ENC2024-0074ta Qwkra
CAT FORM .% -
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: 7/2/2024
LOCATION AND CONSTRUCTION: WASHINGTON ST AT SIMON AND AVE 48
PURPOSE OF CONSTRUCTION: ACCESS 4 EXISTING MANHOLES TO SPLICE EXISTING CABLE FOR CUSTOMER AT
78825 HWY 111
DESCRIPTION OF CONSTRUCTION: Frontier 70063-5359476: Access U ex manholes to splice ex cable for 78825 Hwy 111
APROXIMATE TIME WHEN WORK WILL BEGIN: 7/16/2024 DATE OF COMPLETION: 10/16/2024
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.
MOUNTAIN TOP COMM SERVICES - 1902 ORANGE TREE LN, STE 140
DEBBIE WILLIAMS Debbie Williams REDLANDS, CA 92376 (909) 748-1246
Name of Applicant Business Address Telephone No.
7248 HARBOR WAY GRANITE BAY,
FRONTIER CALIFORNIA INC CA 95746 (916) 704-1202
Name of Contractor
488385
Contractor's License No.
Business Address
ZURICH AMEERICAN INSURANCE COMPANY
Applicant's Insurance Company
FEES
Technology Enhancement Fee $8.00
Traffic Control $370.00
Credit Card Convenience Fee $9.45
Total: $387.45
Telephone No.
N/A
City Business License No.
GLO 0285992 07
Policy Number
PERMIT NO: ENC2024-0074
DATE ISSUED: 7/15/2024
EXPIRATION DATE: 7/15/2025
BY: Amy Yu
If the work is covered by a Subdivision Improvement
Agreement, Subdivider shall request final acceptance of
improvements from the City Council.
7/15/2024 11:06:59 AM
DIGALERT
Call: TOLL FREE
1-800-227-2600
AT LEAST TWO DAYS
BEFDRE VOU DIG
W SERVICE AIERTOF SOIRHERH CPLfORNM
TRAFFIC CONTROL PLANS
MISCELLANEOUS DEVICES
® m
® m
® m
m
m
m
YP.) FLASHING ARROW SIGN TRAILER (TYP.)
(FAS)
WORK HOURS: 9AM - 2PM
WORK DATES: 05/31/21 - 06/14/21
ACTUAL WORK DAYS: 3
ALL WORK ZONE TRAFFI CONTROL SIGNS AND
MARKINGS ARE TO BE REMOVED AT THE END OF
THE DAY
HIGH LEVEL WARNING DEVICE
(HLWD)
9e-n,e
TYPE 1 BARRICADE
TILE
LA Q UINTA, CA
WARNING SIGNS
(24 In)
_ RIGHT LANE ��kW20-5R
ROAD END LANEWORK �ROAD WORK y CLOSED M U S TAHEAD TURN RIGHT G2o-2 W20-1 W12-1 C30(CA) R3-7R
TRAFFIC CONE
NOTE:
1.ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN ACCORDANCE WITH THE 2014
CALIFORNIA MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES (CALIFORNIA M.U.T.C.D)
2. TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED. ADDITIONAL TRAFFIC CONTROL MAY
BE REQUIRED TO FACILITATE PUBLIC SAFETY AND TRAFFIC FLOW IF DEEMED NECESSARY BY CITY OF
LA QUINTA REPRESENTATIVE.
3. THROUGHOUT EACH WORK PERIOD, CONTRACTOR SHALL INSPECT TRAFFIC CONTROL (SIGNS,
BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN ACCORDANCE WITH TRAFFIC CONTROL
PLANS.
4. CONTRACTOR SHALL MAINTAIN A MINIMUM 10' (12' TYP.) TRAFFIC LANE WIDTH AT ALL TIMES. THERE
SHALL BE A MINIMUM 2' BETWEEN THE EDGE OF CUT AND THE NEAREST TRAFFIC LANE.
5. ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED AT ALL TIMES.
6. THIS TRAFFIC CONTROL SHALL BE IN PLACE DURING WORK HOURS ONLY. AT THE END OF WORK
HOURS, THE ROAD SHALL BE CLEAR OF DEBRIS AND TRAFFIC RETURNED TO NORMAL.
7. CLOSURE HOURS TO COINCIDE WITH WORK HOURS 9AM-2PM
" NO NOTIFY TRAFFIC SIGNAL MAINTENANCE STAFF 48 HOURS BEFORE TRAFFIC SIGNALS OPERATIONS
HAVE TO BE MODIFIED, TURNED OFF OR PUT INTO FLASHING OPERATION
S BIKE
N LANE
CLOSED
SC11 (MOD)
(30 in)
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RIGHT
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(24 in)
(30 in)
(30 in)
SIDEWALK
SIDEWALK CLOSED --
AHEAD
CLOSED
CROSS HERE
R9-9
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DETAIL SHEET LEGEND
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—40- EXISTING NO TURN LA
($) TRAFFIC SIGNAL
TRAFFIC FLOW DIRECTION
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PROJECT LOCATION
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••••• Flashing Arrow Sign (FAS) W.O.# 70063-5359476 DATE: 6/27/2024
I—=1 Type III Barricade with sign TITLE: TRAFFIC CONTROL PLAN
0 0 00 FAS Support or Trailer
Portable Flashing Beacon
Flagger
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FRONTIER
W.O.# 70063-5359476 DATE: 6/27/2024
TITLE: TRAFFIC CONTROL PLAN
LOCATION: WASHINGTON ST & SIMON DR
K� a CITY/STATE: LA QUINTA, CA
29570 FTR ENGINEER: RAUL RIVAS 909-406-3178
xp, 3/31/25 DR FTR INSPECTOR: MIKE EDDINNG (760) 342-1240
AWN BY:
6/30/2024 MTCS
SHEET#:
SCALE: 1 "=100' Mountain Top 2 OF 4
Communication Services LLC
CONSTRUCTION NOTE:
ALL DRIVEWAYS TO REMAIN OPEN (WHENEVER
POSSIBLE) THROUGHOUT TRAFFIC CONTROL ZONE.
TAPER
• • -0
• • • •
CURB
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3
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0
197' TO C/L
CA MUTCD (California Manual on Uniform Traffic Control Devices)
Approved by the Federal Highway Administrator as the National Standard in accordance with Title 23 U.S. Code,
Sections 109(d),114(a), 217,315, and 402(a), 23 CFR 655, and 49 CFR 1.48(b)(8), 1.48(b)(33), and 1.48(c)(2).
WASHINGTON ST (50 MPH
72 HOURS PRIOR TO COMMENCING WORK
INSTALL TEMP. NO PARKING SIGNS
DOWNSTREAM
TAPER WORK BUFFER SPACE 600' 350' 350'
50' MIN/ AREA 50' MIN MERGING TAPER SIGN SIGN
100' MAX SPACING SPACING
50' MIN
50'
MH#41 MIN
G20-2 LOCATION CURB C30(CA) W11-1 W4-2
WORK AREA CONSTRUCTION NOTES
1. WORK CREW TO MAINTAIN 4' MIN. WALKWAY OR ASSIST PEDESTRIANS AROUND WORK AREA WHEN NECESSARY.
2. WORK CREW TO COORDINATE WORK WITH PROPERTY OWNERS WHEN NECESSARY.
3. WORK HOURS ARE AS FOLLOWS 08:30 A.M. TO 3:30 P.M.
4. IF A SCHOOL IS IN PROXIMITY OF THE WORK AREA, WORK HOURS ARE AS FOLLOWS 09:00 A.M. TO 2:30 P.M.
5. WHEN PERFORMING WORK ON ROADWAYS DESIGNATED AS A BIKE ROUTE OR WHERE SEPARATE BIKE LANES ARE PRESENT,
SPECIAL ATTENTION SHALL BE GIVEN TO BICYCLISTS.
6. WORK CREW TO ADJUST TRAFFIC CONTROL PER FIELD CONDITIONS.
7. REFERENCE CA MUTCD (DWG NO. 10) MODIFIED FOR THIS TCP.
350'
SIGN
SPACING
C20 W20-1
ADDRESS NEAREST TO WORK LOCATION:
47900 WASHINGTON ST, LA QUINTA, CA
12' MIN.
00
,'I- 49' TO C/L
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LEGEND Q
• Traffic Cone
MAXIMUM CHANNELIZER SPACING
F Temporary Sign SPEED (MPH) TAPER (FT) TANGENT (FT) CONFLICT (FT)
50 50' 100' 25'
Direction of Travel ` L
S••••• Flashing Arrow Sign (FAS) W20-1 CURB G20-2
0 0 0 FAS Support or Trailer C30(CA)
Portable Flashing Beacon END RICLOSED E FRONTIER1111111110
ROADWORK AHEAD W11-1
® G20-2 C20
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LANE THEROA W.O.# 70063-5359476 DATE: 6/27/2024
CLOSED W11-1 ASSEMBLY L �7 Ta TITLE: TRAFFIC CONTROL PLAN
Work Vehicle
29570 LOCATION: WASHINGTON ST & AVE 48
O Signalized Intersection 20-1 W4.-2 C30(CA) [ . 3/31/25 CITY/STATE: LA QUINTA, CA
FTR ENGINEER: RAUL RIVAS 909-406-3178
/30/2024 FTR INSPECTOR: MIKE REDDING 760 342-1240
i--i Type III Barricade with sign 1. FRONTIER TO PROVIDE ESCORT FOR PEDESTRIANS AROUND THE SIDEWALK ( )
2. IF A DRIVEWAY IS BEFORE OR BEYOND THE WORK ZONE A FLAGMAN SHALL BE PROVIDE — T 7 DRAWN BY:
PA TO ASSIST DRIVERS THRU THE DRIVEWAYS MTCS
HLWD High Level Warning Device DAMUTCDD^wwGND SHEET#:
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MARKINGS ARE TO BE REMOVED AT THE END OF
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CLOSURES
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f Temporary Sign
Direction of Travel
����• Flashing Arrow Sign (FAS)
000 FAS Support or Trailer
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—I Type III Barricade with sign
HLWD High Level Warning Device
FRONTIER
VICINITY MAP
NOT -O CAI F
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3 J 3
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48TH AVE ABBREVIATIONS
R/W BLDG BUILDING
BOC BACK OF CURB
CB CATCH BASIN
CURB CAN CABLE TELEVISION
C/L CENTER -LINE
CNDT CONDUIT
CONC CONCRETE
N N CSW CONCRETE SIDEWALK
DWY DRIVEWAY
EOC EDGE OF CURB
C/L EOP EDGE OF PAVEMENT
ETW EDGE OF TRAVEL WAY
FOC FACE OF CURB
FH FIRE HYDRANT
c� v GND GROUND
Co o N GSP GALVANIZED STEEL PIPE
GV GAS VALVE
CURB HH HANDHOLE
HDPE HIGH DENSITY POLYETHYLENE
JB JUNCTION BOX
0 JT JOINT TRENCH
R/W T FRONTIER SOLELY OWNED TRENCH
Z MH MANHOLE
NTS NOT TO SCALE
O PED PEDESTAL (UTILITY)
H 116' PKWY PARKWAY
Z 58 58' PP POWER POLE
PVC POLY VINYL CHLORIDE
2 99 PROPERTY
LINE
RR RAILROAD
0 I R/W RIGHT OF WAY
Q 46' 53' SL STREET LIGHT
SS SANITARY SEWER
SSMH SANITARY SEWER MANHOLE
SD STORM DRAIN
TS TRAFFIC SIGNAL
WCR WHEEL CHAIR RAMP
WM WATER METER
WV WATER VALVE
WW WALL-TO-WALL LENGTH
WB WALL -TO -BUILDING
49 MH#41
LOCATION
FTR ENGINEER: RAUL RIVAS 909-406-3178
FTR INSPECTOR: MIKE REDDING 760-342-1240
m m3
U u� FRONTIER
91
w SITE PLAN
PROJECT ID / WORK ORDER: 70063-5359476
CROSS STREETS: WASHINGTON ST & 48TH AVE
0 60' 120' CITY, STATE: LAQUINTA,CA
DATE: 6/28I2024
T
SCALE: 1 "=60' DRAWN BY: OF 3
VICINITY MAP
NOT TO SCALE
m m
J D_'
ti
po I
=MH#65
LOCATION
sw �
02
Fpp t
Fps �N • _ . , .
y
I
ABBREVIATIONS
R/W — Q- — — \ BLDG BUILDING
BOC BACK OF CURB
CB CATCH BASIN
CAN CABLE TELEVISION
\ C/L CENTER -LINE
�
O CNDT CONDUIT
0 CONIC CONCRETE
4�/ CSW CONCRETE SIDEWALK
DWY DRIVEWAY
— — EOC EDGE OF CURB
R/W \ �� EOP EDGE OF PAVEMENT
ETW EDGE OF TRAVEL WAY
\ FOC FACE OF CURB
I FH FIRE HYDRANT
GND GROUND
GSP GALVANIZED STEEL PIPE
Q I GV GAS VALVE
r HH HANDHOLE
174, I HOPE HIGH DENSITY POLYETHYLENE
JB JUNCTION BOX
87' JT JOINT TRENCH
T FRONTIER SOLELY OWNED TRENCH
104, MH MANHOLE
NTS NOT TO SCALE
47' 57'
�6y \ PED PEDESTAL (UTILITY)
�p PKWY PARKWAY
PP POWER POLE
C�\ PVC POLY VINYL CHLORIDE
I P/L PROPERTY LINE
RR RAILROAD
I R/W RIGHT OF WAY
SL STREET LIGHT
\ SS SANITARY SEWER
SSMH SANITARY SEWER MANHOLE
SD STORM DRAIN
TS TRAFFIC SIGNAL
WCR WHEEL CHAIR RAMP
87 �� ��WM WATER METER
WV WATER VALVE
WW WALL-TO-WALL LENGTH
P
�� WB WALL -TO -BUILDING
V i
I 6�
Z
OLOCATION O
\ cG� FTR ENGINEER: RAUL RIVAS 909-406-3178
r I1 I f FTR INSPECTOR: MIKE REDDING 760-342-1240
z I Q
c
_ FRONTIER
Q a� 1
o Li SITE PLAN
z
PROJECT ID / WORK ORDER: 70063-5359476
aJ CROSS STREETS: WASHINGTON ST & SIMON DR
0 60' 120' CITY, STATE: LAQUINTA,CA
MATCHLINE A SEE SHEET w
1"=60'
SCALE: 1 "=60' 2 OF 3
VICINITY MAP
NOT TO SCALE
MATCHLINE
A SEE
SHEET
2
✓' � lY
s
t-
ABBREVIATIONS
BLDG BUILDING
BOC BACK OF CURB
CB CATCH BASIN
CAN CABLE TELEVISION
C/L CENTER -LINE
Lo
CNDT CONDUIT
CONICCONCRETE
CSW CONCRETE SIDEWALK
DWY DRIVEWAY
93'
City of La Quinta
The following General and Special Provisions are attached to and made a part of
Permit Number ENC2024-0074
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 (6) lifts where trenches are of excessive depths. Care is to be exercised
that the backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the
resulting compaction shall not be less than ninety percent (90%) or equivalent to the surrounding ground, whichever is the
greater compaction. Where ponding or flooding is used for a maximum settlement, adequate dikes will be constructed to
retain the water. Where jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and the water
supply shall be continuos.
❑ R18 COMPACTION TESTS: If so required by the inspector, compaction test shall be made at intervals of not more than one -
thousand (1000') feet and a maximum of one (1) test on each road. One (1) copy of each test shall be forwarded tot the City
Engineer for approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Section
6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973.
® R19 COMPACTION TESTS: If so required by the Inspector, compaction tests shall be made for each crossing or service line.
One (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs.
Compaction tests shall be made as outlined in Sections 6.3.001 of the Standard Specifications, Division of Highways, State
of California, dated January 1973.
® R20 TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch consisting
of two inches (2") of SC-800 shall be placed on a prepared sub -grade. The SC-800 temporary paving shall be placed after a
maximum of three -thousand linear feet (3000') or trench has been excavated and backfill operations completed, but in no
case shall the placement of the temporary pavement exceed a five (5) day limit.
® R21 PERMANENT PAVEMENT REPAIR: After backfill and compaction have been completed, a temporary patch consisting of
three inches (Y) of SC-800 shall be placed immediately. A permanent patch of Asphalt Concrete surfacing per City of La
Quinta Standard 600 shall be placed no later than ( 5 ) days after completion of temporary road repair.
❑ R22 FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all patch areas as
determined by the City Engineer.
❑ R23 STREET RESTRIPING: Where street striping is still visible on street to be excavated, such striping shall be replaced upon
completion of permanent repairs.
❑ R24 TREE RELOCATION OR REMOVAL: Tree relocation within the City of La Quinta road right-of-way shall be accomplished
by a licensed, bonded and insured tree service, and handled safely without interference or hazard to the traveling public. It
shall be the responsibility of the permitte to maintain the tree in a vigorous growing condition at its new location.
Trees to be removed shall be in sections, which can be handled safely without interference or hazard to highway traffic. The
entire width of the tree stump, shall be removed and disposed of so that no debris remains in view of the highway. The
stump hole shall be backfilled and thoroughly compacted as specified in the following paragraph. Where it becomes
necessary to restrict traffic, the work shall be restricted to a maximum of five -hundred feet (500') at any one time. Adequate
signs, flagmen and or barricades shall be provided to protect the traveling public at all times.
Large holes resulting from tree removal shall be backfilled and compacted to not less than ninety percent (90%) or
equivalent tot the surrounding ground, whichever is the greater compaction as determined by the impact or field method.
Compaction tests shall comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California,
dated January 1973.
PERMIT NO. ENC2024-0074
Frontier 70063-5359476/ Access 4 Ex Manholes to Splice Ex Fiber Cable/
Washington St at Simon Dr and Ave 48 (See Traffic Control Plans)
In addition to the standard permit conditions, the following shall apply:
1. Pursuant to Section 14.16.320 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), all
work shall be performed in accordance with the latest edition of the Standard Specifications For Public
Works Construction (SSPWC) and as directed by and to the satisfaction of the City Engineer.
2. The permittee may only work at night if approved by the City Manager. If approved by the city
manager, night work may be halted if the city receives complaints about the night work.
3. Prior to commencing the excavation of a trench 5 feet in depth or greater and into which a person will
be required to descend, the Contractor shall first obtain a permit to do so from the Division of Industrial
Safety pursuant to 7-10.4.1.
4. This permit is for work within the R/W. The permittee shall not encroach upon private property without
prior written approval (submit to the Public Works Department, attention to the Associate Engineer) of
the private land owner whom is being encroached upon.
5. 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.
6. "The permittee shall not construct an improvement that reduces vehicular sight distances. If such
improvement is found to reduce the vehicular sight distance, then the permittee shall relocate the
improvement prior to sign off of their encroachment permit."
7. The permittee shall not install improvements with the intention of providing video transmission services
unless the permittee obtains a valid Franchise Agreement.
8. The permittee shall remove any underground utility markings that are no longer being used for this
project. The permittee shall remove markings on paved areas using high pressure wash or a method
equivalent and at the discretion of the City Engineer.
9. Any asphaltic or concrete repairs shall closely match the existing paved areas in color at the discretion
of the City Engineer. A finish product with a checkerboard appearance will not be accepted.
10. The permittee shall maintain the existing pedestrian path of travel and must maintain accessible
compliant pathways leading to areas for use of public transportation systems.
11. No stockpiling of any materials will be allowed within the City R/W without an approved permit
explicitly stating the use for stockpiling and/or storage.
12. This permit or copy of it shall be on the work site (usually the job trailer) for inspection during the
actual work performed.
Special Conditions Page 1 of 6
PERMIT NO. ENC2024-0074
Frontier 70063-5359476/ Access 4 Ex Manholes to Splice Ex Fiber Cable/
Washington St at Simon Dr and Ave 48 (See Traffic Control Plans)
13. Frontier California Inc., hereinafter referred to as "Permittee", shall be responsible for providing
continuous dust and erosion control.
14. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more
frequently, if required.
15. 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.
16. The permittee is required to provide a changeable message board informing the commuters using the
affected Major and Primary Arterial roads of major construction and 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.
17. Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance 18 § 1, 1982), throughout the
work site, the Permittee shall comply with City regulated work hours. Operation and maintenance of
equipment within one-half mile of human occupancy shall be performed only during the following time
periods:
October 1st to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m.
Saturday 8:00 a.m. to 5:00 p.m.
May 1st to September 30: Monday -Friday 6:00 a.m. to 7:00 p.m.
Saturday 8:00 a.m. to 5:00 p.m.
Work shall be prohibited on legal holidays and Sundays.
Note: Construction work (including setting up traffic control devices) is not permitted on any Arterial
street (ie any 4 lane street) before 8:00 a.m.
18. 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.
19. 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.
20. 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 6
PERMIT NO. ENC2024-0074
Frontier 70063-5359476/ Access 4 Ex Manholes to Splice Ex Fiber Cable/
Washington St at Simon Dr and Ave 48 (See Traffic Control Plans)
21. 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.
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
22. Pursuant to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), at
residential streets, advance warning signs and traffic control shall be installed and maintained in
accordance the latest edition of the California Manual of Uniform Traffic Control Devices (CA
MUTCD) or the latest edition of the Work Area Traffic Control Handbook (WATCH).
On Collectors to Arterial Streets, the permittee must submit a traffic control plan which shall be from or
prepared under the guidance of the latest edition of the California Manual of Uniform Traffic Control
Devices (CA MUTCD) or the latest edition of the Work Area Traffic Control Handbook (WATCH).
Traffic Control plans not from the CA MUTCD or the WATCH shall be signed and stamped by a civil
or traffic engineer registered in the State of California. It shall be the Permittee's responsibility to
appropriately detour and barricade all construction sites.
Pursuant to Section 14.16.290 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),
street closures shall not be permitted. A minimum of two (2) travel lanes of paved surface shall
be maintained at all times.
23. 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.
24. 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.
Special Conditions Page 3 of 6
PERMIT NO. ENC2024-0074
Frontier 70063-5359476/ Access 4 Ex Manholes to Splice Ex Fiber Cable/
Washington St at Simon Dr and Ave 48 (See Traffic Control Plans)
25. 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.
26. 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.
27. 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
28. 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.
29. The permittee shall not encroach upon private property without prior written approval (submit to the
Public Works Department, attention to the Associate Engineer) of the private land owner whom is
being encroached upon.
30. 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.
31. 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.
32. The permittee is required to provide an informative message board (approved by the City Engineer)
informing the commuters using the affected Primary Arterial roads or heavier traffic 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.
Special Conditions Page 4 of 6
PERMIT NO. ENC2024-0074
Frontier 70063-5359476/ Access 4 Ex Manholes to Splice Ex Fiber Cable/
Washington St at Simon Dr and Ave 48 (See Traffic Control Plans)
33. 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.
34. Access and egress to all local properties shall be maintained at all times.
35. Pursuant to Section 14.16.375 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982),
permanent pavement replacement shall be completed no later than seven (7) days after the completion
of the work. Permanent pavement replacement shall conform to the following conditions:
A. Existing asphalt concrete pavement shall be sawcut one (1) foot beyond trench edges. Edges
shall be straight and clean.
B. Permanent pavement replacement structural section, within all trenches, shall be 1" thicker than
existing of asphalt concrete over the same existing thickness of crushed aggregate base or crushed
miscellaneous base, meeting the requirements of Sections 200-2.2 and 200-2.4 of the Standard
Specifications for Public Works Construction. The replaced pavement and base material shall be
compacted to 95% relative compaction and respectively tested, for each 300 linear feet of trench.
Verify exact structural replacement section thicknesses with the City prior to installation.
C. Permanent pavement replacement shall be installed using a City approved 3/4" max medium
asphalt concrete as the base course lift and a City approved'/2" max medium finish course lift for
capping. Asphalt concrete mix design shall be approved by the City prior to its placement.
D. Cold -Mill and Overlay - The existing pavement which was properly protected in place during the
trenching operation located adjacent to the trench saw cut shall be cold -milled to a depth of 0.10
feet with butt joint created next to the existing unmilled pavement surface. The cold -milled area
and base asphalt concrete in the trench area shall be overlaid with a City approved C2-AR-4000
asphalt concrete mix. The width of the cold milling area shall be as follows:
• For longitudinal trenches located in a parking lane: three (3) feet outside the sawcut
removal lines.
• For longitudinal trenches located in a traffic lane: three (3) feet outside the sawcut removal
lines, or to the lane line striping, whichever is greater.
• For transverse trenches across existing street: two (2) feet outside the sawcut removal lines.
Special Conditions Page 5 of 6
PERMIT NO. ENC2024-0074
Frontier 70063-5359476/ Access 4 Ex Manholes to Splice Ex Fiber Cable/
Washington St at Simon Dr and Ave 48 (See Traffic Control Plans)
E. If grinding and capping operations are not performed in the same day as base paving operations,
the base course lift of 3/4" max medium asphalt concrete shall be installed from saw -cut edge to
saw -cut edge flush with the existing street surface. The base course lift of paving shall not be left
0.10' low in anticipation of grinding and capping.
F. Any existing lane striping or any existing detour lane striping affected by this resurfacing shall be
replaced in kind by the Permittee, as directed by and to the satisfaction of the City Engineer.
Affected traffic signal loops shall be removed and replaced in kind. The finished pavement
surface shall be smooth, consistent, and shall conform to the surrounding grades.
36. All landscaping, irrigation, decorative rock, decorative concrete, lighting, sidewalk, etc., shall be
replaced to its original condition.
37. 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.
38. 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.
39. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time.
40. 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.
41. If it is the intent of the permittee to cut the pavement and have it restored by a third parry, the
permittee shall postpone cutting the pavement until the intended third parry has acquired a permit from
the City to perform the required restoration work.
Special Conditions Page 6 of 6
Ro a CERTIFICATE OF LIABILITY INSURANCE
DATE {MMIDDNYYY)
06107/2024
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 NAME: Marsh IU.S.OFerafions
MARSH USA LLC.
155 N. WACKER, SUITE 1200 (AIC N2,_Ey),_(8661966.4664 FAX C, Ho): 212-948-0770
CHICAGO, IL 60661 E�MAILnn. r hII Yin rPrl{ZPIIfIPGI(dFinareh fnm
CN102898337-GAW-24-25 FC650 GAW INSURER A :_Zurich American Insurance Company 16535
INSURED Frontier California Inc. —
INSURER B : Amekm Insurance Comp40142
1919 McKinney Ave INSURER C
Dallas, TX 75201 INSURER D :
COVERAGES CERTIFICATE NUMBER: CHi-010079173.11 REVISION NUMBER: 4
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
SUER
POLICY NUMBER
POLICY EFF
(MWDDNYYYI
POLICY EXP
IMMIDOIYYYY)LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
X
GLO028599207
06/01/2024
06/01/2025
EACH OCCURRENCE
—RENTED
$ 1,000,000
CLAIMS -MADE X OCCUR
J
E—TO
PRREMISESoccur occurrence)
$ 500,000
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1.000,000
GEN'L
GENERAL AGGREGATE
$ 2,000,000
AGGREGATE LIMIT APPLI€S PER
qPOLICY
jR O- LOC
PRODUCTS - COMPIOP AGG
$ 2,000,000
$
OTH€R.
A
AUTOMOBILE LIABILITY
BAP 0285990 07 1
0I :(1 `024
0 1Q1/2025
COM9INED SINGLE LIMIT
Ea accident
$ 1,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accidenii
$
PROPERTY DAMAGE
Per accident
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED I I RETENTION $
$
B
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETORIPARTNERIEXECUTIVE �N
OFFICERIMEMBEREXCLUDED9
(Mandatory In NH)
NIA
X
WC 0285988 07 (ADS)
wCO28598907(RETRO)
06101/2024
O6l0112024
06101/2025
06l0112025
X STATUTE ERH
EL EACH ACCIDENT
S 1,000,000
E L DISEASE - EA EMPLOYEE
$ 1.000,000
E L DISEASE - POLICY LIMIT
$ 1.000 000
It yes, describe under
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached If more space Is required)
City of La Quinta, its officers, officials, employees, and agents shall be named as Additional Insureds as respects the General Liability policy where required by written contract
Coverage under the General Liability policy shall be Primary and Non -Contributory to any other insurance available to the Additional Insureds where required by written contract
Waiver of Subrogation in favor of the Additional Insureds shall apply to the workers Compensation policy,as permitted by law where required by written contract
CERTI
City of La Quinta
78-495 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
01988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
Additional Insured -- Automatic — Owners, Lessees Or
Contractors
9
ZURICH
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
Named Insured: FRONTIER COMMUNICATIONS CORPORATION PARENT, INC.
Address (including ZIP Code):
1919 MCKINNEY AVENUE
DALLAS, TX 75201
This endorsement modifies insurance provided under the:
Commercial General Liability Coverage Part
A. Section II — Who Is An Insured is amended to include as an additional insured any person or organization whom you
are required to add as an additional insured on this policy under a written contract or written agreement. Such person
or organization is an additional insured 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 or "your work" as included in the "products -completed operations
hazard", which is the subject of the written contract or written agreement.
However, the insurance afforded to such additional insured:
1. Only applies to the extent permitted by law; and
2. Will not be broader than that which you are required by the written contract or written agreement to provide for
such additional insured.
B. With respect to the insurance afforded to these additional insureds, the following additional exclusion applies:
This insurance does not apply to:
"Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or failure to
render, any professional architectural, engineering or surveying services including:
a. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys,
field orders, change orders or drawings and specifications; or
b. Supervisory, inspection, architectural or engineering activities.
This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the
supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the
"bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the
rendering of or the failure to render any professional architectural, engineering or surveying services.
U-GL-1175-F CW (04/13)
Page 1 of 2
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
C. The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV —
Commercial General Liability Conditions:
The additional insured must see to it that:
1. We are notified as soon as practicable of an "occurrence" or offense that may result in a claim;
2. We receive written notice of a claim or "suit" as soon as practicable; and
3. A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by
another insurer under which the additional insured may be an insured in any capacity. This provision does not
apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement
requires that this coverage be primary and non-contributory-
D. For the purposes of the coverage provided by this endorsement:
1. The following is added to the Other Insurance Condition of Section IV — Commercial General Liability
Conditions:
Primary and Noncontributory insurance
This insurance is primary to and will not seek contribution from any other insurance available to an additional
insured provided that:
a. The additional insured is a Named Insured under such other insurance; and
b. You are required by written contract or written agreement that this insurance be primary and not seek
contribution from any other insurance available to the additional insured.
2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV— Commercial
General Liability Conditions:
This insurance is excess over:
Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional
insured, in which the additional insured on our policy is also covered as an additional insured on another policy
providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any
policy in which the additional insured is a Named Insured on such other policy and where our policy is required by
a written contract or written agreement to provide coverage to the additional insured on a primary and non-
contributory basis.
E. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement
showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to
that identified additional insured.
F. With respect to the insurance afforded to the additional insureds under this endorsement, the following is added to
Section III — Limits Of Insurance:
The most we will pay on behalf of the additional insured is the amount of insurance:
1. Required by the written contract or written agreement referenced in Paragraph A. of this endorsement; or
2. Available under the applicable Limits of Insurance shown in the Declarations,
whichever is less.
This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.
All other terms and conditions of this policy remain unchanged.
U-GL-1175-F CW (04/13)
Page 2 of 2
Includes copyrighted material of Insurance services Office, Inc., with its permission.
Other Insurance Amendment — Primary And Non -
Contributory
Named Insured:
0
ZURICH
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
Address (including ZIP Code):
This endorsement modifies insurance provided under the:
Commercial General Liability Coverage Part
1. The following paragraph is added to the Other Insurance Condition of Section IV — Commercial General Liability
Conditions:
This insurance is primary insurance to and will not seek contribution from any other insurance available to an
additional insured under this policy provided that:
a. The additional insured is a Named Insured under such other insurance; and
b. You are required by a written contract or written agreement that this insurance would be primary and would not
seek contribution from any any other insurance available to the additional insured.
2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV — Commercial
General Liability Conditions:
This insurance is excess over:
Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional
insured, in which the additional insured on our policy is also covered as an additional insured on another policy
providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in
which the additional insured is a Named Insured on such other policy and where our policy is required by written
contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis.
Ail other terms and conditions of this policy remain unchanged.
U-GL-1327-8 CW (04/13)
Page 1 of 1
Includes copyrighted material of Insurance Services Office. Inc.. with its permission.
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13
(Ed. 4-84)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
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.)
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
STATE OF ARIZONA, STATE PROCUREMENT OFFICE — WAIVER OF RIGHT IN FAVOR
OF THE STATE OF ARIZONA, AND ITS DEPARTMENT, AGENCIES, BOARDS,
COMMISSIONS, UNIVERSITIES, OFFICERS, OFFICIALS, AGENTS AND EMPLOYEES
FOR LOSSES ARISING FROM WORK PERFORMED BY OR ON BEHALF OF CONTRACTOR
(FRONTIER)
WC000313
(Ed. 4-84)
s. 1983 National Council on Compensation Insurance.
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13
(Ed.4-84)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce
our light 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.)
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN
CONTRACT, OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE
ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS
POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION
WC 00 03 13
(Ed. 4-84)
1983 National Council on Compensation Insurance.