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2014 RREF II-CWC LaQ, LLC - Storm Water Management/BMP 2014-008T4ht 4 4 Qukro MEMORANDUM TO: Frank Spevacek, City Manager FROM: moth R. Jonasson, P.E., Public Works Director/ City Engineer Y Y 9 Ed Wimmer, P.E., Development Services Principal Engineer DATE: July 7, 2014 RE: Storm Water Management / BMP Facilities Agreement No. 2014-008 for the Signature, TM 36537 Attached for your signature is one (1) original Storm Water Management / BMP Facilities Agreement No. 2014-008 between RREF II-CWC La Q, LLC and the City of La Quinta for the project referenced above. The Storm Water Management/ BMP Facilities Agreement recorded with the County Recorder is a mechanism used to guarantee the perpetual operation and maintenance of the Best Management Practices (BMPs) identified in the Water Quality Management Plan (WQMP) Please sign all originals and return them to the City Clerk for final distribution. Requesting department shall check and attach the items below as appropriate: 4A A Conflict of Interest Form 700 Statement of Economic Interests from Consultant(s) is attached with no reportable interests in LQ or reportable interests 4A A Conflict of Interest Form 700 Statement of Economic Interests is not required because this Consultant does not meet the definition in FPPC regulation 18701(2). Authority to execute this agreement is based upon: Approved by the City Council on _X_ City Manager's signature authority provided under Resolution No. 2010-075 City Manager's signature authority provided under Resolution No. 2005-095 Public Works projects for $30,000 or less. City Manager's signature authority provided under Resolution No. 2005-096 Service agreements for $30,000 or less. City Manager's signature authority provided under Contract Change Order Policy Contracts under $100,000 = 10% max, contracts over $100,000 = $25,000 max The following required documents are attached to the agreement: r _X_ Insurance certificates as required by the agreement (initialed by Risk Manager on �'�J1 date) IY_- Performance bonds as required by the agreement (originals) X City of La Quinta Business License (copy or note number & expiration date here 101491 exp 113012015 5W CaliforniaWest CON/Iik1tJNITIFS TRANSMITTAL TO: Amy Yu CITY OF LA QUINTA 78-495 Calle Tampico La Quinta, C 92253-1504 FROM: Liz Belloso RE: The Sign€atur at PGA West Storm Water Management/BMP Facilities Agreement No. 2014-008 DATE: June 17, 2014 Enclosed is the originally executed and notarize agreement. REUMVED JUN 18 2014 PUBLIC WORKs 5927 Priestly Drive, Suite 110, Carlsbad, CA 92008 (760) 918-6768 RECORDING REQUESTED BY AND WHEN RECORDED RETURN TO: City of La Quinta City Clerk 78-495 Calle Tampico La Quinta, CA 92253-1504 EXEMPT FROM RECORDERS FEES PURSUANT TO GOVERNMENT CODE SECTIONS 6103.AND 27383. I:����IiF ►�laly.�♦ DOC # 2014-0269684 07/14/2014 08:00 AM Fees: $0.00 Page 1 of 9 Recorded in Official Records County of Riverside Larry W. Ward Assessor, County Clerk & Recorder —This document was electronically submitted to the County of Riverside for recording— Receipted by: MRUIZ SPACE ABOVE THIS LINE FOR RECORDER'S USE STORM WATER MANAGEMENTBMP FACILITIES AGREEMENT NO.2014-008 City of La Quinta, Riverside County, California THIS AGREEMENT, is made and entered into this 17thday of June , 2014 , by and between RREF II-CWC LaQ, LLC, a California limited liability company, hereinafter called the "Landowner," and the City of La Quinta, California, hereinafter called the "City." RECITALS WHEREAS, the Landowner is the owner of certain real property describe as 56-000 PGA Boulevard, La Quinta as recorded by deed in the land records of Riverside County, California, per Document Recorded October 8, 2004 as instrument No. 2004-08032772, hereinafter called the "Property," and more particularly and legally described in Exhibit "A" attached hereto and made apart hereof by this reference; and WHEREAS, the City has fee and/or easement interests in Jefferson Street, Avenue 54, and Madison Street and its storm drains (the "Benefited Public Property"), and WHEREAS, the City is subject to the Riverside Countywide National Pollutant Discharge Elimination System ("NPDES") Municipal Stormwater Permit issued by the State Water Resources Control Board — Colorado River Region No. 7 ("NPDES Permit"); and WHEREAS, pursuant to the NPDES Permit and the City's Stormwater Management and Discharge Controls Ordinance (codified as Chapter 8.70 of the La Quinta Municipal Code) ("Ordinance"), all new development must implement storm water treatment devices, fund the perpetual maintenance of those devices, and enter into an agreement with the City stating that the landowner, his successors, heirs, and assigns, will maintain the devices, grant a right of entry to City staff for inspections, and agree to pay the cost of such City inspections; and WHEREAS, the Landowner is proceeding to build on and develop the Property, and 247M I W O-0002 I015I I I.0.1 aft/17/14 DOC #2014-0259684 Page 2 of 9 07/14/2014 08:00 AM WHEREAS, the Site Plan/ Improvement Plans/ Subdivision Plans/ Water Quality Management Plans — Amendment l known as the Signature at PGA West, TTM 36537 (hereinafter called the "Plan"), as approved or to be approved by the City, provides for the installation of permanent stormwater management and pollution prevention measures (ft "BMP facilities") within the confines of the Property; and WHEREAS, the Ordinance requires the proper operation and maintenance of the BMP facilities constructed on the Property; and WHEREAS, the NPDES Permit, the Ordinance, and the development conditions of approval require that the BMP facilities, as shown on the approved Plan, be constructed and properly, operated and maintained by the Landowner; and WHEREAS, the City and the Landowner, on behalf of itself and is successors, heirs and assigns, including any homeowners association, agree that the health, safety, and welfare of the residents of the City of La Quinta require that the on -site BMP facilities (catch basin, manholes, storm drain pipes, retention basins, outlet structures, CDS unit, etc.) be constructed and maintained by the Landowner, its successors, heirs, and assigns, including, but not limited to, any homeowners association; and WHEREAS, this Agreement memorializes the Landowner's maintenance, operations, and inspection obligations under the City's Ordinance and the approved Plans. NOW THEREFORE, in consideration of the foregoing recitals, the mutual covenants contained herein, and the following terms and conditions, the parties hereto agree as follows: 1. The on -site BMP facilities described above shall be constructed by the Landowner, its successors, heirs, and assigns, in`accordance with the plans and specifications identified in the Plan. ' 2. The Landowner, its successors, heirs, and assigns, including any homeowners association, shall adequately maintain the BMP facilities, including,, but not limited to, all pipes and channels built to convey storm water to the facility, as well as all structures, catch basin inserts, CDS unit, and vegetation provided to control the quantity and quality of the storm water. Adequate maintenance .is herein defined as good working condition so that these facilities are performing in their design functions. 3. - The Landowner, its successors, heirs, and assigns, shall annually inspect the BMP facilities described above by March of each year and shall submit an inspection report annually to the Public Works Department by April 1 st of each year. The purpose of the inspection is to assure safe and proper functioning of the facilities. The inspection shall cover the entire facilities, catch basins, berms, outlet structure, community streets, etc. Deficiencies shall be clearly noted in the inspection report. 4. The Landowner, on behalf of itself and its successors, heirs, and assigns, hereby grants permission to the City, its authorized agents and employees, to enter upon the Property and to inspect the BMP facilities whenever the City deems necessary to enforce the provisions of the NPDES Permit, the Ordinance or this Agreement or is required to do so by the NPDES 24791015610-0002 1015111.U3 a06117114 -2- DOC #2014-0259684 Page 3 of 9 07/14/2014 08:00 AM Permit. The purpose of such inspection is to follow up on reported deficiencies and/or to respond to citizen complaints, and meet the requirements of the NPDES Permit. The City may enter the Property at any reasonable time to inspect the BMP facilities and their operation, to inspect and copy records related to storm water compliance, and to collect samples and tax measurements. Whenever possible, the City shall provide notice prior to entry. The City shall provide the Landowner, its=successors, heirs, and assigns, copies of the inspection findings and a directive to commence with any repairs if necessary. 5. In the event the Landowner, its successors, heirs, and assigns, fails to maintain the BMP facilities in good working condition and in accordance with the NPDES Permit and the City's ordinance, the City, ,upon prior notice, may enter upon the Property and take whatever steps it deems necessary to correct deficiencies identified in any inspection report to return the BMP facilities to good working order and charge the costs of such repairs to the landowner, its successors, heirs, and assigns. Nothing in this Section 5 shall be construed to allow' the City to erect any structure of permanent nature on the land of the Landowner outside of the easement for the BMP facilities; nor shall any provision herein be construed to impose any obligation on the City to maintain or repair the BMP facilities. It is expressly understood and agreed that the Landowner, its successors, Heirs, and assigns, including an_y .Homeowners association are responsible for maintaininz and repairin;? the BMP facilities on the Property, and the City is under no obligation to routinely maintain or repair said facilities. 6. The Landowner, its successors, heirs, and assigns; shall perform the work necessary to keep these facilities in good working order as appropriate. In the event a maintenance schedule for the BMP facilities (including sediment removal) is outlined on the approved Plan, the schedule shall be followed. In the future, the City may adopt an annual Stormwater Inspection Fee that will be assessed to the Property. 7. In the event the City, pursuant to this Agreement, performs work of any nature, or expends any funds in performance of said work for labor, use of equipment, supplies, materials, and the like, the Landowner, its successors, heirs, and assigns, shall promptly reimburse the City upon demand for all costs incurred by the City in taking such action. The City will provide the Landowner, its successors, heirs, and assigns, with an itemized invoice of the City's costs and the Landowner shall pay the invoice within thirty (30) days. If the Landowner, its successors, heirs, and assigns, fails to pay the invoice within thirty (30) days, the City may secure a lien, against the Property in the amount of such costs. In addition, the City may make the cost of abatement of the nuisance caused by the failure to maintain the BMP a special assessment against the Property that may be collected at the same time and in the same manner as ordinary municipal taxes are collected as provided in Government Code section 38773.5. Nothing in this Section 7 shall prohibit the City from pursuing other legal recourse against the Landowner. 8. This Agreement imposes no liability of any kind, whatsoever on the City. The Landowner, on behalf of itself and its successors, heirs, and assigns, agrees to defend, indemnify, and hold harmless the City, its officials, employees, and authorized agents, from any and all liability, damages, accidents, casualties, occurrences or claims whatsoever that may arise or be asserted against the City and which are in any way connected with the construction, operation, presence, existence, or maintenance of the BMP facilities by the Property Owner or the failure of the same, or from any personal injury or property damage that may result from the City or other 24791015610-0002 10 15 111.03 a06117/14 -3- DOC #2014-0259684 Page 4 of 9 07/14/2014 08:00 AM public entities entering the Property under Section.4 or 5. The .Landowner, its successors, heirs, and assigns, shall maintain liability insurance specifically covering the BMP facilities and the City. 9. The Landowner, its successors, heirs, and assigns shall maintain liability insurance specifically covering the BMP facilities and the City using Insurance Services Office "Commercial General Liability" policy form CG 00 01, with an edition date prior to 2004, or the equivalent. Coverage for an additional insured shall not be limited to its vicarious liability. Defense costs must be paid in addition to limits. Limits shall be no less than $1,000,000 per occurrence for all covered losses and no less than $2,000,000 general aggregate. - The Landowner ,agrees to provide evidence of the insurance required herein, satisfactory to the City, consisting of (a) a certificate of insurance evidencing the coverage required and (b) an additional insured endorsement to the general liability policy. The additional insured endorsement shall expressly name the City, its officers; and employees as additional insureds on the policy with respect to liabilities arising out of the Landowner's maintenance, operations, and inspection obligations under the City's Ordinance and the approved Plans. Proof of compliance with these insurance requirements, consisting of endorsements and certificates of insurance, shall be delivered to City prior to execution of this Agreement, and on an annual basis thereafter for the term of this Agreement. 10. , This Agreement shall be recorded in the Official Records of the County of Riverside. The covenants set forth herein shall run with the land, and the burdens thereof shall be binding upon each and every part of the Property and upon the Landowner, its administrators, executors, assigns, heirs, and any other successors in interests, including any homeowners association, in ownership (or any interest therein), for the benefit of Jefferson Street, Avenue 54, and Madison Street and its storm drains and each and every part thereof and said covenants shall inure to the benefit of and be enforceable by the City, its successors and assigns in ownership of each and every part of the Street and storm drains. — THIS SPACE INTENTIONALLY LEFT BLANK — SIGNATURES BEGIN ON NEXT PAGE 247910)5610-0002 10 1511103 a06117i 14 -4- WITNESS the following signatures and seals: OWNER OWNER RREF II-CWC LaQ, LLC, a California limited liability company By: By: California West Construction, Inc., a Name: California corporation Please Print Its: Authori t By: Title: Name: Donald W. Fon a Title: President ATTEST: By: �v I�LI_XA-le Name: M.K. Stuckey Please Print Title: notary public Notary must attach an "All -Purpose Acknowledgement" ATTEST: (Seal) M. K. STUCKEY Commission # 1933217 Notary Public - California a .z. San Diego County My Comm. Expires May 16, 2015 CITY OF LA QUINTA c J.4ae e City MaCity f LaQuinta APPROVED AS TO FORM: SIGNED IN COUNTERPART By: By: Susan Maysels William H. Ihrke, City Attorney City Clerk, City of La Quinta City of La Quinta, California All signatures on this Agreement on behalf of the Owner must be acknowledged before a Notary Public. In the event that the Owner is a corporation, the President/Vice President and the corporate secretary of the corporation must sign and the corporate seal must be affixed thereto. 2479/015610-0002 1015111.03 a06/17/14 -5- , WITNESS the following signatures and seals: OWNER OWNER RREF H-CWC LaQ, LLC, a California limited liability company By: California West Construction, Inc., a California corporation Its: By: Nan Title: President ATTEST: By: Name: - M. K. Stuckey Please Print Title: notary public Notary must attach an "All -Purpose Acknowledgement" ATTEST: SIGNED IN COUNTERPART By: Susan Maysels City Clerk, City of La Quinta. 0 Name: Please Print (Seal) M.K.STUCKEY Commission # 19311217 Notary Public - CallTornla zz z. San Diego County )t My Comm. Expires May 16,2015 t CITY OF LA QUINTA SIGNED IN COUNTERPART By: Frank J. Spevacek City Manager, City of La Quinta APPROVED AS TO FORM - By: William H. lhrke, City Attorney City of La Quinta, California All signatures on this Agreement on behalf of the Owner must be acknowledged before a Notary Public. In the event that the Owner is a corporation, the President/Vice President and the corporate secretary of the corporation must sign and the corporate seal must be affixed thereto. 2479/015610-0002 1015111.03 a06/17/14 -5- 1•.,r ib3...., H a .J1 J`.n r_` J E d'_i•`.. ", I<a t .� l .:d .� ,ems .4'S i.s 'l t ICJ *�t� 9 1'.�« €'3' �8 a h l State of California County of San Diego 60VOd Goorn § 9ISO On June 17, 2014 before me, M.K. Stuckey, notary public , Date Here Insert Name and Title of the Officer personally appeared Donald W , Fontana M. K. STUCKEY Commission # 1933217 .a Notary Public - California z .Z ' San Diego County My Comm. Expires May 16, 2015 Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(e-whose name(sy is/ar6- subscribed to the within instrument and acknowledged to (pie that he/sWMK-executed the same in his/@arAh)Mr authorized capacity(i0j, and that by his/Wig signatureW on the instrument the person(sry, or the entity upon behalf of which the person(Wacted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature: Place Notary Seal Above Signature of Not aublic OoMO AL Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Deacrr1pUlan of Mac had Document Title or Type of Document: Document Date: Signer(s) Other Than Named Above: _ cCapac Ky(6ess) Maimed by Mgner(a) Signer's Name: ❑ Corporate Officer — Title(s): ❑ Individual o �- ❑ partner — ❑ Limited ❑ General Top of thumb here ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: Number of Pages: Signer's Name: ❑ Corporate Officer — T itle(s): ❑ Individual o _ ❑ Partner — ❑ Limited ❑ General Top of thumb here ❑ Attorney in Fact ❑ Trustee ❑ Guardian or Conservator ❑ Other: Signer Is Representing: © 2010 National Notary Association ° NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item#5907 State of California County of Riverside On - un e. /D, -Lp) , before me, Nahtr, Pvt /rL (insert name and title f the officer) Notary Public, personally appeared Fr-,a-n ZT, -5-P -'--V Ct-Ge' , who proved to me on the basis of satisfactory evidence to be the person(A whose name($) is/wee subscribed to the within instrument and acknowledged to me that he/&/iW executed the same in his/k&AW authorized capacityW i), and that by his/ rJ)fgir signature(s) on the instrument the person(,a'), or the entity upon behalf of which the person(Y) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. TERESA THOMPSON slo Sl nature �:., 4 IFublic -California z g n ;it 203079MV6 = Riverside County My Comm. Expires Jun 24, 2017 State of California County of Riverside On , before me, , (insert name and title of the officer) Notary Public, personally appeared , who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature (Seal) 2479/015610-0002 1015111.03 a06/17/14 -6- DOC #2014-0259684 Page 9 of 9 07/14/2014 08:00 AM EXHIBIT A LEGAL DESCRIPTION OF PROPERTY That certain property located in the City of La Quinta, County of Riverside, State of California, described as follows: APN(s): 775-220-021 Parcel 2 as shown on Lot Line Adjustment No. 2004-411, as evidenced by Document Recorded October 8, 2004 as Instrument No. 2004-08032772 of Official Records in the office of the County Recorder of Riverside County, State of California. J 2479/015610-0002 1015111.03 a06/17/14 -7- CALIWES-01 0; ' SAUR .4CORDP �. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 6/19/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER D.L.D. Insurance Brokers, Inc. Lic#OD25325 17712 Mitchell North Irvine, CA 92614 NAMEACT Twyla Sauro, CRIS, Account Manager PH r E,�, 949 553-5663 ac No : 949 221-1797 E-MAIL ADDRESS: TSauro@DLDins.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:AS en Insurance UK Limited INSURED RREF II - CWC LaQ, LLC California West Communities, LLC 5927 Priestly Drive, Suite 110 Carlsbad, CA 92008- INSURERB:Ironshore Specialty Insurance, Co. 25445 INSURERC:Starr Indemnity 8r Liability, Co. 38318 INSURERD: INSURERE: 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. 1�TR TYPE OF INSURANCE INSR SUBR WVO POLICY NUMBER MM%DDY EFF MM/DDY YY LIMITS A . GENERAL.LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE A I OCCUR X $50,000SIR/OCC X X B0595XN4379014 1/23/2014 1/23/2019 , EACH OCCURRENCE $ $2,000,00 PREMISES Ea occurrence) $ MED EXP (Any one person) $ PE RSONAL &ADV INJURY $ $2,000,00 GENERAL AGGREGATE $ $2,000,00 GEN'LAGGREGATE LIMIT APPLIESPER: 1-1 POLICYFLPRO LOC JECT PRODUCTS- COMP/OP AGG $ $2,000,00 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT Ea accident $ _ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE PER ACCIDENT $ B UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 001911400 1/23/2014 - 1/23/2019 EACH OCCURRENCE - $ $5,000,00 X AGGREGATE $ $5,000,000 DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A - WC STATU- I OTH- T RY LIMIT ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ C Excess Liability 1000016096 1/23/2014 1/23/2019 Per Occurrence $14,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) See attached page. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of La Quinta THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: City Clerk ACCORDANCE WITH THE POLICY PROVISIONS. 78-496 Calle Tampico AUTHORIZED REPRESENTATIVE La Quinta, CA 92253-1504 ACORD 25 (2010106) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CALIWES-01 SAUR PAGE 1 OF 1 DESCRIPTION OF OPERATIONS - RREF II - CWC LaQ, LLC City of La Quinta California West Communities, LLC Attn: City Clerk 5927 Priestly Drive, Suite 110 78-495 Calle Tampico Carlsbad, CA 92008- La Quinta, CA 92253-1504 00 Villas, 66 Haciendas, 64 Estates - La Quinta, CA lamed Insured Includes: RREF If - CWC LaQ, LLC; CWC La Quinta 230, LLC; California West Communities, LLC; California West :onstruction, Inc.; RREF II - CWC JV, LLC; Rialto Real Estate Fund 11,113; Rialto Partners GP II, LLC 0 Notice of Cancellation Except 10 Day Notice in the Event of Non -Payment of Premium. :t: APN 775-220-021 - Storm Water Management Facilities Agreement No. 2014-008, City of La Quinta, Riverside County, rnia of La Quinta, its officers and employees are additional insured as per written contract. POLICY :NUMBER: 805.95XN437901,4 COMMERCIAL GENERAL LIABILITY ADDITIONAL INSURED — OWNERS, .LESSEES or. CONTRACTORS: [Form B] This endorsement modifies insuranceprovided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART This;endorsement changes: the. policy effective on `the inception .date of the policy uniess.another date is -indicated below. 'Endorsement effective. Policy No.:. B0595XN4379014' ..1123(2014.,.._,,. .12:01 A.M. standard time Named In§ufed Countersigned: by California West,CornMUhlties 'SCHEDULEr Name of Person. or 0tganization: 'WHERE REQUIRED BY. AN "INSURED CONTRACTT' if no: entryappears above, information required to. complete this. e.ndorsernerit will be shown in the. Declarations as. applicable to this endorsement.), WHO 18.AN INSURED -(Section II) -is amended to include as an insured the person or organization shown in the schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. III CO2010 10 93, Copyright, Insurance Service Office, Inc.,1:992 Page 1 of 1