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ENC2023-0042
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: 7/5/2023 LOCATION OF CONSTRUCTION (Street address or Description): MADISON ST AT BETH CIRCLE PURPOSE OF CONSTRUCTION: OFF -SITE WATER IMPROVEMENTS DESCRIPTION OF CONSTRUCTION: TM 33085 POLO VILLAS OFFSITE WATER IMPROVEMENTS DIMENSION OF INSTALLATION OR REMOVAL: SEE CVWD PLANS APPROXIMATE TIME WHEN WORK WILL BEGIN: 7/10/2023 TIME OF COMPLETION: 7/31/2023 ESTIMATED CONSTRUCTION COST: $296,000.00 (Including removal of all obstruction, materials, and debris, backfilling, compaction and placing permanent resurfacing and/or replacing improvements) rice]► 1AA 1:11►r161 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. APPLIED ON ETRAKIT Signature of Applicant or Agent G H A ENTERPRISES - CARLOS BONILLA 30-875 DATE PALM DRIVE STE C CATHEDRAL CITY, CA 92234-3747 (760)969-1400 Name of Applicant (please print) Business Address Telephone No. G H A ENTERPRISES INC 30-875 DATE PALM DRIVE STE C CATHEDRAL CITY, CA 92234-3747 (760)969-1400 Name of Contractor and Job Foreman Business Address 750957 Contractor's License No. UPLAND SPECIALTY INSURANCE COMPANY Applicant's Insurance Company Finance Revenue Code PERMIT INSPECTION SEWER AND WATER $1,401.00 TECHNOLOGY ENHANCEMENT FEE $8.00 TOTAL: $0.00 Telephone No. 0104516 City Business License No. USPCL0050523 Policy Number PERMIT NO: ENC2023-0042 DATE ISSUED: 7/5/2023 EXPIRATION DATE: 7/5/2024 BY: AMY YU A Y 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. G20-2 W20-1 W20-5 W4-2R W11-1/W16-1 50' MIN. C B A SEE TABLE A SEE TABLE A SEE TABLE A LEGEND 1=1 TYPE III BARRICADE W/SIGN 1-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 7W T O TANS TRAFFIC CONE WITH CLIP ON SIGN SIGN SIGNALIZED INTERSECTION [FAS] ARROW PANEL (FLASHING ARROW) HIGH LEVEL WARNING DEVICE (FLAGTREE) (OPTIONAL) FLAGGER 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 D W20-1 T ¢ 1 1 w 1 1 J ¢ Q w w cn CURB OR E.P. f F S R3-7R R3-7R 48-72 HRS PRIOR TO COMMENCING WORK (IF REQUIRED) MERGING TAPER L I 100' MIN. GAP I _ A SEE TABLE B r BETWEEN CHANNELIZERS' SEE TABLE A G20-2 (OPTIONAL) G20-2 (OPTIONAL) i W20-1 y f z f 0 f i IUFASI G20-2 R10-11 48-72 HRS PRIOR TO COMMENCING WORK ¢ (IF REQUIRED) w 50' MIN. J ¢ < DOWNSTREAM 1 1 N WORK AREA TAPER A 1 1 50' MIN. / SEE TABLE A JL 100' MAX. l RIGHT LAN ROAD LANE CLOSED AHEAD AD CLOSED i AHEAD ■ > < W20-5 W20-1 C30(CA) W4-2R INTERCHANGEABLE WITH C20(CA) NO RIGHT LANE TURN MUST ON RED TURN RIGHT • G20-2 R10-11 R3-7R SHARE THE ROAD W11-1 /W16-1 INDICATE NORTH WITH A "N" AND AN ARROW POINT NOT TO SCALE DATES OF TEMPORARY NO PARKING ZONE 0 00 Jtt IAbLt A Jtt IAbLt A Jtt IAbLt A Jtt IAbLt b 5U MIN. UH 5U MIN. / TABLE D 100' MAX. 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 7W TRAFFIC CONE WITH CLIP ON SIGN T SIGN OSIGNALIZED INTERSECTION [FAS] ARROW PANEL (FLASHING ARROW) y 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 ❑1 RIGHT LAN ROAD LANE CLOSED WORK CLOSED AHEAD AHEAD W20-5 W20-1 C30(CA) SHARE INTERCHANGEABLE WITH THE C20(CA) ROAD W11-1/W16-1 END (USE IF APPLICABLE. ROAD WORK i SEE DWG NO. 49 G20-2 FOR DETAILS) W4-2R INDICATE NORTH WITH A °N" AND AN ARROW POINT NOT TO SCALE A DATES OF TEMPORARY NO PARKING ZONE WORKSITE TRAFFIC CONTROL PLAN SINGLE LANE CLOSURE (RIGHT LANE) NONE 10. 9 California Temporary Traffic Control Handbook Table D — Longitudinal Buffer Space or Flagger Station Spacing on Downgrades Speed (mph) % Downgrade (Buffer Space) Level Road 0% (ft) -3% (ft) -6% (ft) -9% (ft) 20 115 116 120 126 25 155 158 165 173 30 200 205 215 227 35 250 257 271 287 40 305 315 333 354 45 360 378 400 427 50 425 446 474 507 55 495 520 553 593 60 570 598 638 686 65 645 682 728 785 70 1 730 1 771 1 825 1 891 Table E — Taper Length Criteria for Temporary Traffic Control Zones (for 12 feet Offset Width) Speed* Minimum Taper Length ** For Width of Offset 12 ft W S (mph) Merging L ft Shifting L/2 ft Shoulder L/3 ft Down Stream ft *** 20 80 40 27 50 25 125 63 42 50 30 180 90 60 50 35 245 123 82 50 40 320 160 107 50 45 540 270 180 50 50 600 300 200 50 55 660 330 220 50 60 720 360 240 50 65 780 390 260 50 70 840 420 280 50 Posted Speed, off peak 85t" percentile speed prior to work starting, or the anticipated operating speed. ** For other offsets use the following merging taper length formula for L: For speeds of (40 mph) or less (L=WS2160) For speeds of (45 mph) or more (L=WS) *** Maximum downstream taper length is 100 feet. 19 California Temporary Traffic Control Handbook Channelizing Devices Channelizing devices (cones, tubular markers, channelizers (CA), portable delineators, barricades, longitudinal channelizing devices, drums or vertical panels) are elements in a total system of temporary traffic control for use during construction and maintenance operations. These elements shall be preceded by a subsystem of warning devices, adequate in size, number and placement for the type of roadway on which the work will take place. See CA MUTCD Figure 6F-7 and 6F-102(CA) for channelizing devices requirements (see page 23 and 24). All channelizing devices shall be crashworthy. Channelizing devices can be used as follows: 1. To channel and/or divert traffic in advance of a temporary traffic control zone (work zone). 2. To define traffic lanes through the work zone. 3. To define a change in the position of the lanes around a work zone. 4. On detours to define curves and the edges of the roadway. 5. To separate opposing lanes of traffic. Table F — Maximum Spacing of Channelizing Devices Speed (mph) Maximum Channelizer Spacing Taper* ft Tangent ft Conflict** ft 20 20 40 10 25 25 50 12 30 30 60 15 35 35 70 17 40 40 80 20 45 45 90 22 50 50 100 25 55 55 110 27 60 60 120 30 65 65 130 32 70 70 140 35 * Maximum channelizer device spacing for all speeds on one-lane/two-way tapers is (20 ft). Maximum channelizer device spacing for all speeds on downstream tapers is (20 ft). All other tapers are as shown. ** Use on intermediate and short term projects for taper and tangent sections where there are no pavement markings or where there is a conflict between existing pavement markings and channelizers. Note: A minimum 10-ft drivable lane width should be provided where possible. 20 City of La Quinta The following General and Special Provisions are attached to and made a part of Permit Number ENC2023-0042 The followina shall always aDDIV. 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 be notified 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 ('/4") 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 two inches (2") of SC-800 shall be placed immediately. A permanent patch of ( 3 ) inches of A.0 surfacing placed on a ( 6 ) inch ( crushed ) aggregate base 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. ENC2023-0042 Polo Villas/ Off -Site Water Improvements /Madison St at Beth Circle In addition to the standard permit conditions, the following shall apply: 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. GHA Enterprises Inc., hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and erosion control. 5. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently, if required. 6. The permittee is responsible for obtaining a valid separate permit from other Cities, County jurisdictions, or other agencies if any of the work or traffic control devices extend into the other Cities, County, or agencies right of way. 7. Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance 18 § 1, 1982), throughout the work site, the Permittee shall comply with City regulated work hours. Operation and maintenance of equipment within one-half mile of human occupancy shall be performed only during the following time periods: October 1st to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m. Saturday 8:00 a.m. to 5:00 p.m. May 1st to September 30: Monday -Friday 6:00 a.m. to 7:00 p.m. Saturday 8:00 a.m. to 5:00 p.m. Work shall be prohibited on legal holidays and Sundays. Note: Construction work (including setting up traffic control devices) is not permitted on any Arterial street (i.e. any 4 lane street) before 8:00 a.m. 8. 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. 9. In accordance with the latest edition of the Standard Specifications for Public Works Construction (SSPWC), the 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. PERMIT NO. ENC2023-0042 Polo Villas/ Off -Site Water Improvements /Madison St at Beth Circle 10. 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 11. 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 with 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. 12. 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. 13. 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. 14. The permittee shall be responsible for calling the city inspector to arrange the city inspector to observe random trench compaction testing. If the inspector's phone number is unknown, the permittee shall call the Public Works front counter phone at 777-7075 or the Assistant Engineer II at 777-7047 to determine the city inspector's phone number. 15. This permit is for work within the R/W only. The permittee shall not encroach upon private property without prior written approval of the private land owner whom is being encroached upon. A copy of the authorization letter shall be provided to the city prior to start of the work. PERMIT NO. ENC2023-0042 Polo Villas/ Off -Site Water Improvements /Madison St at Beth Circle 16. 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 17. At the approval of the City Engineer, during work hours and when no lanes are provided in the work area, the permittee shall provide and maintain a traffic lane that diverts traffic off the paved roadway. The traffic lane must be located within the existing R/W with the following requirements: a. Class II Base with a minimum depth of 2" b. A 12 inch thick subgrade layer compacted to 95% based on ASTM D1557 c. An unobstructed travel width of 10 feet. d. In addition, a minimum of 5 feet clearance from open trenches. e. A minimum of 2 feet from vertical obstructions like curbs. f. Maximum speed of 25 mph Without the approval of the City Engineer, the permittee must maintain a drivable surface made of existing Asphalt Concrete or Portland Concrete. 18. The permittee shall haul all offsite debris to a certified landfill. Prior to hauling debris, the permittee shall inform the City (Inspection staff or 777-7047) of the name and location of the certified dump site. 19. Prior to excavating in native soils, the owner of the project shall have employed an archaeological observer for the site excavations within native undisturbed soils. The name of the archaeological observer must be submitted to the Public Works Department and attention this to the Associate Engineer. If the archaeologist determines the site is not to be required to be observed, please submit a letter signed by the archaeologist stating their determination. 20. 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 shall be submitted for approval prior to start of construction or parking on the paved R/W. 21. The permittee is required to provide an informative message board (approved by the City Engineer) informing the commuters using the affected roadways of possible traffic delays, time of construction, and if possible alternate routes. The message board shall be provided for the commuters 48 hours prior to the start of traffic delays. 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. PERMIT NO. ENC2023-0042 Polo Villas/ Off -Site Water Improvements /Madison St at Beth Circle 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 to 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. Backfill 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. PERMIT NO. ENC2023-0042 Polo Villas / Off -site Water Improvements / TM 33085; Madison St at Beth Circle 24. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to its original condition. 25. Access and egress to all local properties shall be maintained at all times. 26. 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 Standard Specifications for Public Works Construction (SSPWC) 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. 31. Flagger Requirements A. Minimum Requirements 1. Receive and communicate specific instructions clearly, firmly, and courteously; 2. Move & maneuver quickly; 3. Provide clear and positive guidance; 4. Understand and apply safe traffic control practices; 5. Recognize dangerous traffic situations in sufficient time to avoid injury. B. Flagger Safety Apparel 1. Background a. Fluorescent orange -red, or b. Fluorescent yellow -green 2. Retroreflective material (Orange, yellow, white, silver, yellow -green, or fluorescent version. 3. Material shall be visible at 1000 ft 4. Apparel shall be designed to identify the wearer as a person 5. Law enforcement personnel should adhere to the same standard C. Hand -Signaling Devices 1. Stop/Slow paddle octagonal in shape with minimum 18" width and 6" letters. Must have white legend on red background. Special Page 5 of 6 PERMIT NO. ENC2023-0042 Polo Villas / Off -site Water Improvements / TM 33085; Madison St at Beth Circle D. Directing Traffic 1. Only three (3) signals are required. STOP SLOW PROCEED F, L E. Flagger Communications 1. If work area is too long for relay (2 flaggers can't see each other) a. One flagger given the responsibility to coordinate b. Use Radios or c. Field phones F. Flagger warning signs must be removed or covered when flagging is finished, when work is not going to start immediately, or when work is completed. 32. 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. 33. 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. Special Page 6 of 6 GHAENTE-01 TDELGADO , 111. 0 CERTIFICATE OF LIABILITY INSURANCE �� DATE D/YYYY) 4/5/2023 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 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 License # 0757776 HUB International Insurance Services Inc. 75030 Gerald Ford Drive Suite 201 CONTACT Tona Delgado PHONE , Ext): (760) 360-4700 4251 FAX No):(760) 360-0717 ADDRESS: tona.delgado@hubinternational.com Palm Desert, CA 92211 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Upland Specialty Insurance Company 16988 INSURED INSURER B : United Financial Casualty Company 11770 INSURER C: State Compensation Insurance Fund of California 35076 GHA Enterprises, Inc. INSURER D : 30-875 Date Palm Dr., Suite C Cathedral City, CA 92234 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 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 YYY POLICY EXP MM DD YYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR Owner's & Contractor X X USPCLOO50523 3/24/2023 3/24/2024 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 100,000 $ X MED EXP (Any oneperson) $ X Defense Inside Limit PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PECOT- ❑ LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY X AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 03184471-1 3/11/2023 9/11/2023 COMBINED SINGLE LIMIT Ea accident 1,000,000 $ BODILY INJURY Perperson) $ BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE USXCLOO15723 3/24/2023 3/24/2024 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A X 9329836-2023 1 /1 /2023 1 /1 /2024 X PER OTH- STATUTE ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 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) City of La Quinta is named as additional insured for general liability. This insurance is primary and non contr butory per attached form. Waiver of subrogation applies to general liability and workers compensation per attached forms CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of La Quinta Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 78495 Calle Tampico La Quinta, CA 92253 REPRESENTATIVE AUTHORIZED ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: USPCL0050523 COMMERCIAL GENERAL LIABILITY CG20101219 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) Location(s) Of Covered Operations Any person or organization when you have agreed in a All locations and completed operations for which you written and executed contract, prior to an 'occurrence", have agreed in a written and executed contract prior that such person or organization be added as an to an 'occurrence." additional insured on your policy. 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. CG 20 10 12 19 Print Date: 3/2/2023 © Insurance Services Office, Inc., 2018 Page 1 of 2 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 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not applicable limits of insurance. increase the Page 2 of 2 Print Date: 3/2/2023 © Insurance Services Office, Inc., 2018 CG20101219 CL00160721 PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR 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 Commercial General Liability insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other Commercial General Liability 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 Commercial General Liability insurance available to the additional insured. CL00160721 Print Date: 3/29/2023 POLICY NUMBER:USPCL0050523 COMMERCIAL GENERAL LIABILITY CG24041219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): Any person or organization you have agreed in a written and executed contract, prior to an "occurrence", that you would provide such person or organization a waiver of transfer of rights of recovery against others to us on your policy. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. CG24041219 Print Date: 3/2/2023 © Insurance Services Office, Inc., 2018 Page 1 of 1 ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION REP 02 9329836-23 '` NEW 5P 2-84-17-57 PAGE 1 — ,. __- HOME OFFICE - $AN'FRANc)$Co E$k'ECxxVE 'JANUARY 1, 2023 ,AT 12.01 A.M: _ .pLLEFFECTIVE OATESARE_. AND EXPIRING JANUARY 1, 2029 AT 12,01 A.M. . AT-12:01 AM PACIFIC - - -- -.- .. _ - _ . _ . - _.. _:. - _ - 'STANDARD'TIME OR' THE--. .._.. -. .... ._. ..__ . _... _ ..._ _ _ _. -_.. _ ._... . -. -. TIME INDICATED AT PACIFIC STANDAiiD TIME GHA ENTERPRISES, INC. 90875 DATE PALM DR STE C2 CATHEDRAL CITY, CA 92234 ANYTHING IN THIS POLICY TO THE CONTRARY NOTWITHSTANDING, IT IS AGREED THAT THE STATE COMPENSATION INSURANCE FUND WAIVES ANY RIGHT OF SUBROGATION AGAINST, ' City of La Quinta WHICH MIGHT ARISE BY REASON OF ANY PAYMENT UNDER THIS POLICY IN CONNECTION WITH WORR PERFORMED SY, GHA ENTERPRISES, INC. IT I$ FURTHER AGREED THAT THE INSURED SHALL MAINTAIN PAYROLL RECORDS ACCURATELY SEGREGATING THE 'REMUNE,RATION OF EMPLOYEES WHILE ENGAGED IN WORK FOR THE ABOVE EMPLOYER. IT IS FURTHER AGREED THAT PREMIUM ON THE EARNINGS OF SUCH EMPLOYEES SHALL BE INCREASED BY 03;r. NOTHING IN THIS ENDORSEMENT SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY - ----OTHEgTHAN-AS-ABOVE-STATED."-NOTHING--ELSEWHERE--IN -THIS=PQLICY--$HALL BE ":"° - ---- �_- HELD TO VARY, ALTER, WAIVE OR LIMIT THE 7ERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS IN THIS EIVUORSEM.ENT. COUNTERSIGNED AND`ISS�UED�lAT�SA�N�FRANCISCO: 2570 i�t�� /L-//4 gUTHOR12Ep REPRESEN SCIF FORM 10277 (REV.4.20781 . DECEMBER 29, 2022 PRESIDENT AND CEO OLD DP 217