure to include corrugated Fetal Eloe, concrete fEe, steel culEbrt and concrete structures encountered during excalation ifcinecessitate reoonal soall be refaced in fndil In tEe e ent it beco[]es necessaroto re o e or cut existing drainage structures, Citpof La Duinta soall be notified L-rior to coDDencepent of Us - or Drainage structures and open drains soall be 1-2[i free of debris at all tilles for Oro Dar drainageE RLIDDDLIDOLM DD DODDDDDDAnpsurfus Daterial resulting froD excal ation and bacElill operations soall be rebo[-Od frog tie rigDL of DaLLAII DaL]Bd surfaces soall be broo[]ed clean of eartEand otEer oblactionable aterials iL1 ediatel[]after bacifill and co action []Existing gutter line and drainage ditcDes soall be refaced to tDeir original standard or better -All excess Daterial soall be reooLed rior to Dafngo Water tanner soall be used, as reDuired, to s[7inde Lie lob site to L-Bebdoon dust conditions and s all be used iD Fediatelnafter bac fills Do® EIDER iDERDiiEIIIDDDIf de-Datering operations are reEluired and EUEDS are forcing ater on Citpof La uinta roads, it s all be tie resDonsibilitpof tue LjerD ittee (contractor) to control Us Dater and to L-rOfde off-street barricades en necessar' EEEE®o iERDEDEEio street soall be closedo A Dinioun of one lane of traffic soall be oaintained at all ti es to Lrofde li ited access for We ad Coining LroDertpobners and ebergencD L-BLICIeSD In tDe eLont it is felt bDtDe Derbittee teat De ❑ ust close a street for and IlengtD of tibe, EerE ittee soall contact tfs office to obtain tEe necessarD Der[] ission DDDOLIDD DRpOLIDLIDDD The following shall apply when indicatedi ® R1 _I1uooPer[]ittee soall notifEtEe Citilat ([][]E) FEE- [][]EEat least forl:14gll []ours ([][])in adiance of starting constructiono ® R2 EE®®E [I[]E[]REEE[][](Substructures) Prior to Eating anoexcai ations []itEln tpe Citpof La Duinta riglt-of-Ea[]aut[]oriCed bD iarDlt, tie Eerilittee soall contact all concerned utilitL co anies relatiE0 to toe location of existing substructureso Daoage to existing substructures resulting fro El operations conducted under tEls Fero it soall be toe sole resEonsibilitoof toe EerE ittee I] ® RE] iiEmLIDD DDDDRDDDi (Surface Structures) Do Dori soall be done under tEls Earoit until all utilities are clear of tie DroDosed []or[]site[]TEe Eer[]ittee soall notifpall concerned utilit[]coE Canies oft[]e ❑roposed Eor❑7 ❑ RE] iEEOM000 D ill)EE®ooArea betoeen tie proposed concrete gutter line and tile existing road CaEaoent soall be surfaced []it[]( ®ELA ®) inc[]es of ALC[]Cadng faced on ( Fri[] EA LID) incEes of( ®ELA ®) aggregate sub -base course Cafng an EI2DEalue of not less tian ( E11D1A Ell) and in conforoance iitotoe Citpof La iuinta Road lEL]roCOEent Standards and SEacifications, Ordinance DEDED ® RE] iEREo DD iROD®EEArea betoeen toe LroEertEline and too of toe LroEosed concrete curb soall be graded to a slope of one-fourto inco (D q to one foot (D[pD ❑ RE] iRODE iiiEErflDDCit[]of La iuinta soall coecogrades uEbn recei[i of Elan and profile andior grades as establisEad bE a licensed engineers ❑ Rs iiRi REMsiss DER DR®DE DDEEA Dortlon of tEe existing concrete curb andior curb and gutter ( E11D1A Ell) feet soall be reoo[edD Curb andior curb and gutter sEell be sap cut Dior to reooEalD Depressed curb, Datcfng concrete gutter and concrete driFla []a[]aE[Iroac[]sFlall be constructed in conforoance []it[]Cit[]of La Duinta Standard 12[][][] ❑ R8 DRLDOD suss ALCEdriCeoaEs soall be constructed as not to alter existing drainage Elatternil Surfacing betoeen toe oroEerts line and t-e existing road DaL-ing si=all be tbo and a Lialf inches (2 ❑ q of ALCOpafng on ( LIDDLA LID) of class ( DDOLA LID) aggregate bases ® R DDDDRDDDODSigLt Clearance of six-Dundred feet (ODOLp in all directions sDall be assured and oaintained at all ti- esu ❑ R10 DD LID DODREIDLIDOROTLJo area to be surfaced soall be treated DitD soil strerikjaro Rate of aDLIication soall cos LID Diti tie ianufacturerL$ sEecificationss ■ 11111 ■■■■ ■ ■111111 ® RI DLORDl71-1-IF] 0 -IRopTLe ❑roLDsed Dorisoall be subordinated to anioDeration, DpCDtDe State of California or CitLiof La Luinta uauconduct in t[ls area during toe period of t[ls Dgrpitp WorpsDall be coordinated pitDtpg State or Citpof La puinta forces to Lreclude delaDor interference DitLState or CitOof La Luinta ❑'oiactsL ® R12 pDRDpp MDDOMDDOLOPrior to excaCation or beginning of construction, all surCep Donupents p[lcp exist on toe centerline of all streets or L'opertolines open included stall be coopetelotied out so tDBD oaElbe readiloand correctlq re[laced bD a licensed ciril engineer or surDaLbr at We ex0anse of tDe Deru itteeD A coo bete set of notes sLoiing tDe ties to t[lgse Donuuents s all be furnisDad to tLe Citp Engineer Lior to toe repoDal of any I] onu I] ents I] T[ls office sriall be notified uLDn co- letion or repaceo ent of all surCeu o onuD ents for L'Oper clearance El ® RI El Ell] ppMppp ppl LIU upPaDgpent Dill be DecrianicallDsa11 cut to a straigEt edge rior to excaDationp MetDDd of pa Cepent cutting stall be auL-oLed to-ougDtLe office of toe CitoEngineero (under no circu- stances stall excaQating eoUiooent be used to excaLate L-ior to cutting or CaLeDent) Exca[Ation D aterial stall be laced in sucia Losition as to best facilitate tLe general flop traffic❑ Prior to final na[lng operations, anpdapage to DaCepent straigEt edges stall be corrected El ❑ R1D D[M® LID DDDDUE D®DDDExcaQ•ations stall be IiLited to one-tDDusand feet ( ---- of open trencL] before bacLill operations [lust begin❑ All excaElations stall be EroEarl D barricaded pit❑ IigCts oCernig t, on peeCends and DDIidaC6 for tpe L-otection of tue traCeling public❑ TLe Public WorEs Inspector spall deter❑ ine tpe suitabilito of excaLation barricading in eacD case❑ Do excaLation stall retain oDen for a Leriod exceeding fife (L) da[-9L io excaLation stall be Lade unless tDe construction paterial is actuallDon tpe porpsitep ® RI Li DDDDD®D MLLLR®DDBacLfill stall be free of brusq roots or otDer organic substance detriiental to its use for DurLoses of L-oducing and adepuatelDconsolidated bacCfiIID Ant paterial p[lcptpe Citpof La puinta deeps unsuitable (spongDor saturated paterial) opco is encountered during excatation stall not be used for bacCfill, but stall be suopeoented or redaced bian aaroted sand or gratelD ❑ R1't 0000-gyp pppDpBacEfill sCell be apo-oCed transit-oix sand or enuitalent and stall be paced on lifts not greater ttan t ree feet (34 and pbrated using pbrostaD Der or eLukAlent eDuiDDentD Alternate LetLods ❑ aD be substituted, but in ant case, a relatiCe cop ❑action of ninetEAF-b percent (ppp) sDall be p aintained Ditptpe structural section of tpe roadpam ❑ R1D DC 7DDDDMDDDDBacDFll stall be a0[Jied in lacers of not Dore tLan fiftD Lercent (LIED ) of tDe total deL:D of tDe trencL before flooding or a paxipup of fife feet (111lifts pp --re trencpgs are of excessiEb dettCsD Care is to be exercised teat Me baciAll o aterial is not sublected to extreoe spell btflooding ooerationso BacEfill - aterial stall be paced so ttat toe resulting cop faction stall not be less Won ninetD percent ( -1 ) or eMiLalent to tDe surrounding ground, DCicDeter is tDe greater coDCactionp WDere ponding or flooding is used for a uaxipup settlepent, adeLuate dices pill be constructed to retain toe oatern WDgre letting is used, We lets stall be of sufficient lengtp to reaco Ua bottoo of eaco IaCer and toe pater suD[lDSLaII be continuos❑ ❑ R18 ooMooppEIIIo pppopplf so reouired bptne inspector, coppaction test stall be pade at interpals of not pore ttan one- tLDusand (popoI feet and a o axip uD of one (o) test on eaco road El One (o) CODDOf eaco test SCall be forparded tot tpe CitD Engineer for ap❑•oCal and filed L-ior to paring Derpanent repairs❑ CoD Caction tests stall be Dade as outlined in Section p13®ooftoe Standard Specifications, Dipsion of oigopats, State of California, dated tanuaropo13o ® R1 pEMEEMITE FIMMElf so reCuired bptpe Inspector, cop ❑action tests stall be [lade for eacp crossing or serLlce line❑ One (p) copoof eaco test stall be forparded to tpe Cito Engineer for aoLrotal and filed L-ior to ❑ aring pgroanent repairs❑ Coo ❑action tests stall be ❑ ade as outlined in Sections E1 3®op of toe Standard Specifications, Dipsion of oigoDaEt, State of California, dated Canuarp ppC3p ® R20 poMooRDRo oDDDM000 Rpopl$ppAfter coo petion of bacEfill and cop faction operations, a tell Doraro DatCDConsisting of trio incDes (2Q of SC-pDp stall be laced on a CreDared sub -grade❑ Trig SC-MOtep porarD paring stall be [laced after a Daxio up of t❑•ee-tpousand linear feet (3pop1or trenco pas been excatated and bac[fill operations coo peted, but in no case stall toe pace❑ ent of toe tell Qorarp taLeo ent exceed a fife (o) daplip itp ® R21 pDRMn-too D000Mopp Ropp[&oAfter bacfflll and coo Caction pace been coo peted, a ten oorarn Data] consisting of Wree inc es (31 of SC -pop stall be paced io oediatelm A DBrnanent Datco of AsoDslt Concrete surfacing Der Citpof La puinta Standard M[I stall be [laced no later tCan (p) daC-9 after cop [letion of teD Cbrarp road repair❑ ❑ R22 pDp of COA fog seal coat consisting of an aopication of asoLaltic eoulsion stall be aopied oter all Datco areas as deterpined bptpe CitilEngineer[] ® R2p pDRoo- R---R----W--ere street stripng is still risible on street to be excaDated, suco stripng stall be re -laced upon coo [letion of er anent re airs[] ❑ R2p ❑Roo Roopoo-lIDo DR RDMppDDDTree relocation oitpn tpe Citpof La puinta road rig pt-of-paospall be accoppisDed b1ia licensed, bonded and insured tree serrice, and Candled safely pitpout interference or Ca Card to trig traCeling Lublicp It stall be tpe resoonsibilitoof toe per❑ itte to oaintain tile tree in a rigorous groping condition at its neo location El Trees to be renoted spaII be in sections, 11pc11can be pandIed safely Elitpout interference or pa1:9rd to ElgpoaEltrafficElTDe entire DidtD of tie tree stub D, stall be reDOCed and disLbsed of so teat no debris retains in pep of tLe pgDDam TDe stun ❑ pule stall be bacffiIIed and tDDrougpp coo tacted as specified in tpe foIIoning Carag raDpo Woere it becooes necessarnto restrict traffic, tpe ooroSCaII be restricted to a paxipup of fife- Eli ndred feet (opo4at anyone ti El e El Ad e DU ate signs, flag ien and or barricades stall be Lrorided to L•otect tDe tra[39ling public at all tiiesD Large poles resulting froo tree renoCal stall be bac[filled and coo ❑acted to not less ttan nineto percent (pop ) or etuiQ3lent tot tpe surrounding ground, opcpe[1gr is tpe greater co- action as deterpined bDtpe iDDact or field let-odo Cori Laction tests stall cop [lD DitD Section L1 3®D of tDe Standard S ecifications, Dipsion of DigDDaCj3, State of California, dated DanuarD Do13D PERMIT NO. ENC2022-0084 Potholing for Existing Utilities for Capistrano TM 31910/ Monroe St and Ave 52 In addition to the standard permit conditions, the following shall apply: 1. Pursuant to Section 14.16.320 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), all work shall be performed in accordance with the latest edition of the Standard Specifications For Public Works Construction (SSPWC) and as directed by and to the satisfaction of the City Engineer. 2. This permit or copy of it shall be on the work site (usually the job trailer) for inspection during the actual work performed. 3. The permittee is responsible for obtaining a valid separate permit from other City, or County jurisdictions if any of the work or traffic control devices extend into other City, or County right of way. 4. The permittee must compact any disturbed soil within the paved right of way back to its original condition or compact to a minimum density of 95% based on ASTM D1557 and be placed while the soil is at +/- 2% of optimum moisture, which ever compacting effort produces the greatest density. 5. Any asphalt removed during potholing shall be replaced with City approved mix asphalt or equivalent. Temporary (Cold Patch) is not acceptable as an approved asphalt mix. The asphalt shall have a thickness equivalent or greater than the removed asphalt thickness and shall obtain a density of 95% or greater based on maximum density obtained by the ASTM Marshall Mix Design Method. 6. Kana Subsurface Engineering (Erick Castro and/or Juan Topete), hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and erosion control. 7. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently, if required. 8. The permittee shall submit inspection requests by calling the City Inspection Hotline at (760) 777-7097 before 1:30 p.m. and at least twenty-four (24) hours prior to the anticipated inspection. 9. Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance 18 § 1, 1982), throughout the work site, the Permittee shall comply with City regulated work hours. Operation and maintenance of equipment within one-half mile of human occupancy shall be performed only during the following time periods: October 1 st to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m. Saturday 8:00 a.m. to 5:00 p.m. May 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 8:00 a.m. Special Conditions Page 1 of 4 PERMIT NO. ENC2022-0084 Potholing for Existing Utilities for Capistrano TM 31910/ Monroe St and Ave 52 10. The permittee shall block off the work area to prevent access and provide alternate pathways if applicable. 11. Work within 500 feet of a signalized intersection shall be performed between the hours of 9 a.m. - 3 p.m. Traffic control shall be set up after 9 a.m. and removed before 3 p.m. The Permittee shall contact the City Traffic Signal Maintenance Division at (760) 777-7070 if signal operation at the intersection is to be altered in any way. 12. Pursuant to Section 14.16.110 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), Permittee shall assume responsibility for repair of any pavement damage to any public or private street and for any damage to other City streets or facilities as a result of work performed under this permit. 13. The permittee shall place temporary no parking signs along the parking area affected by the construction. The signs shall be placed along the area 48hrs prior to the start of closing the area, and removed immediately after the construction completion date. 14. Pursuant to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), at residential streets, advance warning signs and traffic control shall be installed and maintained in accordance the latest edition of the California Manual of Uniform Traffic Control Devices (CA MUTCD) or the latest edition of the Work Area Traffic Control Handbook (WATCH). On Collectors to Arterial Streets, the permittee must submit a traffic control plan which shall be from or prepared under the guidance of the latest edition of the California Manual of Uniform Traffic Control Devices (CA MUTCD) or the latest edition of the Work Area Traffic Control Handbook (WATCH). Traffic Control plans not from the CA MUTCD or the WATCH shall be signed and stamped by a civil or traffic engineer registered in the State of California. It shall be the Permittee's responsibility to appropriately detour and barricade all construction sites. Pursuant to Section 14.16.290 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), street closures shall not be permitted. A minimum of two (2) travel lanes of paved surface shall be maintained at all times. 15. Prior to excavating, if required, the Permittee shall contact Underground Service Alert at 1-800-422- 4133. It shall be the Permittee's responsibility to notify the Public Works Department of anticipated excavation which impact City facilities, including but not limited to traffic signal conduits and loops, irrigation lines, electrical conduits, and storm drain facilities. 16. Should additional work, materials, or modifications of the work be required in order to meet City standards, safety requirements, signage requirements, or to fit actual field conditions, the work shall be performed by the Permittee as directed by and to the satisfaction of the City Engineer at no cost to the City of La Quinta. Special Conditions Page 2 of 4 PERMIT NO. ENC2022-0084 Potholing for Existing Utilities for Capistrano TM 31910/ Monroe St and Ave 52 17. The permittee shall be responsible for calling the city inspector to arrange the city inspector to observe random pothole backfill compaction and testing if requested by the inspector. If the inspector's phone number is unknown, the permittee shall call the Public Works front counter phone at 777-7075 or the Associate Engineer at 777-7047 to determine the city inspector's phone number. The inspector shall determine the number and location of the test location/s. The above testing does not relieve the permittee's responsibility for future repairs due to settlement at and near the locations of the work area. Materials testing must be performed under direct supervision of a California Registered Civil Engineer. 18. The issuance of this permit and the City approval of the related construction improvement plans do not provide a vested entitlement for all design parameters that may have been utilized for the plans. As such, plans approved for this permit may be "at risk" for further modifications as it relates to any follow up improvement plan requirements as required by the city or existing errors & omissions by the architect or engineer of record. 19. This permit is not valid until the permittee submits, to the Public Works Department 2 weeks prior to start of construction, the name of the City approved contractor, who shall submit to the City the following items: a. General Liability Insurance Company and Policy Number b. City Business License c. Contractors State License Number 20. The Applicant or Contractor shall furnish the City satisfactory evidence of insurance in the amounts provided in Engineering Bulletin for Indemnification & Insurance Requirements. This insurance shall be kept in full force and effect at all times by Applicant or Contractor during the prosecution of the permitted work and updated Certificate of Liability Insurance shall be submitted to the City. Each policy shall name the City as an additional insured. 21. If public traffic lanes are required to be closed, this permit is not valid until the permittee submits, to the Public Works Department, a traffic control plan for review and approval prior to start of construction or parking on the paved R/W. 22. All excavations within City of La Quinta right-of-way shall be backfilled, and temporarily paved if within the existing travel way, at the end of every workday as directed by and to the satisfaction of the City Engineer for the protection of the public. Lengths of open trench shall not greatly exceed that which can not be backfilled in the same day. Excavated trenches shall not be allowed open overnight; however, Permittee may leave a length of excavated trench, not to exceed twenty (20) feet in length, open overnight at a point where construction will begin the next day, provided that this length of trench is completely covered by steel plating. 23. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to its original condition. 24. Access and egress to all local properties shall be maintained at all times. Special Conditions Page 3 of 4 PERMIT NO. ENC2022-0084 Potholing for Existing Utilities for Capistrano TM 31910/ Monroe St and Ave 52 25. Pursuant to Section 14.16.375 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), permanent pavement replacement shall be completed no later than seven (7) days after the completion of the work. Permanent pavement replacement shall conform to the following conditions: A. Existing asphalt concrete pavement shall be sawcut one (1) foot beyond trench edges. Edges shall be straight and clean. B. Permanent pavement replacement structural section, within all trenches, shall be 1" thicker than existing of asphalt concrete over the same existing thickness of crushed aggregate base or crushed miscellaneous base, meeting the requirements of Sections 200-2.2 and 200-2.4 of the Standard Specifications for Public Works Construction. The replaced pavement and base material shall be compacted to 95% relative compaction and respectively tested, for each 300 linear feet of trench. Verify exact structural replacement section thicknesses with the City prior to installation. C. Permanent pavement replacement shall be installed using a City approved 3/4" max medium asphalt concrete as the base course lift and a City approved 1/2" max medium finish course lift for capping. Asphalt concrete mix design shall be approved by the City prior to its placement. D. Any existing lane striping or any existing detour lane striping affected by this resurfacing shall be replaced in kind by the Permittee, as directed by and to the satisfaction of the City Engineer. Affected traffic signal loops shall be removed and replaced in kind. The finished pavement surface shall be smooth, consistent, and shall conform to the surrounding grades. 26. Permittee shall permanently stabilize any and all soil that was disturbed as a result of work performed under this permit with an approved dust control treatment. Soil stabilization shall be done immediately after completing the operation. 27. Pursuant to Chapter 12.56 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982) the City has designated certain city streets as Truck Routes. The weight limit for restricted streets (i.e., streets not part of the Truck Route network) is three (3) tons; trucks exceeding the weight limit may use a restricted street if making a delivery or pickup on the subject street, or if this permit specifically grants permission to use the street to deliver street construction materials and/or equipment. 28. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. 29. The permittee shall indemnify, hold harmless and assume the defense of the City from all damages, delay costs, costs or expenses in law or equity that may arise out of work under this permit. 30. If it is the intent of the permittee to cut the pavement and have it restored by a third 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 4 of 4 / A� " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 9,22,2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Alliant Insurance Services, Inc. 18100 Von Karman Ave 10th FI Irvine CA 92612 CONTACT NAME: Nick Panzino PHONE FAX A/C No Ext : 949 - 260-5055 A/C No): ADDRESS: Nick. Parizino alliant.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Executive Risk Indemnity Inc 35181 INSURED Kana Subsurface Engineering 12620 Magnolia Ave. INSURERB: Federal Insurance Company 20281 INsuRERc: Allied World National Assuranc 10690 INSURER D : Pacific Insurance Company, Lim 10046 Riverside CA 92503 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1550392455 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 54303188 8/1/2022 8/1/2023 EACH OCCURRENCE $1,000,000 CLAIMS -MADE � OCCUR TED PREMISES (Ea oDAMAGE TO ccurrence) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY jE LOC PRODUCTS - COMP/OP AGG $ 2,000,000 Deductible $ 5,000 OTHER: B AUTOMOBILE LIABILITY Y Y 54303187 8/1/2022 8/1/2023 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Comp/Coll Deductibles $ 1,000 C X UMBRELLA LAB X OCCUR Y Y 0313-0056 8/1/2022 8/1/2023 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION $ Products -Comp/Op Agg $ 10,000,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N Y 54303189 8/1/2022 8/1/2023 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 D Contractors Professional Liab 13 CPI GC8660 8/1/2022 8/1/2023 $3,000,000 SIR $25,000 Pollution Liability $2,000,000 SIR $10,000 $5,000,000 Policy Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: EVMWD Sewer Improvements. City Of La Quinta, its elected officials, officers, employees, agents and volunteers are named as Additional Insured per attached endorsements on Primary and Non -Contributory basis. Waiver of Subrogation applies per attached endorsements. CERTIFICATE HOLDER CANCELLATION 30 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of La Quinta ACCORDANCE WITH THE POLICY PROVISIONS. Public Work Department AUTHORIZED REPRESENTATIVE 78-495 Calle Tampico La Quinta CA 92253 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 54303188 COMMERCIAL GENERAL LIABILITY CG 20 12 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS CAR AUTHORIZATIONS This endorsement modifies insurance provided under the follov ring: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Politica Where required by written permit Information reauired to complete this U not shown -e Section II -- Who Is An Insured is amended to in- 2. clude as an insured any state or governmental agency or subdivision or political subdivision shown in the Schedule, subject to the following provisions: 1. This insurance applies only with respect to opera- tions performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or au- thorization. This insurance does not apply to: a. "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or b. "Bodily injury" or "property damage" included within the "products -completed operations hazard". R CG 2012 05 09 0 Insurance Services Office, Inc., 2008 Page 1 of 1 POLICY NUMBER: 54303188 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 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): I Location(s) Of Covered Operations Where required by written contract I Where required by written contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 — 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) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equip- ment 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 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 13 POLICY NUMBER: 54303188 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 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 SCHEDULE Name Of Additional Insured Person(s) Or Organization s : Location And Description Of Completed Operations Where required by written contract Where required by written contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. _ I Section 11 — 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 dam- age" caused, in whole or in part, by "your work" at the location designated and described in the sched- ule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". CG 20 37 07 04 @ ISO Properties, Inc., 2004 Page 1 of 1 El Policy #54303188 b. Those statements are based upon representations you made to us; and c. We have issued this policy in reliance upon your representations. 7. Separation Of Insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, this insurance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom claim is made or "suit" is brought. 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 this 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. 9. When We Do Not Renew If we decide not to renew this Coverage Part, we will mail or deliver to the first Named Insured shown in the Declarations written notice of the nonrenewal not less than 30 days before the expiration date. If notice is mailed, proof of mailing will be sufficient proof of notice. SECTION V — DEFINITIONS 1. "Advertisement" means an electronic, oral, written or other notice, about goods, products or services, designed for the specific purpose of attracting the general public or a specific market segment to use such goods, products or services. "Advertisement" does not include any e-mail address, Internet domain name or other electronic address or metalanguage. 2. "Advertising injury' means injury, other than "bodily injury", "property damage" or "personal injury", sustained by a person or organization and caused by an offense of infringing, in that particular part of your "advertisement" about your goods, products or services, upon their: a. Copyrighted "advertisement"; or b. Registered collective mark, registered service mark or other registered trademarked name, slogan, symbol or title. 3. "Asbestos" means asbestos in any form, including its presence or use in any alloy, by-product, compound or other material or waste. Waste includes materials to be recycled, reconditioned or reclaimed. 4. "Auto" means: a. A land motor vehicle, trailer or semitrailer designed for travel on public roads, including any attached machinery or equipment; or b. Any other land vehicle that is subject to a compulsory or financial responsibility law or other motor vehicle insurance law where it is licensed or principally garaged. However, "auto" does not include "mobile equipment". 5."Bodily injury" means physical: a. Injury; b. Sickness; or c. Disease; sustained by a person, including resulting death, humiliation, mental anguish, mental injury or shock at any time. All such loss shall be deemed to occur at the time of the physical injury, sickness or disease that caused it. 6. "Coverage territory" means: a. The United States of America (including its territories and possessions), Puerto Rico and Canada; b. International waters or airspace, but only if the injury or damage occurs in the course of travel or transportation between any places included in Paragraph a. above; or c. All other parts of the world if the injury or damage arises out of: (1) Goods or products made or sold by you in the territory described in Paragraph a. above; (2) The activities of a person whose home is in the territory described in Paragraph a. above, but is away for a short time on your business; or (3) "Advertising injury" or "personal injury" offenses that take place through the Internet or similar electronic means of communication Form 10-02-1800 (Rev. 09- Includes copyrighted material of ISO Properties, Inc., with 17) its permission POLICY NUMBER: 54303188 COMMERCIAL GENERAL LIABILITY 10-02-2461 (Ed.7-16) 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 HX 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 Insurance 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 the Additional Insured with respect to the Location Of Covered Operations shown in the Schedule under this 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. 10-02-2461 (Ed. 7-15) Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. POLICY NUMBER: 54303188 COMMERCIAL GENERAL LIABILITY CG 25 03 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s): where required by written contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. For all sums which the insured becomes legally 3. Any payments made under Coverage A for obligated to pay as damages caused by "occur- damages or under Coverage C for medical rences" under Section I -- Coverage A, and for all expenses shall reduce the Designated Con - medical expenses caused by accidents under struction Project General Aggregate Limit for Section I — Coverage C, which can be attributed that designated construction project. Such only to ongoing operations at a single designated payments shall not reduce the General Ag- construction project shown in the Schedule gregate Limit shown in the Declarations nor above: shall they reduce any other Designated Con- t. A separate Designated Construction Project struction Project General Aggregate Limit for General Aggregate Limit applies to each des- any other designated construction project ignated construction project, and that limit is shown in the Schedule above. equal to the amount of the General Aggregate 4. The limits shown in the Declarations for Each Limit shown in the Declarations. Occurrence, Damage To Premises Rented To 2. The Designated Construction Project General You and Medical Expense continue to apply. Aggregate Limit is the most we will pay for the However, instead of being subject to the sum of all damages under Coverage A, ex- General Aggregate Limit shown in the Decla- cept damages because of "bodily injury" or rations, such limits will be subject to the appli- "property damage" included in the "products- cable Designated Construction Project Gen - completed operations hazard", and for medi- eral Aggregate Limit, cal expenses under Coverage C regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or e. Persons or organizations making claims or bringing "suits". CG 25 03 05 09 ©Insurance Services Office, Inc., 2008 Page 1 of 2 B. For all sums which the insured becomes legally C. obligated to pay as damages caused by 'occur- rences" under Section I -- Coverage A, and for all medical expenses caused by accidents under Section I — Coverage C, which cannot be attrib- uted only to ongoing operations at a single des- ignated construction project shown in the Sched- ule above: 1. Any payments made under Coverage A for damages or under Coverage C for medical D. expenses shall reduce the amount available under the General Aggregate Limit or the Products -completed Operations Aggregate Limit, whichever is applicable, and 2. Such payments shall not reduce any Desig- nated Construction Project General Aggre- gate Limit. When coverage for liability arising out of the "products -completed operations hazard" is pro- vided, any payments for damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard" will reduce the Products -completed Operations Ag- gregate Limit, and not reduce the General Ag- gregate Limit nor the Designated Construction Project General Aggregate Limit. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contract- ing parties deviate from plans, blueprints, de- signs, specifications or timetables, the project will still be deemed to be the same construction pro- ject. B. The provisions of Section ill -- Limits Of Insur- ance not otherwise modified by this endorsement shall continue to apply as stipulated. Page 2 of 2 © Insurance Services Office, Inc., 2008 CG 25 03 05 09 El POLICY NUMBER: 54303187 COMMERCIAL AUTO 16-02-0316 Ed. 10 14 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTORY LIABILITY INSURANCE This endorsement modifies insurance provided under the following: BUSINESS AUTO 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: Kana Subsurface Engineering Endorsement Effective Date: SCHEDULE Name(s) Of Person(s) Or Organization(s): Where required by written contract Info► *nation required to complete this Schedule, if not shown above, will be shown in the Declarations. I The following is added to Item 5. — "Other Insurance" of Item B. — "General Conditions" under Section IV — "Business Auto Conditions": e. Regardless of the provisions of Paragraph 5.a. through d. above, for any liability arising out of the ownership, maintenance, use, rental, lease, loan, hire or borrowing by an "insured" of a covered "auto" for which an "insured" is contractually obligated to provide primary insurance coverage to a client, this Coverage Form will be primary and non-contributory with respect to the Persons or Organizations in the schedule, regardless of the availability or existence of other collectible insurance under any other Coverage Form or policy that applies on a primary basis. 16-02-0316 Ed. 10 14 Page 1 of 1 Policy Number: 54303187 COMMERCIAL AUTOMOBILE THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM This endorsement modifies the Business Auto Coverage Form. 1. EXTENDED CANCELLATION CONDITION Paragraph A.2.b. — CANCELLATION - of the COMMON POLICY CONDITIONS form IL 00 17 is deleted and replaced with the following: b. 60 days before the effective date of cancellation if we cancel for any other reason. 2. BROAD FORM INSURED A. Subsidiaries and Newly Acquired or Formed Organizations As Insureds The Named Insured shown in the Declarations is amended to include: 1. Any legally incorporated subsidiary in which you own more than 50% of the voting stock on the effective date of the Coverage Form. However, the Named Insured does not include any subsidiary that is an "insured" under any other automobile policy or would be an "insured" under such a policy but for its termination or the exhaustion of its Limit of Insurance. 2. Any organization that is acquired or formed by you and over which you maintain majority ownership. However, the Named Insured does not include any newly formed or acquired organization: (a) That is an "insured" under any other automobile policy; (b) That has exhausted its Limit of Insurance under any other policy; or (c) 180 days or more after its acquisition or formation by you, unless you have given us written notice of the acquisition or formation. Coverage does not apply to "bodily injury" or "property damage" that results from an "accident" that occurred before you formed or acquired the organization. B. Employees as Insureds Paragraph A.1. — WHO IS AN INSURED — of SECTION I1— LIABILITY COVERAGE is amended to add the following: d. Any "employee" of yours while using a covered "auto" you don't own, hire or borrow in your business or your personal affairs. C. Lessors as Insureds Paragraph A.1. — WHO IS AN INSURED — of SECTION II — LIABILITY COVERAGE is amended to add the following: e. The lessor of a covered "auto" while the "auto" is leased to you under a written agreement if: (1) The agreement requires you to provide direct primary insurance for the lessor; and (2) The "auto" is leased without a driver. Such leased "auto' will be considered a covered "auto" you own and not a covered "auto" you hire. However, the lessor is an "insured" only for "bodily injury" or "property damage" resulting from the acts or omissions by: 1. You; 2. Any of your "employees" or agents; or 3. Any person, except the lessor or any "employee" or agent of the lessor, operating an "auto" with the permission of any of 1. and/or 2. above. D. Persons And Organizations As Insureds Under A Written Insured Contract Paragraph A.1 — WHO IS AN INSURED — of SECTION II — LIABILITY COVERAGE is amended to add the following: f. Any person or organization with respect to the operation, maintenance or use of a covered "auto", provided that you and such person or organization have agreed under an express provision in a written "insured contract", written agreement or a written permit issued to you by a governmental or public authority to add such person or organization to this policy as an "insured". However, such person or organization is an "insured" only: Form: 16-02-0292 (Rev. 11-16) Page 1 of 3 "Includes copyrighted material of Insurance Services Office, Inc. with its permission" 3. 4. S. (1) with respect to the operation, maintenance or use of a covered "auto"; and (2) for "bodily injury" or "property damage" caused by an "accident' which takes place after: (a) You executed the "insured contract' or written agreement; or (b) The permit has been issued to you. FELLOW EMPLOYEE COVERAGE EXCLUSION B.5. - FELLOW EMPLOYEE — of SECTION 11— LIABILITY COVERAGE does not apply. PHYSICAL DAMAGE —ADDITIONAL TEMPORARY TRANSPORTATION EXPENSE COVERAGE Paragraph AA.a. — TRANSPORTATION EXPENSES —of SECTION III —PHYSICAL DAMAGE COVERAGE is amended to provide a limit of $50 per day for temporary transportation expense, subject to a maximum limit of $1,000. AUTO LOANILEASE GAP COVERAGE Paragraph A. 4. — COVERAGE EXTENSIONS - of SECTION III — PHYSICAL DAMAGE COVERAGE is amended to add the following: c. Unpaid Loan or Lease Amounts In the event of a total "loss" to a covered "auto", we will pay any unpaid amount due on the loan or lease for a covered "auto" minus: 1. The amount paid under the Physical Damage Coverage Section of the policy; and 2. Any: a. Overdue loan/lease payments at the time of the "loss"; b. Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; c. Security deposits not returned by the lessor: d. Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and e. Carry-over balances from previous loans or leases. We will pay for any unpaid amount due on the loan or lease if caused by: 1. Other than Collision Coverage only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto"; 2. Specified Causes of Loss Coverage only if the Declarations indicate that Specified Causes of Loss Coverage is provided for any covered "auto"; or 3. Collision Coverage only if the Declarations indicate that Collision Coverage is provided for any covered "auto. 6. RENTAL AGENCY EXPENSE Paragraph A. 4. — COVERAGE EXTENSIONS — of SECTION III — PHYSICAL DAMAGE COVERAGE is amended to add the following: d. Rental Expense We will pay the following expenses that you or any of your "employees" are legally obligated to pay because of a written contract or agreement entered into for use of a rental vehicle in the conduct of your business: MAXIMUM WE WILL PAY FOR ANY ONE CONTRACT OR AGREEMENT: 1. $2,500 for loss of income incurred by the rental agency during the period of time that vehicle is out of use because of actual damage to, or "loss" of, that vehicle, including income lost due to absence of that vehicle for use as a replacement; 2. $2,500 for decrease in trade-in value of the rental vehicle because of actual damage to that vehicle arising out of a covered "loss"; and 3. $2,500 for administrative expenses incurred by the rental agency, as stated in the contract or agreement. 4. $7,500 maximum total amount for paragraphs 1., 2. and 3. combined. 7. EXTRA EXPENSE — BROADENED COVERAGE Paragraph A.4. — COVERAGE EXTENSIONS — of SECTION III — PHYSICAL DAMAGE COVERAGE is amended to add the following: e. Recovery Expense We will pay for the expense of returning a stolen covered "auto" to you. 8. AIRBAG COVERAGE Paragraph B.3.a. - EXCLUSIONS — of SECTION III — PHYSICAL DAMAGE COVERAGE does not apply to the accidental or unintended discharge of an airbag. Coverage is excess over any other collectible insurance or warranty specifically designed to provide this coverage. 9. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT - BROADENED COVERAGE Paragraph C.1.b. — LIMIT OF INSURANCE - of SECTION III - PHYSICAL DAMAGE is deleted and replaced with the following: b. $2,000 is the most we will pay for "loss" in any one "accident" to all electronic equipment that reproduces, receives or transmits audio, visual or data signals which, at the time of "loss", is: (1) Permanently installed in or upon the covered "auto' in a housing, opening or other location that is not normally used by the "auto" manufacturer for the installation of such equipment; (2) Removable from a permanently installed housing unit as described in Paragraph 2.a. above or is an integral part of that equipment; or (3) An integral part of such equipment. 10. GLASS REPAIR —WAIVER OF DEDUCTIBLE Form: 16-02-0292 (Rev. 11-16) Page 2 of 3 "Includes copyrighted material of Insurance Services Office, Inc. with its permission" Under Paragraph D. - DEDUCTIBLE — of SECTION III — PHYSICAL DAMAGE COVERAGE the following is added: No deductible applies to glass damage if the glass is repaired rather than replaced. 11. TWO OR MORE DEDUCTIBLES Paragraph D.- DEDUCTIBLE — of SECTION III — PHYSICAL DAMAGE COVERAGE is amended to add the following: If this Coverage Form and any other Coverage Form or policy issued to you by us that is not an automobile policy or Coverage Form applies to the same "accident", the following applies: 1. If the deductible under this Business Auto Coverage Form is the smaller (or smallest) deductible, it will be waived; or 2. If the deductible under this Business Auto Coverage Form is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller (or smallest) deductible. 12. AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS Paragraph A.2.a. - DUTIES IN THE EVENT OF AN ACCIDENT, CLAIM, SUIT OR LOSS of SECTION IV - BUSINESS AUTO CONDITIONS is deleted and replaced with the following: a. In the event of "accident", claim, "suit" or "loss", you must promptly notify us when the "accident" is known to: (1) You or your authorized representative, if you are an individual; (2) A partner, or any authorized representative, if you are a partnership; (3) A member, if you are a limited liability company; or (4) An executive officer, insurance manager, or authorized representative, if you are an organization other than a partnership or limited liability company. Knowledge of an "accident", claim, "suit" or "loss" by other persons does not imply that the persons listed above have such knowledge. Notice to us should include: (1) How, when and where the "accident" or "loss" occurred; (2) The "insured's" name and address; and (3) To the extent possible, the names and addresses of any injured persons or witnesses. 13. WAIVER OF SUBROGATION Paragraph A.5. - TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US of SECTION IV —BUSINESS AUTO CONDITIONS is deleted and replaced with the following: 5. We will waive the right of recovery we would otherwise have 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 under a contract or agreement that is entered into before such "loss". To the extent that the "insured's" rights to recover damages for all or part of any payment made under this insurance has not been waived, those rights are transferred to us. That person or organization must do everything necessary to secure our rights and must do nothing after "accident" or "loss" to impair them. At our request, the insured will bring suit or transfer those rights to us and help us enforce them. 14. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Paragraph B.2, -- CONCEALMENT, MISREPRESENTATION or FRAUD of SECTION IV — BUSINESS AUTO CONDITIONS - is deleted and replaced with the following: If you unintentionally fail to disclose any hazards existing at the inception date of your policy, we will not void coverage under this Coverage Form because of such failure. 15. AUTOS RENTED BY EMPLOYEES Paragraph B.5. - OTHER INSURANCE of SECTION IV — BUSINESS AUTO CONDITIONS - is amended to add the following: e. Any "auto" hired or rented by your "employee" on your behalf and at your direction will be considered an "auto" you hire. If an "employee's" personal insurance also applies on an excess basis to a covered "auto" hired or rented by your "employee" on your behalf and at your direction, this insurance will be primary to the "employee's" personal insurance. 16. HIRED AUTO — COVERAGE TERRITORY Paragraph B.7.b.(5). - POLICY PERIOD, COVERAGE TERRITORY of SECTION IV — BUSINESS AUTO CONDITIONS is deleted and replaced with the following: (5) A covered "auto" of the private passenger type is leased, hired, rented or borrowed without a driver for a period of 45 days or less; and 17. RESULTANT MENTAL ANGUISH COVERAGE Paragraph C. of - SECTION V — DEFINITIONS is deleted and replaced by the following: "Bodily injury" means bodily injury, sickness or disease sustained by any person, including mental anguish or death as a result of the "bodily injury" sustained by that person. Form: 16-02-0292 (Rev. 11-16) Page 3 of 3 "Includes copyrighted material of Insurance Services Office, Inc. with its permission" Workers' Compensation and Emplovers' Liabilitv Policv Named Insured 12620 MAGNOLIA AVENUE RIVERSIDE CA 925039999 Endorsement Number Policy Number Symbol: WCF Number: (22)5430-31-89 Policy Period 08-01-202 TO 08-01-202 Effective Date of Endorsement 08-01-202 Issued By (Name of Insurance Company) FEDERAL INSURANCE 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: WHERE REQUIRED BY WRITTEN CONTRACT ( 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) Kana Pipeline, Inc 13 CPI GC8660 requested. The effective date and time of cancellation stated in the written notice will be the end of the "policy period". b. In event of cancellation by the first Named Insured, return premium shall be computed in accordance with the customary short rate table after applying the minimum earned premium shown in the Declarations, which shall be retained. If a "claim" or "protective indemnity claim" is made, or a "professional incident", "protective incident" "pollution injury" or "pollution incident" takes place for which coverage is sought under this Policy, the total Policy premium shall be considered fully earned by us and will not be returned upon cancellation. c. This Policy may be cancelled by us by mailing written notice of cancellation to the first Named Insured at the address shown in the Declarations not less than ninety (90) days (or ten (10) days for non-payment of premium) before the effective date of the cancellation. The mailing of such notice shall be sufficient proof of notice of cancellation. The effective date and time of cancellation stated in the written notice will be the end of the "policy period". The Policy is subject to cancellation for the following reasons: 1. Non-payment of premium; or 2. Asset forth in SECTION V: CONDITIONS, Paragraph 10. Undisclosed Material Risk. d. This Policy may be non -renewed by us by mailing written notice of non -renewal to the first Named Insured at the address shown in the Declarations not less than ninety (90) days before the effective date of the non -renewal. The mailing of such notice shall be sufficient proof of notice of non -renewal. 9. Representations By accepting this Policy, all "insureds" agree that: a. We have relied on the representations in the "application" and any other supplemental materials and information submitted to us in connection with the "application" or the Policy; and b. Such representations are material to the acceptance of the risk or the hazard assumed by us under this insurance; and c. This Policy is issued in reliance upon the truth of such, and all such representations are the basis of coverage under this Policy. 10. Undisclosed Material Risk We may modify, amend or delete any of the terms and conditions of this Policy including charging additional premium or cancelling, rescinding or voiding this Policy if we discover any material risk, hazard or condition that was not previously disclosed in the "application" or other supplemental materials, or which deviates from the information disclosed in the "application" or other supplemental materials. In the event that we elect to cancel, rescind or void this Policy, this insurance in its entirety will be of no effect whatsoever and will be deemed to be a single unitary contract for all "insureds", and not a severable contract of insurance or a series of individual insurance contracts with respect to each "insured". 11. Subrogation In the event of any payment under this Policy, an "insured" will execute and deliver all requested instruments and papers to us and take whatever other actions are reasonably necessary and requested by us to exercise our rights of subrogation. An "insured" will do nothing to waive or prejudice our rights of subrogation. We will have priority over an "insured" in allocation of any recovery, and any amounts recovered in excess of our total payment and our cost of recovery will be paid to the "insured". The Policy Aggregate Limit of Insurance will be reinstated by the amount recovered by us, less our cost of recovery. Solely with regard to COVERAGE D: CONSTRUCTION JOB SITE POLLUTION; COVERAGE F: CONSTRUCTION RELATED TRANSPORTATION POLLUTION; and COVERAGE G: NON -OWNED DISPOSAL SITE POLLUTION, we waive our rights of subrogation under this Policy to the extent such a waiver is required by written contract or written agreement executed by an "insured" prior to a "claim" or "pollution incident". 12. Action Against the Company No person or organization has a right under this Policy: a. To join us as a party or otherwise bring us into a "suit" asking for "professional loss", "protective loss", "rectification expense", "pollution damages", "emergency mitigation expense" "claim expense", or any other injury, loss or expense from an "insured"; or Form CL 00 05 10 15 63142675 121/22 Prof & Pollution I Roxanne Camping 17/30/2021 4:28:41 PM (PDT) I Page 2 of 4 b. To sue us on this Policy, unless all of its terms have been fully complied with. A person or organization may sue us to recover on an "agreed settlement" or on a final judgment against an "insured"; but we will not be liable for "professional loss", "protective loss", "pollution damages", "rectification expense", "pollution damages", "emergency mitigation expense" or "claim expense" that is not payable under the terms of this Policy or that is in excess of the applicable Limits of Insurance provided in SECTION IV — LIMITS OF INSURANCE and SELF INSURED RETENTIONS and shown in the Declarations or on an endorsement to this Policy. 13. Bankruptcy of an "Insured" Bankruptcy or insolvency of an "insured" or an "insured's" estate will not relieve us of our obligations under this Policy. 14. Authorization Clause Except as otherwise expressly provided in this policy, the first Named Insured will be the sole agent of and will act on behalf of "insureds" for all purposes as to the Policy, including but not limited to the payment or reimbursement of any applicable "self -insured retention", payment or return of premium, receipt and acceptance of any endorsement issued to this Policy, providing and receiving notice of cancellation, termination, or non -renewal, making any change to the Policy, and the exercise or declining to exercise any right under this Policy, including the purchase of any Coverage Parts available under this Policy or any supplemental "extended reporting period" available for Coverage Parts provided on a Claims Made and Reported basis. 15. Severability of Policy Provisions If any material provision or clause of this Policy is declared illegal or unenforceable by any court of competent jurisdiction or by statute and cannot be modified to be enforceable, that provision will immediately become null and void leaving the remainder of this Policy in full force and effect. 16. Headings The descriptions in the headings of this Policy are solely for convenience and form no part of the terms and conditions of the Policy. 17. Separation of Insureds Except with respect to SECTION II - EXCLUSIONS, Paragraph 12. Claims Between Insureds; SECTION IV — LIMITS OF INSURANCE AND SELF -INSURED RETENTION; SECTION V —CONDITIONS, Paragraph 10. Undisclosed Material Risk, and any rights or duties specifically assigned in this Policy to the first Named Insured, this insurance applies: a. As if each "insured" were the only "insured", and b. Separately to each "insured" against whom a "claim" is made. 18. Other Insurance a. This insurance is excess over all applicable "self -insured retentions" and all other insurance available to an "insured" regardless of the type of such other insurance, and whether such other insurance is primary, pro rata, contributory, excess, contingent, self -insured or otherwise, unless such other insurance is written specifically excess of this Policy by reference to this Policy's number in such excess policy's schedule of underlying insurance. b. Notwithstanding SECTION V - CONDITIONS, Paragraph 18.a. above, this insurance is excess over any "design professional's insurance" whether such other insurance is primary, contributory, excess, contingent, self -insured or otherwise, and regardless of whether such "design professional's insurance" is written specifically excess of this Policy by reference to this Policy's number in such excess policy's schedule of underlying insurance. c. The coverage afforded under this Policy for an "additional insured" is primary to any other insurance available to such "additional insured" when required by written contract or written agreement between the "insured" and the "additional insured" executed prior to a "claim" or "pollution incident" involving such "additional insured". However, to the extent that the "additional insured" is named as an additional insured on another insurance policy that also provides primary coverage, we shall share with that other insurance as follows: Form CL 00 05 10 15 63142675 1 21/22 Prof & Pollution I Roxanne Camping 1 7/30/2021 4:28:41 PM (PDT) I Page 3 of 4 1. If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this approach, each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. 2. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. d. An "insured" must submit all "claims", "professional incidents", "protective incidents", "pollution incidents" and "pollution injuries" for defense and indemnity to any other applicable or potentially applicable insurance. When any other insurance has a duty to defend a "claim", we will have no duty to pay "claim expense". If no such other insurance defends the "claim" and we have an obligation to pay "claim expense" under this insurance, we will have the right to control the defense of an "insured" with counsel of our mutual agreement as set forth in SECTION V — CONDITIONS, Paragraph 3. Defense of Claim. 19. Additional Insureds (Applicable to Coverage Parts D, F and G Only) This Policy extends coverage to "additional insureds" under COVERAGE D - CONSTRUCTION JOB SITE POLLUTION, COVERAGE F — CONSTRUCTION RELATED TRANSPORTATION POLLUTION, and COVERAGE G — NON -OWNED DISPOSAL SITE POLLUTION. Coverage for "additional insureds" is extended: a. Only when a Limit of Insurance for such Coverage Part is shown in the Declarations; and b. With respect to the "additional insured's" liability resulting solely from "covered operations" or "completed operations" at a "construction jobsite", "transportation" to or from a "construction jobsite", or disposal of waste or materials generated at a "construction jobsite" performed by an "insured" or by those acting on behalf of an "insured" other than the "additional insured"; and c. Only for the period of time required by the written contract or written agreement, or written permit or written license, between the "insured" and "additional insured". Coverage for "additional insureds" shall not exceed the lesser of the applicable Limit of Insurance available under this Policy or the Limit of Insurance required by written contract or written agreement, or written permit or written license, between the "insured" and the "additional insured." If coverage under this Policy is extended to an "additional insured" under this SECTION V - CONDITIONS, Paragraph 19., subject to all limitations set forth herein, the "additional insured" will be deemed an "insured" under this Policy. SECTION VI — EXTENDED REPORTING PERIODS (CLAIMS MADE AND REPORTED COVERAGES) This Section applies to any Coverage Part or endorsement to this Policy issued on a Claims Made and Reported basis. 1. Basic Extended Reporting Period We will provide a basic "extended reporting period", as described below, if: a. This Policy is canceled or not renewed by us for any reason other than nonpayment of premium, fraud or misrepresentation; or b. We renew or replace this Policy with insurance that does not apply to "claims", "protective indemnity claims", "professional incidents", "pollution incidents" or "pollution injury" that would be covered under this Policy. c. Subject to SECTION VI — EXTENDED REPORTING PERIODS, Paragraphs 1a. and 1b. above, a basic "extended reporting period" is automatically provided without additional charge. This period starts with the end of the "policy period" and lasts for 90 days. The basic "extended reporting period" does not apply to "claims", "protective indemnity claims", "professional incidents", or "pollution incidents" that are covered under any subsequent insurance providing coverage to an "insured", or that would be covered by the subsequent insurance, except for exhaustion of limits. 2. Supplemental Extended Reporting Period We will provide a supplemental "extended reporting period" at the written request of the first Named Insured made no later than 60 days after the end of the "policy period." The supplemental "extended reporting period" will be provided by endorsement to this Policy for an additional premium charge. The endorsement shall set forth all terms and conditions applicable to the supplemental "extended reporting period". Form CL 00 05 10 15 63142675 1 21/22 Prof & Pollution I Roxanne Camping 1 7/30/2021 4:28:41 PM (PDT) I Page 4 of 4