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ENC2024-0100
ta 0 � da ra � ( Al 11 0K\J 1 ! 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: 10/2/2024 LOCATION AND CONSTRUCTION: Miles Ave between Washington and Jefferson PURPOSE OF CONSTRUCTION: Materials testing for pavement rehabilitation DESCRIPTION OF CONSTRUCTION: For CIP: 11 drilling locations using truck mounted drill rig with 8" diameter up to 5 feet deep for soil samples APROXIMATE TIME WHEN WORK WILL BEGIN: 10/3/2024 DATE OF COMPLETION: 10/10/2025 COMMENTS: THIS ENCROACHMENT PERMIT IS FOR WORK AND/OR TRAFFIC CONTROL WITHIN THE CITY OF LA QUINTA LIMITS ONLY 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. Converse Consultants Stephen 2021 Rancho Drive Suite 1 Redlands, McPherson CA 92373 (909) 796-0544 Name of Applicant Business Address Telephone No. 6939 SCHAEFER AVE D 304 CHINO, 2 R DRILLING INC CA 91710 (909) 490-0530 Name of Contractor 709029 Contractor's License No. Business Address Crum & Forster Indemnity Co/C&F Applicant's Insurance Company FEES Total: Telephone No. 762892 City Business License No. EPK-148213 Policy Number PERMIT NO: ENC2024-0100 DATE ISSUED: 10/3/2024 EXPIRATION DATE: 10/3/2025 BY: Amy Yu If the work is covered by a Subdivision Improvement Agreement, Subdivider shall request final acceptance of improvements from the City Council. 10/3/2024 9:42:07 AM 0 00 0 CD U H U 0 N w Lf BUFFER SPACE SHIFTING TAPER L/2 A B C 50' MIN. OR SEE TABLE B SEE TABLE A SEE TABLE A SEE TABLE A 50' MIN. TABLE D 50' MIN. 48-72 HRS PRIOR TO COMMENCING WORK (IF REQUIRED INSTALL TEMP. NO PARKING SIGNS G20-2 CURB OR E.P. W11-1/W16-1 C12(CA) W9-3 W20-1 f R4-7a f C30(CA) �R3-2 C30(CA) R3-21�X R3-2 C30(CA) R3-2 C30(CA) y i R4-7a W20-1 W9-3 C12(CA) W11-1/W16-1 CURB OR E.P. G20-2 INSTALL TEMP. NO PARKING SIGNS 48-72 HRS PRIOR TO COMMENCING WORK (IF REQUIRED) 50' MIN. 50' MIN. C B A SHIFTING TAPER L/2 BUFFER SPACE SEE TABLE A SEE TABLE A SEE TABLE A SEE TABLE B 50' MIN. OR * 10' MIN. FOR E.P. TABLE D 12' MIN. FOR CURB LEGEND 1=1 TYPE III BARRICADE W/SIGN I —d TYPE III BARRICADE W/O SIGN >=C TYPE II BARRICADE W/SIGN )--C TYPE II BARRICADE W/O SIGN CHANNELIZING DEVICE — SEE TABLE F FOR SPACING TRAFFIC CONE WITH CLIP ON SIGN T SIGN OSIGNALIZED INTERSECTION [FAS] ARROW PANEL (FLASHING ARROW) HIGH LEVEL WARNING DEVICE (FLAGTREE) (OPTIONAL) FLAGGER TANS TOW AWAY NO STOPPING --- TO _— (SHOW HOURS) TANSAT TOW AWAY NO STOPPING ANY TIME WORK ZONE (ACTIVITY AREA) LIMITS DIRECTION OF TRAFFIC (NOT PAVEMENT MARKING) OROADWAY DESIGNATION END NARROW ROAD ROAD WORK LANE WORK G20-2 AHEAD R3-2 C12(CA) W20-1 SHARE THE ROAD CENTER LANE KEEP W11-1/W16-1 LANE (USE IF APPLICABLE. CLOSED CLOSED SEE DWG NO. 49 AHEAD RIGHT FOR DETAILS) W9-3 C30(CA) R4-7a INDICATE NORTH WITH A "N" AND AN ARROW POINT NOT TO SCALE DATES OF TEMPORARY NO PARKING ZONE G20-2 (OPTIONAL) 0 IN W20-1 LEGEND i C20(CA) CURB OR E.P. W4-2R W11-1/W16-1 50' MIN. C B _I_ A 3EE TABLE A ' SEE TABLE A ' SEE TABLE A 1=1 TYPE III BARRICADE W/SIGN 1-1 TYPE III BARRICADE W/O SIGN >—C TYPE 11 BARRICADE W/SIGN C TYPE 11 BARRICADE W/O SIGN CHANNELIZING DEVICE — SEE TABLE F FOR SPACING TRAFFIC CONE WITH CLIP ON SIGN T SIGN OSIGNALIZED INTERSECTION [FAS] ARROW PANEL (FLASHING ARROW) HIGH LEVEL WARNING DEVICE (FLAGTREE) (OPTIONAL) FLAGGER TANS TOW AWAY NO STOPPING --- TO --- (SHOW HOURS) TANSAT TOW AWAY NO STOPPING ANY TIME ® WORK ZONE (ACTIVITY AREA) LIMITS DIRECTION OF TRAFFIC (NOT PAVEMENT MARKING) OROADWAY DESIGNATION A SEE TABLE A W20-1 (OPTIONAL) G20-2 CURB OR E.P. 48 HRS PRIOR TO COMMENCING WORK (IF REQUIRED) 50' MIN. DOWNSTREAM MERGING TAPER L _ BUFFER SPACE WORK AREA _ TAPER SEE TABLE B r 50' MIN. OR T r 50' MIN. TABLE D 100' MAX. ❑1 RIGHT LANE ROAD LANE CLOSED WORK CLOSED AHEAD AHEAD > < W20-5 W20-1 C30(CA) SHARE INTERCHANGEABLE WITH THE C20(CA) ROAD DATES OF TEMPORARY NO PARKING ZONE W11-1/W16-1 END (USE IF APPLICABLE. ROAD WORK SEE DWG NO. 49 G20-2 � FOR DETAILS) WORKSITE TRAFFIC CONTR( W4-2R SINGLE LANE CLOSURE (RIGHT LANE) INDICATE NORTH WITH A "N" DATE Ic AND AN ARROW POINT NOT TO SCALE CURB OR E.P. A SEE TABLE A C20-2 W20-1 f - �FAS iI C30(CA) � i r r r r W20-1 W20-5 W4-2L W11-1/W16-1 50' MIN. C B A SEE TABLE A SEE TABLE A SEE TABLE A LEGEND 1=1 TYPE III BARRICADE W/SIGN I -d TYPE III BARRICADE W/O SIGN >-C TYPE II BARRICADE W/SIGN )--C TYPE II BARRICADE W/O SIGN CHANNELIZING DEVICE - SEE TABLE F FOR SPACING -w TRAFFIC CONE WITH CLIP ON SIGN T SIGN OSIGNALIZED INTERSECTION [ [FAS] ARROW PANEL (FLASHING ARROW) HIGH LEVEL WARNING DEVICE (FLAGTREE) (OPTIONAL) FLAGGER TANS TOW AWAY NO STOPPING --- TO --- (SHOW HOURS) TANSAT TOW AWAY NO STOPPING ANY TIME WORK ZONE (ACTIVITY AREA) LIMITS DIRECTION OF TRAFFIC (NOT PAVEMENT MARKING) OROADWAY DESIGNATION MERGING TAPER L SEE TABLE B CLIP ON TYPE CONE MOUNTED SIGNS SUPPLEMENTAL ONLY 35 MPH OR LESS 48-72 HRS PRIOR TO COMMENCING WORK (IF REQUIRED) ❑1 LEFTLANE CLOSED AHEAD W20-5 INTERCHANGEABLE WITH C20(CA) ■ i W4-2L BUFFER SPACE 50' MIN. OR TABLE D ROAD WORK AHEAD W20-1 kEND OAD WORK C20-2 DOWNSTREAM TAPER 50' MIN. / 100' MAX. LANE CLOSED C30(CA) SHARE THE ROAD W11-1/W16-1 (USE IF APPLICABLE. SEE DWG NO. 49 FOR DETAILS) INDICATE NORTH WITH A "N" AND AN ARROW POINT NOT TO SCALE 50' MIN. r C20-2 * 10' MIN. FOR E.P. 12' MIN. FOR CURB DATES OF TEMPORARY NO PARKING ZONE COVER LEFT TURN ARROWS IF PRESENT UFAS R3-2 N C30(CA) I I M R3-2 CURB OR E.P. W200-1 W20-5 W4-21- W11-1/W16-1 -4100 INSTALL TEMP. NO PARKING SIGNS 48-72 HRS PRIOR TO COMMENCING WORK (IF REQUIRED) 50' MIN. C _I_ B A SEE TABLE A ' SEE TABLE A ' SEE TABLE A LEGEND 1=1 TYPE III BARRICADE W/SIGN 1-1 TYPE III BARRICADE W/O SIGN >-C TYPE II BARRICADE W/SIGN )--C TYPE II BARRICADE W/O SIGN CHANNELIZING DEVICE - SEE TABLE F FOR SPACING TRAFFIC CONE WITH CLIP ON SIGN T SIGN OSIGNALIZED INTERSECTION [FAS] ARROW PANEL (FLASHING ARROW) HIGH LEVEL WARNING DEVICE (FLAGTREE) (OPTIONAL) FLAGGER TANS TOW AWAY NO STOPPING --- TO --- (SHOW HOURS) TANSAT TOW AWAY NO STOPPING ANY TIME WORK ZONE (ACTIVITY AREA) LIMITS DIRECTION OF TRAFFIC (NOT PAVEMENT MARKING) OROADWAY DESIGNATION MERGING TAPER L SEE TABLE B ❑1 LEFTLANE ROAD CLOSED WORK AHEAD AHEAD W20-5 W20-1 INTERCHANGEABLE WITH C20(CA) r END ROAD WORK G20-2 R3-2 BUFFER SPACE 50' MIN. OR TABLE D A SEE TABLE A R3-2 y C30(CA) y R3-j BUFFER SPACE 50' MIN. OR TABLE D LANE CLOSED C30(CA) SHARE THE ROAD W11-1/W16-1 (USE IF APPLICABLE. SEE DWG NO. 49 FOR DETAILS) k W4-2L 50' MIN. DOWNSTREAM TAPER 50' MIN. / 100' MAX. INDICATE NORTH WITH A "N" AND AN ARROW POINT NOT TO SCALE W20-1 M G20-2 * 10' MIN. FOR E.P. 12' MIN. FOR CURB DATES OF TEMPORARY NO PARKING ZONE W20-1 G20-2 CURB OR E.P. / f f • • • • • R3-2 F L R4-7 *** •--�-. L R3-2 i RAISED MEDIAN OR DIVIDING STRIP ****C30(CA) CURB OR E.P. W20-1 \ A BUFFER SPACE WORK AREA 1 SEE TABLE A SEE TABLE D LEGEND 1=1 TYPE III BARRICADE W/SIGN 1-1 TYPE III BARRICADE W/O SIGN >-C TYPE II BARRICADE W/SIGN )-- TYPE II BARRICADE W/O SIGN CHANNELIZING DEVICE - SEE TABLE F FOR SPACING TRAFFIC CONE WITH CLIP ON SIGN T SIGN OSIGNALIZED INTERSECTION [FAS] ARROW PANEL (FLASHING ARROW) HIGH LEVEL WARNING DEVICE (FLAGTREE) (OPTIONAL) FLAGGER TANS TOW AWAY NO STOPPING --- TO --- (SHOW HOURS) TANSAT TOW AWAY NO STOPPING ANY TIME ® WORK ZONE (ACTIVITY AREA) LIMITS DIRECTION OF TRAFFIC (NOT PAVEMENT MARKING) OROADWAY DESIGNATION WORK AREA BUFFER SPACE C30(CA) **** R3-2 *** R4-7 -m- W20-1 END ROAD LANE ROAD WORK WORK AHEAD CLOSED G20-2 R3-2 W20-1 C30(CA) A SEE TABLE A w20-1CURB OR E.P. � f f y � R3-2 RAISED MEDIAN OR DIVIDING STRIP i CURB OR E.P. � G20-2 *** ELIMINATE R4-7 IF EXISTS AT RAISED MEDIAIN NOSE. **** POST C30(CA) ABOVE R3-2 IF DIVIDING STRIP INDICATE NORTH WITH A "N" AND AN ARROW POINT NOT TO SCALE DATES OF TEMPORARY NO PARKING ZONE ROAD BIKE LANE IGHT LANE WORK CLOSED CLOSED LJ `tCJ AHEAD AHEAD AHEAD W20-1 C20-BIKE C20-R sHARE THE ROAD, I IN W11-1/W16-1P W4-2R V CONSTRUCTION NOTES: 1. PLACE BIKE LANE CLOSED AHEAD SIGN (C20-BIKE) HALF THE DISTANCE BETWEEN THE FIRST AND SECOND SIGNS. 2, BICYCLISTS SHALL NOT BE LED INTO DIRECT CONFLICTS WITH MAINLINE TRAFFIC, WORK SITE VEHICLES, OR EQUIPMENT MOVING THROUGH OR AROUND THE TTC ZONE. Z) 611\G LMNr- '20-1 W20-BIKE C20-R W4-2R W11-1/ W16-1P SHOULDER C B A TAPER L/3 MERGING TAPER L JCL IADLL A JCL IADLL A JCC IHDLC A JCC IADLL D JCC IHDLC D BIKE LANE CLOSURE SIGNAGE (IF NECESSARY) CONSTRUCTION NOTE: ALL DRIVEWAYS TO REMAIN OPEN (WHENEVER POSSIBLE) THROUGHOUT TRAFFIC CONTROL ZONE TAPER LENGTH SEE TABLE B CURB Q w o' 0 SEE TABLE A—F FOR SIGN AND CHANNELIZER DEVICE SPACING AND TAPER LENGTH SPEED APPROACH STREET TAPER LENGTH SIGN SPACING CHANNELIZER SPACING SEE TABLE A—F FOR SIGN AND CHANNELIZER DEVICE SPACING AND TAPER LENGTH SPEED APPROACH STREET TAPER LENGTH SIGN SPACING CHANNELIZER SPACING ABBREVIATIONS: MIN = Minimum LT = Left RT = Right LTP = Lane Traffic Panel TANSAT = Tow Away, No Stopping Anytime TANS = Tow Away, No Stopping RECOMMENDED & SIGN DELINEATOR/CONE PLACEMENT POSTED MINIMUM TAPER LENGTH MAXIMUM CHANNELIZER MINIMUM SIGN SPEED FOR 12-FT LANE SPACING SPACING LIMIT MERGING SHIFTING SHOULDER TAPER TANGENT &VANCE BETWEEON SIGPNS) 20 MPH 80 FT. 40 FT. 27 FT. 20 FT. 40 FT. 100 FT. 25 MPH 125 FT. 63 FT. 42 FT. 25 FT. 50 FT. 100 FT. 30 MPH 180 FT. 90 FT. 60 FT. 30 FT. 60 FT. 250 FT. 35 MPH 245 FT. 123 FT. 82 FT. 35 FT. 70 FT. 250 FT. 40 MPH 320 FT. 160 FT. 107 FT. 40 FT. 80 FT. 250 FT. * 45 MPH 540 FT. 270 FT. 180 FT. 45 FT. 90 FT. 350 FT. * 50 MPH 600 FT. 300 FT. 200 FT. 50 FT. 100 FT. 350 FT. * 55+MPH 660 FT. 330 FT. 220 FT. 50 FT. 100 FT. PER TABLE 'A' IR011*61 1. A Flashing Arrow sign shall be used for each lane closed, at merging taper. *2. One lane closure sign (C20) shall be used on the approach to a lane closure. Two signs (separated by a distance derived from table A) should be used with speeds of 45 mph or greater. W20-5 signs may be used in place of C20 signs. NOTE: This chart based on 12—foot wide lanes. For lane widths greater than 12 feet, use the following formulae: Taper formula: L = S x W for speeds of 45 mph or more. Where: 2 L = WS for speeds of 40 mph or less. 60 L = Minimum length of taper. S = Numerical value of posted speed limit prior to work or 85 percentile speed. W = Width of offset. i.e.: 50 mph and 19' lane; L = 50 x 19 = 950 feet DATES OF TEMPORARY NO PARKING ZONE WORKSITE TRAFFIC CONTROL PLAN STANDARD DETAILS, ABBREVIATIONS AND REFERENCE CHARTS NONE ,0.49 ► end BH-3 / 5.0' Legend Number / Depth and Approximate Location of Proposed Exploratory Boring J. AW Okir _ , i tIL R���( *r71 r •'16 Y •# r. L- # .L • I � L `w `C3O *F �•' #* ai ■•�F: ■'� 1'• • �1rij �•r :y di A a da S .�� �.} 'rkl� r Yy1� r��sYY51 �•��'t •"''� k fi'r .R#w^ .#. AI 1' • 1µ '� y yF• j`- ohs I� _- ;•'�^: 14W •mot Y�7 xi, Project: Pavement Rehabilitation Project on Miles Avenue Project No. Between Washington and Jefferson Streets 23-81-194-02 Location: City of LaQuinta, Riverside County, California Approximate Boring Locations Map For: City of La Quinta Public Works Department & Engineering Figure No. Converse Consultants 2A Legend 1, i. t , MO 7BH-6 / 5.0' Number / Depth and Approximate Location of Proposed Exploratory Boring. F _ k 13 Now- 1H I 4 # . ,ae, +Airl� 1 `b ` •4� � � � 1 F' ~� yr. "\ �`' .i- 4 •. # �� I..,� iI. F A Ar IL btoe.b y■.�yy55 V0.t �. p s o° f Ala F '`M � ■ � r'-► +L JL• ad6 . 4lw+ Project: Pavement Rehabilitation Project on Miles Avenue Project No. Between Washington and Jefferson Streets 23-81-194-02 Location: City of LaQuinta, Riverside County, California Approximate Boring Locations Map For: City of La Quinta Public Works Department & Engineering Figure No. Converse Consultants 2B Leciend BH-10 / 5.0' Number / Depth and Approximate Location of Proposed Exploratory Boring' - O E AW IL } 3 a I I av i _ ^t TrI • ,�]] wO VV ti L r `O -1 •,fir � �, �� •? $,,.1ti.�L� . 5 tip .- � � •y. ti `may +�i � • i * , I Y • i'f 1 MrJv Project: Pavement Rehabilitation Project on Miles Avenue Between Washington and Jefferson Streets Project No. 23-81-194-02 Location: City of LaQuinta, Riverside County, California Approximate Boring Locations Map For: City of La Quinta Public Works Department & Engineering Fig Converse Consultants Figure No. 2c JW Legend. s G ry BH-11 / 5.0' Number / Depth and Approximate Location of - pit Proposed Exploratory Boring,,' 2 Ir { r` Ikelzl —is MaL �� k ? < 'F t i + I ... o �i 14 • 7 .� - 7 -.. , a � ,mil -, �'y1�7 A. • .L k � �'3•�n�'rLi �� - r L. -�• I— :i,n .�-i•�3�+�•il 1''•�� a, r � {t •y - ` . V .q y{, Iti g � � Project: Pavement Rehabilitation Project on Miles Avenue Project No. Between Washington and Jefferson Streets 23-81-194-02 Location: City of LaQuinta, Riverside County, California Approximate Boring Locations Map For: City of La Quinta Public Works Department & Engineering Fig Converse Consultants Figure No. 2D City of La Quinta The following General and Special Provisions are attached to and made a part of Permit Number ENC2024-0100 The followina shall always avvly: 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. ENC2024-0100 For City Project / Drilling for Soil Samples/ Miles Ave Between Washington St and Jefferson St (See Site Plan) 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 permittee must compact any disturbed soil within the paved right of way back to its original condition or compact to a minimum density of 95% based on ASTM D1557 and be placed while the soil is at +/- 2% of optimum moisture, which ever compacting effort produces the greatest density. 4. Any asphalt removed during potholing shall be replaced with City approved mix asphalt or equivalent. Temporary (Cold Patch) is not acceptable as an approved asphalt mix. The asphalt shall have a thickness equivalent or greater than the removed asphalt thickness and shall obtain a density of 95% or greater based on maximum density obtained by the ASTM Marshall Mix Design Method. 5. Converse Consultants, (Stephen McPherson), hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and erosion control. 6. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently, if required. 7. 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. 8. 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. 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 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. Special Conditions Page 1 of 4 PERMIT NO. ENC2024-0100 For City Project / Drilling for Soil Samples/ Miles Ave Between Washington St and Jefferson St (See Site Plan) 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 14.16.110 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. 12. 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. 13. 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. 14. Prior to excavating, if required, the Permittee shall contact Underground Service Alert at 1-800-422- 4133. It shall be the Permittee's responsibility to notify the Public Works Department of anticipated excavation which impact City facilities, including but not limited to traffic signal conduits and loops, irrigation lines, electrical conduits, and storm drain facilities. 15. 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. 16. The permittee shall be responsible for calling the city inspector to arrange the city inspector to observe random pothole backfill compaction and testing if requested by the inspector. 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. Special Conditions Page 2 of 4 PERMIT NO. ENC2024-0100 For City Project / Drilling for Soil Samples/ Miles Ave Between Washington St and Jefferson St (See Site Plan) 17. 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. 18. 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 19. 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. 20. If public traffic lanes are required to be closed, this permit is not valid until the permittee submits, to the Public Works Department, a traffic control plan for review and approval prior to start of construction or parking on the paved R/W. 21. 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. 22. All landscaping, irrigation, decorative rock, decorative concrete, lighting, etc., shall be replaced to its original condition. 23. Access and egress to all local properties shall be maintained at all times. 24. 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. Special Conditions Page 3 of 4 PERMIT NO. ENC2024-0100 For City Project / Drilling for Soil Samples/ Miles Ave Between Washington St and Jefferson St (See Site Plan) 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. 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. 25. 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. 26. 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. 27. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. 28. 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. 29. 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 4 of 4 / A� " CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 09/20/2024 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 CONTACT Jennifer De Jesus NAME: Poms &Associates Insurance Brokers ACC Ext : 0.(800) 578-8802 A/XC, No): (818) 449-9321 E-MAIL ) ) de'esus�° p omsassoc.com ADDRESS: CA License #0814733 INSURER(S) AFFORDING COVERAGE NAIC # 4500 Park Granada, Suite 206 INSURERA: Crum & Forster Indemnity Co/C&F Calabasas CA 91302 INSURED INSURER B : Travelers Property Casualty Insurance Company 36161 INSURER C : The Converse Professional Group INSURER D : 717 S. Myrtle Avenue INSURER E : INSURER F : Monrovia CA 91016 COVERAGES CERTIFICATE NUMBER: 24-25 GL/BA/PROF/POLL 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 INSURANCEADDLSUBR INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 �X OCCUR DAMAGE TO PREM SES Ea oNcRETE ante $ 100,000 _7CLAIMS-MADE MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 A Y EPK-148213 06/30/2024 06/30/2026 GEN-LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 3,000,000 X JECT LOC PRODUCTS-COMP/OPAGG $POLICY❑PRO 3,000,000 Contractors Pollution $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANYAUTO B OWNED SCHEDULED AUTOS ONLY AUTOS 810-3N061037-24-43-G 08/17/2024 08/17/2025 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Roadside Assistance $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ ElEXCESS AGGREGATE $ LAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? NIA E.L. EACH ACCIDENT $ (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ Errors &Omissions Each Claim 1,000,000 A Retro Date: 8/14/1984 EPK-148213 06/30/2024 06/30/2026 Aggregate 1,000,000 Deductible Each Claim 25,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of La Quinta is Additional Insured with respects to General Liability per attached endorsement, where required by writen contract. `This certificate of insurance supersedes all previously issued certificates CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of La Quinta ACCORDANCE WITH THE POLICY PROVISIONS. 78-495 Calle Tampico AUTHORIZED REPRESENTATIVE La Quinta CA 92253 ��� ®>✓ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD / A� " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 1(MM/DD4 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: Amy Harrison Weaver & Associates, Inc. PHONE FAX 711 W Camino Real Ave # 201 AIC No Ext : 626-741-1568 AIC No), ADDRESS: amy@weaverinsurance.com Arcadia CA 91007 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Employers Assurance Company 25402 License#: 0231814 INSURED CONVPRO-01 INSURER B : The Converse Professional Group DBA: Converse Consultants INSURER C : INSURER D : 717 S. Myrtle Ave INSURER E : Monrovia CA 91016 INSURER F : COVERAGES CERTIFICATE NUMBER: 135216082 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE1:1 OCCUR DAMAGE PREM SES� RENTEa o_cur ence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ❑ PRO - POLICY ❑ LOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY L $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N Y EIG540048600 12/31/2023 12/31/2024 X PER OTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ N/A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Coverage applies to the following States: Texas, Alabama, California, Pennsylvania, Nevada. Blanket Waiver of Subrogation applies as required by written contract for California. Re: Division Name: Public Works CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of La Quinta ACCORDANCE WITH THE POLICY PROVISIONS. C/o myCOI AUTHORIZED REPRESENTATIVE 1075 Broad Ripple Ave, Suite 313 Indianapolis IN 46220 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Additional Named Insureds Other Named Insureds CONVERSE CONSTRUCTION CONVERSE CONSULTANTS CONVERSE CONSULTANTS EAST CONVERSE CONSULTANTS INLAND EMPIRE CONVERSE CONSULTANTS MR CONVERSE CONSULTANTS NORTHERN CALIFORNIA CONVERSE CONSULTANTS NW CONVERSE CONSULTANTS ORANGE COUNTY CONVERSE CONSULTANTS SOUTHWEST CONVERSE CONSULTANTS TESTING WEST CONVERSE CONSULTANTS UK(Britain) CONVERSE CONSULTANTS WEST CONVERSE ENGINEERING CONSULTANTS, P.C. CONVERSE ENVIROLAB CONVERSE ENVIRONMENTAL CONSULTANTS SOUTHWEST CONVERSE ENVIRONMENTAL EAST CONVERSE ENVIRONMENTAL WEST CONVERSE GES CONVERSE PROFESSIONAL SERVICES CONWEST ASSOCIATES GEOVEST LEASING COMPANY SIERRA NEVADA ASBESTOS CONSULTANTS OFAPPINF (02/2007) COPYRIGHT 2007, AMS SERVICES INC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Person(s) or Organization(s): Location And Description Of Completed Operations Blanket when specifically required in a written Blanket when specifically required in a written contract with the named insured. contract with the named insured. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section III — Who Is An Insured within the Common Provisions is amended to include as an insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". EN0320-0211 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organ ization(s): Location(s) of Covered Operations Blanket when specifically required in a written contract Blanket when specifically required in a written with the named insured. contract with the named insured Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section III — Who Is An Insured within the Common Provisions 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" cause, 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 perrormance or your ongoing operations for the additional insured(s) at the location(s) designated above. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 3. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 4. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. EN0321-0211 Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed.4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA 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.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2 % of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description With respect to all employees subject to the workers' compensation laws of the state of California, any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. This policy is subject to a minimum charge of $250 for the issuance of waivers of subrogation 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.) This endorsement, effective 12/31/2023 at 12:01 AM standard time, forms a part of Policy No. EIG 5400486 00 Of the EMPLOYERS ASSURANCE CO. Carrier Code 00919 Issued to THE CONVERSE PROFESSIONAL GROU Endorsement No. Premium Countersigned at on By: Authorized Representative WC 04 03 06 (Ed. 4-84) © 1998 by the Workers' Compensation Insurance Rating Bureau of California. All rights reserved.