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ENC2023-0054ta (2ai�fra . — GEM ofthe DESERT — 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: 5/18/2023 LOCATION OF CONSTRUCTION (Street address or Description): AVENIDA OBREGON NORTH OF CALLE DURANGO PURPOSE OF CONSTRUCTION: TRENCH TO REPLACE GAS MAIN & SERVICE DESCRIPTION OF CONSTRUCTION: SO CAL GAS COMPANY 2042219290 REPLACE GAS MAIN & SERVICES DIMENSION OF INSTALLATION OR REMOVAL: APPROX 1.516' OF 2" PEM; SEE ATTACHED SKETCH AND TCP APPROXIMATE TIME WHEN WORK WILL BEGIN: 5/15/2023 TIME OF COMPLETION: 8/31/2023 ESTIMATED CONSTRUCTION COST: (Including removal of all obstruction, materials, and debris, backfilling, compaction and placing permanent resurfacing and/or replacing improvements) rice] ►1►1:11►1161 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. SOUTHERN CALIFORNIA GAS COMPANY - BRIAN RUESCH P.O. BOX 3003 REDLANDS, CA 92374 Name of Applicant (please print) NPL CONSTRUCTION CO DBA NORTHERN PIPELIN Sig ature of AppliczWt or Agent (213)231-7850 Business Address Telephone No. 3190 CORNERSTONE DR EASTVALE, CA 91752 (951)903-3545 Name of Contractor and Job Foreman Business Address 732974 Contractor's License No. ARCH INSURANCE COMPANY Applicant's Insurance Company Finance Revenue Code TOTAL: $0.00 Telephone No. 0100822 City Business License No. ZAGLB9237703 Policy Number PERMIT NO: ENC2023-0054 DATE ISSUED: 5/18/2023 EXPIRATION DATE: 5/18/2024 BY: AMY YU WORK INSPECTED BY*: PERMIT COMPLETION DATE*: *If the work is covered by a Subdivision Improvement Agreement, Subdivider shall request final acceptance of improvements from the City Council. PUBLIC WORKS DEPARTMENT APPLICATION FOR PERMIT Date: 2/15/23 Tract No: Project Name: Notification #2042219290/MCU #55498350 Vicinity:51480 AVENIDA OBREGON, cross st CALLE HIDALGO a Purpose of Construction (i.e.: Rough Grading, Offsite Street, etc.)iReplace Gas Main & A Description of Construction i.e.: See Plan Set No. 01234 Dimension of Installation or Removal: Install approx 1,516' of 2" PEM _ Approximate Construction Start Date: 4/24/23 Approximate Construction Completion Date: 8/11 /23 Estimated Construction Cost: $� Estimated Construction Cost shall include the removal of all obstructions, materials, and debris, back -filling, compaction and placing permanent resurfacing and or replacing improvements Contact Name: Wan Ruesch Phone Number: (213) 231-7850 Name of Applicant/Owner: Southern California Gas Company Applicant Address: PO Box 3003 Applicant Telephone Number: (800) 427-2200 Applicant E-mail Address: bruesch@socalgas.com Name of Contractor: NPL Contractor Contractor Address: 3190 Cornerstone Dr Eastvale, CA 91752 Contractor Telephone Number: (951) 903-3545 Contractor State License Number: 732974 Contractor City Business License Number: - Contractor E-mail Address:'j7-castilllo@gonpl.com ►A COPY OF THE CURRENT INSURANCE CERTIFICATE MUST BE PROVIDED• Applicant or Contractor General Liability Insurance Company: Sent via email 4/12/23 Applicant or Contractor General Sent via email 4/12/23 - Office Use Only: Inspection Fee: Permit Fee: As -Built Deposit:_ Dust Control Deposit: Credit Amount: ility Insurance Policy Number: Office Use Only: Assigned Permit Number: Approval Date: Expiration Date: Issue Date: Administrative Authority 'Application for Permit pose - TOTAL FEE DUE: California Temporary Traffic Control Handbook California Temporary Traffic Control Handbook (CATTCH) - QUICK REFERENCE TABLE Minimum Taper length 1 Minimum # of Channelizer Devices (Canes, Tubular Markers, etc.) Maximum WIDTH OF LANE OFFSET IN FEET channeiizer MPH ShiftFramNormalLaneWidthDueToWorkZone Spacing {FT.} 5 6 7 a 9 10 11 12 13 14 1 15 16 17 18 2D 20 33 4D 47 53 60 67 73 80 87 93 10D 1D7 113 12D 3 3 4 4 4 5 5 5 6 6 6 7 7 7 25 25 52 63 73 83 94 104 115 125 135 146 156 167 177 188 __ a 4 4 4 5 5 6 6 6 7 7 8 8 9 9 = C7 3D 30 75 90 105 120 135 150 165 180 195 21D 225 240 255 27D o 4 4 5 5 6 6 7 7 8 8 9 9 1G 1G s N = 3 35 35 102 123 143 163 184 204 225 245 265 286 306 327 347 368 d s° 4 5 6 6 7 7 8 8 9 10 10 11 11 12 2 4D 40 133 160 187 213 240 267 293 320 347 373 40D 427 453 48D p J 5 5 6 7 7 8 9 9 10 11 11 12 13 13 45 45 225 27G 315 360 405 450 495 540 585 63D 675 720 765 810 A = 6 7 8 9 10 11 12 13 14 15 16 17 18 19 _ 5D 50 250 3011 350 400 450 5D0 550 6G0 650 70D 75D 8G0 85D g00 = c 6 7 8 9 1G 11 12 13 14 15 16 17 18 19 [] 55 55 275 33G 385 440 495 55G 605 66G 715 770 825 88G 935 990 o E 6 7 8 9 10 11 12 13 14 15 16 17 18 19 E 6D 60 300 360 420 480 540 600 660 720 780 84D 900 960 1020 108G 6 7 8 9 10 11 12 13 14 15 16 17 18 19_ 65 65 325 39G 455 520 585 65G 715 780 845 91D 975 1G4G 1105 117G c 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Temporary Traffic Control Elements f 4ZoneA: 1. Advance Warning Area -Traffic is informed of what to expect. 2. Transition Area - Where traffic is diverted out of it's normal path (See above chart) 3. Activity Area is where work takes place - Work Space/Traffic SpaceJBuffer Space 4. Termination Area- Where traffic is returned to normal driving path_ Table A: ADVANCE WARNING SIGN SPACING Road Type Distance Between Signs (ft) A 13 C Urban -25 mph or less 100 100 100 Urban - 3D mph to 40 mph 250 250 250 Urban - more than 4G mph 350 350 350 Rural 500 500 50D Expressway/Freeway 1000 1500 2640 TTC Sign Recommendations: 45 mph or greater = 48" Sign 40 mph or less = 36" Sign Table C: FOR LENGTHS NOT SHOWN ABOVE L= (WxS z)160 for 40 mph or less L = WxS for 45 mph or more L = Minimum Length of Taper (feet) W = Width of Offset (feet) S = Speed Limit (mph) Table B: Taper Length Criteria for Temporary Traffic Control Zones Type of Tapers: Taper Lengths: 1_ Merging Taper L Minimum 2_ Shifting Taper 112 L Minimum 3_ ShoulderTaper 113 LMinimum 4_ One -Lane, Two -Way Traffic Taper 5 G-ft M in/1 GG-ft Max 5. Downstream Taper 50-ft M in/1 GG-ft M ax per lane 33 SHIFTING TAPER L/2 A B C SEE TABLE B SEE TABLE A SEE TABLE A SEE TABLE A 50' MIN. 50' MIN. 48-72 HRS PRIOR TO COMMENCING WORK (IF REQUIRED) CURB OR E.P. INSTALL TEMP. NO PARKING SIGNS G20 2 C12(CA) C12(CA) W20-1 R4-7a R4-7a Z y o X X i X X I• G2o 2 W20-1 C12(CA) W1-31- OR CURB OR E.P. I W1-4L 50' MIN. 48-72 HRS PRIOR TO COMMENCING WORK (IF REQUIRED) C B A SHIFTING TAPER L/2 BUFFER SPACE SEE TABLE A SEE TABLE A SEE TABLE A SEE TABLE B 50' MIN. OR TABLE D LEGEND 1=1 TYPE III BARRICADE W/SIGN I —I TYPE III BARRICADE W/O SIGN >=C TYPE II BARRICADE W/SIGN )--C TYPE II BARRICADE W/O SIGN CHANNELIZING DEVICE - SEE TABLE F FOR SPACING -w TRAFFIC CONE WITH CLIP ON SIGN T SIGN OSIGNALIZED INTERSECTION [FAS] ARROW PANEL (FLASHING ARROW) HIGH LEVEL WARNING DEVICE (FLAGTREE) (OPTIONAL) FLAGGER TANS TOW AWAY NO STOPPING --- TO --- (SHOW HOURS) TANSAT TOW AWAY NO STOPPING ANY TIME WORK ZONE (ACTIVITY AREA) LIMITS DIRECTION OF TRAFFIC (NOT PAVEMENT MARKING) OROADWAY DESIGNATION END NARROW ROAD ROAD WORK LANE WORK AHEAD G20-2 C12(CA) W20-1 50' MIN. DOWNSTREAM TAPER 50' MIN. / 100' MAX. KEEP > < > RIGHT R4-7a W1-31- W1-41- (USED FOR (USED FOR 30 MPH 35 MPH OR LESS) OR MORE) INDICATE NORTH WITH A "N" AND AN ARROW POINT NOT TO SCALE 10' MIN. FOR E.P. 12' MIN. FOR CURB DATES OF TEMPORARY NO PARKING ZONE 0 N CD U U 0 Lf CURB OR E.P. w 0-1 Cl (A) Wll-1%W16-1 48-72 HRS PRIOR TO COMMENCING WORK (IF REQUIRED) 50' MIN. 10' MIN. 10' MIN. i F R4-8a G20-2 B A SHIFTING TAPER L/2 r SEE TABLE A T SEE TABLE A SEE TABLE B ' T G20-2 (OPTIONAL) LEGEND 1=1 TYPE III BARRICADE W/SIGN 1-1 TYPE III BARRICADE W/O SIGN >=C TYPE II BARRICADE W/SIGN )--C TYPE II BARRICADE W/O SIGN CHANNELIZING DEVICE — SEE TABLE F FOR SPACING TRAFFIC CONE WITH CLIP ON SIGN T SIGN END NARROW ROAD WORK LANE O SIGNALIZED INTERSECTION G20-2 [FAS] ARROW PANEL (FLASHING ARROW) C12(CA) HIGH LEVEL WARNING DEVICE (FLAGTREE) (OPTIONAL) FLAGGER KEEP ROAD TANS TOW AWAY NO STOPPING --- TO --- (SHOW HOURS) � WORK TANSAT TOW AWAY NO STOPPING ANY TIME LEFT AHEAD WORK ZONE (ACTIVITY AREA) LIMITS R4-8a W20-1 DIRECTION OF TRAFFIC (NOT PAVEMENT MARKING) OROADWAY DESIGNATION SHARE THE ROAD W11-1 /W16-1 INSTALL ILMP. NU PAKKINU STUNS 48-72 HRS PRIOR TO COMMENCING WORK Q (IF REQUIRED) Ui m 50' MIN. ,w DOWNSTREAM "' TAPER A -w- 50' MIN. / SEE TABLE A 0-1 100' MAX. INDICATE NORTH WITH A "N" AND AN ARROW POINT NOT TO SCALE DATES OF TEMPORARY NO PARKING ZONE SHIFTING TAPER L/2 A B C SEE TABLE B SEE TABLE A SEE TABLE A SEE TABLE A 50' MIN. 50' MIN. 48-72 HRS PRIOR TO COMMENCING WORK (IF REQUIRED) CURB OR E.P. INSTALL TEMP. NO PARKING SIGNS G20 2 C12(CA) C12(CA) W20-1 R4-7a R4-7a Z y o X X i X X I• G2o 2 W20-1 C12(CA) W1-31- OR CURB OR E.P. I W1-4L 50' MIN. 48-72 HRS PRIOR TO COMMENCING WORK (IF REQUIRED) C B A SHIFTING TAPER L/2 BUFFER SPACE SEE TABLE A SEE TABLE A SEE TABLE A SEE TABLE B 50' MIN. OR TABLE D LEGEND 1=1 TYPE III BARRICADE W/SIGN I —I TYPE III BARRICADE W/O SIGN >=C TYPE II BARRICADE W/SIGN )--C TYPE II BARRICADE W/O SIGN CHANNELIZING DEVICE - SEE TABLE F FOR SPACING -w TRAFFIC CONE WITH CLIP ON SIGN T SIGN OSIGNALIZED INTERSECTION [FAS] ARROW PANEL (FLASHING ARROW) HIGH LEVEL WARNING DEVICE (FLAGTREE) (OPTIONAL) FLAGGER TANS TOW AWAY NO STOPPING --- TO --- (SHOW HOURS) TANSAT TOW AWAY NO STOPPING ANY TIME WORK ZONE (ACTIVITY AREA) LIMITS DIRECTION OF TRAFFIC (NOT PAVEMENT MARKING) OROADWAY DESIGNATION END NARROW ROAD ROAD WORK LANE WORK AHEAD G20-2 C12(CA) W20-1 50' MIN. DOWNSTREAM TAPER 50' MIN. / 100' MAX. KEEP > < > RIGHT R4-7a W1-31- W1-41- (USED FOR (USED FOR 30 MPH 35 MPH OR LESS) OR MORE) INDICATE NORTH WITH A "N" AND AN ARROW POINT NOT TO SCALE 10' MIN. FOR E.P. 12' MIN. FOR CURB DATES OF TEMPORARY NO PARKING ZONE 0 N CD U U 0 Lf CURB OR E.P. w 0-1 Cl (A) Wll-1%W16-1 48-72 HRS PRIOR TO COMMENCING WORK (IF REQUIRED) 50' MIN. 10' MIN. 10' MIN. i F R4-8a G20-2 B A SHIFTING TAPER L/2 r SEE TABLE A T SEE TABLE A SEE TABLE B ' T G20-2 (OPTIONAL) LEGEND 1=1 TYPE III BARRICADE W/SIGN 1-1 TYPE III BARRICADE W/O SIGN >=C TYPE II BARRICADE W/SIGN )--C TYPE II BARRICADE W/O SIGN CHANNELIZING DEVICE — SEE TABLE F FOR SPACING TRAFFIC CONE WITH CLIP ON SIGN T SIGN END NARROW ROAD WORK LANE O SIGNALIZED INTERSECTION G20-2 [FAS] ARROW PANEL (FLASHING ARROW) C12(CA) HIGH LEVEL WARNING DEVICE (FLAGTREE) (OPTIONAL) FLAGGER KEEP ROAD TANS TOW AWAY NO STOPPING --- TO --- (SHOW HOURS) � WORK TANSAT TOW AWAY NO STOPPING ANY TIME LEFT AHEAD WORK ZONE (ACTIVITY AREA) LIMITS R4-8a W20-1 DIRECTION OF TRAFFIC (NOT PAVEMENT MARKING) OROADWAY DESIGNATION SHARE THE ROAD W11-1 /W16-1 INSTALL ILMP. NU PAKKINU STUNS 48-72 HRS PRIOR TO COMMENCING WORK Q (IF REQUIRED) Ui m 50' MIN. ,w DOWNSTREAM "' TAPER A -w- 50' MIN. / SEE TABLE A 0-1 100' MAX. INDICATE NORTH WITH A "N" AND AN ARROW POINT NOT TO SCALE DATES OF TEMPORARY NO PARKING ZONE SHIFTING TAPER L/2 A B C SEE TABLE B SEE TABLE A SEE TABLE A SEE TABLE A 50' MIN. 50' MIN. 48-72 HRS PRIOR TO COMMENCING WORK (IF REQUIRED) CURB OR E.P. INSTALL TEMP. NO PARKING SIGNS G20 2 C12(CA) C12(CA) W20-1 R4-7a R4-7a Z y o X X i X X I• G2o 2 W20-1 C12(CA) W1-31- OR CURB OR E.P. I W1-4L 50' MIN. 48-72 HRS PRIOR TO COMMENCING WORK (IF REQUIRED) C B A SHIFTING TAPER L/2 BUFFER SPACE SEE TABLE A SEE TABLE A SEE TABLE A SEE TABLE B 50' MIN. OR TABLE D LEGEND 1=1 TYPE III BARRICADE W/SIGN I —I TYPE III BARRICADE W/O SIGN >=C TYPE II BARRICADE W/SIGN )--C TYPE II BARRICADE W/O SIGN CHANNELIZING DEVICE - SEE TABLE F FOR SPACING -w TRAFFIC CONE WITH CLIP ON SIGN T SIGN OSIGNALIZED INTERSECTION [FAS] ARROW PANEL (FLASHING ARROW) HIGH LEVEL WARNING DEVICE (FLAGTREE) (OPTIONAL) FLAGGER TANS TOW AWAY NO STOPPING --- TO --- (SHOW HOURS) TANSAT TOW AWAY NO STOPPING ANY TIME WORK ZONE (ACTIVITY AREA) LIMITS DIRECTION OF TRAFFIC (NOT PAVEMENT MARKING) OROADWAY DESIGNATION END NARROW ROAD ROAD WORK LANE WORK AHEAD G20-2 C12(CA) W20-1 50' MIN. DOWNSTREAM TAPER 50' MIN. / 100' MAX. KEEP > < > RIGHT R4-7a W1-31- W1-41- (USED FOR (USED FOR 30 MPH 35 MPH OR LESS) OR MORE) INDICATE NORTH WITH A "N" AND AN ARROW POINT NOT TO SCALE 10' MIN. FOR E.P. 12' MIN. FOR CURB DATES OF TEMPORARY NO PARKING ZONE ROAD BIKE LANE IGHT LANE WORK CLOSED CLOSED LJ `tCJ AHEAD AHEAD AHEAD W20-1 C20-BIKE C20-R sHARE THE ROAD, I IN W11-1/W16-1P W4-2R V CONSTRUCTION NOTES: 1. PLACE BIKE LANE CLOSED AHEAD SIGN (C20-BIKE) HALF THE DISTANCE BETWEEN THE FIRST AND SECOND SIGNS. 2, BICYCLISTS SHALL NOT BE LED INTO DIRECT CONFLICTS WITH MAINLINE TRAFFIC, WORK SITE VEHICLES, OR EQUIPMENT MOVING THROUGH OR AROUND THE TTC ZONE. Z) 611\G LMNr- '20-1 W20-BIKE C20-R W4-2R W11-1/ W16-1P SHOULDER C B A TAPER L/3 MERGING TAPER L JCL IADLL A JCL IADLL A JCC IHDLC A JCC IADLL D JCC IHDLC D BIKE LANE CLOSURE SIGNAGE (IF NECESSARY) CONSTRUCTION NOTE: ALL DRIVEWAYS TO REMAIN OPEN (WHENEVER POSSIBLE) THROUGHOUT TRAFFIC CONTROL ZONE TAPER LENGTH SEE TABLE B CURB Q w o' 0 SEE TABLE A—F FOR SIGN AND CHANNELIZER DEVICE SPACING AND TAPER LENGTH SPEED APPROACH STREET TAPER LENGTH SIGN SPACING CHANNELIZER SPACING SEE TABLE A—F FOR SIGN AND CHANNELIZER DEVICE SPACING AND TAPER LENGTH SPEED APPROACH STREET TAPER LENGTH SIGN SPACING CHANNELIZER SPACING ABBREVIATIONS: MIN = Minimum LT = Left RT = Right LTP = Lane Traffic Panel TANSAT = Tow Away, No Stopping Anytime TANS = Tow Away, No Stopping RECOMMENDED & SIGN DELINEATOR/CONE PLACEMENT POSTED MINIMUM TAPER LENGTH MAXIMUM CHANNELIZER MINIMUM SIGN SPEED FOR 12-FT LANE SPACING SPACING LIMIT MERGING SHIFTING SHOULDER TAPER TANGENT &VANCE BETWEEON SIGPNS) 20 MPH 80 FT. 40 FT. 27 FT. 20 FT. 40 FT. 100 FT. 25 MPH 125 FT. 63 FT. 42 FT. 25 FT. 50 FT. 100 FT. 30 MPH 180 FT. 90 FT. 60 FT. 30 FT. 60 FT. 250 FT. 35 MPH 245 FT. 123 FT. 82 FT. 35 FT. 70 FT. 250 FT. 40 MPH 320 FT. 160 FT. 107 FT. 40 FT. 80 FT. 250 FT. * 45 MPH 540 FT. 270 FT. 180 FT. 45 FT. 90 FT. 350 FT. * 50 MPH 600 FT. 300 FT. 200 FT. 50 FT. 100 FT. 350 FT. * 55+MPH 660 FT. 330 FT. 220 FT. 50 FT. 100 FT. PER TABLE 'A' IR011*61 1. A Flashing Arrow sign shall be used for each lane closed, at merging taper. *2. One lane closure sign (C20) shall be used on the approach to a lane closure. Two signs (separated by a distance derived from table A) should be used with speeds of 45 mph or greater. W20-5 signs may be used in place of C20 signs. NOTE: This chart based on 12—foot wide lanes. For lane widths greater than 12 feet, use the following formulae: Taper formula: L = S x W for speeds of 45 mph or more. Where: 2 L = WS for speeds of 40 mph or less. 60 L = Minimum length of taper. S = Numerical value of posted speed limit prior to work or 85 percentile speed. W = Width of offset. i.e.: 50 mph and 19' lane; L = 50 x 19 = 950 feet DATES OF TEMPORARY NO PARKING ZONE WORKSITE TRAFFIC CONTROL PLAN STANDARD DETAILS, ABBREVIATIONS AND REFERENCE CHARTS NONE ,0.49 City of La Quinta The following General and Special Provisions are attached to and made a part of Permit Number ENC2023-0054 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. ENC2023-0054 Southern California Gas Company (#2042219290) / Replace Gas Main and Services / Avenida Obregon North of Calle Durango 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 may only work at night if approved by the City Manager. If approved by the city manager, night work may be halted if the city receives complaints about the night work. 4. The permittee shall not encroach upon private property without prior written approval (submit to the Public Works Department, attention to the Associate Engineer) of the private landowner whom is being encroached upon. 5. Prior to commencing the excavation of a trench 5 feet in depth or greater and into which a person will be required to descend, the Contractor shall first obtain a permit to do so from the Division of Industrial Safety pursuant to 7-10.4.1. 6. Trench plates are to be recessed and excavations shall be shored up. 7. Southern California Gas Company (Brian Ruesch), hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and erosion control. 8. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently, if required. 9. 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. 10. 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 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. Special Conditions Page 1 of 6 PERMIT NO. ENC2023-0054 Southern California Gas Company (#2042219290) / Replace Gas Main and Services / Avenida Obregon North of Calle Durango 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. The permittee is required to provide an informative message board (approved by the City Engineer) informing the commuters using the affected roadways of a. Possible traffic delays b. Time of construction c. Alternate routes. The message board shall be provided for the commuters 48 hours prior to the start of traffic delays, and the entire message should be readable at the posted speed limit. 13. 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. 14. This permit is not valid until the permittee submits, to the Public Works Department 2 weeks prior to start of construction, a letter from any owners of the driveways/access ways that will be closed down due to the construction. The letter must be approved by the city and at minimum state from the owner the following: A. Approval of the construction B. Plan identification C. Time Frame of Closure D. Alternative Routes 15. The permittee shall place temporary no parking signs along the parking area affected by the construction. The signs shall be placed along the area 48hrs prior to the start of closing the area, and removed immediately after the construction completion date. 16. 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. Special Conditions Page 2 of 6 PERMIT NO. ENC2023-0054 Southern California Gas Company (#2042219290) / Replace Gas Main and Services / Avenida Obregon North of Calle Durango 17. 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. 18. 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. 19. The permittee shall be responsible for calling the city inspector to arrange the city inspector to observe random trench compaction testing performed by a city approved material testing firm. If the inspector's phone number is unknown, the permittee shall call the Public Works front counter phone at 777-7075 or the Associate Engineer at 777-7047 to determine the city inspector's phone number. The inspector shall determine the number and location of the test location/s. The above testing does not relieve the permittee's responsibility for future repairs due to settlement at and near the locations of the work area. Materials testing must be performed under direct supervision of a California Registered Civil Engineer. 20. 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 21. 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. 22. 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. 23. Pursuant to Section 14.16.370 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), backfill compaction within street rights -of -way shall conform with Section 306-1.3 of the latest edition of the Standard Specifications For Public Works Construction (SSPWC), except as otherwise specified herein. Native material may be used as backfill material provided that minimum compaction, achieved in the manner prescribed herein, is achieved. Backfill shall be performed by mechanical means; no water densified compaction via jetting or flooding or other means shall be allowed. It shall be the Permittee's responsibility to provide appropriate geotechnical supervision, testing, and inspection, onsite, at all times during backfill operations. Special Conditions Page 3 of 6 PERMIT NO. ENC2023-0054 Southern California Gas Company (#2042219290) / Replace Gas Main and Services / Avenida Obregon North of Calle Durango Backfiill compaction shall be achieved by the following conditions: A. When a firm foundation is not encountered due to soft, spongy or other unsuitable material, such material shall be removed to the limits directed by the Geotechnical Inspector and/or the City Inspector and the resulting excavation backfilled with pipe bedding material. B. Backfill materials shall be brought to or maintained at appropriate moisture content for compaction. The appropriate moisture content range shall be established at the onset of the project and ensured prior to use of the materials through progress testing on the stockpiles. C. The first length of trench backfilled shall be backfilled in the presence of the City Inspector. Compaction shall be tested at random depths at approximate three-foot vertical intervals as backfill is placed to ensure the effectiveness of the compaction methods and to establish the depth of lift that can be compacted. D. If lifts greater than one foot are attempted in this trial length of trench, compaction tests shall be taken within the lifts to ensure that the full depth of the lift is compacted. Upon satisfactory completion of this portion of trench, the City Inspector shall establish the maximum lift thickness to be compacted for the remainder of the project. E. In subsequent lengths of trench, the frequency of compaction tests shall equal one per each lift of backfill, per 300 linear feet of open trench, at randomly selected locations within the open length of trench. F. The depth of the randomly selected compaction tests shall also be randomly selected except that where multiple tests are required in a given length of trench, the tests shall be no closer than three feet (vertically) from each other. G. If any compaction test fails, previously placed backfill (in the same length of open trench or previous lengths of trench) which is represented by the failing test (as determined by the City Inspector), shall be tested for compliance with compaction requirements. H. All costs incurred due to the conditions above shall be borne by the Permittee. Copies of all test results shall be furnished to the City Inspector. 24. 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. Special Conditions Page 4 of 6 PERMIT NO. ENC2023-0054 Southern California Gas Company (#2042219290) / Replace Gas Main and Services / Avenida Obregon North of Calle Durango 25. All landscaping, irrigation, decorative rock, decorative concrete, lighting, sidewalk, etc., shall be replaced to its original condition. 26. Access and egress to all local properties shall be maintained at all times. 27. 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 t/z" max medium finish course lift for capping. Asphalt concrete mix design shall be approved by the City prior to its placement. D. Cold -Mill and Overlay - The existing pavement which was properly protected in place during the trenching operation located adjacent to the trench saw cut shall be cold -milled to a depth of 0.10 feet with butt j oint created next to the existing unmilled pavement surface. The cold -milled area and base asphalt concrete in the trench area shall be overlaid with a City approved C2-AR- 4000 asphalt concrete mix. The width of the cold milling area shall be as follows: • For longitudinal trenches located in a parking lane: three (3) feet outside the sawcut removal lines. • For longitudinal trenches located in a traffic lane: three (3) feet outside the sawcut removal lines, or to the lane line striping, whichever is greater. • For transverse trenches across existing street: two (2) feet outside the sawcut removal lines. E. If grinding and capping operations are not performed in the same day as base paving operations, the base course lift of 3/4" max medium asphalt concrete shall be installed from saw -cut edge to saw -cut edge flush with the existing street surface. The base course lift of paving shall not be left 0.10' low in anticipation of grinding and capping. F. 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. Special Conditions Page 5 of 6 PERMIT NO. ENC2023-0054 Southern California Gas Company (#2042219290) / Replace Gas Main and Services / Avenida Obregon North of Calle Durango 28. 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. 29. 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. 30. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. 31. 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. 32. 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 6 of 6 AIC�RO® `I CERTIFICATE OF LIABILITY INSURANCE DATE /Y) F03/22/22/20232023 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 McGriff Insurance Services, LLC Box 10265 CONTACT HOII Gilham 205-581-9217 NAME: y PHONE NExt : AC, No), CNo1-800-476-2211 IIP.O. E-MAIL riff.com ilham me ADDRESS: h 9 @ g Birmingham, AL 35202 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Arch Insurance Company 11150 INSURED NPL Construction Co. Site Code #1042 INSURER B :Navigators Insurance Company 42307 INSURER C : NPL West LLC 19820 N. 7th Ave, Ste. 120 Phoenix, AZ 85027 INSURER D INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER:4ZSG7N52 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/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY ZAGLB9237703 05/01/2023 05/01/2024 EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE FRI OCCUR DAMAGETORENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY ECT LOC PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER: A AUTOMOBILE LIABILITY ZACAT9262803 ZACAT9263003 (MA) 05/01/2023 05/01/2024 COMBINED SINGLE LIMIT Ea accident $ 2,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY B UMBRELLA LIAB X OCCUR LA23EXC1332641V 05/01/2023 05/01/2024 EACH OCCURRENCE $ 5,000,000 X AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ Prod/Camp Ops Agg $ 5,000,000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) N / A ZAWC19437204 05/01/2023 05/01/2024 X PER OTH- STATUTE E R E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) RE: Blanket Gas Work City of La Quinta is included as an Additional Insured -Primary and NonContributory by the General Liability policy if required by written contract. A Waiver of Subrogation is included where permissible by law by the Workers' Compensation & Employers Liability policy in favor of the Additional Insured(s) if required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of La Quinta AUTHORIZED REPRESENTATIVE 78-495 Calle Tampico La Quinta, CA 92253 w4L) ACORD 25 (2016/03) Page 1 of 6 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: ZAGLB9237703 COMMERCIAL GENERAL LIABILITY CG20100413 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) Locations Of Covered Operations ALL PARTIES WHERE REQUIRED BY ALL LOCATIONS, PER WRITTEN A WRITTEN CONTRACT PRIOR TO AGREEMENT/CONTRACT KNOWN LOSS Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of 'your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG20100413 © Insurance Services Office, Inc., 2012 Page 1 of 2 Page 2 of 6 4ZSG7N52 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 © Insurance Services Office, Inc., 2012 CG20100413 Page 3 of 6 4ZSG7N52 POLICY NUMBER: ZAGLB9237703 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations ALL PARTIES WHERE REQUIRED BY A WRITTEN CONTRACT PRIOR TO KNOWN LOSS ALL LOCATIONS, PER WRITTEN AGREEMENT/CONTRACT Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1 Page 4 of 6 4ZSG7N52 COMMERCIAL GENERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. CG 20 01 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1 Page 5 of 6 4ZSG7N52 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) POLICYNUMBER: ZAWCI9437204 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule AS AGREED BY WRITTEN CONTRACT OR WRITTEN AGREEMENT For policies or exposure in Missouri: Any person or organization for which the employer has agreed by written contract, executed prior to loss, may execute a waiver of subrogation. However, for purposes of work performed by the employer in Missouri, this waiver of subrogation does not apply to any construction group of classifications as designated by the waiver of right to recover from others (subrogation) rule in our manual. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 05/01/2023 Policy No. ZAWC19437204 Insured CENTURI GROUP, INC Insurance Company ARCH INSURANCE COMPANY Countersigned By WC 00 03 13 (Ed. 4-84) a IU3 Nadonal Counoll on Compsnsrlon Insunmos. Endorsement No. Premium INCL. Page 6 of 6 4ZSG7N52