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ENC2023-0062
ta (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: 5/31/2023 LOCATION OF CONSTRUCTION (Street address or Description): AVE 50 EAST OF JEFFERSON AND AVE 52 EAST OF MADISON ST PURPOSE OF CONSTRUCTION: CORING AND PERC TESTING DESCRIPTION OF CONSTRUCTION: FOR CIP: SOIL SAMPLING: PAVEMENT AND SUBGRADE EVALUATION DIMENSION OF INSTALLATION OR REMOVAL: 8" DIAMETER APPROXIMATE TIME WHEN WORK WILL BEGIN: 6/1/2023 TIME OF COMPLETION: 6/9/2023 ESTIMATED CONSTRUCTION COST: (Including removal of all obstruction, materials, and debris, backfilling, compaction and placing permanent resurfacing and/or replacing improvements) COMMENTS: THIS ENCROACHMENT PERMIT IS FOR WORK WITHIN THE CITY OF LA QUINTA LIMITS ONLY 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. Signs re of Applicant or Agent GEOCON WEST- LUKE WEIDMAN Name of Applicant (please print) 2 R DRILLING INC 41571 CORNING PL, STE 101 MURRIETA, CA 92562 Business Address 6939 SCHAEFER AVE D 304 CHINO, CA 91710 Name of Contractor and Job Foreman Business Address 709029 Contractor's License No. NATIONAL FIRE INSURANCE CO OF HARTFORD Applicant's Insurance Company Finance Revenue Code TOTAL: $0.00 762889 City Business License No. 6079910091 Policy Number PERMIT NO: ENC2023-0062 DATE ISSUED: 5/31/2023 EXPIRATION DATE: 5/31/2024 BY: AMY YU A 1 WORK INSPECTED BY*: PERMIT COMPLETION DATE*: (951)290-1044 Telephone No. (909)490-0530 Telephone No. *If the work is covered by a Subdivision Improvement Agreement, Subdivider shall request final acceptance of improvements from the City Council. Taf °F 4Q" PUBLIC WORKS DEPARTMENT APPLICATION FOR PERMIT Date: 5/18/23 Tract No: Ave 50 and Ave 52 , project Name: T3021-22-01 thru -03 I Vicinity 7W Purpose of Construction (i.e.: Rough Grading, Offsite Street, etc.)iPavement and subgradel Descri tion of Construction i.e.: See Plan Set No. 01234 sting Dimension of Installation or Removal: 8" dia Approximate Construction Start Date: 5/29/23 Approximate Construction Completion Date: 6/2/23 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: Like Weidman Gr Phone Number 1§51 290 1044 Name of Applicant/Owner: Luke Weidman W Applicant Address: '41571 Corning Place, Suite 101, Murrieta, CA 92562 Applicant Telephone Number: 909 304 2300 Applicant E-mail Address: weidman@geoconinc.com Name of Contractor: 2R Drilling Contractor Address: 6939 Schaefer Ave, Suite D-304, Chino, CA Contractor Telephone Number: 909 490 0530 Contractor State License Number: Contractor City Business License Number: Contractor E-mail Address:Wee@2rdrilling.com ►A COPY OF THE CURRENT INSURANCE CERTIFICATE MUST BE PROVIDED• Applicant or Contractor General Liability Insurance Company: National Fire Insurance Co. Applicant or Contractor General 6079910091 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: * WHERE EXISTING RIGHT OF WAY EXTENDS BEYOND GENERAL PLAN REQUIREMENTS, RIGHT OF WAY VACATION IS NOT PROPOSED S'LY R/W I CITY OF LA QUINTA 50' CITY OF INDIO VARIES-47'-52' WILY R/W 15' 39' I VARIES-32'-39' VARIES* 11'-20'* 8' 11' 12' 8' I 5' I 11' 11' 8 EXISTING EXISTING GROUND i I I GROUND 1.5% 2.0% 2.0% 1�5% NOTE: 1. WHERE ULTIMATE CURB IMPROVEMENTS HAVE BEEN CONSTRUCTED (EXISTING), ADDITIONAL RIGHT—OF—WAY ACQUISITION NOT PROPOSED. S'LY R/W 2. WHERE ULTIMATE CURB IMPROVEMENTS ARE PROPOSED, PARKWAY WIDTH SHALL VARIES* BE 15' FOR CONSISTENCY WITH CITY OF LA QUINTA GENERAL PLAN EXISTING GROUND CITY OF INDIO VARIES 44'-54' VARIES-35'-39' 8' 1 11, CITY OF LA QUINTA STREET SECTION SOUTH SIDE CITY OF INDIO STREET SECTION NORTH SIDE PRIMARY ARTERIAL — CITY OF LA QUINTA 4 LANE BLVD RAISED MEDIAN — CITY OF INDIO JEFFERSON STREET TO MADISON STREET N.T.S. CITY OF INDIO VARIES-46'-51' VARIES-35'-39' 11, 1 5' I 5' PAINTED MEDIAN AVENUE 50 CITY OF INDIO STREET SECTION 4 LANE BLVD PAINTED MEDIAN — CITY OF INDIO MADISON STREET TO JACKSON STREET N.T.S. U) 000 (DCF MOM) I 000 (D)IF mon 0 SHEET 2 SHEET 3 SHEET 4 = SHEET 5 000 0 U Wmu'% J. 000 (DIP UHIM JEFFERSON ST MADISON ST AVENUE 50 INDEX MAP Core Location AVENUE 50 CONCEPTUAL PLAN 2.0% WILY R/W VARIES* 11'-15'* 8' i 1.5% EXISTING GROUND * WHERE EXISTING RIGHT OF WAY EXTENDS BEYOND GENERAL PLAN REQUIREMENTS, RIGHT OF WAY VACATION IS NOT PROPOSED `� T N E 000 OCp HH1000 S SHEET 6 SHEET 7 �- CL Lu J 0040 OCR 0�]D00 0 MONROE ST 1 "_ co1200' JACKSON ST 0 1200 2400 3600 Wd Sk.ck Rke-1 L.: N61. + t East bound TC plan 18"FM ♦- 24"W 1- i T i i t t 0 0 �+ 2 00 w U) i ' Ow in Z_ Q J W �. j 1 ck-dwe Or$ Twv l usieyj Romw: . f A T�EE,T • � -�' --- - ��� 4` 16" WAT. PER POWER POLES TO I t TRAFFIC SIGNAL � ���J �` 0�� ��DD �O P.M. 30293 BE RELOCATED (3 PR. R/W POLE TO REMAIN HYDRANT RELOCATE IID HYDRANT TO REMAIN PEDESTAL in TO REMAIN EX. R/W�� - West bound TC plan w 16 � �T1 w 1� — 18"S 18"12 18 FM 13 0 181',gS 18 � 3'SS18 ter• JEFiERS L� 18"W 18i'W —18-FM MAIN r} m�.�PAD MOUNTED ~ 1 TRANSFORMER`S in PR. R/W TRAFFIC SIGNAL/ (2) TO REMAIN L CABINETS TO 18" D.I.P. WATER SIN I REMAIN �n Q n n��n�n MAIN. DWG NO /n128593 AVENUE 50 1 cA ra.0 + xorro scAu 2t��rvrco or INFILTRATION TRENCH 18" VCP SEWER PER RELOCATE POWER RELOCATE PEDESTAL CATV �D� t1 (DIP MOM CVWD DWG, 27099 RELOCATE POWER POLE RELOCATE POWER RELOCATE- POWER POLE � RELOCATE POWER REOCATE POWER �n POLE RELOCATE POWER POLE POLE POLE PR. DWY. _ PR. DWY. PR. DWY. POLE (2) 10 LPR. DWY7 REOCATE POWER POLE EX. R/W PR. DWY.i r1 9 2-018"S ' � 'T 18" 18' S z5 - 18 ' S 2 2_8 Fli 1 S 1811W 18"W 1811W 1811W 1811W 18"W RELOCATE IID--/ Ln PEDESTAL 480 L.F. OF 60" HDP INFILTRATION TRENCH LEGEND PR. DWY. I CATV PEDESTAL TO REMAIN (N� OCP DQ (WHH Q LA QUINTA GENERAL PLAN -PRIMARY ARTERIAL, INDIO GENERAL PLAN-4 LANE BLVD. — — EXISTING CURB PER GENERAL PLAN Approx. Percolation Test FP__1Core Location Location -18" D.I.P. WATER MAIN. DWG NO EX. R/W 28593 PR. DWY. PR. DWY. AVENUE 50 ADDITIONAL RIGHT OF WAY REQUIRED O O 0� �LL LU � J U)3: 1O w J Z_ w J m = w Uw QU) 0 0 N co cY) Q F- w U) w I = w (n Z w J uJ UU) Q Kiiiiiiiiiiiiiiiiill FOR GENERAL PLAN COMPLIANCE 1 " = 100, `]`J E PR. PARKWAY INFILTRATION TRENCH W/60" PERFORATED HDPE EXIST. R/W 100 0 100 200 300 18"FM EXIST. SEWER FORCE MAIN S w 16 EXIST. WATER MAIN 18"SS EXIST. SEWER MAIN w.o. 19-0203 IRR EXIST. IRRIGATION LINE SHEET AVENUE 50 CONCEPTUAL PLAN Q 0 0 N 0 N N 0 0 w w z U) Un r� 0 N 0 i i U) w W z Q 0 z Q 0 i 0 N 0 1 i 0 N Em 0 0 MRELOCATE POWEI N POLE w� - 550 L.F. OF 60" HDPE RELOCATE RELOCATE INFILTRATION TRENCH IRRIGATION POWER POLE RELOCATE STANDPIPE 000 00 00000 POWER POLE PR. DWY. PR. DWY. 0 LI�I D 0 � RELOCATE POWER R 1\ RELOCATE POWEPR. R/W� RELOCATE POWER- 1 POLE LU 18"$ 0 `^ 2 - 1 I _+ i1 (n LU Lu Z , � = U .100=101 INEENIN NO Q 18" D.I.P. WATER MAIN. PWG NO 28593 1USS669 -117'sS ;38 3981'SS 9-4E) M t. - 'IRR IRR EX. R/Wry AVENUE 50 RELOCATE IID PEDESTAL L I PR. DWY.� RELOCATE POWER RELOCATES POLE RELOCATE POWER 41 ie"SS- 42 -3- - f�"O -44 9 IRR RR IRR I EX. R/W _ 800 L.F. OF 60" HDPE INFILTRATION TRENCH (NTT (D)IF MORO RELOCATE POWER POLE Lr) I & VAULT PR. DWY. PR. R/W-\ I r-PR. DWY. A C- `� 18"SS 48 49' 18"SS 5 - rn M 1 18ME ONE W ENNEEN IRR - �MENNE � EX. R/WR MEN. MEET1" _ - RELOCATE 18" IRRIGATION LINE 18" D.I.P. WATER IRRIGATION PER DWG. 2 553 MAIN. DWG NO STANDPIPE 28593 AVENUE 5 0 LEGEND LA QUINTA GENERAL PLAN -PRIMARY ARTERIAL, • INDIO GENERAL PLAN-4 LANE BLVD. EXISTING CURB PER GENERAL PLAN Approx. FPercolation Test Core Location _P] Location AVENUE 50 CONCEPTUAL PLAN I10. 0 0 NT U_ LU Q J 03: 10 LU J Z_ LU J m = W ULU Q U) TRARSFORiTiER TO POWERREMAIN .. Ai :F: r? lu"w Ln �OD (DIP n n 9 n�H TO REMAIN Q REMOVE HAND I�G� lJ LI�1 G� 480 L.F. OF 60" HDPE INFILTRATION TRENCH East bound TC plan + r REPLACE BLOCK WALL 1 " = 100' K f` 0 West bound TC plan v mmoosc -, 100 200 300 W N El ON w.o. 19-0203 SHEET 1 OF % SHEETS VAULT -TO 000 00 DO D0 REMAIN - X. R/W� - i - 0 O ry MADISON STREET 00-ff (P0 DO]ODO VAULT T REMAIN EX. R/W� _ 3'SS 1e"FM SS 64� 1 65 M 66 0') i i � _ D1 EX. R/W TRANSMISSION--'_� REMOVE AND POLE TO REMAIN REPLACE 000 0p U 00k000 BLOCK WALL RELOCATE — POWER POLE PR. DWY.7 i 72 PR. DWY.J PR. R/W LEGEND RELOCATE RELOCATE POWER POLE HYDRANT PR. R/W -7 % • 73 74 P5 75 1 I � POLE (2) LA QUINTA GENERAL PLAN -PRIMARY ARTERIAL INDIO GENERAL PLAN-4 LANE BLVD. IRRIGATION DRYWELL RELOCATE POWER POLE RELOCATE POWER-\ VAULT 68 I R R MKPM LmR R ' \OWER POLE EX. R WJ N } TO REMAIN (2) / TRANSMISSION I POLE TO REMAIN AVENUE 50 i . '' TE CITE' OF INDIO 1 POR POLE .O \•• �Poll Pll� �� 1 • i • i1 i i PR. DWY 18" WATER LINE \-RELOCATE POWER PER WT-0521 POLE (NOT OCR DO]ODO AVENUE 5 0. TC plan fir EXISTING CURB PER GENERAL PLAN Approx. FP__1 Percolation Test Core Location 1 Location _ AVENUE 50 CONCEPTUAL PLAN K PR. R/W ,0 'TR. DWY.- aim �I11111111019 PR. R/W-j �n PROTECT CATV PEDESTAL 0 0 00 LO Q � w w w Cn zw Jw _ U) H w lid E •0 •• 0 100 200 1 0 0 00 LLJ w U) _ ' U) L u w z w J U)U Q 75 AVENUE 50 0 C �+ _� �Q F� wU) > Ow co Q J_ wU U H a AVENUE 50 LEGEND LA QUINTA GENERAL PLAN —PRIMARY ARTERIAL, INDIO GENERAL PLAN-4 LANE BLVD. — EXISTING CURB PER GENERAL PLAN Approx. Core Location F-P-1 Percolation Test Location AVENUE 50 CONCEPTUAL PLAN ' TC plan •• 100 0 100 200 300 0 0 rnw LU Q >J U) 10 w J Z_ w J m = w Uw HU) Q 0 (D + 0 aw U) w 1 = wU) z_w J w Ucf) H Q N N 0 N 0 N 0 0 W w 0 N 0 w w z Q / cn Ez Q 0 / S 0 0 N 0 w.o. 19-0203 SHEET / 5 o N OF 7 SHEETS "WICK" 0 C 0 L~LJ � 0 W (n _ U)W W Z W J U) _ U Q 75 0 0 M = N C Fy < Lu OW az W= WU cn Q 450 L.F. OF 60" PAD MOUNTED RELOCATE POWER HDPE TRANSFORMERS INFILTRATION TRENCH POLE (2) TO REMAIN ` - ' PR. DW, �. RELOCATE POWER _ -PR. DWY. , -POLE (2) 111;j 112 18"FM PR. R/W-j Ln 520 L.F. OF 60" HDPE INFILTRATION TRENCH fimigi 1 '14 t 3"FM MONROE STREET I TRAFFIC SIGNAL/ NT7 00 P MOO I CABINETS TO REMAIN PAD MOUNTED ST. LIGHT TO ST. LIGHT TO TRANSFORMERS EX. R/W o % J REMAIN : REMAIN (2) TO REMAIN- CD W 16 W 16 W 16 115 16 117 118 119 120 121 122 18"FM 18"F,,M ,, i ,�, 18"FM R LOCAT POWE RELOCATE TRAFFIC-/ SIGNAL POLE PR. DWY. TRAFFIC SIGNAL POLE TO REMAII AVENUE 50 1K DWY.-I PR. R/WL01 RELOCATE POWER PR. DWY POLE g0vlf; OIF Von ST. LIGHT TO REMAIN ST. LIGHT TO (: LI Lfv7 w mDD 0,0 ST- LIGHT TO r REMAIN REMAIN W 16 W 16 W 16 16 124 °,' 125 126 127 128 129 1 131 ROP. R/W ' y * a. LEGEND LA QUINTA GENERAL PLAN -PRIMARY ARTERIAL, INDIO GENERAL PLAN-4 LANE BLVD. EXISTING CURB PER GENERAL PLAN Approx. FP__1 Percolation Test Core Location Location AVENUE 50 CONCEPTUAL PLAN I 'RELOCATE -IID"- PEDESTAL RELOCATE POWER POLE co N_ LL 1 Lu M �> � O IRR W W Z pp J W APR. DWY. = W H U) ST. ; LIGHT TO ► HYDRANT TO + 'REMAIN REMAIN PAD MOUNTED CA PEDESTAL TRANSFORMER TO REMAIN TO _REMAIN _ 16 W 16 132 133 _ 134 135 1 in i- RELOCATE POWERi PR. DWY. EX. R/W� PR. DWY. Lo POLE RELOCATE::�/IRRIGATION (N Lf OB l D J�1 DDDO� RELOCATE POWER 400 L.F. OF 60" HDPE STANDPIPE A`'VENUE50 POLE INFILTRATION TRENCH a a t t TC plan 0 0 o co Q W C= I W U) Z_ W J W U� a ` I 1 = 100 W 100 0 100 200 300 N S w.o. 19-0203 SHEET 6 OF SHEETS 0 0 F— w w cn 0 N 0 1 i w w z Q i cn z Q 0 i 0 N 0 i 0 N 1-1 .. 0 0 M W W (n 2 cf) W WZ LU J U) = H AUTRY DRIVE ATV PEDESTAL ST. 'LIGHT ' J PTO.REM44N TO REMAIN i ST. LIGHT �0 UL�. D�D� DI��J �� r .' TO REMAIN ,�► ! EX. R/W� A/ 16 6 W 16 W 16 W 16 6 137 A 110 139 140 141 142 143 o 144 145 146 • LO Lis, 18"FM 18"FM 18"FM FM ��R I IRR( � IRR R IRR 11 PR. R/W ;n IRRIGATION � N PR. DWY. 600 L.F. OF 60" HDPE STANDPIPE TO cNv N INFILTRATION TRENCH REMAIN AVENUE 50 BOTELLA PLACE LEGEND LA QUINTA GENERAL PLAN —PRIMARY ARTERIAL, INDIO GENERAL PLAN-4 LANE BLVD. EXISTING CURB PER GENERAL PLAN Approx. FP__1 Percolation Test Core Location Location AVENUE 50 CONCEPTUAL PLAN f f LKI HYDPAWT PAD MOUNTED TO I-N TRANSFORMERS ` (2) TO REMAIN 16 77 147 7148 � 1z I� w1 1 " = 100' 100 0 100 200 300 to S E N N Q0 0 N 0 0 LL LL 0 N 0 i LL LL _ z Q >z Q 0 i 0 N 0 i i 0 N go Ave 52 Madison to Monroe I -ph Approx. F • Percolation Test Aw P " 16 _ =,go ti w Location 1 � 1, a a IWIN40-1 10 Core Location 0. — - - - - - - - - - dk 'wo f Indio , f39 '6111ills. fm &_ - 0 City of La Qu nta I T Now P Ji 4UJI Block Right Lane Clobu,. TC plan ftv NOW" 4W!A, # t ir T V'm' NOT TO SCALE r AO m nt I to City of La Quinta The following General and Special Provisions are attached to and made a part of Permit Number ENC2023-0062 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 (6) 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. ENC2023-0062 For City Project / Soil Sampling Coring/ Ave 52 and Ave 50 (See Traffic Control Plans) 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. Night work may be halted if the city receives complaints about the work. 4. The permittee must compact any disturbed soil within the paved right of way back to its original condition or compact to a minimum density of 95% based on ASTM D1557 and be placed while the soil is at +/- 2% of optimum moisture, which ever compacting effort produces the greatest density. 5. Any asphalt removed during potholing shall be replaced with City approved mix asphalt or equivalent. Temporary (Cold Patch) is not acceptable as an approved asphalt mix. The asphalt shall have a thickness equivalent or greater than the removed asphalt thickness and shall obtain a density of 95% or greater based on maximum density obtained by the ASTM Marshall Mix Design Method. 31 7. a Geocon West, Inc., (Luke Weidman), 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 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 shall block off the work area to prevent access and provide alternate pathways if applicable. 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 1 st to September 30: Monday -Friday 6:00 a.m. to 7:00 p.m. Saturday 8:00 a.m. to 5:00 p.m. Work shall be prohibited on legal holidays and Sundays. Note: Construction work (including setting up traffic control devices) is not permitted on any Arterial street (ie any 4 lane street) before 8:00 a.m. Special Conditions Page 1 of 4 PERMIT NO. ENC2023-0062 For City Project / Soil Sampling Coring/ Ave 52 and Ave 50 (See Traffic Control Plans) 11. Work within 500 feet of a signalized intersection shall be performed between the hours of 9 a.m. - 3 p.m. Traffic control shall be set up after 9 a.m. and removed before 3 p.m. The Permittee shall contact the City Traffic Signal Maintenance Division at (760) 777-7070 if signal operation at the intersection is to be altered in any way. 12. Pursuant to Section 14.16.110 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), Permittee shall assume responsibility for repair of any pavement damage to any public or private street and for any damage to other City streets or facilities as a result of work performed under this permit. 13. The permittee shall place temporary no parking signs along the parking area affected by the construction. The signs shall be placed along the area 48hrs prior to the start of closing the area, and removed immediately after the construction completion date. 14. Pursuant to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), at residential streets, advance warning signs and traffic control shall be installed and maintained in accordance the latest edition of the California Manual of Uniform Traffic Control Devices (CA MUTCD) or the latest edition of the Work Area Traffic Control Handbook (WATCH). On Collectors to Arterial Streets, the permittee must submit a traffic control plan which shall be from or prepared under the guidance of the latest edition of the California Manual of Uniform Traffic Control Devices (CA MUTCD) or the latest edition of the Work Area Traffic Control Handbook (WATCH). Traffic Control plans not from the CA MUTCD or the WATCH shall be signed and stamped by a civil or traffic engineer registered in the State of California. It shall be the Permittee's responsibility to appropriately detour and barricade all construction sites. Pursuant to Section 14.16.290 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), street closures shall not be permitted. A minimum of two (2) travel lanes of paved surface shall be maintained at all times. 15. Prior to excavating, if required, the Permittee shall contact Underground Service Alert at 1-800-422- 4133. It shall be the Permittee's responsibility to notify the Public Works Department of anticipated excavation which impact City facilities, including but not limited to traffic signal conduits and loops, irrigation lines, electrical conduits, and storm drain facilities. 16. Should additional work, materials, or modifications of the work be required in order to meet City standards, safety requirements, signage requirements, or to fit actual field conditions, the work shall be performed by the Permittee as directed by and to the satisfaction of the City Engineer at no cost to the City of La Quinta. 17. The permittee shall be responsible for calling the city inspector to arrange the city inspector to observe random pothole backfill compaction and testing if requested by the inspector. If the inspector's phone number is unknown, the permittee shall call the Public Works front counter phone at 777-7075 or the Associate Engineer at 777-7047 to determine the city inspector's phone number. The inspector shall determine the number and location of the test location/s. The above testing does not relieve the permittee's responsibility for future repairs due to settlement at and near the locations of the work area. Materials testing must be performed under direct supervision of a California Registered Civil Engineer. Special Conditions Page 2 of 4 PERMIT NO. ENC2023-0062 For City Project / Soil Sampling Coring/ Ave 52 and Ave 50 (See Traffic Control Plans) 18. The issuance of this permit and the City approval of the related construction improvement plans do not provide a vested entitlement for all design parameters that may have been utilized for the plans. As such, plans approved for this permit may be "at risk" for further modifications as it relates to any follow up improvement plan requirements as required by the city or existing errors & omissions by the architect or engineer of record. 19. This permit is not valid until the permittee submits, to the Public Works Department 2 weeks prior to start of construction, the name of the City approved contractor, who shall submit to the City the following items: a. General Liability Insurance Company and Policy Number b. City Business License c. Contractors State License Number 20. The Applicant or Contractor shall furnish the City satisfactory evidence of insurance in the amounts provided in Engineering Bulletin for Indemnification & Insurance Requirements. This insurance shall be kept in full force and effect at all times by Applicant or Contractor during the prosecution of the permitted work and updated Certificate of Liability Insurance shall be submitted to the City. Each policy shall name the City as an additional insured. 21. If public traffic lanes are required to be closed, this permit is not valid until the permittee submits, to the Public Works Department, a traffic control plan for review and approval prior to start of construction or parking on the paved R/W. 22. All excavations within City of La Quinta right-of-way shall be backfilled, and temporarily paved if within the existing travel way, at the end of every workday as directed by and to the satisfaction of the City Engineer for the protection of the public. Lengths of open trench shall not greatly exceed that which can not be backfilled in the same day. Excavated trenches shall not be allowed open overnight; however, Permittee may leave a length of excavated trench, not to exceed twenty (20) feet in length, open overnight at a point where construction will begin the next day, provided that this length of trench is completely covered by steel plating. 23. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to its original condition. 24. Access and egress to all local properties shall be maintained at all times. 25. Pursuant to Section 14.16.375 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), permanent pavement replacement shall be completed no later than seven (7) days after the completion of the work. Permanent pavement replacement shall conform to the following conditions: A. Existing asphalt concrete pavement shall be sawcut one (1) foot beyond trench edges. Edges shall be straight and clean. Special Conditions Page 3 of 4 PERMIT NO. ENC2023-0062 For City Project / Soil Sampling Coring/ Ave 52 and Ave 50 (See Traffic Control Plans) B. Permanent pavement replacement structural section, within all trenches, shall be 1" thicker than existing of asphalt concrete over the same existing thickness of crushed aggregate base or crushed miscellaneous base, meeting the requirements of Sections 200-2.2 and 200-2.4 of the Standard Specifications for Public Works Construction. The replaced pavement and base material shall be compacted to 95% relative compaction and respectively tested, for each 300 linear feet of trench. Verify exact structural replacement section thicknesses with the City prior to installation. C. Permanent pavement replacement shall be installed using a City approved 3/4" max medium asphalt concrete as the base course lift and a City approved 1/2" max medium finish course lift for capping. Asphalt concrete mix design shall be approved by the City prior to its placement. D. Any existing lane striping or any existing detour lane striping affected by this resurfacing shall be replaced in kind by the Permittee, as directed by and to the satisfaction of the City Engineer. Affected traffic signal loops shall be removed and replaced in kind. The finished pavement surface shall be smooth, consistent, and shall conform to the surrounding grades. 26. Permittee shall permanently stabilize any and all soil that was disturbed as a result of work performed under this permit with an approved dust control treatment. Soil stabilization shall be done immediately after completing the operation. 27. Pursuant to Chapter 12.56 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982) the City has designated certain city streets as Truck Routes. The weight limit for restricted streets (i.e., streets not part of the Truck Route network) is three (3) tons; trucks exceeding the weight limit may use a restricted street if making a delivery or pickup on the subject street, or if this permit specifically grants permission to use the street to deliver street construction materials and/or equipment. 28. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. 29. The permittee shall indemnify, hold harmless and assume the defense of the City from all damages, delay costs, costs or expenses in law or equity that may arise out of work under this permit. 30. If it is the intent of the permittee to cut the pavement and have it restored by a third party, the permittee shall postpone cutting the pavement until the intended third party has acquired a permit from the City to perform the required restoration work. Special Conditions Page 4 of 4 ACQRL7 CERTIFICATE OF LIABILITY INSURANCEFill DATE (MMIDD/YYYY) 5/16/2023 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 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 CONTACT NAME: Certificate Department Cavignac 451 A Street, Suite 1800 PHONE FAX A/C No Ext : 619-744-0574 A/C No): 619-234-8601 ADDRESS: certificates@cavignac.com San Diego CA 92101 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: National Fire Insurance CO. of Hartford 20478 INSURED GEOCINC-01 INSURERB: Continental Insurance Company 35289 Geocon West, Inc. 6960 Flanders Drive INSURERC: Transportation Insurance Co. 20494 INSURER D : San Diego, CA 92121 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 257129214 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 Y 6079910091 1/1/2023 1/1/2024 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR DAMAGES (RENTED PREMISES Ea occurrence) ccurrence)$ 1,000,000 X MED EXP (Any one person) $ 15,000 Cross Liab. Inc. X Sev of Int Incl PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY jE LOC X PRODUCTS - COMP/OP AGG $ 2,000,000 Deductible $ 0 OTHER: B AUTOMOBILE LIABILITY 6079910088 1/1/2023 1/1/2024 COMBINED SINGLE LIMIT Ea accident $ 1 000 000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X DAMAGE (Pe accident) PROPERTY $ HIRED AUTOS X NON -OWNED AUTOSUMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N Y WC 6 79910107 1/1/2023 1/1/2024 X PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A E.L. EACH ACCIDENT $ 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Geocon Project # T3021-22-XX / Avenue 50 and Avenue 52 [Encroachment Permit]. Additional Insured coverage applies to General Liability for City of La Quinta, its officials, employees, and agents per policy form. Primary and Non -Contributory coverage applies to General Liability per policy form. Waiver of subrogation applies to Workers Compensation per policy form. If the insurance company elects to cancel or non -renew coverage for any reason other than nonpayment of premium they will provide 30 days notice of such cancellation or nonrenewal. 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 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD CNA Blanket Additional Insured - Owners, Lessees or Contractors - with Products -Completed Operations Coverage Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I. WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily injury, property damage or personal and advertising injury caused in whole or in part by your acts or omissions, or the acts or omissions of those acting on your behalf: A. in the performance of your ongoing operations subject to such written contract; or B. in the performance of your work subject to such written contract, but only with respect to bodily injury or property damage included in the products -completed operations hazard, and only if: 1. the written contract requires you to provide the additional insured such coverage; and 2. this coverage part provides such coverage. II. But if the written contract requires: A. additional insured coverage under the 11-85 edition, 10-93 edition, or 10-01 edition of CG2010, or under the 10-01 edition of CG2037; or B. additional insured coverage with "arising out of language; or C. additional insured coverage to the greatest extent permissible by law; then paragraph I. above is deleted in its entirety and replaced by the following: WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of your work that is subject to such written contract. III. Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: A. coverage broader than required by the written contract; or B. a higher limit of insurance than required by the written contract. IV. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property damage, or personal and advertising injury arising out of: A. the rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: 1. the preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and 2. supervisory, inspection, architectural or engineering activities; or B. any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this coverage part. V. Under COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance is amended to add the following, which supersedes any provision to the contrary in this Condition or elsewhere in this coverage part: Primary and Noncontributory Insurance CNA75079XX (10-16) Policy No: 6079910091 Page 1 of 2 Endorsement No: Effective Date: 01 /01 /2023 Insured Name: Geocon Inc. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA Blanket Additional Insured - Owners, Lessees or Contractors - with Products -Completed Operations Coverage Endorsement With respect to other insurance available to the additional insured under which the additional insured is a named insured, this insurance is primary to and will not seek contribution from such other insurance, provided that a written contract requires the insurance provided by this policy to be: 1. primary and non-contributing with other insurance available to the additional insured; or 2. primary and to not seek contribution from any other insurance available to the additional insured. But except as specified above, this insurance will be excess of all other insurance available to the additional insured. VI. Solely with respect to the insurance granted by this endorsement, the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: The Condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1. give the Insurer written notice of any claim, or any occurrence or offense which may result in a claim; 2. send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation, defense, or settlement of the claim; and 3. make available any other insurance, and tender the defense and indemnity of any claim to any other insurer or self -insurer, whose policy or program applies to a loss that the Insurer covers under this coverage part. However, if the written contract requires this insurance to be primary and non-contributory, this paragraph 3. does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. VII. Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is amended to add the following definition: Written contract means a written contract or written agreement that requires you to make a person or organization an additional insured on this coverage part, provided the contract or agreement: A. is currently in effect or becomes effective during the term of this policy; and B. was executed prior to: 1. the bodily injury or property damage; or 2. the offense that caused the personal and advertising injury; for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75079XX (10-16) Page 2 of 2 Policy No: 6079910091 Endorsement No: Effective Date: 01 /01 /2023 Insured Name: Geocon Inc. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNAArchitects, Engineers and Surveyors General Liability Extension Endorsement C. This PERSONAL AND ADVERTISING INJURY - LIMITED CONTRACTUAL LIABILITY Provision does not apply if Coverage B —Personal and Advertising Injury Liability is excluded by another endorsement attached to this Coverage Part. This PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY Provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part. 22. PROPERTY DAMAGE — ELEVATORS A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended such that the Damage to Your Product Exclusion and subparagraphs (3), (4) and (6) of the Damage to Property Exclusion do not apply to property damage that results from the use of elevators. B. Solely for the purpose of the coverage provided by this PROPERTY DAMAGE — ELEVATORS Provision, the Other Insurance conditions is amended to add the following paragraph: This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis that is Property insurance covering property of others damaged from the use of elevators. 23. RETIRED PARTNERS, MEMBERS, DIRECTORS AND EMPLOYEES WHO IS INSURED is amended to include as Insureds natural persons who are retired partners, members, directors or employees, but only for bodily injury, property damage or personal and advertising injury that results from services performed for the Named Insured under the Named Insured's direct supervision. All limitations that apply to employees and volunteer workers also apply to anyone qualifying as an Insured under this Provision. 24. SUPPLEMENTARY PAYMENTS The section entitled SUPPLEMENTARY PAYMENTS — COVERAGES A AND B is amended as follows: A. Paragraph 1.b. is amended to delete the $250 limit shown for the cost of bail bonds and replace it with a $5,000. limit; and B. Paragraph 1.d. is amended to delete the limit of $250 shown for daily loss of earnings and replace it with a $1,000. limit. 25. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS If the Named Insured unintentionally fails to disclose all existing hazards at the inception date of the Named Insured's Coverage Part, the Insurer will not deny coverage under this Coverage Part because of such failure. 26. WAIVER OF SUBROGATION - BLANKET Under CONDITIONS, the condition entitled Transfer Of Rights Of Recovery Against Others To Us is amended to add the following: The Insurer waives any right of recovery the Insurer may have against any person or organization because of payments the Insurer makes for injury or damage arising out of: 1. the Named Insured's ongoing operations; or 2. your work included in the products -completed operations hazard. However, this waiver applies only when the Named Insured has agreed in writing to waive such rights of recovery in a written contract or written agreement, and only if such contract or agreement: 1. is in effect or becomes effective during the term of this Coverage Part; and CNA74858XX (1 - 15) Policy No: 6079910091 Page 16 of 18 Endorsement No: Effective Date: 01 /01 /2023 Insured Name: Geocon Inc. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNAArchitects, Engineers and Surveyors General Liability Extension Endorsement 2. was executed prior to the bodily injury, property damage or personal and advertising injury giving rise to the claim. 27. WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS Note: The following provision does not apply to any public construction project in the state of Oklahoma, nor to any construction project in the state of Alaska, that is not permitted to be insured under a consolidated (wrap- up) insurance program by applicable state statute or regulation. If the endorsement EXCLUSION — CONSTRUCTION WRAP-UP is attached to this policy, or another exclusionary endorsement pertaining to Owner Controlled Insurance Programs (O.C.I.P.) or Contractor Controlled Insurance Programs (C.C.I.P.) is attached, then the following changes apply: A. The following wording is added to the above -referenced endorsement: With respect to a consolidated (wrap-up) insurance program project in which the Named Insured is or was involved, this exclusion does not apply to those sums the Named Insured become legally obligated to pay as damages because of: 1. Bodily injury, property damage, or personal or advertising injury that occurs during the Named Insured's ongoing operations at the project, or during such operations of anyone acting on the Named Insured's behalf; nor 2. Bodily injury or property damage included within the products -completed operations hazard that arises out of those portions of the project that are not residential structures. B. Condition 4. Other Insurance is amended to add the following subparagraph 4.b.(1)(c): This insurance is excess over: (c) Any of the other insurance whether primary, excess, contingent or any other basis that is insurance available to the Named Insured as a result of the Named Insured being a participant in a consolidated (wrap-up) insurance program, but only as respects the Named Insured's involvement in that consolidated (wrap-up) insurance program. C. DEFINITIONS is amended to add the following definitions: Consolidated (wrap-up) insurance program means a construction, erection or demolition project for which the prime contractor/project manager or owner of the construction project has secured general liability insurance covering some or all of the contractors or subcontractors involved in the project, such as an Owner Controlled Insurance Program (O.C.I.P.) or Contractor Controlled Insurance Program (C.C.I.P.). Residential structure means any structure where 30% or more of the square foot area is used or is intended to be used for human residency, including but not limited to: 1. single or multifamily housing, apartments, condominiums, townhouses, co-operatives or planned unit developments; and 2. the common areas and structures appurtenant to the structures in paragraph 1. (including pools, hot tubs, detached garages, guest houses or any similar structures). However, when there is no individual ownership of units, residential structure does not include military housing, college/university housing or dormitories, long term care facilities, hotels or motels. Residential structure also does not include hospitals or prisons. This WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS Provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part. CNA74858XX (1-15) Page 17 of 18 Policy No: 6079910091 Endorsement No: Effective Date: 01 /01 /2023 Insured Name: Geocon Inc. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 1 It is understood and agreed that: 7 If you have agreed under written contract to provide notice of cancellation to a party to whom the Agent of Record has issued a Certificate of Insurance, and if we cancel a policy term described on that Certificate of Insurance for any reason other than nonpayment of premium, then notice of cancellation will be provided to such Certificateholders at least 30 days in advance of the date cancellation is effective. If notice is mailed, then proof of mailing to the last known mailing address of the Certificateholder on file with the Agent of Record will be sufficient to prove notice. Any failure by us to notify such persons or organizations will not extend or invalidate such cancellation, or impose any liability or obligation upon us or the Agent of Record. All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. Form No: CC68021 A (02-2013) Policy No: 6079910091 Endorsement Effective Date: 01/01/2023 6079910088 Named Insured: Geocon Inc. WC679910107 ° CNA All Rights Reserved. CNA Workers Compensation And EmpJoyers Liability Insurance Ralicy Endorsement This endorsement changes the policy to which it is attached- tt is agreed that Part One - Workers' Compensalton Insurance G- Recovery From Others and Part Two - Emp"rs' Liability Insurance H. Recovery From -Others are amended by adding tha following: We avil I not enforce air right to recover aqa ins# per30n:S or organizations. f This agreern ent appl ie-j only to the PREMIUM CHARGE - Reter to the Sr-hsdule of Operations The -charj;i,, MH be an amount to * h ir-h v Gu a it l we a� ree that is a percentage of the total standard premium for Califomia exposure- The amount is S% This eiid orsemeratr *11 is h forms a part of a rrd is for attachment to the volicy issued by the desi!Drla tad Insurers, takes -effect on the Policy Effective Date Df said policy at the hour stated in said policy, unless an*ther e c ive :date Mie Endorsement Mective Date! is shown below, and expires c*n-curnently WIM saM po icy+ -unless another expiration data is shown flow. Form ND: G-191613-IL 411 .1997) Policy Nu: WC6799101 DF 01 /01 /2023 Eridmarmnr No: F; Flags_ 1 i1 1 LkiderwririN Company' Tramporl8rioa Insurame CompBriV, 151 H Frankki Si, Chicifjo. I OEM t Caayjmpht CNA AM Mhts Rasrr.'arrd.