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ENC2023-1027
CALIFORNIA ENCROACHMENT PERMIT PUBLIC WORKS CONSTRUCTION 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/or APPROVED SUBDIVISIONS. DATE: 11 /30/2023 LOCATION OF CONSTRUCTION: Commerce Ct South of Corporate Center Dr PURPOSE OF CONSTRUCTION: Trench in dirt and place conduit from existing Charter pedestal and stub at the right of way DESCRIPTION OF CONSTRUCTION: For Charter PID 4859918: Trench and place conduit from existing pedestal and stub a' right of way APPROXIMATE TIME WHEN WORK WILL BEGIN: 12/15/2023 DATE OF COMPLETION: 12/29/2023 COMMENTS: In consideration of the granting of this permit, the applicant hereby agrees to: Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application. Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started at (760) 777-7097. To submit an inspection request, leave a message on the Inspection Request Hotline at (760) 777-7097 prior to 1:30 P.M. at least twenty-four (24) hours prior to the anticipated inspection. Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as the result of this work. Charter Communications/JS Collins Name of Applicant 7337 Central Ave, Riverside, CA 92504 Business Address (951) 406-1703 Telephone No. COCHRAN COMMUNICATION CONST 72230 VARNER RD, THOUSAND PALMS, CA 92276 (760) 328-6778 Dustin Cox Name of Contractor 478543 Contractor's License No. Landmark American Insurar Applicant's Insurance Company FEES Traffic Control Technology Enhancement Fee Credit Card Convenience Fee TOTAL: Business Address $739.00 $8.00 $18.48 $765.48 Telephone No. LIC-0000865 City Business License No. LHA142171 Policy Number PERMIT NO: ENC2023-1027 DATE ISSUED: 12/14/2023 EXPIRATION DATE: 12/13/2024 BY: Amy Yu If the work is covered by a Subdivision Improvement Agreement, Subdivider shall request final acceptance of improvements from the City Council. CITY OF LA QUINTA TYPICAL CONSTRUCTION SIGNS COVER PAGE ROAD SHOULDER SHOULDER END WORK CLOSED WORK ROAD WORK AHEAD 79150 HIGHWAY 111 AHEADNOTES: G20-2 1. PROVIDE FLAGGER FOR DRIVEWAY ACCESS C30A C24(CA) W20-1 2. KEEP ALL DRIVEWAYS OPEN/CLEAR DURING CONSTRUCTION. 3. USE CONES WITH 18"MIN. HEIGHT AS CHANNELIZING DEVICE. PORTABLE DELINEATORS PLACED AT ONE—HALF THE SPACING INDICATED FOR TRAFFIC CONES, MAY BE USED INSTEAD OF CONES FOR DAYTIME CLOSURES ONLY. 4. ALL CONES USED FOR LANE CLOSURES DURING THE HOURS OF SCOPE OF WORK: WORK HOURS: DARKNESS SHALL BE FITTED WITH RETRO—REFLECTIVE BANDS OR FROM Ex. CHARTER PED, 9:00 AM TO 3:30 PM SLEEVES AS SPECIFIED IN THE SPECIFICATIONS. 2' TRENCH & PL. 2" CONDUIT 5. THE MAXIMUM SPACING BETWEEN CONES ALONG A TANGENT STUB AT RIGHT OF WAY. AND A TAPER SHALL BE APPROXIMATELY AS SHOWN ON TABLE 2. 6. EACH ADVANCE WARNING SIGN SHALL BE EQUIPPED WITH AT LEAST TWO FLAGS FOR DAYTIME CLOSURES. EACH FLAG SHALL BE AT LEAST 1 6"x 1 6" IN SIZE AND SHALL BE ORANGE OR FLUORESCENT RED —ORANGE IN COLOR. FLASHING BEACON SHALL BE PLACED DURING DARKNESS INSTEAD OF FLAGS. 7. FLASHING ARROW SIGN SHALL BE EITHER TYPE I OR TYPE II 8. FOR ADDITIONAL INFORMATION, REFER TO THE CALIFORNIA MUTCD (LATEST EDITION) 9. NOTIFY PUBLIC WORKS INSPECTOR 48 HRS PRIOR TO BEGINNING WORK. 10. TRENCH EXCAVATIONS WITHIN THE ROADWAY SHALL BE COVERED WITH STEEL PLATES. STEEL PLATE WARNING SIGNS SHALL BE USED. 11. CONTRACTOR MUST SET—UP AND TEAR DOWN DAILY. 12. PARTIAL STREET CLOSURE REQUIRED APPROVAL BY DEPT. OF PUBLIC WORKS SCOPE OF WORK: (CITY OF LA QUINTA) TOTAL PROPOSED UNDERGROUND EXCAVATION 2 LF Healthcar, American Reproductive Centers 1910 Palm Desert Tax 9 � r Corporate Centre Dr 19 United States u Postal Service Nova Vitamins Vitamin & supplemPnt� cto'WORK AREA ers Market WORK AREA O Corporate Centre Dr W E E P Johnson Rods 0 _zo Pavilion at La Quinta Shopping mall 19 Osborne Rincon CPA Shadow Rock Church 19 Best Buy Electronics store VICINITY MAP N.T.S. TABLE 1 RECOMMENDED SIGN SPACING FOR ADVANCE WARNING SIGN SERIES AND MINIMUM TAPER LENGTH 0 APPROACH SPEED (S) (MPH) 0 MINIMUM DISTANCE (FEET) BETWEEN SIGNS AND FROM LAST SIGN TO TAPER C MINIMUM TAPER LENGTHS (L) (FEET) FOR 12—FOOT LANE L 1/2L 1/3L TABLE 2 RECOMMENDED TAPER LENGTH AND MAXIMUM CHANNELIZER/CONE SPACING A B C NOTES: APPROACH BUFFER MAX CONE SPACING Taper Formula SPEED (S) LENGTH L = S X W FOR SPEEDS GREATER (MPH) (FEET) TAPER TANGENT CONFLICT(*) THAN 40 MPH 25 100 125 65 45 25 125 25 50 12 30 250 180 90 60 30 200 30 60 15 35 250 245 125 85 35 250 35 70 17 40 250 320 160 110 40 350 40 80 20 45 350 540 270 180 45 360 45 90 22 50 350 600 300 200 50 425 50 100 25 55+ 500 660 330 220 55+ 495 55 100 27 REVISION: REV# DATE DESCRIPTION INT / 1-800-227-2600 o AT LEAST TWO DAYS N BEFORE YOU DIG UNDERGROUND SERVICE ALERT OF SOUTHERN CALIFORNIA TICKET# L FOR MERGE TAPER FACING OPPOSING TRAFFIC, ADJACENT TO WORK AREA 1/2L FOR SHIFT TAPER OR CONFLICTING WITH EXISTING STRIPING Charter COMMUNICATIONS 9260 TOPANGA CANYON BLVD CHATSWORTH, CA 91311 DATE: 1 1 / 15/2023 SCALE: NTS E-MAIL: JLANG@VVDCOMM.NET THOMAS GUIDE: 849-H2 COVER PAGE �N5 VIDEO VOICE DATA 7391 Lincoln Way Garden Grove, CA 92841 714-897-6300 L = W X S2 60 FOR SPEEDS OF 40 MPH OR LESS L = MINIMUM LENGTH OF TAPER (FEET) S = APPROACH SPEED (MPH) _ POSTED SPEED LIMIT OR OFF-PEAK 85TH % SPEED PRIOR TO WORK STARTING OR ANTICIPATED OPERATING SPEED W = WIDTH OF OFFSET (FEET) SHEET 01 OF 02 PROJECT: PRISM#485991 8 CITY OF LA QUINTA WORK LOCATION: COMMERCE CT & CORPORATE CENTRE DR SERVICE ADDRESS 79150 HIGHWAY 111 LA QUINTA, CA 92253 ZONE: 10 CITY OF LA QUINTA TRAFFIC PLANS 79150 HIGHWAY 111 COROPORATE CENTRE DR SIDEWALK W20-1 ST�P Y Q W 0 l t C24(CA) O 0 C30A SIDEWALK CONTACT PROPERTY OWNER(S) 72 HOURS PRIOR TO START OF WORK 0 -�8' AN INDIVIDUAL WILL BE ASSIGNED ° WORK AREA TO MAINTAIN THE CONES WHILE T ° THE WORK ZONE IS IN PLACE 50 CONTRACTOR TO PROVIDE ACCESS BUFFER TO DRIVEWAYS AT ALL TIMES SHEET 02 OF 02 0 SCALE: 1 "=40' 40' m TOTAL CONDUIT 2 LF BORE 0 LF ASPHALT TRENCH 0 LF CONCRETE TRENCH 0 LF DIRT TRENCH (PARKWAY) 2 LF REMOVE AND REPLACE CSW 0 SQ. FT. RESURFACING 0 SQ. FT. VAULT NO. 0 PROPOSED WORK LEGEND SYMBOL/LINETYPE ABBRV. DESCRIPTION PROPOSED TRENCH MICROTRENCH PROPOSED POLE PROPOSED ANCHOR BORE PIT DIRT / ASPHALT POTHOLE ASPHALT EXPOSE UTILITY PROPOSED PULLBOX / PEDESTAL CONCRETE REPLACEMENT X X" SIZES OF CONDUIT NO's. OF CONDUIT X X" X' LENGTH OF CONDUIT CONSTRUCTION NOTES: 1. BORE UNDER ALL CURBS AND GUTTERS. 2. PLACE VAULTS PARALLEL TO CURB. 3. USE SLURRY BACKFILL. 4. ALL CONDUITS SHALL BE SCH-40 UNLESS OTHERWISE SPECIFIED. ALL SWEEPS TO POLES SHALL BE SCH-80. 5. ALL CHANGES IN SKETCHES AND PERMIT LIMITS MUST HAVE PRIOR DEPT APPROVAL BY THE CITY'S PUBLIC WORKS DEPARTMENT/ENGINEERING DIVISION. 6. WHEN CROSSING EXISTING UTILITY LINES THAT ARE ALSO SAME DEPTH, PLACE NEW CONDUIT UNDERNEATH EXISTING UTILITIES TO PROVIDE ONE (1) FOOT MIN. VERTICAL CLEARANCE. 7. TRAFFIC CONTROL NOTE: CONTRACTOR SHALL SET UP TEMPORARY TRAFFIC CONTROL PER THE MOST CURRENT CA MUTCD OR WATCH MANUAL (LATEST EDITION), PER CITY PREFERENCE. 01 of ��I sprains F ere - lYa La RuiMa WORK ZON E 0 REVISION: REV DATE c� 01 T DESCRIPTION iort La�ila Ra v�fac&vrax Eon suy �Femors FoWwear CLIENT: ' Thy ter Burger Ghn «,ate 771 COMMUNICATIONS N 7337 CENTRAL AVE VICINITY MAP N.T.S. RIVERSIDE, CA 92504 79125 R (ASPHALT) 0 79150 CA-111 79190 CA-111 79110 CA-111 79220 CA-111 CA - (A L11 T) R R (W EXISTING STRUCTURES SYMBOL/LINETYPE ABBRV. DESCRIPTION SYMBOL/LINETYPE NT ® POLE UTILITY POLE SLC Q ® MH MANHOLE E ® HH HAND HOLE T Z ® PED PEDESTAL G +d+ F/H FIRE HYDRANT SD W VLV VALVE SS V TS TRAFFIC SIGNAL W W SL STREET LIGHT OIL ® VENT FO MTR METER J TV TREE POLE ANCHOR STREET SIGN DATE: 1 1 / 1 3/2023 SCALE: 199 _ 30' E—MA : vinh.truong@vvdcomm.net THOMAS GUIDE: 849—H2 EXCAVATION PLAN KEY NOTES: TIE INTO EXIST. CHARTER PED IN DIRT. STA 2+11 - 8' BCF EX. SEWER CLEANOUT TO PROTECT IN PLACE I s- EX. UNKNOWN HH TO PROTECT IN PLACE MISC_ DESCRIPTION SYMBOL/LINETYPE STREET LIGHT CONDUIT ELECTRIC R/W TELEPHONE EOP GAS FOC STORM DRAIN CURB FACE SANITARY SEWER ----- C&G ----- GUTTER LIP 1 WATER i u i i i OIL / PETROLEUM FIBER OPTIC = CATV BACKFLOW PARKING METER ENGINEER: VIDEO VOICE DATA 7391 Lincoln Way Garden Grove, CA 92841 714-897-6300 GENERAL NOTES INDEMNIFICATION CLAUSE: THE CONTRACTOR AGREES AND SHALL; 1. ASSUME SOLE AND COMPLETE RESPONSIBILITY OF THE JOB SITE CONDITIONS DURING THE COURSE OF CONSTRUCTION OF THIS PROJECT, INCLUDING THE SAFETY OF ALL PERSONS AND PROPERTIES THAT THESE REQUIREMENTS SHALL APPLY CONTINUOUSLY AND NOT BE LIMITED TO NORMAL WORKING HOURS AND CONDITION. THE CONTRACTOR FURTHER AGREES TO DEFEND, INDEMNIFY AND HOLD CITY OF LA QUINTA, REPRESENTATIVES, AND ENGINEERS HARMLESS FROM ANY AND ALL LIABILITY, REAL OR ALLEGED IN CONNECTION WITH THE PERFORMANCE OF THE WORK ON THIS PROJECT. 2. PRIOR TO THE BEGINNING OF ANY CONSTRUCTION AND THROUGHOUT THE COURSE OF CONSTRUCTION WORK, THE CONTRACTOR SHALL FULLY COMPLY WITH THE "CALIFORNIA OCCUPATIONAL SAFETY AND HEALTH" ACT OF 1973 INCLUDING ALL REVISIONS AND AMENDMENTS THERETO. 3. ALL WORK SHALL CONFORM TO THE LATEST EDITION OF GO 95,128, AND THE STANDARD "SPECIFICATIONS FOR PUBLIC WORKS CONSTRUCTION", AS ADOPTED BY THE CITY, COUNTY EX. UNKNOWN HH OR STATE AS MODIFIED BY STANDARD PLANS AND ADDENDUMS. TO PROTECT IN PLACE 4. THE EXISTENCE AND LOCATION OF UTILITIES AND OTHER AGENCY FACILITIES AS SHOWN EX. TREE HEREON ARE OBTAINED BY A SEARCH OF AVAILABLE RECORDS. OTHER FACILITIES MAY EXIST, PROTECT IN PLACE THE CONTRACTOR SHALL VERIFY PRIOR TO THE START OF CONSTRUCTION AND SHALL USE EXTREME CARE AND PROTECTIVE MEASURES TO PREVENT DAMAGE TO THESE FACILITIES. THE CONTRACTOR IS RESPONSIBLE FOR THE PROTECTION OF ALL UTILITY OR AGENCY FACILITIES WITHIN THE LIMITS OR WORK, WHETHER THEY ARE SHOWN ON THIS PLAN OR NOT. 5. THE CONTRACTOR SHALL NOTIFY UNDERGROUND SERVICE ALERT AT 811, AT LEAST TWO WORKING DAYS PRIOR TO THE START OF ANY EXCAVATION. 6. THE CONTRACTOR SHALL NOTIFY THE INSPECTION DEPARTMENT, TEL. NO. (760) 777-7045 , AT LEAST TWO DAYS BEFORE START OF ANY WORK REQUIRING THEIR INVOLVEMENT. EX. CHARTER PED TO PROTECT IN PLACE 7. ALL WORK AREA AND STREET TRAFFIC CONTROL SHALL BE IN ACCORDANCE WITH THE SPECIFICATIONS OF THE MUTCD AND SPECIFICATIONS FROM THE CITY, COUNTY AND STATE. 8. THE CITY, COUNTY OR STATE SHALL SPECIFY THE EXPIRATION PERIOD OF THE PERMIT FOR THIS CONSTRUCTION PROJECT. 9. THE MINIMUM COVER FOR ALL CONDUITS PLACED UNDERGROUND SHALL BE 36 INCHES BELOW GUTTER. 10. THE CONTRACTOR SHALL PUNCH THROUGH & BORE ALL CURB AND GUTTERS AND BORE ALL PROP. 1-2" CHARTER CONDUIT CONCRETE DRIVEWAYS AND WALKWAYS AT THE DIRECTION OF THE CITY, COUNTY OR STATE INSPECTION. 11. ALL ASPHALT CONCRETE AND/OR CONCRETE PAVEMENT SHALL BE REPLACED AT THE DIRECTION OF THE CITY, COUNTY OR STATE ENGINEERS. 12. ALL SHRUBS, PLANTS OR TREES THAT HAVE BEEN DAMAGED OR DISTURBED DURING THE COURSE OF THE WORK, SHALL BE REPLANTED AND OR REPLACED SO AS TO RESTORE THE WORK SITE TO ITS ORIGINAL CONDITION. 13. IF DAMAGE OCCURS TO THE CITY OR COUNTY FACILITIES, THE CONTRACTOR SHALL IMMEDIATELY NOTIFY: CITY OF LA QUINTA, PUBLIC WORKS DEPARTMENT AT TEL. NO. (760) 777-7045 STREET LIGHTING S.C.E. (800) 655-4555 14. AT LEAST TWO DAYS PRIOR TO THE COMMENCEMENT OF ANY WORK, THE CONTRACTOR SHALL NOTIFY THE POLICE DEPARTMENT AND THE FIRE DEPARTMENT. 15. THE CONTRACTOR WILL BE RESPONSIBLE FOR THE PROCESSING OF ALL APPLICATION PERMIT FORMS ALONG WITH THE REQUIRED LIABILITY INSURANCE FORMS, CLEARLY DEMONSTRATING THAT THE CITY OF LA QUINTA AS ALSO INSURED WITH THE REQUIRED LIABILITY INSURANCE FOR THIS CONSTRUCTION PROJECT. 16. VAULTS, PEDESTALS, CONDUITS AND ALL OTHER TYPES OF SUBSTRUCTURE ARE EITHER SPECIFIED ON THIS PLAN OR WILL BE SPECIFIED BY THE CONSTRUCTION ENGINEER. ANY AND ALL DEVIATIONS FROM THE SPECIFIED TYPES OF MATERIAL MUST BE APPROVED BY THE SYSTEM ENGINEER OR CONSTRUCTION ENGINEER, IN WRITING BEFORE INSTALLATION THEREOF. 17. ALL PAVEMENT POTHOLES WILL BE CORE -DRILLED AND VACUUM EXTRACTED, DIAMETER NOT TO EXCEED 8". COMPACT BACKFILL AS PER TRENCH REPAIR DETAIL; SLURRY SEAL TO MATCH EXISTING PAVEMENT. NOTES: 1. ALL EXISTING STRUCTURES TO BE PROTECTED IN PLACE. 2. RESTORE LANDSCAPING & IRRIGATION IN KIND. 3. NOTIFY PROPERTY OWNER PRIOR TO CONSTRUCTION. ABBRV. DESCRIPTION ABBRV. DESCRIPTION C/L CENTER LINE CF CURB FACE R/W RIGHT OF WAY BCF BEHIND CURB FACE EOP EDGE OF PAVEMENT FCF FROM CURB FACE FOC FRONT OF CURB CONC CONCRETE EX EXISTING C&G CURB & GUTTER U/G UNDERGROUND R/R RAILROAD S/W SIDEWALK D/W DRIVEWAY SIDEWALK DRAIN CSW CONC.SIDEWALK PROJECT: ADA RAMP 4859918 WORK LOCATION: SERV CE ADDRESS: SCALE: 1 "=30' 0 30' 60' CONTACT 811 T LEAST TWO DAYS BEFORE YOU DIG UNDERGROUND SERVICE ALERT OF SOUTHERN CALIFORNIA TICKET. CITY OF LA QUINTA CA-111 / ADAMS ST 79150 H GHWAY 1 1 1 A QUINTA, CA 92253 SHEET � of 1 City of La Quinta The following General and Special Provisions are attached to and made a part of Permit Number ENC2023-1027 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 ('/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 (5) lifts where trenches are of excessive depths. Care is to be exercised that the backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the resulting compaction shall not be less than ninety percent (90%) or equivalent to the surrounding ground, whichever is the greater compaction. Where ponding or flooding is used for a maximum settlement, adequate dikes will be constructed to retain the water. Where jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and the water supply shall be continuos. ® R18 COMPACTION TESTS: If so required by the inspector, compaction test shall be made at intervals of not more than one - thousand (1000') feet and a maximum of one (1) test on each road. One (1) copy of each test shall be forwarded tot the City Engineer for approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. ® R19 COMPACTION TESTS: If so required by the Inspector, compaction tests shall be made for each crossing or service line. One (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Sections 6.3.001 of the Standard Specifications, Division of Highways, State of California, dated January 1973. ❑ R20 TEMPORARY PAVEMENT REPAIRS: After completion of Backfill and compaction operations, a temporary patch consisting of two inches (2") of SC-800 shall be placed on a prepared sub -grade. The SC-800 temporary paving shall be placed after a maximum of three -thousand linear feet (3000') or trench has been excavated and backfill operations completed, but in no case shall the placement of the temporary pavement exceed a five (5) day limit. ® R21 PERMANENT PAVEMENT REPAIR: After backfill and compaction have been completed, a temporary patch consisting of three inches (Y) of SC-800 shall be placed immediately. A permanent patch of Asphalt Concrete surfacing per City of La Quinta Standard 600 shall be placed no later than ( 5 ) days after completion of temporary road repair. ❑ R22 FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all patch areas as determined by the City Engineer. ® R23 STREET RESTRIPING: Where street striping is still visible on street to be excavated, such striping shall be replaced upon completion of permanent repairs. ❑ R24 TREE RELOCATION OR REMOVAL: Tree relocation within the City of La Quinta road right-of-way shall be accomplished by a licensed, bonded and insured tree service, and handled safely without interference or hazard to the traveling public. It shall be the responsibility of the permitte to maintain the tree in a vigorous growing condition at its new location. Trees to be removed shall be in sections, which can be handled safely without interference or hazard to highway traffic. The entire width of the tree stump, shall be removed and disposed of so that no debris remains in view of the highway. The stump hole shall be backfilled and thoroughly compacted as specified in the following paragraph. Where it becomes necessary to restrict traffic, the work shall be restricted to a maximum of five -hundred feet (500') at any one time. Adequate signs, flagmen and or barricades shall be provided to protect the traveling public at all times. Large holes resulting from tree removal shall be backfilled and compacted to not less than ninety percent (90%) or equivalent tot the surrounding ground, whichever is the greater compaction as determined by the impact or field method. Compaction tests shall comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. PERMIT NO. ENC2023-1027 For Charter / Trench in Dirt to Place Conduit from Existing Pedestal and Stub at the Right -of -Way / Commerce Ct South of Corporate Center Dr 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. 3. 0 5. :'0 This permit or copy of it shall be on the work site (usually the job trailer) for inspection during the actual work performed. 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. Charter Spectrum and/or Cochran Communications Construction Inc. (Dustin Cox), 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. This permit is for proposed CATV conduit to be installed within the R/W only. The permittee shall obtain written approval from the private land owner for any work or improvements on private property. 7. 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. 8. The City of La Quinta reserves the right to require modifications of the work be made at permittee's sole cost for further modifications as it relates to any sight distance concerns and/or improvement plan requirements as required by the City Engineer. 9. Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance 18 § 1, 1982), throughout the work site, the Permittee shall comply with City regulated work hours. Operation and maintenance of equipment within one-half mile of human occupancy shall be performed only during the following time periods: October 1 st to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m. Saturday 8:00 a.m. to 5:00 p.m. May 1 st to September 30: Monday -Friday 6:00 a.m. to 7:00 p.m. Saturday 8:00 a.m. to 5:00 p.m. Work shall be prohibited on legal holidays and Sundays. Note: Construction work (including setting up traffic control devices) is not permitted on any Arterial street (i.e. any 4 lane street) before 8:00 a.m. Special Conditions Page 1 of 5 PERMIT NO. ENC2023-1027 For Charter / Trench in Dirt to Place Conduit from Existing Pedestal and Stub at the Right -of -Way / Commerce Ct South of Corporate Center Dr 10. Work within 500 feet of a signalized intersection shall be performed between the hours of 9 a.m. - 3 p.m. Traffic control shall be set up after 9 a.m. and removed before 3 p.m. The Permittee shall contact the City Traffic Signal Maintenance Division at (760) 777-7070 if signal operation at the intersection is to be altered in any way. 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. The permittee and/or contractor placing engineered fill must provide adequate time and safety for the Geotechnical Engineer of Record to perform soils testing during engineered fill placement. The testing frequency shall be determined by the Geotechnical Engineer of Record such that the fill can be determined to be placed according to the city approved plans. 13. Pursuant to Section 14.16.110 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), Permittee shall assume responsibility for repair of any pavement damage to any public or private street and for any damage to other City streets or facilities as a result of work performed under this permit. 14. This permit is not valid until the permittee submits, to the Public Works Department 2 weeks prior to start of construction, a letter from any owners of the driveways/access ways that will be closed down due to the construction. The letter must be approved by the city and at minimum state from the owner the following: A. Approval of the construction B. Plan identification C. Time Frame of Closure D. Alternative Routes 15. Any land on which Williamson Act contracts apply shall remain undisturbed. 16. 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. Special Conditions Page 2 of 5 PERMIT NO. ENC2023-1027 For Charter / Trench in Dirt to Place Conduit from Existing Pedestal and Stub at the Right -of -Way / Commerce Ct South of Corporate Center Dr 17. Prior to excavating, if required, the Permittee shall contact Underground Service Alert at 811. It shall be the Permittee's responsibility to notify the Public Works Department of anticipated excavation which impact City facilities, including but not limited to traffic signal conduits and loops, irrigation lines, electrical conduits, and storm drain facilities. 18. Should additional work, materials, or modifications of the work be required in order to meet City standards, safety requirements, signage requirements, or to fit actual field conditions, the work shall be performed by the Permittee as directed by and to the satisfaction of the City Engineer at no cost to the City of La Quinta. 19. The City of La Quinta reserves the right to require modifications of the work be made at permittee's sole cost for proper sight distance requirements per guidelines in the AASHTO "A Policy on Geometric Design of Highways and Streets, 5th Edition" or latest, in the installation of all appurtenances abutting and within the public street right-of-way. 20. The permittee shall be responsible for calling the city inspector to arrange the city inspector to observe random trench compaction testing performed by a city approved material testing firm. If the inspector's phone number is unknown, the permittee shall call the Public Works front counter phone at 777-7075 or the Associate Engineer at 777-7047 to determine the city inspector's phone number. The inspector shall determine the number and location of the test location/s. The above testing does not relieve the permittee's responsibility for future repairs due to settlement at and near the locations of the work area. Materials testing must be performed under direct supervision of a California Registered Civil Engineer. 21. 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. 22. 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 23. 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. 24. 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. Special Conditions Page 3 of 5 PERMIT NO. ENC2023-1027 For Charter / Trench in Dirt to Place Conduit from Existing Pedestal and Stub at the Right -of -Way / Commerce Ct South of Corporate Center Dr 25. 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. 26. If traffic lanes are closed on an any Arterial street (any street with more than 2 lanes) within the City of La Quinta right of way, The permittee is required to provide an informative message board (approved by the City Engineer). It shall inform 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. The board does not have to be electrical or solar powered. 27. 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. Special Conditions Page 4 of 5 PERMIT NO. ENC2023-1027 For Charter / Trench in Dirt to Place Conduit from Existing Pedestal and Stub at the Right -of -Way / Commerce Ct South of Corporate Center Dr 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. 28. 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. 29. All landscaping, irrigation, decorative rock, decorative concrete, lighting, sidewalk, etc., shall be replaced to its original condition. 30. Access and egress to all local properties shall be maintained at all times. 31. 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. 32. 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. 33. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. 34. 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. 35. 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 5 of 5 ACORO�' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �./ 07/20/2023 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 CONTACT NAME: S & L Risk Management and Insurance Solutions PA"I°NN Ext : 909-253-7742 A/c No : 909-253-7748 AIL A DRESS: service@sandlinsurance.com 1447 Ford St. #103 Redlands, CA 92374 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Landmark American Insurance Company. INSURED INSURERB: Scottsdale Insurance Company Cochran Communication Construction, Inc. INSURER C : Insurance Company of the West 72230 Varner Road INSURERD: Ascot Specialty Insurance Company INSURER E: Ohio Security Insurance Company Thousand Palms CA 92276 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 SUBR- POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE LJ OCCUR X LHA142171 1/1/2023 1/1/2024 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 50 000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 1 ^ JECT C LOC GENERALAGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: D AUTOMOBILE LIABILITY ESAL2310002417-01 7/21/2023 7/21/2024 EOa aBINEDtSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED X SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY Per accident ( ) $ X PROPERTY DAMAGE Per accident $ B x UMBRELLA LIAB EXCESS LIAB �d OCCUR CLAIMS -MADE XLS2001151 1/1/2023 1/1/2024 EACH OCCURRENCE $ 3,000,000 I AGGREGATE $ 3,000,000 DED I X I RETENTION$ 10'000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A X WSD502890808 1/1/2023 1/1/2024 X SPER TATUTE OERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 E Property Insurance BKS56295736 1/1/23 1/1/24 Rented/Leased E uip: $100,000 Ded: $1000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Re: All Operations The following are named as additional insured per the attached endorsement: The certificate holder. Primary non-contributory wording applies per the attached endorsement. Waiver of subrogation applies to the workers compensation per the attached. CERTIFICATE HOLDER CANCELLATION CITY OF LA QUINTA PUBLIC WORKS & ENGINEERING 78495 CALLE TAMPICO LA QUINTA, CA 92253 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: ESAL2310002417-01 COMMERCIAL AUTO CA 04 44 10 13 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: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. SCHEDULE Name(s) Of Person(s) Or Organization(s): Any person or organization for whom you perform work under a written contract if the contract requires you to obtain this agreement from us, but only if the contract is executed prior to the injury or damage occurring. Premium: $ INCL Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident' or the 'loss" under a contract with that person or organization. CA 04 4410 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 POLICY NUMBER: ESAL2310002417-01 COMMERCIAL AUTO CA20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. SCHEDULE Name Of Person(s) Or Organization(s): ---- ---- Any person or organization whom you have agreed in writing to add as an additional insured, but only to coverage and minimum limits of insurance required by the written agreement, and in no event to exceed either the scope of coverage or the limits of insurance provided in this policy. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.I. of Section II - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I - Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 POLICY NUMBER: ESAL2310002417-01 COMMERCIAL AUTO CA 04 4911 16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, modified by the endorsement. A. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance — Primary And Excess Insurance Provisions in the Motor Carrier Coverage Form and supersedes any provision to the contrary: This Coverage Form's Covered Autos Liability Coverage is primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that: 1. Such "insured" is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to such "insured". the provisions of the Coverage Form apply unless B. The following is added to the Other Insurance Condition in the Auto Dealers Coverage Form and supersedes any provision to the contrary: This Coverage Form's Covered Autos Liability Coverage and General Liability Coverages are primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that: 1. Such "insured" is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to such "insured". CA 04 49 11 16 © Insurance Services Office, Inc.,2016 Page 1 of 1 LANDMARK AMERICAN INSURANCE COMPANY This Endorsement Changes The Policy. Please Read It Carefully. ADDITIONAL INSURED BLANKET - YOUR WORK This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE Name of Person or Organization: Any person or organization to whom or to which you are obligated by virtue of a written contract or by the issuance or existence of a written permit, to provide insurance such as is afforded by this policy. SECTION 11 - WHO IS AN INSURED is amended to include as an additional insured the person(s) or organization(s) shown in the SCHEDULE, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations; and/or "your work" defined for the additional insured(s) designated above included in the "products -completed operations hazard". This endorsement effective 1/1/2023 forms part of Policy Number LHA142171 issued to COCHRAN COMMUNICATION CONSTRUCTION, INC. by Landmark American Insurance Company RSG 15017 0615 Includes copyrighted material of Insurance Services Office, Inc. 1984 with its permission Policy Number: LHA142171 COMMERCIAL GENERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1 LANDMARK AMERICAN INSURANCE COMPANY This Endorsement Changes The Policy. Please Read It Carefully. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM SCHEDULE Name of Person or Organization: Any Person or Organization As Required By Written Contract The following is added to SECTION IV - CONDITIONS, 8. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US: We waive any right of recovery we may have against the person or organization shown in the SCHEDULE above because of payment we make for injury or damage arising out of your ongoing operations, "your product" or "your work" done under a written contract with that person or organization and included in the "product -completed operations hazard". This waiver applies only to the person or organization shown in the SCHEDULE above. This endorsement effective 1/1/2023 forms part of Policy Number LHA142171 issued to COCHRAN COMMUNICATION CONSTRUCTION, INC. by Landmark American Insurance Company RSG 140481008 Includes copyrighted material of Insurance Services Office, Inc. 1992 with its permission. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. 8-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us). The additional premium for this endorsement shall be otherwise due. Person or Organization ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED IS REQUIRED UNDER WRITTEN CONTRACT TO FURNISH THIS WAIVER 2 % of the total California Workers' Compensation premium Schedule Job Description ALL CA OPERATIONS This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 01/01/2023 Policy No. WSD 5028908 08 Endorsement No. Insured COCHRAN COMMUNICATION Premium $ INCL. Insurance Company INSURANCE COMPANY OF THE WEST WC 99 06 34 (Ed. 8-00) Countersigned By INSURED