ENC2024-0026ta �a
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: 02/26/2024
LOCATION OF CONSTRUCTION: ALONG SAND FLOWER PL FOR SHUTTLE AND EVENT GUESTS DROPOFF AND
PICKUP; SEE ATTACHED EXHIBIT
PURPOSE OF CONSTRUCTION: FOR SHUTTLE AND EVENT GUESTS DROPOFF AND PICKUP
DESCRIPTION OF CONSTRUCTION: PLACE CONES FOR TEMPORARY "NO PARKING" FOR SHUTTLE AND EVENT
GUESTS DROPOFF AND PICKUP FOR EVENT AT 46485 CAMEO PALMS DRIVE
APPROXIMATE TIME WHEN WORK WILL BEGIN: 03/01/2024 DATE OF COMPLETION: 03/01/2024
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.
LYNNE and ROBERT DANIELS
Name of Applicant
ROBERT DANIELS
Name of Insured
N/A
Contractor's License No.
HISCOX INSURANCE COMPANY INC
Applicant's Insurance Company
FEES
Credit Card Convenience Fee
Traffic Control
Technology Enhancement Fee
TOTAL:
46485 CAMEO PALMS DR, LA QUINTA, CA 92253 (310) 720-8222
Business Address
Telephone No.
46485 CAMEO PALMS DR DR, LA QUINTA, CA 9225: (310) 720-8222
Business Address Telephone No.
$9.25
$370.00
$8.00
$387.25
N/A
City Business License No.
P103.044.622.1
Policy Number
PERMIT NO: ENC2024-0026
DATE ISSUED: 02/28/2024
EXPIRATION DATE: 03/02/2024
BY: AY
If the work is covered by a Subdivision Improvement
Agreement, Subdivider shall request final acceptance of
improvements from the City Council.
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X TEMPORARY
NO PARKING
PERMIT No. ENC2024-0026
Place Cones for Temporary NO PARKING for Shuttle and Event Guests Dropoff and
Pickup /
Along Sand Flower PI Fronting 46485 Cameo Palms Dr; See Attached Exhibit
In addition to the standard permit conditions, the following shall apply:
1. Pursuant to Section 14.16.320 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), all
work shall be performed in accordance with the latest edition of the Standard Specifications for Public
Works Construction (SSPWC) and as directed by and to the satisfaction of the City Engineer.
2. This permit or copy of it shall be on the work site (usually the job trailer) for inspection during the
actual work performed.
3. The applicant, Lynne Daniels, shall be available during the event at (310) 720-8222.
4. The permittee shall remove all signs after the completion of the event. Sign removal should be
accomplished by the end of IOPM on March 1, 2024.
5. Signs shall not interfere with the visibility of traffic control signs. The permittee must maintain proper
stopping and sight distances for the vehicular traffic users using the public right of way.
6. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more
frequently, if required.
7. 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.
8. 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.
9. 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.
10. The Applicant or Contractor shall furnish the City satisfactory evidence of insurance in the amounts
provided in the 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.
11. The permittee shall not encroach upon private property without prior written approval (submit to the
Public Works Department) of the private land owner whom is being encroached upon.
12. Access and egress to all local properties shall be maintained at all times.
13. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
14. 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.
O® CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/DD/YYYY)
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 endorsements).
PRODUCER CONTACT
Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA PHONE 888 202-3007 FAX
5 Concourse Parkway E-Mal
Suite 2150 contact@hiscox.com
Atlanta GA, 30328 INSURERf8 AFFORDING COVERAGE NAIC A
INSURERA: Hiscox InsulanceCompany Inc 10200
INSURED INSURER B :
robert daniels
INSURER C
46485 cameo palms
La Quinta, CA 92253 INSURER 0:
INSURER E :
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,
EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE MIL SU POLICY NUMBER IPOLICY
MO DY/VWYI IMMrDD YY LIMITS
X I COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE �OCCUR
EACH OCCURRENCE
$ 1,000,000
AMA E TO n.ery t
�oe ,�ncel
$ 0E
$ 10,000
X CGL is on BOP Form
MED EXP Any one on
A
I
P103.044.622.1
02/27/2024
02/27/2025
PERSONAL SADVINJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY D JET LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
$
BODILY INJURY (Per person)
$
ANY AUTO
BODILY INJURY (Per accident)
$
ALL OWNED SCHEDULED
AUTOS AUTOS
I PROPERTY DAMAGE
Avwentl
$
NON -OWNED
HIRED AUTOS AUTOS
UMBRELLALIAB
OCCUR
EACH OCCURRENCE
$
HCLAIMS-MADE
AGGREGATE
$
EXCESS LIAR
DED I I RETENTION
$
WORKERS COMPENSATION
AND EMPLOYERS'WABILITY YIN
ANYPROPRIETORIPARTNER/EXECUTIVE
H-
I SPER TATUTE I I ER
E.L. EACH ACCIDENT
$
OFFI CER1M EMBE REXCLU DED9 ❑
N / A
(Mandatory In NH)
E.L. DISEASE -EA EMPLOYE
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 1111, Additional Ramarka Schedule, maybe attached if more space is required)
POLICY INCLUDES PRIMARY AND NON CONTRIBUTORY ENDORSEMENT
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
CITY OF LA QUINTA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
78495 CALLE TAMPICO ACCORDANCE WITH THE POLICY PROVISIONS.
LA QUINTA, CA 92253
AUTHORIZED REPRESENTATIVE
@ 1938.2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
HISCOX
Policy Number:
Named Insured:
Endorsement Number:
Endorsement Effective
P103.044.622
Robert Daniels
1
February 27, 2024
Hiscox Insurance Company Inc.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - AUTOMATIC STATUS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. Section II — Who Is An Insured is amended
to include as an additional insured any per-
son(s) or organization(s) for whom you are
performing operations or leasing a premises
when you and such person(s) or organiza-
tion(s) have agreed in writing in a contract or
agreement that such person(s) or organiza-
tion(s) be added as an additional insured on
your policy. Such person or organization is
an additional insured only with respect to lia-
bility for "bodily injury", "property damage" or
"personal and advertising injury" caused, in
whole or in part, by your acts or omissions or
the acts or omissions of those acting on your
behalf:
1. In the performance of your ongoing opera-
tions; or
2. In connection with your premises owned by or
rented to you.
A person's or organization's status as an addi-
tional insured under this endorsement ends
when your operations or lease agreement for
that additional insured are completed.
CGL E5421 CW (02/14) Includes copyrighted material of Insurance Services Office, Inc., with its Page 1 of 1
permission.
HISCOX
Policy Number: P103.044.622
Named Insured: Robert Daniels
Endorsement Number: 2
Endorsement Effective: February27,
2024
Hiscox Insurance Company Inc.
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
A. The following is added to the Other Insurance
Condition and supersedes any provision to the
contrary:
Primary And Noncontributory Insurance
This insurance is primary to and will not seek
contribution from any other insurance available
to an additional insured under your policy, pro-
vided:
1. you have agreed in a written contract or
agreement to add such additional insured to
a policy providing the type of coverage af-
forded by this policy; and
2. you have agreed in a written contract or
agreement with such additional insured that
this insurance would be primary and would
not seek contribution from any other insur-
ance available to the additional insured.
CGL E5581 CW (03/16) Includes copyrighted material of Page 1 of 1
Insurance Services Office, Inc., with its permission