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ENC2023-0018
a& QaNKra - GEMofth,DESERT — ENCROACHMENT PERMIT PUBLIC WORKS CONSTRUCTION See below for Finance Revenue Code 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: 2/8/2023 LOCATION OF CO NSTRU CTI ON (Street address or Description): CIVIC CENTER CAMPUS; VAR SIGN LOCATIONS PURPOSE OF CONSTRUCTION: INSTALL DIRECTIONAL SIGNS, PROMOTIONAL SIGNS, AND TRAFFIC CONTROL SIGNS FOR THIS EVENT DESCRIPTION OF CONSTRUCTION: TRAFFIC CONTROL FOR ART CELEBRATION MARCH AND NOVEMBER 2023 DIMENSION OF INSTALLATION OR REMOVAL: SEE TRAFFIC CONTROL PLANS APPROXIMATE TIME WHEN WORK WILL BEGIN: 3/3/2022 TIME OF COMPLETION: 3IV2022 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. SCOPE EVENTS, LLC - KATHLEEN HUGHES Name of Applicant (please print) TOPS N BARRICADES INC Name of Contractor and Job Foreman 787664 Contractor's License No. ADMIRAL INSURANCE COMPANY Applicant's Insurance Company P O BOX 104 LA QUINTA, CA 92247 Business Address 44631 JACKSON STREET INDIO, CA 92201 Business Address Finance Revenue Code PERMIT INSPECTION TRAFFIC CONTROL $707.00 TECHNOLOGY ENHANCEMENT FEE $8.00 TOTAL: $715.00 LIC-0103875 City Business License No. W H O13816 Policy Number PERMIT NO: ENC2023-0018 DATE ISSUED: 2-28-2023 EXPIRATION DATE: 2-28-2024 BY: A y WORK INSPECTED BY*: PERMIT COMPLETION DATE*: col Signrtur of Applicant Agi?nt '� (760)567-7555 Telephone No. (760)347-2111 Telephone No. *If the work is covered by a Subdivision Improvement Agreement, Subdivider shall request final acceptance of improvements from the City Council. � or um r4ffME4UE11OW TM* Caw PIaPI for --- -- Pending N A SECOND CMS SHALL BE LOCATED AT WASHINGTON & SAGEBRUSH WITH THE SAME MESSAGE La Quinta Art Celebration 2023 w B Pfbm Scope Events Kathleen 760-567-75 5 S 0It��#SS/p,�,*! CMS MESSAGE 2 DAYS BEFORE EVENT: CMS MESSAGE: Tr�c�Lo-aDepir �r cv aw*wEy NO SCALE ,`��`� � SPECIAL EVENT ON CALLE TAMPICO VALET &DISABLED Tops Barricades, Inc. Ron Fifield "� / 3102 TO 3105 EXPECT DELAYS RIGHT ON TAMPICO BMW u" ENde Nest Number DESERT CLU '� , G"'' �, SELF RIGHT ON AVE 52 (800)852-TOPS XX 2/20/23 1 pC24577 � �10' SAWHORSE STYLE TYPE 1 BARRICADEC ^nee W�11►L GROCERY OUTLET PM CROWD CONTROL BARRICADE �T 9lF �a� R ~Arm LEa Sc OF CAL0 R SHOPPING CENTER NOENT EISENHOWER DR. l �- CED TO FIT AVD. BERMUDAS aj�� NOEVENT -... SAT �c SUN ' "' JL y/.I' %f ..PARKIN] SEE NOTE TI� .� Rt1-2 �/ 3J qa9' G R.44T spa"G.I, ca IG•!- PEC A8.8 •> EVENT RaA r;� XJ EAD CLOSED --�, VALET .� USER NO EVENT NO L4LNT' w PARKING nn !� O.._LE9 PreKPGt]PFF SE OTE8 7 U ao;or PARFING 1 W I�II� 3LEC8 y � "I� " I oErouR \ lek RI:r I NG EVENT 2501Dp NO7 LANE 3? OISaa�Eo - SIINLINE , ,. PAR9 BLOCK ETRE l_c oseo . SELF PARKING .., BUS STOP R0� - - 'llll NO EVENT S�- �. a ends - aura - CLOSE9 L. Q. _ PARKING s FOOD' ' PARKING �hL„ Np{ CITY 141'E ST, 1'�SELP �- COURT YPEAY vla Nd�wr�.,. \ LIBRARY HALL _ vaLRT /� NO EVENT r'P ur�r EVEN SP OLD N PARKING �y SELF . y Y FF NQlti1NAL TA ARKING VALET ��.,- r Boa V SITE pARKIWAL ENTRANCE RM(RTI �a NO EVENT W _ sxaL u PARKikG - y � I° � ONLY , vppt� ONLY am ,Aeseave [_v&ursis ONXi PARHING RC4ERYE[ TT RETURN PATH AVD. LA FONDA p A -_ _. ILL IL1h�� ARTIST p EX IG PARKING - - - _ : TRalaAreA POST TEMPORARY NO f R;.,c ` - RI 1 R1 'I E Gp NOTES: } v PARKING 24 HOURS:. G W \ i1Uo' w. 1. ALL: TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN ACCORDANCE WITH REVISION 6 CAL LE F TUN \Ec . IN ADVANCE x ' 1 OF THE 2014 CALIFORNIA MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES (Ca.M.U.T.C.D.) j - � ' -a c�,' E M-1 / 2. TRAFFIC CONTROL SHOWN HEREIN 15 THE MINIMUM REQUIRED ADDITIONAL TRAFFIC CONTROL R'^ t MAY BE REQUIRED TO FACILITATE PUBLIC SAFETYAND TRAFFIC FLOW IF DEEMED NECESSARYlloP° ns^6LEuTN5 i RTBY CITY OF LA QUINTA REPRESENTATIVE. e G Lu Rr oN�wAv - 3. THROUGHOUT EACH WORK PERIOD, CONTRACTOR SHALL INSPECT TRAFFIC CONTROL (SIGNS, BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN ACCORDANCE WITH TRAFFIC CONTROL v CALLE CADIZ 11116 PLANS. 4. CONTRACTOR SHALL MAINTAIN A MINIMUM 10 (TYP. 12')' TRAFFIC LANE WIDTH ATALL TIMES. EG 5. ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED AT ALL TIMES. 6. CONTRACTOR SHALL MAINTAIN PROPER SIGHT DISTANCE ATALL INTERSECTIONS7, THIS TRAFFIC CONTROL SHALL BE IN PLACE ON THURSDAY 3102 BY 8AM AND SHALL. BE REMOVED ON SUNDRY 3105 AFTER 5 PM. THE TEMPORARY 4 WAY STOP AT LA FONDA & DESERT CLUB SHALL BE REMOVED EACH NIGHT AND RESET THE NEXT DAY AS WELLAS ONE WAYAND NO TURN SIGNS. ON LA FONDA. ALL TRAFFIC CONTROL DEVICES SHALL BE RETRO-REFLECTIVE, 8, SEVERAL BARRICADES AND A ROAD CLOSED SIGN WILL BE LEFT AT DESERT CLUB AND CALLE TAMPICO, THESE BARRICADES CAN BE USED TO CLOSE SOUTHBOUND DESERT CLUB IF THE LINE, ON MAIN ST BACKS UP INTO THE ROUNDABOUT, WHEN BLOCKED, SELF PARK WILL HAVE TO FOLLOW THE SIGNS AND ENTER FROM AVE 52.. 9. SATURDAY & SUNDAY THE ART CELEBRATION CAN USE PART OF THIS PARKING LOT FOR PARKING. THE WILL BE MONITORED BY RESORT PARKING TO LEAVE SPACES FOR OPEN BUSINESSES, TION Tfl, NUES7RA_ A PARKING ATTENDANT SHALL BE STATIONED HERE TO DIRECT TRAFFIC TO THE PROPER LOCATIONS & KEEP THE SOUTH SIDE OF LA FONDA CLEAR FOR RESIDENT N%JE. & EMERGENCY ACCESS, DEAD EN a TAMPICO mwewm Tw;r Nro WSUGE TRADITIONS C. C. CMS MESSAGE: VALET & DISABLED RIGHT ON WASHINGTON SELF PARKING STRAIGHT City of La Quinta The following General and Special Provisions are attached to and made a part of Permit Number ENC2023-0018 The following shall always apply: ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within the City of La Quinta's right of way ONLY. Whenever construction extends within private property, it is the responsibility of the permittee for his contractors to secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting work. TRACK -LAYING CONSTRUCTION EQUIPMENT: Cleated track -laying construction equipment shall not be permitted to operate on any paved surface unless fitted with smoother -faced street pads. All mechanical outriggers shall be fitted with rubber street shoes to protect the paving during excavations. Rubber -tired equipment only shall be used in backfill operation in paved areas. If the existing pavement is scarred, spalled, or broken during the term of this contract or if the pavement is marred, City of La Quinta shall request that these portions of road be resurfaced over their entire width. Resurfacing shall consist of one coat of two inches (2") of A.C. surfacing plus appropriate seal coat as specified above. PROTECTION OF TRAFFIC: All excavations and work areas shall be properly lighted and barricaded as deemed necessary by the City Engineer or City of La Quinta Public Works Inspectors. Suitable detours and detour signs shall be placed and maintained for the duration of the project. The City shall be notified twenty-four hours (24) in advance of any traffic detours or delineation. CARE OF DRAINAGE STRUCTURES: Any drainage structure to include corrugated metal pipe, concrete pipe, steel culvert and concrete structures encountered during excavation which necessitate removal shall be replaced in kind. In the event it becomes necessary to remove or cut existing drainage structures, City of La Quinta shall be notified prior to commencement of this work. Drainage structures and open drains shall be kept free of debris at all times for proper drainage. RIGHT-OF-WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the right of way. All paved surfaces shall be broomed clean of earth and other objectionable materials immediately after backfill and compaction. Existing gutter line and drainage ditches shall be replaced to their original standard or better. All excess material shall be removed prior to paving. Water tanker shall be used, as required, to sprinkle the job site to keep down dust conditions and shall be used immediately after backfill. DE -WATER OPERTATIONS: If de -watering operations are required and pumps are forcing water on City of La Quinta roads, it shall be the responsibility of the permittee (contractor) to control this water and to provide off-street barricades when necessary. CLOSING STREETS: No street shall be closed. A minimum of one lane of traffic shall be maintained at all times to provide limited access for the adjoining property owners and emergency vehicles. In the event it is felt by the permittee that he must close a street for any length of time, permittee shall contact this office to obtain the necessary permission. SPECIAL PROVISIONS The following shall apply when indicated: ® R1 NOTIFICATION: Permittee shall notify the City at (760) 777 - 7097 at least forty-eight hours (48) in advance of starting construction. ® R2 UTILITY CLEARANCE: (Substructures) Prior to making any excavations within the City of La Quinta right-of-way authorized by permit, the permittee shall contact all concerned utility companies relative to the location of existing substructures. Damage to existing substructures resulting from operations conducted under this permit shall be the sole responsibility of the permittee. ® R3 UTILITY CLEARANCE (Surface Structures) No work shall be done under this permit until all utilities are clear of the proposed work site. The permittee shall notify all concerned utility companies of the proposed work. ❑ R4 PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be surfaced with ( ** N/A ** ) inches of A.C. paving placed on ( ** N/A ** ) inches of ( ** N/A ** ) aggregate sub -base course having an "R" value of not less than ( ** N/A **) and in conformance with the City of La Quinta Road Improvement Standards and Specifications, Ordinance #461. ® R5 PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a slope of one-fourth inch ('/d') to one foot (1'). ❑ R6 GRADE CHECKING: City of La Quinta shall check grades upon receipt of plan and profile and/or grades as established by a licensed engineer. ❑ R7 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter (** N/A **) feet shall be removed. Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb, matching concrete gutter and concrete driveway approach shall be constructed in conformance with City of La Quinta Standard #207. ❑ R8 DRIVEWAYS: A.C. driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the property line and the existing road paving shall be two and a half inches (2 ''/2") of A.C. paving on (** N/A **) of class (** N/A ** ) aggregate base. ® R9 SIGHT CLEARANCE: Sight Clearance of six -hundred feet (600') in all directions shall be assured and maintained at all times. ❑ R10 SOIL STERILIZER: The area to be surfaced shall be treated with soil strerilizer. Rate of application shall comply with the manufacturer's specifications. City of La Quinta ® R11 COORDINATE WORK: The proposed work shall be subordinated to any operation, which the State of California or City of La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or City of La Quinta forces to preclude delay or interference with State or City of La Quinta projects. ® R12 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the centerline of all streets or property lines when included shall be completely tied out so they may be readily and correctly, replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the ties to these monuments shall be furnished to the City Engineer prior to the removal of any monuments. This office shall be notified upon completion or replacement of all survey monuments for proper clearance. ❑ R13 PAVEMENT CUTTING: Pavement will be mechanically saw cut to a straight edge prior to excavation. Method of pavement cutting shall be approved through the office of the City Engineer. (Under no circumstances shall excavating equipment be used to excavate prior to cutting or pavement.) Excavation material shall be placed in such a position as to best facilitate the general flow traffic. Prior to final paving operations, any damage to pavement straight edges shall be corrected. ❑ R14 LIMIT OF EXCAVATIONS: Excavations shall be limited to one -thousand feet (1000') of open trench before backfill operations must begin. All excavations shall be properly barricaded with lights overnight, on weekends and holidays for the protection of the traveling public. The Public Works Inspector shall determine the suitability of excavation barricading in each case. No excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless the construction material is actually on the work site. ❑ R15 BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to its use for purposes of producing and adequately consolidated backfill. Ant material which the City of La Quinta deems unsuitable (spongy or saturated material) which is encountered during excavation shall not be used for backfill, but shall be supplemented or replaced by an approved sand or gravel. ❑ R16 BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be placed on lifts not greater than three feet (3') and vibrated using vibrostamper or equivalent equipment. Alternate methods may be substituted, but in any case, a relative compaction of ninety-five percent (95%) shall be maintained with the structural section of the roadway. ❑ R17 BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than fifty percent (50%) of the total depth of the trench before flooding or a maximum of five feet (5) lifts where trenches are of excessive depths. Care is to be exercised that the backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the resulting compaction shall not be less than ninety percent (90%) or equivalent to the surrounding ground, whichever is the greater compaction. Where ponding or flooding is used for a maximum settlement, adequate dikes will be constructed to retain the water. Where jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and the water supply shall be continuos. ❑ R18 COMPACTION TESTS: If so required by the inspector, compaction test shall be made at intervals of not more than one - thousand (1000') feet and a maximum of one (1) test on each road. One (1) copy of each test shall be forwarded tot the City Engineer for approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. ❑ R19 COMPACTION TESTS: If so required by the Inspector, compaction tests shall be made for each crossing or service line. One (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Sections 6.3.001 of the Standard Specifications, Division of Highways, State of California, dated January 1973. ❑ R20 TEMPORARY PAVEMENT REPAIRS: After completion of Backfill and compaction operations, a temporary patch consisting of two inches (2") of SC-800 shall be placed on a prepared sub -grade. The SC-800 temporary paving shall be placed after a maximum of three -thousand linear feet (3000') or trench has been excavated and backfill operations completed, but in no case shall the placement of the temporary pavement exceed a five (5) day limit. ❑ R21 PERMANENT PAVEMENT REPAIR: After backfill and compaction have been completed, a temporary patch consisting of three inches (Y) of SC-800 shall be placed immediately. A permanent patch of Asphalt Concrete surfacing per City of La Quinta Standard 600 shall be placed no later than ( 5 ) days after completion of temporary road repair. ❑ R22 FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all patch areas as determined by the City Engineer. ❑ R23 STREET RESTRIPING: Where street striping is still visible on street to be excavated, such striping shall be replaced upon completion of permanent repairs. ❑ R24 TREE RELOCATION OR REMOVAL: Tree relocation within the City of La Quinta road right-of-way shall be accomplished by a licensed, bonded and insured tree service, and handled safely without interference or hazard to the traveling public. It shall be the responsibility of the permitte to maintain the tree in a vigorous growing condition at its new location. Trees to be removed shall be in sections, which can be handled safely without interference or hazard to highway traffic. The entire width of the tree stump, shall be removed and disposed of so that no debris remains in view of the highway. The stump hole shall be backfilled and thoroughly compacted as specified in the following paragraph. Where it becomes necessary to restrict traffic, the work shall be restricted to a maximum of five -hundred feet (500') at any one time. Adequate signs, flagmen and or barricades shall be provided to protect the traveling public at all times. Large holes resulting from tree removal shall be backfilled and compacted to not less than ninety percent (90%) or equivalent tot the surrounding ground, whichever is the greater compaction as determined by the impact or field method. Compaction tests shall comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. PERMIT NO. ENC2023-0018 La Quinta Art Celebration/ Traffic Control, Directional Signs, & Promotional Signs /Avenida La Fonda W/O Washington St; Civic Center Park In addition to the standard permit conditions, the following shall apply: The applicant shall be available during the event by phone at (760) 567-7555. 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. 4. Scope Events, LLC (Kathleen Hughes), hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and erosion control. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently, if required. The permittee shall remove all signs immediately after the completion of the festival. Sign removal should be accomplished by the end of 6PM on the last day of the event. 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. The permittee is responsible for obtaining a valid separate permit from other Cities, or County jurisdictions if any of the work or traffic control devices extend into other Cities, or County right of way. The permittee and/or contractors shall be responsible for taking safety measures and precautions when installing and removing the temporary pole banners near any power lines. Permittee shall assume responsibility for repair of any damaged electrical equipment as a result of work performed under this permit. 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 1st to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m. Saturday 8:00 a.m. to 5:00 p.m. May 1st to September 30: Monday -Friday 6:00 a.m. to 7:00 p.m. Saturday 8:00 a.m. to 5:00 p.m. Work shall be prohibited on legal holidays and Sundays. Note: Construction work (including setting up traffic control devices) is not permitted on any Arterial street (ie any 4 lane street) before 8:00 a.m. 10. 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 Division at (760) 777-7070 if signal operation at the intersection is to be altered in any way. Special Conditions Pagel of 3 PERMIT NO. ENC2023-0018 La Quinta Art Celebration/ Traffic Control, Directional Signs, & Promotional Signs /Avenida La Fonda W/O Washington St; Civic Center Park 11. 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. 12. 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. 13. 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 Division 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. 14. 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. 15. The City of La Quinta reserves the right to require modifications of the work be made at permittee's sole cost for proper sight distance requirements per guidelines in the AASHTO "A Policy on Geometric Design of Highways and Streets, 5th Edition" or latest, in the installation of all appurtenances abutting and within the public street right-of-way. 16. 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 engineer of record. 17. 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 Special Conditions Page 2 of 3 PERMIT NO. ENC2023-0018 La Quinta Art Celebration/ Traffic Control, Directional Signs, & Promotional Signs /Avenida La Fonda W/O Washington St; Civic Center Park 18. 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 $1 M 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. 19. 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. 20. All landscaping, irrigation, decorative rock, decorative concrete, sidewalk, lighting, etc., shall be replaced to its original condition. 21. Access and egress to all local properties shall be maintained at all times. 22. Pursuant to Section 14.16.375 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), permanent pavement replacement shall be completed no later than seven (7) days after the completion of the work. Permanent pavement replacement shall conform to the following conditions: No asphalt work will be required on this project. Reapply if excavation is required. 23. 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. 24. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. 25. The permittee shall indemnify, hold harmless and assume the defense of the City from all damages, delay costs, costs or expenses in law or equity that may arise out of work under this permit. Special Conditions Page 3 of 3 / A� " CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 11/2/2022 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 Foundation Risk Partners 23161 Ventura Blvd Woodland Hills CA 91364 CONTACT NAME: Heidi FITS PHONE FAX AIC No Ext : 8183023060 AIC No), ADDRIESS: cservice@gasparinsurance.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Philadelphia Indemnity Insuran 18058 License#: OG66626 INSURED SCOPEVE-01 Scope Events LLC 7049 Redwood Blvd. Suite 201C INSURERB: California Automobile Insuranc 38342 INSURERC: Landmark American Insurance Co 33138 INSURER D : Novato CA 94947 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:2097199216 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/DD/YYYY POLICY EXP MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y PHPK2463915 10/8/2022 10/8/2023 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 ❑ PRO- JECT ❑ LOC X PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY Y Y BA040000055197 10/14/2022 10/14/2023 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Lxx UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ C PROFESSIONAL LIABILITY LHR845311 3/1/2022 3/1/2023 EACH CLAIM LIMIT $ 1,000,000 AGGREGATE LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of La Quinta is included as additional insured. Coverage is Primary & Non -Contributory. Waiver of Subrogation is in favor of City of LA Quinta. Please refer to the attached endorsements. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of La Quinta 78495 Calle Tampico La Quinta, CA 92253 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD PI-GL-005 (07/12) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY AND NON-CONTRIBUTORY INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Effective Date: 10/08/2019 Name of Person or Organization (Additional Insured): City of La Quinta 78495 Calle Tampico La Quinta, CA 92253 SECTION II — WHO IS AN INSURED is amended to include as an additional insured the person(s) or organization(s) shown in the endorsement Schedule, but only with respect to liability for "bodily injury," "property damage" or "personal and advertising injury" arising out of or relating to your negligence in the performance of "your work" for such person(s) or organization(s) that occurs on or after the effective date shown in the endorsement Schedule. This insurance is primary to and non-contributory with any other insurance maintained by the person or organization (Additional Insured), except for loss resulting from the sole negligence of that person or organization. This condition applies even if other valid and collectible insurance is available to the Additional Insured for a loss or "occurrence" we cover for this Additional Insured. The Additional Insured's limits of insurance do not increase our limits of insurance, as described in SECTION III — LIMITS OF INSURANCE. All other terms, conditions, and exclusions under the policy are applicable to this endorsement and remain unchanged. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Declaration Regarding California Workers' Compensation You are required to complete this form because you have not filed a certificate regarding workers' compensation insurance with City of La Quinta. California law requires all employers to carry workers' compensation insurance, even if they have only one employee. If you do not know whether you are required to carry workers' compensation insurance, find out by contacting the California Department of Industrial Relations ("DIR"). Information is also available on the DIR's website at http://www.dir.ca.gov. You should also consult with your attorney, insurance agent or broker, or carrier regarding the specifics of your situation and your options. If you are subject to the Workers' Compensation Laws of California, you must promptly file a certificate of Workers' Compensation Insurance with City of La Quinta. If you have a certificate of self-insurance from the DIR, you must file that certificate with City of La Quinta. When completing this form, remember that the term "employee" includes clerical persons as well as any other persons employed by your company including drivers. ACKNOWLEDGMENT initial) California Labor Code § 3700 requires employers to carry workers' compensation insu ance or to obtain a certificate from the Director of Industrial Relations demonstrating that the employer is self -insured. California Labor Code § 3700.5 makes it a criminal offense for an employer to fail to secure compensation as required by the workers' compensation provisions of the Labor Code. Violation of Labor Code § 3700 is punishable by a fine of up to $10,000 and/or imprisonment for up to one year. nitial) California Labor Code § 3710.1 provides that where an employer fails to provide con1pensation required under § 3700, the Director of the Department of Industrial Relations shall issue a stop order, prohibiting the employer from using employee labor until such time as the employer complies with the provisions of § 3700. Labor Code § 3710.2 makes it a criminal offense to disregard such stop orders. itial) I acknowledge that if evidence is found that contradicts this declaration, City of La Quinta will promptly notify all relevant state agencies to ensure full insurance compliance required by Workers' Compensation Laws of California. initial) I understand that California Labor Code § 3700 et seq. requires employers to provide wor ers' compensation insurance coverage for any employees of my business. I hereby warrant that this business is exempt from the California Labor Code provisions regarding workers' compensation insurance because it has no employees. initial) I agree to hold City of La Quinta and its officers, officials, employees, and agents harmless for I ss or liability which may arise from the failure of my business to comply with the laws of the State of California regarding workers' compensation insurance. itial) If I hire employees in the future, I will immediately notify City of La Quinta and provide a e ie cd Workers' Compensation certificate to the City. CERTIFICATION I (we) certify under penalty of perjury, under the laws of the State of California, that I (we) have read and understood the above stated requirements regarding Workers' Compensation and that I(we) am (are) in compliance. I(we) certify that the forgoing is true and correct. Executed this ?, day of fuL'V6-\he,1- 20V at A)ovoYy , California ' n Signature of Declarant Xi i L— 1f i S i+� d7� Print Name of Declarant Print Name of Company