Loading...
ENC2025-0033ta Qa�fra -( \1'I�)IN \l\- 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: 3/21 /2025 LOCATION AND CONSTRUCTION: 78121 Avenida La Fonda: Alley way behind restaurant PURPOSE OF CONSTRUCTION: Provide sewer line for the restaurant restrooms: Run sewer line and tap into the east side of restaurant since the west side is all tied into the grease trap: excavate & backfill 110' x 4 x 2.5 of native soil, break asphalt 90x4 break concrete 10'x2' DESCRIPTION OF CONSTRUCTION: For Enzos: Work in alley way to install a sewer line and tap into the east side of restaurant APROXIMATE TIME WHEN WORK WILL BEGIN: 5/14/2025 DATE OF COMPLETION: 6/30/2025 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. Desert Elite Electric & Construction, Inc. Daniel Jr Lua Name of Applicant DESERT ELITE ELECTRIC INC DANIEL RAMIREZ LUA Name of Contractor 1000013 Contractor's License No. SCOTTSDALE INSURANCE COMPANY Applicant's Insurance Company 91250 Industrial PI Indio, CA 92201 Business Address 83900 AVE 45, STE C INDIO, CA 92201 Business Address FEES Technology Enhancement Fee $81.50 Digital Archiving and Records $24.00 Management Fee Excavation/Trench $859.00 Traffic Control $771.00 Total: $1,735.50 LIC-762894 (760) 835-6648 Telephone No. (760) 363-1128 Telephone No. City Business License No. RBS0259311 Policy Number PERMIT NO: ENC2025-0033 DATE ISSUED: 5/13/2025 EXPIRATION DATE: 5/13/2026 BY: Amy Yu If the work is covered by a Subdivision Improvement Agreement, Subdivider shall request final acceptance of improvements from the City Council. 5/13/2025 3:04:31 PM 04 Work Area Traffic Control Handbook Lane Closure On Two Lane Road Using Flaggers Seepage 61 for "E" Buffer space (4-A)1 Gate cone (optional) T G20-2 CA MUTCD TA-10 (Modifiedl TEMPITORAARRY TRAFFIC CONTROL PLAN DIMENSION GUIDELINES SPEED Dimension Dimension I Dimension Dimension Dimension MAXIMUM MAXIMUM MPH A/B/C L L,2 U3 E. CHANNELIZE! CHANNELIZER (2) ADVANCE MERGING SHfFnNG MINIMUM BUFFER SPACE(4-A) TAPER SPACI46 TANGENT WARNING SIGN TAPER TAPER LENGTH SHOULDER and (3) SPACING SPACING(5) LENGTH TAPER FLAGGER STATION {3) STOPPING SIGHT - — +- DISTANCE f0%) (•3%) (-6%) MPH Ft h R ft ft ft ft 25 100 125 65�_--T— 45 (155) 060) (165) 25 50 30 250 180 90 60 1 (200) (205) (215) 30 60 35 250 245 125 85 (250) (266) (275) 35 70 40 250 320 160 110 (305) (315) (335) 40 80 45 350 540 270 180 (360) (380) (400) 45 90 �50 _ 350_ } 600 300 200 t (425) (450) (475) 50 100 t 55 500 660 330 7 220 (495) (520) (555) f 50 100 60 500 720 360 } - i 240 (570) (600) (640) 50 160 _ 65 500 780 390 260 (645) (685) (730) 50 100 (1) Work on Freeways and EWessways stialt meet IM Cattrans Standard Plans and Standard Spec flcatgn req ,ironwn!s 2 Posted Speed or observed operating speed (whichever is greater) :31 Cnannel¢er spacing snail be reduced ty half at areas where work is lakrng place On curves or areas of head-on conflict 4 A eUffe(space may be inserted in low-speeo urban areas and should be inserted in high-speed urban and rural areas ;4-9) The Stopping Sight Distance should enatfle Road deers to see the Primary Flagger Siauon and safely stop 5 Sign spacing m rural areas should be 500 R i8} I ••TabletlF-101{CA}- __ MAXIMUM CHANNELIZER CONFLICT SPACING (6) ft 12 15 17 20 22 25 25 25 25 r✓ 2 VTRIFI] I I 1 I I I I I REVISION #3 DINING RO M FJ BCOM2017-0050 I 8 EXISTING DINING CITY OF LA QUINTA n PATIO BUILDING DIVISION REVIEWED FOR F� n p CODE 3 - ��- - - COMPLIANCE - - - - B �\ - - - - - - - - - - - - - DATE02/12/2025 BY F 4 ZY�R� ❑� RE-ROUTE PLUMBING WASTE LINES TO REAR OF to—MIN--alBUILDING TO BE C �2VrR ----- ------ o. a --�- -ter CONNECTED TO SEWER AT I SOUTHEAST CORNER OF BUILDING P. ► I uKx � ' I EXISTING BAR 1 I F-2 ,� D � SEATING - - - - NEW SE-RVEk F*. I WOMENS RM. EXISTING REER.. EXI SERVICE AREA NEW OFFICE MENS: RM. 'XISTING EXISTING 'REEZER REFR. proposed new sewer line so kitchen does not need to be shut down - permit will be needed for machinery in alleyway- 2' to 4'6" deep trench required 1 +�z� PLUMBING FLOOR PLAN i EXISTING WOMENS WC Sewer Line is 10' away from the building frie riser Onsite measurements from the recent 811 markings and there is a 9' distance between the sewer and the water line (running parallel/ East to West). 50A E : 1 /8" = 1'-0" COACHELLA VALLEY WATER DISTRICT 75-515 Hovley Lane East Palm Desert, California 92211 (760) 398-2651 APPLICATION FOR WASTEWATER SOURCE CONTROL PLAN APPROVAL APPLICANT. Submit this form with a copy of a SCALED plot plan (1 "-20' to I"— 40' SCALE) drawn to District specificatians. A nomefundable filing fee is required when the application is submitted. Check must be made payable to the Coachella Valley Water District Approval of this application shall remain valid for a period not to exceed one (1) Xm from date of payment. NOTE: ALL USERS DISCHARGING FA7 , OR, AND/OR GREASE, LOCATED IN A MUM 1, SUITE Bl'II.DIKG%%ILLREQUIREASEPARATE LAI'ERAI.OFF711ENI.U%SI:NERI.M.FORGRFASFINII. 't3'ItIRCOV\LCI10%. fi'1�D.�il�`,F�I<I11r11Ytr�itifec ,1}1E1t111a'�It�f[iktar, 1'hdta�t�Iii���lY�fp4ik' :�MtRRaiartrinlR�Mt�.O t:6Cttilrrflf tAt�aQ(C QIiY'Q i Agent. Contractor, Contact Person Address City stare Zip Tekpbone Desert Elite Electric & Construction, Wic. 181920 Industrial PI, Indio, CA 92201 760.835.6648 Owm Address City slue Zip Telephone Hal Griffith 11301 Alaskan Way, Seattle, WA 98101 206.396.8097 Job Site Address City Zip 78121 Avenida La Fonda La Quinta, CA 92253 Business Type Doing Business As Restaurant Enzo's Bistro & Bar NOTE: NO PLANS WILL BE APPROVED UNTIL TIQS APPLICATION IS COMPLETE AND PLAN CHECK FEES ARE PAID. Type of Constriction: O New O Remodel Hours of eration: o.ao. U Chartme of Owner For Vehicle Service: For Food Service: O Wand Bays O Trench Drains ( ft) O Water Softener O Garbage Grinder(s) O Digester(s) O Roll over O Service bay(s) Multiservice (reusable) tm % Single Service (disposable) a % ❑ Turinel(s) O Parts Washer Seating Capacity: Internal - 144 External a O Spill Containment (Solvent O Aqueous O) Seating with Misters or Heaters a O Hvdraulic Lift(s) O Work Sink(sJ Bar Sea!in& 11 Bar §e-aiing with Food Service a OWNER/REPRESENTATIVE DECLARATION: I certitY that I have read the entire application and state that all information is correct I understand that the fee amount is based on my declaration of information on this form and that incorrect information is grounds for rejection of the submitted plans. 1 also and that plans maybe discarded if not picked up within sixty (60) days of approval or return and that no District inspection of my . t w'tl b nducted til all uested information has been received and plans have been approved. Signature Date Ale 7►S Email tt vteJ�trnMar�ne O. _ _ _ — Y1pilMAils(f./h. FOR DISTRICT USE ONLY No. of Systems Type of System(s) Pretreatment Equipment: O New Existing Grease Interceptor ❑Grease Interceptor Waived 1 Sand/Oil Best Management Practices O Connect to Sewer O Addition Lint Trap ❑ Sample Station O Replacement � ❑ Clarifier ❑ Digester(s)REMARKS: Sim 3 000 ale -Must continue to use existing 3,000 al grease interceptor. -Additional modifications to the Plumbing must be aDgroved by CVWD. -Water softner s stems must be exchangeable bottle type, no regenerative salt. -Indoor/ undersink grease traps are not allowed. -A final inspection report will be provided once CVWD performs a verification dye test. -Contact sourcecontrol@cvwd.org for final inspection. This application ll 13 Conditionally Approved* 9 ` 1 PZ !i7 - LID 'See Remarks 215 Ol] Fee S Check No. / Si nature Date 5_ Initial - Date 4/24/2025 UVWVY921 (xCV t2R4) City of La Quinta The following General and Special Provisions are attached to and made a part of Permit Number ENC2025-0033 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 OPERATIONS: 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 be notified 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 %") of A.C. paving on (** N/A **) of class (** N/A ** ) aggregate base. ® R9 SIGHT CLEARANCE: Sight Clearance of six -hundred feet (600') in all directions shall be assured and maintained at all times. ❑ R10 SOIL STERILIZER: The area to be surfaced shall be treated with soil strerilizer. Rate of application shall comply with the manufacturer's specifications. City of La Quinta ® R11 COORDINATE WORK: The proposed work shall be subordinated to any operation, which the State of California or City of La Quinta may conduct in this area during the period of this permit. Work shall be coordinated with the State or City of La Quinta forces to preclude delay or interference with State or City of La Quinta projects. ® R12 SURVEY MONUMENTS: Prior to excavation or beginning of construction, all survey monuments which exist on the centerline of all streets or property lines when included shall be completely tied out so they may be readily and correctly, replaced by a licensed civil engineer or surveyor at the expense of the permittee. A complete set of notes showing the ties to these monuments shall be furnished to the City Engineer prior to the removal of any monuments. This office shall be notified upon completion or replacement of all survey monuments for proper clearance. ® R13 PAVEMENT CUTTING: Pavement will be mechanically saw cut to a straight edge prior to excavation. Method of pavement cutting shall be approved through the office of the City Engineer. (Under no circumstances shall excavating equipment be used to excavate prior to cutting or pavement.) Excavation material shall be placed in such a position as to best facilitate the general flow traffic. Prior to final paving operations, any damage to pavement straight edges shall be corrected. ❑ R14 LIMIT OF EXCAVATIONS: Excavations shall be limited to one -thousand feet (1000') of open trench before backfill operations must begin. All excavations shall be properly barricaded with lights overnight, on weekends and holidays for the protection of the traveling public. The Public Works Inspector shall determine the suitability of excavation barricading in each case. No excavation shall remain open for a period exceeding five (5) days. No excavation shall be made unless the construction material is actually on the work site. ® R15 BACKFILL MATERIAL: Backfill shall be free of brush, roots or other organic substance detrimental to its use for purposes of producing and adequately consolidated backfill. Ant material which the City of La Quinta deems unsuitable (spongy or saturated material) which is encountered during excavation shall not be used for backfill, but shall be supplemented or replaced by an approved sand or gravel. ❑ R16 BACKFILL SAND: Backfill shall be approved transit -mix sand or equivalent and shall be placed on lifts not greater than Three feet (3') and vibrated using vibrostamper or equivalent equipment. Alternate methods may be substituted, but in any case, a relative compaction of ninety-five percent (95%) shall be maintained with the structural section of the roadway. ❑ R17 BACKFILL PLACEMENT: Backfill shall be applied in layers of not more than fifty percent (50%) of the total depth of the trench before flooding or a maximum of five feet (5) lifts where trenches are of excessive depths. Care is to be exercised that the backfill material is not subjected to extreme swell by flooding operations. Backfill material shall be placed so that the resulting compaction shall not be less than ninety percent (90%) or equivalent to the surrounding ground, whichever is the greater compaction. Where ponding or flooding is used for a maximum settlement, adequate dikes will be constructed to retain the water. Where jetting is used, the jets shall be of sufficient length to reach the bottom of each layer and the water supply shall be continuos. ❑ R18 COMPACTION TESTS: If so required by the inspector, compaction test shall be made at intervals of not more than one - thousand (1000') feet and a maximum of one (1) test on each road. One (1) copy of each test shall be forwarded tot the City Engineer for approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. ® R19 COMPACTION TESTS: If so required by the Inspector, compaction tests shall be made for each crossing or service line. One (1) copy of each test shall be forwarded to the City Engineer for approval and filed prior to making permanent repairs. Compaction tests shall be made as outlined in Sections 6.3.001 of the Standard Specifications, Division of Highways, State of California, dated January 1973. ® R20 TEMPORARY PAVEMENT REPAIRS: After completion of backfill and compaction operations, a temporary patch consisting of two inches (2") of SC-800 shall be placed on a prepared sub -grade. The SC-800 temporary paving shall be placed after a maximum of three -thousand linear feet (3000') or trench has been excavated and backfill operations completed, but in no case shall the placement of the temporary pavement exceed a five (5) day limit. ® R21 PERMANENT PAVEMENT REPAIR: After backfill and compaction have been completed, a temporary patch consisting of Three inches (Y) of SC-800 shall be placed immediately. A permanent patch of Asphalt Concrete surfacing per City of La Quinta Standard 600 shall be placed no later than ( 5 ) days after completion of temporary road repair. ❑ R22 FOG SEAL: A fog seal coat consisting of an application of asphaltic emulsion shall be applied over all patch areas as determined by the City Engineer. ® R23 STREET RESTRIPING: Where street striping is still visible on street to be excavated, such striping shall be replaced upon completion of permanent repairs. ❑ R24 TREE RELOCATION OR REMOVAL: Tree relocation within the City of La Quinta road right-of-way shall be accomplished by a licensed, bonded and insured tree service, and handled safely without interference or hazard to the traveling public. It shall be the responsibility of the permitte to maintain the tree in a vigorous growing condition at its new location. Trees to be removed shall be in sections, which can be handled safely without interference or hazard to highway traffic. The entire width of the tree stump, shall be removed and disposed of so that no debris remains in view of the highway. The stump hole shall be backfilled and thoroughly compacted as specified in the following paragraph. Where it becomes necessary to restrict traffic, the work shall be restricted to a maximum of five -hundred feet (500') at any one time. Adequate signs, flagmen and or barricades shall be provided to protect the traveling public at all times. Large holes resulting from tree removal shall be backfilled and compacted to not less than ninety percent (90%) or equivalent tot the surrounding ground, whichever is the greater compaction as determined by the impact or field method. Compaction tests shall comply with Section 6.3.01 of the Standard Specifications, Division of Highways, State of California, dated January 1973. 1. 2. Q I 7 PERMIT NO. ENC2025-0033 For Enzos / Install Sewer Line and Tap Into East Side of Restaurant / 78121 Avenida La Fonda; Alley Way Behind Restaurant In addition to the standard permit conditions, the following shall apply: 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. This permit or copy of it shall be on the work site (usually the job trailer) for inspection during the actual work performed. The permittee 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. Desert Elite Electric & Construction, Inc. (Daniel Lua, Jr), hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and erosion control. Concrete Swale and permanent pavement replacement in the alley way shall be installed to the satisfaction of the City Engineer. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently, if required. Operation and maintenance of equipment within one-half mile of human occupancy shall be performed only during the following time periods: October 1 st to April 30: Monday -Friday 7:00 a.m. to 5:30 p.m. Saturday 8:00 a.m. to 5:00 p.m. May 1 st to September 30: Monday -Friday 6:00 a.m. to 7:00 p.m. Saturday 8:00 a.m. to 5:00 p.m. Work shall be prohibited on legal holidays and Sundays. Note: Construction work (including setting up traffic control devices) is not permitted on any Arterial street (ie any 4 lane street) neither before 8:00 a.m. nor after 4:30 p.m. 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. 9. In accordance with the latest edition of the Standard Specifications for Public Works Construction (SSPWC), the 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. 10. 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. Special Conditions Page 1 of 6 PERMIT NO. ENC2025-0033 For Enzos / Install Sewer Line and Tap Into East Side of Restaurant / 78121 Avenida La Fonda; Alley Way Behind Restaurant 11. The permittee shall submit inspection requests by calling the City Inspection Hotline at (760) 777-7097 before 1:30 p.m. at least 24hrs prior to the anticipated inspection. 12. 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 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 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 Assistant Civil 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 6 PERMIT NO. ENC2025-0033 For Enzos / Install Sewer Line and Tap Into East Side of Restaurant / 78121 Avenida La Fonda; Alley Way Behind Restaurant 17. The permittee shall not encroach upon private property without prior written approval of the private land owner whom is being encroached upon. A copy of the authorization letter shall be provided to the city prior to start of the work. 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 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. 20. The permittee and/or contractor placing engineered fill must provide adequate time and safety for the Geotechnical Engineer of Record to perform soils testing during engineered fill placement. The testing frequency shall be determined by the Geotechnical Engineer of Record such that the fill can be determined to be placed according to the city approved plans. 21. At the approval of the City Engineer, during work hours and when no lanes are provided in the work area, the permittee shall provide and maintain a traffic lane that diverts traffic off the paved roadway. The traffic lane must be located within the existing R/W with the following requirements: a. Class II Base with a minimum depth of 2" b. A 12 inch thick subgrade layer compacted to 95% based on ASTM D1557 c. An unobstructed travel width of 10 feet. d. In addition, a minimum of 5 feet clearance from open trenches. e. A minimum of 2 feet from vertical obstructions like curbs. f. Maximum speed of 25 mph Without the approval of the City Engineer, the permittee must maintain a drivable surface made of existing Asphalt Concrete or Portland Concrete. 22. 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. 23. 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. Special Conditions Page 3 of 6 PERMIT NO. ENC2025-0033 For Enzos / Install Sewer Line and Tap Into East Side of Restaurant / 78121 Avenida La Fonda; Alley Way Behind Restaurant 24. The permittee is required to provide an informative message board (approved by the City Engineer) informing the commuters using the affected roadways of possible traffic delays, time of construction, and if possible alternate routes. The message board shall be provided for the commuters 48 hours prior to the start of traffic delays. 25. Pursuant to Section 14.16.370 of the La Quinta Municipal Code (Ordinance 10 § I (part), 1982), backfill compaction within street rights -of -way shall conform with Section 306-1.3 of the latest edition of the Standard Specifications For Public Works Construction (SSPWC), except as otherwise specified herein. Native material may be used as backfill material provided that minimum compaction, achieved in the manner prescribed herein, is achieved. Backfill shall be performed by mechanical means; no water densified compaction via j etting or flooding or other means shall be allowed. It shall be the Permittee's responsibility to provide appropriate geotechnical supervision, testing, and inspection, onsite, at all times during backfill operations. Backfill compaction shall be achieved by the following conditions: A. When a firm foundation is not encountered due to soft, spongy or other unsuitable material, such material shall be removed to the limits directed by the Geotechnical Inspector and/or the City Inspector and the resulting excavation backfilled with pipe bedding material. B. Backfill materials shall be brought to or maintained at appropriate moisture content for compaction. The appropriate moisture content range shall be established at the onset of the project and ensured prior to use of the materials through progress testing on the stockpiles. C. The first length of trench backfilled shall be backfilled in the presence of the City Inspector. Compaction shall be tested at random depths at approximate three-foot vertical intervals as backfill is placed to ensure the effectiveness of the compaction methods and to establish the depth of lift that can be compacted. D. If lifts greater than one foot are attempted in this trial length of trench, compaction tests shall be taken within the lifts to ensure that the full depth of the lift is compacted. Upon satisfactory completion of this portion of trench, the City Inspector shall establish the maximum lift thickness to be compacted for the remainder of the project. E. In subsequent lengths of trench, the frequency of compaction tests shall equal one per each lift of backfill, per 300 linear feet of open trench, at randomly selected locations within the open length of trench. F. The depth of the randomly selected compaction tests shall also be randomly selected except that where multiple tests are required in a given length of trench, the tests shall be no closer than three feet (vertically) from each other. Special Conditions Page 4 of 6 PERMIT NO. ENC2025-0033 For Enzos / Install Sewer Line and Tap Into East Side of Restaurant / 78121 Avenida La Fonda; Alley Way Behind Restaurant G. If any compaction test fails, previously placed backfill (in the same length of open trench or previous lengths of trench) which is represented by the failing test (as determined by the City Inspector), shall be tested for compliance with compaction requirements. H. All costs incurred due to the conditions above shall be borne by the Permittee. Copies of all test results shall be furnished to the City Inspector. 26. 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 cannot 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. 27. 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, 51h Edition" or latest, in the installation of all appurtenances abutting and within the public street right-of-way. 28. All landscaping, irrigation, decorative rock, decorative concrete, sidewalk, lighting, etc., shall be replaced to its original condition. 29. Access and egress to all local properties shall be maintained at all times. 30. 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 and to the satisfaction of the City Engineer: 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 1/2" max medium finish course lift for capping. Asphalt concrete mix design shall be approved by the City prior to its placement. Special Page 5 of 6 PERMIT NO. ENC2025-0033 For Enzos / Install Sewer Line and Tap Into East Side of Restaurant / 78121 Avenida La Fonda; Alley Way Behind Restaurant 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. 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. 31. 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. 32. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. 33. 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. 34. If it is the intent of the permittee to cut the pavement and have it restored by a third party, the permittee shall postpone cutting the pavement until the intended third party has acquired a permit from the City to perform the required restoration work. 35. 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. 36. 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. Special Page 6 of 6 DATE (MM/DD/YYYY) ,�coRo CERTIFICATE OF LIABILITY INSURANCE 04/03/2025 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: John Blttner PHOE ACW Group, LLC A/CNNo. EXt : 760-565-2482 aC No): 760-406-4094 78-401 Highway 111 Ste S ADDRESS: jbittner@acwgroup.com La Quinta INSURED Desert Elite Electric & Construction, Inc PO Box 2513 CA 92253 INSURERA: Scottsdale Insurance INSURER B : National Casualty Co INSURER C : INSURER E : I Palm Desert CA 92260 INSURER F : I I COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM DDY/YYYY MM/ DY EXP /YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY x RBS0333031 04/03/2025 04/03/2026 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO ❑ LOC JECT PRODUCTS-COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ I PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ A UMBRELLA LIAB X OCCUR XLS1229146 04/03/2025 04/03/2026 EACH OCCURRENCE $ 4,000,000 X AGGREGATE $ 4,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBEREXCLUDED? (Mandatory in NH) N/A WCC336571A 01/02/2025 01/02/2026 X I PER STATUTE ERH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Inland Marine (Equipment & Property RBS0333031 04/03/2025 04/03/2026 Blanket Limit $75,000 Coverage) (Including Rental Equipment) DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The certificate holder is named as additional insured per the attached endorsement. Subject to company terms, conditions, endorsements and exclusions CERTIFICATE HOLDER CANCELLATION City of La Quinta SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 78495 Calle Tampico THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN La Quinta, CA 92253 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD A`oRo° CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 03/21 /2025 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 StateFarm Janelle Cyrus 0 42335 Washington St. Suite A CONTACT NAME: Janelle Cyrus A/c NI Ext : 760-834-8833 A/C No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: State Farm Mutual Automobile Insurance Company 25178 Palm Desert CA 92211 INSURER B : INSURED INSURERC: DESERT ELITE ELECTRIC & CONSTRUCTION INC INSURER D : PO BOX 2513 INSURER E : PALM DESERT CA 92261-2513 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADD INSD SUB WVD POLICY NUMBER POLICY EFF MM/DDrrrrf) POLICY EXP (MMIDDrrrM LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ PREMI ERENTED PREMISESS Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ A AUTOMOBILE LIABILITY ANY AUTO OWNED rSCHEDULEDBODILY ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 477 9735-1313-551 02/13/2025 08/13/2025 CMINED Ea accden SINGLE LIMIT $ 1000000 BODILY INJURY (Per person) $ INJURYAUTOS (Per accident) $ Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DIED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A PER OTH- STATUTE ER $ E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 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. 78495 Calle Tampico AUTHORIZED REPRESENTATIVE La Quinta CA 92253 This form was system -generated on 03/21/2025 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1001486 2005 155279 205 01-19-2023 Underwritten by Scottsdale Insurance Company ENDORSEMENT NO. ATTACHED TO AND ENDORSEMENT EFFECTIVE DATE FORMING A PART OF POLICY NUMBER (12:01 A.M. STANDARD TIME) NAMED INSURED AGENT NO. RBS0333031 04/03/2025 Desert Elite Electric & Construction Inc 047BZ THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED -ONGOING OPERATIONS - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location(s) Of Covered Operations Any "additional insured" person, entity or Any location of "additional insured" person, entity or organization where work is performed by you if organization where work is performed by you if ongoing operations coverage is required by insured ongoing operations coverage is required by insured contract contract. SECTION II —WHO IS AN INSURED, is amended to include, for COVERAGE A —BODILY INJURY AND PROPERTY DAMAGE LIABILITY, only, as an additional insured, the person, entity or organization des- ignated in this endorsement for whom the Named Insured is performing ongoing operations only when the Named Insured has agreed with the person, entity or organization in an "insured contract' to name the person, entity or organization as an "additional insured." 1. Such person, entity or organization is only an "additional insured" with respect to liability for "bodi- ly injury" or "property damage" caused, in whole or in part, by the ongoing operations of the Named Insured performed for the "additional insured" at the designated location. 2. The "insured contract' must be currently in effect or become effective during the policy period, be executed prior to the "bodily injury" or "property damage" first happening and be between the Named Insured and the "additional insured." 3. This coverage does not apply to "bodily injury" or "property damage" after: a. "Your work" for the additional insured has been completed; or b. That portion of "your work" out of which the "bodily injury" or "property damage" arises has been put to its intended use by any person or organization. 4. The applicable limit of our liability shall not be increased by the inclusion of the additional insured under the policy. 5. We shall have no duty to indemnify the additional insured for damages, claims or any other liabili- ties arising from actions, inactions, errors or omissions of the "additional insured." r , Nationwide SDS-41 (1-19) Page 1 of 2 _i_ 6. Our duty to contractually indemnify the additional insured under an "insured contract" pursuant to this endorsement shall be limited to that sum derived by applying the percentage of fault of the Named Insured as determined by the trier the trier -of -fact to the total damage sum allocated by the trier -of -fact to the "additional insured." Under no circumstances shall we pay more than this proportionate contractual indemnity share required of the policyholder in the "insured contract." Any contractual indemnity payments made on behalf of any additional insured under an "insured contract" shall reduce the applicable limits of insurance on a dollar for dollar basis. Any contrac- tual indemnity payments paid to or on behalf of the "additional insured" pursuant to this endorse- ment are subject to the terms, conditions and limitations of the policy. This endorsement does not create a duty on our part to defend the additional insured or to partic- ipate in, contribute to, or reimburse any person, organization or entity for any fees or expenses incurred in the defense of the "additional insured." SECTION IV —COMMERCIAL GENERAL LIABILITY CONDITIONS, Condition 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of the policy is amended to include: An additional insured under this endorsement shall in addition to complying with all provisions of the policy: Give written notice to us of an occurrence or an offense which may result in a claim or "suit" with- in thirty (30) days of notice to the "additional insured." Give written notice to us of a claim or "suit" brought against the "additional insured" within thirty (30) days of the additional insured being served with the claim or "suit." 3. Give written notice to any other insurer who has or may have coverage under its policy or policies for a claim, "suit" or demand for defense or indemnity within thirty (30) days of the "additional in- sured" being served with the claim, "suit" or demand for defense or indemnity. Such notice must demand the full coverage available under the policy. The "additional insured" will not take any ac- tion to waive or limit such other coverage available to it. 4. Obtain and provide to us copies of each and every policy from each and every insurer identified pursuant to the preceding paragraph. The followingis added to SECTION V—DEFINITIONS: ADDITIONAL INSURED "Additional insured" means any person or organization that the Named Insured has agreed in an "in- sured contract' to name as an "additional insured" and has been named or identified by description in an "additional insured" endorsement issued and attached to the policy. Coverage is afforded under this policy for an additional insured for Coverage A liability only. "Bodily injury" and "property damage" coverage is afforded to the "additional insured(s)" as provided in the insuring agreement and subject to all policy provisions, provided that the "bodily injury" or "property damage" also: 1. First takes place after the execution of the "insured contract'; and Arises from "your work" performed for the "additional insured"(s) during the policy period or arises from "your" "ongoing operations." This endorsement is subject to all terms, conditions and exclusions of the policy, which remain unchanged. L 04/04/2025 AUTHORIZED REPRESENTATIVE DATE Nationwide SDS-41 (1-19) Page 2 of 2 ::- Al SCOTTSDALE INSURANCE COMPANY ENDORSEMENT NO. ATTACHED TO AND FORMING A PART OF O R ENDORSEMENT EFFECTIVE DATE NAMED INSURED AGENT NO. POLICY NUMBER (1 A.M. STANDARD TIME) RBS0333031 04/03/2025 Desert Elite Electric & Construction Inc 047BZ THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED -ONGOING OPERATIONS -PRIMARY AND NON -CONTRIBUTORY -OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SECTION II —WHO IS AN INSURED, is amended to include, for COVERAGES A —BODILY INJURY AND PROPERTY DAMAGE LIABILITY,only, as an additional insured, the person, entity or organization designated in this endorsement for whom the Named Insured has performed operations only when the Named Insured has agreed with the person, entity or organization in an insured contract to name the per- son, entity or organization as an additional insured. 1. Such person, entity or organization is only an additional insured with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by the ongoing operations of the Named Insured performed for the additional insured. 2. The "insured contract' must be currently in effect or become effective during the policy period, be executed prior to the "bodily injury"or "property damage" first happening and be between the Named Insured and the additional insured. 3. This coveragedoes not apply to "bodily injury" or "property damage" after: a. "Your work"for the additional insuredhas been completed; or b. That portion of "your work" out of which the "bodily injury" or "property damage"arises has been put to its intended use by any person or organization. 4. The applicable limit of our liability shall not be increased by the inclusion of the additional insured under the policy. 5. We shall have no duty to indemnify the additional insured for damages, claims or any other liabili- ties arising from actions, inactions, errors or omissions of the additional insured. 6. Our duty to contractually indemnify the additional insuredunder an "insured contract' shall be li- mited to that sum derived by applying the percentage of fault of the Named Insured as deter- mined by the trier the trier -of -fact to the total damage sum allocated by the trier -of -fact to the additional insured. Under no circumstances shall we pay more than this proportionate contractual indemnity share. 7. Any contractual indemnity payments made on behalf of any additional insured under an "insured contract"shall reduce the applicable limits of insurance on a dollar for dollar basis. Any contractual indemnity payments are subject to the terms, conditions and limitations of the policy. SDS-55 (1-18) Page 1 of 2 This endorsement does not create a duty on ourpart to defend the additional insuredor to partici- pate in, contribute to, or reimburse any person, organization or entity for any fees or expenses in- curred in the defense of the additional insured. SECTION IV —COMMERCIAL GENERAL LIABILITY CONDITIONS, Condition 2. Insured's Duties In The Event Of Occurrence, Offense, Claim Or Suitof the policy is amended to include: An additional insuredunder this endorsement shall in addition to complying with all provisions of the policy: Give written notice tous of an "occurrence" or an offense which may result in a claim or "suit" with- in thirty (30) days of notice to the additional insured. 2. Give written notice to us of a claim or "suit" brought against the additional insured within thirty (30) days of the additional insured being served with the claim or "suit". Give written notice to any other insurer who has or may have coverage under its policy or policies for a claim,"suit" or demand for defense or indemnity within thirty (30) days of the additional in- sured being served with the claim,"suit"or demand for defense or indemnity.Such notice must demand the full coverage available under the policy.The additional insured will not take any ac- tion to waive or limit such other coverage available to it. 4. Obtain and provide to us copies of each and every policy from each and every insurer identified pursuant to the preceding paragraph. The coverage provided by this endorsement is primary and non-contributory and no insurance held or owned by the additional insured shall be called upon to cover damages under this policy up to the limits of this policy, but only if the "bodily injury" or "property damage" under this policy is caused directly, in whole or in part, from your ongoing operations performed for the additional insured. This endorsement is subject to all terms, conditions and exclusions of the policy, which remain unchanged. 04/04/2025 AUTHORIZED REPRESENTATIVE DATE SDS-55 (1-18) Page 2 of 2 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 04-84) 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 ANY PERSON(S) OR ORGANIZATION(S) WITH WHOM YOU HAVE AGREED TO SUCH WAIVER, IN A VALID WRITTEN CONTRACT OR WRITTEN AGREEMENT THAT HAS BEEN EXECUTED PRIOR TO LOSS This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 01-02-25 Policy No. WCC336571A Insured DESERT ELITE ELECTRIC & Insurance Company NATIONAL CASUALTY COMPANY Countersigned By Endorsement No. Premium $ INCL . © 1998 by the Workers' Compensation Insurance Rating Bureau of California. All rights reserved. From the WCIRB's California Workers' Compensation Insurance Forms Manual © 1999. Insured Copy