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ENC2025-0050taQu�ft�, -( \1'I�)It\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: 5/22/2025 LOCATION AND CONSTRUCTION: On Ave 50 from Jefferson St to Hjorth St PURPOSE OF CONSTRUCTION: Install 18" DIP Water Main and connect to existing water system DESCRIPTION OF CONSTRUCTION: Indio Water Authority_(IWA): Ave 50 and Madison Water Pipe Project APROXIMATE TIME WHEN WORK WILL BEGIN: 6/30/2025 DATE OF COMPLETION: 12/31/2025 COMMENTS: THIS ENCROACHMENT PERMIT IS FOR TRAFFIC CONTROL ONLY WITHIN THE CITY OF LA QUINTA RIGHT-OF-WAY 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. Indio Water Authority (IWA) Roman Gonzalez Name of Applicant JONES BROS CONSTRUCTION COMPANY Name of Contractor 406921 Contractor's License No. Executive Risk Indemnity Inc Applicant's Insurance Company FEES Total: 83101 Avenue 45 Indio, CA 92201 Business Address (760) 625-1822 Telephone No. P O BOX 905 COACHELLA, CA 92236 (760) 347-2891 Business Address Telephone No. 0000153 City Business License No. 54326828 Policy Number PERMIT NO: ENC2025-0050 DATE ISSUED: 6/2/2025 EXPIRATION DATE: 6/2/2026 BY: Amy Yu If the work is covered by a Subdivision Improvement Agreement, Subdivider shall request final acceptance of improvements from the City Council. 6/2/2025 3:59:23 PM DEREK CITY OF LA QUINTA CITY OF INDIO m N N WORK � 2D UBLE SIDED ULTRA LITE _ 1 (LT) RI t PANEL(NARROW WIDTH) DOUBLE ADDED ULTRA LITE PANEL (RARROW WIDTH) SEE NOTE 8 07. ., lWY\N O Wtat A D O G70,2 R2-I CITY OF LA QUINTA CITY OF LA QUINTA AVID MARAVILLA JEFFERSON ST SECURITY GATES I. ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN ACCORDANCE WITH THE LATEST VERSION OF THE CALIFORNIA MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES (CB.M.U.TC.D.) Pending 2. TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED. ADDITIONAL TRAFFIC CONTROL MAYBE REQUIRED TO FACILITATE PUBLIC SAFETY AND TRAFFIC FLOW IF DEEMED NECESSARY BY CITY OF INDIOANDIOR CITY OF LA QUINTA REPRESENTATIVE. Install New Water Main 3. THROUGHOUT EACH WORK PERIOD, CONTRACTOR SHALL INSPECT TRAFFIC CONTROL (SIGNS, BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN ACCORDANCE WITH TRAFFIC CONTROL PLANS. 4. CONTRACTOR SHALL MAINTAINA MINIMUM 10- (TYP.17)' TRAFFIC LANE WIDTH ATALLTIMES. THERE SHALL BE A MINIMUM T BETWEEN THE EDGE OF CUTAND THE NEAREST TRAFFIC LANE. WRTJones Iii iiii 5.ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINEDATALL TIMES. esal�A Per BEGS. COnSt. M350I7 760347- 0-347 6. CONTRACTOR SHALL MAINTAIN PROPER SIGHT DISTANCEATALL INTERSECTIONS TmftTops N Barricades, Inc. Ron F'fiield ay 7. THISTRAFFIC CONTROL SHALL BE IN PLACE 24 HOURSA DAY IF APPROVED BY BOTH CITIES.ALL TRAFFIC CONTROL DEVICES SHALL BE RETRO•REFLECTIVE ANDALL BARRICADES SHALL BE EQUIPPED WITH FLASHING LIGHTS. or x S. DELINEATION SEPARATING OPPOSING LANES OF TRAFFIC SHALL HAVE YELLOW REFLECTORS. (800)852-TOPS 50 5/15/25 1 DEREK CITY OF INDIO CITY OF LA QUINTA RESIDENT ACCESS POINTS (ALONG THE DIRT SHOULDER) DEPENDING ON EACH DAYS WORK AREA h2 \1 M DOUBLE SI FD ULTNA LITE DOUBLE SIDED ULTRA H) ,^ PANEL INARROW WIDTN) PANEL 'NARROW WIDTN) ' jt SEE NOTE 8� 0 o vV j CITY OF LA QUINTA 'E Ml V CITY OF LA QUINTA AVID JEFFERSON ST 1, ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN ACCORDANCE WITH THE LATEST VERSION OF THE CALIFORNIA MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES (Ce.M.U.TC.D.) 2, TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED. ADDITIONAL TRAFFIC CONTROL MAY BE REQUIRED TO FACILITATE PUBLIC SAFETY AND TRAFFIC FLOW IF DEEMED NECESSARY BY CITY OF INDIO AND/OR CITY OF LA QUINTA REPRESENTATIVE. 3 THROUGHOUT EACH WORK PERIOD, CONTRACTOR SHALL INSPECT TRAFFIC CONTROL (SIGNS, BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN ACCORDANCE WITH TRAFFIC CONTROL PLANS 4. CONTRACTOR SHALL MAINTAIN A MINIMUM I0'(TYP.12')'TRAFFIC LANE WIDTH AT ALL TIMES. THERE SHALL BEA MINIMUM 2'BETWEEN THE EDGE OF CUT AND THE NEAREST TRAFFIC LANE 5. ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED ATALL TIMES. 6. CONTRACTOR SHALL MAINTAIN PROPER SIGHT DISTANCE AT ALL INTERSECTIONS 7. THIS TRAFFIC CONTROL SHALL BE IN PLACE 24 HOURS ADAY IF APPROVED BY BOTH CITIES ALL TRAFFIC CONTROL DEVICES SHALL BE RETRO-REFLECTIVE AND ALL BARRICADES SHALL BE EQUIPPED WITH FLASHING LIGHTS B. DELINEATION SEPARATING OPPOSING LANES OF TRAFFIC SHALL HAVE YELLOW REFLECTORS 9. TRAFFIC PLANS SHEETS 2 8 3 WILL NEED BOTH TO BE IN PLACE AT THE SAME TIME IN ORDERED TO CROSS THE VERANO DR INTERSECTION WITH THE PIPE. 40 SECURITY GATES Pending ca.de+otr Install New Water Main PAT. Cm*.w Ds. Jones Bros. Const. Mason 760-347-2291 meem�duwnM Haws/ O lv Tops N Bamcades, Inc. Ron Flfield (800)852-TOPS 50 5/17125 �2� NOTES: 1. ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN ACCORDANCE WITH THE LATEST VERSION OF THE CALIFORNIA MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES (Ca.M.U.TC.D.) 2. TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED ADDITIONAL TRAFFIC CONTROL MAYBE REQUIRED TO FACILITATE PUBLIC SAFETY AND TRAFFIC FLOW IF DEEMED NECESSARY BY CITY OF INDIOANDIOR CITY OF LA QUINTA REPRESENTATIVE 3. THROUGHOUT EACH WORK PERIOD. CONTRACTOR SHALL INSPECT TRAFFIC CONTROL (SIGNS, BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN ACCORDANCE WITH TRAFFIC CONTROL PLANS. 4. CONTRACTOR SHALL MAINTAIN A MINIMUM 10' (TYP12)' TRAFFIC LANE WIDTH AT ALL TIMES THERE S14ALL BEA MINIMUM 2' BETWEEN THE EDGE OF CUT AND THE NEAREST TRAFFIC LANE 5. ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED AT ALL TIMES 6. CONTRACTOR SHALL MAINTAIN PROPER SIGHT DISTANCE AT ALL INTERSECTIONS 7. THIS TRAFFIC CONTROL SHALL BE IN PLACE 24 HOURS DAY IF APPROVED BY BOTH CITIES ALL TRAFFIC CONTROL DEVICES SHALL BE RETRO-REFLECTIVE AND ALL BARRICADES SHALL BE EQUIPPED WITH FLASHING LIGHTS 6. DELINEATION SEPARATING OPPOSING LANES OF TRAFFIC SHALL HAVE YELLOW REFLECTORS. 9. TRAFFIC PLANS SHEETS 2 8 3 WILL NEED BOTH TO BE IN PLACE AT THE SAME TIME IN ORDERED TO CROSS THE VERANO DR INTERSECTION WITH THE PIPE SECURITY GATES I Install New Water Main I Jones Bros. Const. Mason 760-347-2291 Ttieme*dmdyur .4"N a�M Tops N Barricades, Inc. Ron Fifield or a.dNaa� (800)852-TOPS 50 5119/25 3 NOTES' 1. ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN ACCORDANCE WITH THE LATEST VERSION OF THE CALIFORNIA MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES (Ca.M.U.TC.D.) 2. TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED. ADDITIONAL TRAFFIC CONTROL MAY BE REQUIRED TO FACILITATE PUBLIC SAFETY AND TRAFFIC FLOW IF DEEMED NECESSARY BY CITY OF INDIO AND/OR CITY OF LA QUINTA REPRESENTATIVE. 3. THROUGHOUT EACH WORK PERIOD, CONTRACTOR SHALL INSPECT TRAFFIC CONTROL (SIGNS, BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN ACCORDANCE WITH TRAFFIC CONTROL PLANS. 4. CONTRACTOR SHALL MAINTAINA MINIMUM 10' (TYR 12)' TRAFFIC LANE WIDTH AT ALL TIMES. THERE SHALL BE A MINIMUM 2' BETWEEN THE EDGE OF CUTAND THE NEAREST TRAFFIC LANE. 5. ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED AT ALL TIMES. 6. CONTRACTOR SHALL MAINTAIN PROPER SIGHT DISTANCE AT ALL INTERSECTIONS 7. THIS TRAFFIC CONTROL SHALL BE IN PLACE 24 HOURS A DAY IF APPROVED BY BOTH CITIES. ALL TRAFFIC CONTROL DEVICES SHALL BE RETRO-REFLECTIVE AND ALL BARRICADES SHALL BE EQUIPPED WITH FLASHING LIGHTS. 8. DELINEATIONSEPARATING OPPOSING LANES OF TRAFFIC SHALL HAVE YELLOW REFLECTORS. 9. TRAFFIC SIGNALATAVE 50 8 MADISONSHALL BE PLACED IN RED FLASH BY THE CITY OF INDIO TRAFFIC TEAM WHILE THIS TRAFFIC CONTROL IS IN PLACE. ...� SECURITY GATES bw—der FF. Pending msmvrtr Install New Water Main artr Jones Bros. Const. Mason 760-347 rw C.ftDWoA ps-wb cam% Tops N Barricades, Inc. Ron Fifield p (800)852-TOPS 50 5� /19/25 4 " W E mex rn H NOTES: 1. ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN s LRTI O C ACCORDANCE WITH THE LATEST VERSION OF THE CALIFORNIA NO SCALE "® _ fY Z MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES (CA M.U.TC.D.) 7 TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED. O ADDITIONAL TRAFFIC CONTROL MAY BE REQUIRED TO FACILITATE W4-2 PUBLIC SAFETYAND TRAFFIC FLOW IF DEEMED NECESSARY BY �/ CITY OF INDIO REPRESENTATIVE. 3. THROUGHOUT EACH WORK PERIOD. CONTRACTOR SHALL INSPECT _ — TRAFFIC CONTROL (SIGNS, BARRICADESAND DELINEATORS) AND — _j MAINTAIN SAME IN ACCORDANCE WITH TRAFFIC CONTROL PLANS. n 4. CONTRACTOR SHALL MAINTAIN A MINIMUM 10'(17 TYP.) TRAFFIC x AVE 49 LANE WIDTH AT ALL TIMES. u� + 5. ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED AT ALL TIMES. 36 �� Cal6. THIS TRAFFIC CONTROL SHALL BE IN DURING WORK HOURS ONLY. KE W AT END OF WORK HOURS THE TRENCH SHALL BE COVERED WITH p�T J STEEL TRAFFIC PLATES OR BACKFILLED. THE ROAD CLEARED OF DEBRIS AND TRAFFIC RETURNED TO NORMAL ALL TRAFFIC CONTROL DEVICES USED DURING HOURS OF DARKNESS SHALL BE y RETRO-REFLECTIVE AND ALL BARRICADES SHALL BE EQUIPPED WITH FLASHING LIGHTS. Dior GERANIUM AVE 7. THE CONTRACTOR SHALL NOTIFY THE CITY OF INDIO POLICE, FIRE, ao ray y PUBLIC WORKS AND MOUNTAIN VISTA ELEMENTARY SCHOOLAT Q LEAST 1 WEEK IN ADVANCE OF THE CLOSURE OF THE DATES OF W1-4 (LT) Q THE CLOSURE. y+ 8. DELINEATION SEPARATING OPPOSING LANES OF TRAFFIC SHALL HAVE YELLOW REFLECTORS. SEE NOTE B 9. TRAFFIC SIGNALAT MADISON 8 AVE 50 SHALL BE ON RED FLASH BY ae 1 ■1� A THE CITY OFINDIO TRAFFIC TEAM WHILE THIS TRAFFIC CONTROL IS IN PLACE 0 VISTA BONITA ULTRA LITE N WIDTH) AVE 52 REDUCED TO FIT AVE 51 POLO GROUNDS I Install New Water Main I Jones Bros. Const. Mason 760-347- ftft0wa0.va P-ma4 a.+eer Tops N Barricades, Inc. Ron Fifield (800)852-TOPS ## 5/21/25 �5 " w:0-2 y NOTES: ♦♦7777 s wm•s (LT)O N410 (RT) C 1. ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN ACCORDANCE WITH THE LATEST VERSION OF THE CALIFORNIA NO SCALE ® "'' = W Z MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES (CA. M.U.TC.D.) 2. TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED. W42 O r2 ADDITIONAL TRAFFIC CONTROL MAY BE REQUIRED TO FACILITATE RIF1C, PUBLIC SAFETY AND TRAFFIC FLOW IF DEEMED NECESSARY BY CITY OF INDIO REPRESENTATIVE. 3. THROUGHOUT EACH WORK PERIOD, CONTRACTOR SHALL INSPECT _ TRAFFIC CONTROL (SIGNS, BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN ACCORDANCE WITH TRAFFIC CONTROL PLANS. AVE 49 �JI 4. CONTRACTOR SHALL MAINTAIN A MINIMUM 10' (12'TYP.) TRAFFIC LANE WIDTH AT ALL TIMES. � 5. ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED AT ALL TIMES. r4.1 y 6. THIS TRAFFIC CONTROL SHALL BE IN DURING WORK HOURS ONLY. KEBON_,S AT END OF WORK HOURS THE TRENCH SHALL BE COVERED WITH - I ©© STEEL TRAFFIC PLATES OR BACKFILLED, THE ROAD CLEARED OF 35J O DEBRISAND TRAFFIC RETURNED TO SHEET 7. ALL TRAFFIC AM mYY�•.• R''' > CONTROL DEVICES USED DURING HOURS OF DARKNESS SHALL BE y RETRO-REFLECTIVE AND ALL BARRICADES SHALL BE EQUIPPED WITH FLASHING LIGHTS. GERANIUM AVE 7 . THE CONTRACTOR SHALL NOTIFY THE CITY OF INDIO Dw W _y PUBLIC WORKS AND MOUN AINVISTAELEMEENTARYSCHOOLATRE, LEAST 1 WEEK IN ADVANCE OF THE CLOSURE OF THE DATES OF DOUBLEULTRA LITE SIDE(NARROW PANELRAWIDTH) ( Q �' WtOJ W20.3 , r' ® THE CLOSURE. 6. DELINEATION SEPARATING OPPOSING LANES OF TRAFFIC SHALL n • HAVE YELLOW REFLECTORS. = ossa ® a, SEE NOTE 9 � � � " an 9. TRAFFIC SIGNALAT MADISON 8 AVE 50 SHALL BE ON RED FLASH BY THE CITY OF INDIO TRAFFIC TEAM WHILE THIS TRAFFIC CONTROL IS IN PLACE "... R11-2 ROAD R1.1 AVE cLoseD -- R203 500' 500, I 500' ROAD '2 800, w, (LT) CLOSED ® s00' ' �oyr�srq POLO GROUNDS 4 POST AT LEAST 1 SEE NOTE 8 600, DOUBLE SIDED ULTRA LITE Rp WEEK IN ADVANCE PANEL (NARROW WIDTH( SO' � W4.2 VISTA BONITA 0i°' ii 35 i W20-5 (IM AVE 52 zm, Pending REDUCED TO FIT N�`�'R/ Install New Water Main Jones Bros. Const. Mason 760-347-2291 -- 'D "fto AHD.0%, Rv,Ab CRdr of Tops N Barricades, Inc. Ron Feld 8tl(.) _ �/ ®°° Db DaIR..AR (800)852-TOPS ## 5120/25 6 " " NOTES: wm: w l lg N T 1. ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN s O AY ACCORDANCE WITH THE LATEST VERSION OF THE CALIFORNIA NO SCALE ''' "'�� IRA a MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES (CA. M.U.TC.D.) _ 2C 2 TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED. R+ O ADDITIONAL TRAFFIC CONTROL MAY BE REQUIRED TO FACILITATE PUBLIC SAFETY AND TRAFFIC FLOW IF DEEMED NECESSARY BY CITY OF INDIO REPRESENTATIVE. 3. THROUGHOUT EACH WORK PERIOD, CONTRACTOR SHALL INSPECT _ — TRAFFIC CONTROL (SIGNS, BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN ACCORDANCE WITH TRAFFIC CONTROL PLANS. R 4. CONTRACTOR SHALL MAINTAIN A MINIMUM I0'(17 TYP.)TRAFFIC AVE 48 LANE WIDTH AT ALL TIMES. + 5. ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED AT ALL TIMES. H 6. THIS TRAFFIC CONTROL SHALL BE IN PLACE 24 HOURS DAY UNTIL KEBON ST WORK IN THIS PHASE IS COMPLETED. ALL TRAFFIC CONTROL ■�-+/" J DEVICES SHALL BE RETRO-REFLECTIVE AND ALL BARRICADES �CtnJnl O SHALL BE EQUIPPED WITH FLASHING LIGHTS. 7. THE CONTRACTOR SHALL NOTIFY THE CITY OF INDIO POLICE, FIRE. PUBLIC WORKS AND MOUNTAIN VISTA ELEMENTARY SCHOOLAT 1 LEAST 1 WEEK IN ADVANCE OF THE CLOSURE OF THE DATES OF y GERANIUM AVE THE CLOSURE. 8. DELINEATION SEPARATING OPPOSING LANES OF TRAFFIC SHALL HAVE YELLOW REFLECTORS. wtOJ ® 9. TRAFFIC SIGNALAT INDIO TRAFFICMADISONTEAM E50 HISHALL T ON RED FLASH BY THE CITY OFINDIOTRAFFIC TEAM WHILE THIS TRAFFIC CONTROL IS INPLACE RM T ROAD CLOSED ' ® soo' POLO q 1 POST AT LEAST 1 GROUNDS 'PoWEEK IN ADVANCE VISTA BONITA TR I AVE 52 REDUCED TO FIT Pending Install New Water Main Jones Bros. Const. Mason Tftft lD"V% Tops N Barricades, Inc. R""" Ron Feld (800)852-TOPS ## or 5/13/25 7 City of La Quinta The following General and Special Provisions are attached to and made a part of Permit Number ENC2025-0050 The following shall always apply: ENCROACHMENT ON PRIVATE PROPERTY: This permit authorizes work to be accomplished within the City of La Quinta's right of way ONLY. Whenever construction extends within private property, it is the responsibility of the permittee for his contractors to secure permission from abutting property owners. Such authorization must be secured by the permittee prior to starting work. TRACK -LAYING CONSTRUCTION EQUIPMENT: Cleated track -laying construction equipment shall not be permitted to operate on any paved surface unless fitted with smoother -faced street pads. All mechanical outriggers shall be fitted with rubber street shoes to protect the paving during excavations. Rubber -tired equipment only shall be used in backfill operation in paved areas. If the existing pavement is scarred, spalled, or broken during the term of this contract or if the pavement is marred, City of La Quinta shall request that these portions of road be resurfaced over their entire width. Resurfacing shall consist of one coat of two inches (2") of A.C. surfacing plus appropriate seal coat as specified above. PROTECTION OF TRAFFIC: All excavations and work areas shall be properly lighted and barricaded as deemed necessary by the City Engineer or City of La Quinta Public Works Inspectors. Suitable detours and detour signs shall be placed and maintained for the duration of the project. The City shall be notified twenty-four hours (24) in advance of any traffic detours or delineation. CARE OF DRAINAGE STRUCTURES: Any drainage structure to include corrugated metal pipe, concrete pipe, steel culvert and concrete structures encountered during excavation which necessitate removal shall be replaced in kind. In the event it becomes necessary to remove or cut existing drainage structures, City of La Quinta shall be notified prior to commencement of this work. Drainage structures and open drains shall be kept free of debris at all times for proper drainage. RIGHT-OF-WAY CLEANUP: Any surplus material resulting from excavation and backfill operations shall be removed from the right of way. All paved surfaces shall be broomed clean of earth and other objectionable materials immediately after backfill and compaction. Existing gutter line and drainage ditches shall be replaced to their original standard or better. All excess material shall be removed prior to paving. Water tanker shall be used, as required, to sprinkle the job site to keep down dust conditions and shall be used immediately after backfill. DE -WATER OPERTATIONS: If de -watering operations are required and pumps are forcing water on City of La Quinta roads, it shall be the responsibility of the permittee (contractor) to control this water and to provide off-street barricades when necessary. CLOSING STREETS: No street shall be closed. A minimum of one lane of traffic shall be maintained at all times to provide limited access for the adjoining property owners and emergency vehicles. In the event it is felt by the permittee that he must close a street for any length of time, permittee shall contact this office to obtain the necessary permission. SPECIAL PROVISIONS The following shall apply when indicated: ® R1 NOTIFICATION: Permittee shall notify the City at (760) 777 - 7097 at least forty-eight hours (48) in advance of starting construction. ® R2 UTILITY CLEARANCE: (Substructures) Prior to making any excavations within the City of La Quinta right-of-way authorized by permit, the permittee shall contact all concerned utility companies relative to the location of existing substructures. Damage to existing substructures resulting from operations conducted under this permit shall be the sole responsibility of the permittee. ® R3 UTILITY CLEARANCE (Surface Structures) No work shall be done under this permit until all utilities are clear of the proposed work site. The permittee shall notify all concerned utility companies of the proposed work. ❑ R4 PAVEMENT WIDENING: Area between the proposed concrete gutter line and the existing road pavement shall be surfaced with ( ** N/A ** ) inches of A.C. paving placed on ( ** N/A ** ) inches of ( ** N/A ** ) aggregate sub -base course having an "R" value of not less than ( ** N/A **) and in conformance with the City of La Quinta Road Improvement Standards and Specifications, Ordinance #461. ❑ R5 PARKWAY GRADING: Area between the property line and top of the proposed concrete curb shall be graded to a slope of one-fourth inch ('/4") to one foot (1'). ❑ R6 GRADE CHECKING: City of La Quinta shall check grades upon receipt of plan and profile and/or grades as established by a licensed engineer. ❑ R7 CURB REMOVAL FOR DRIVEWAYS: A portion of the existing concrete curb and/or curb and gutter (** N/A **) feet shall be removed. Curb and/or curb and gutter shall be saw cut prior to removal. Depressed curb, matching concrete gutter and concrete driveway approach shall be constructed in conformance with City of La Quinta Standard #207. ❑ R8 DRIVEWAYS: A.C. driveways shall be constructed as not to alter existing drainage pattern. Surfacing between the property line and the existing road paving shall be two and a half inches (2 %") 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. 2. 3. 0 PERMIT NO. ENC2025-0050 Indio Water Authority / Install 18" Water Line (Traffic Control Only in La Quinta) / Ave 50 Between Jefferson St and Hjorth St 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. Jones Brothers Construction Company, Inc. (Marc Jones), hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and erosion control. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently, if required. 6. 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. 7. 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 Technician at (760) 777-7070 if signal operation at the intersection is to be altered in any way. 9. 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. Special Conditions Page 1 of 6 PERMIT NO. ENC2025-0050 Indio Water Authority / Install 18" Water Line (Traffic Control Only in La Quinta) / Ave 50 Between Jefferson St and Hjorth St 10. 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. 11. 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. 12. 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. 13. 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. 14. The City of La Quinta reserves the right to require modifications of the work be made at permittee's sole cost for proper sight distance requirements per guidelines in the AASHTO "A Policy on Geometric Design of Highways and Streets, 5th Edition" or latest, in the installation of all appurtenances abutting and within the public street right-of-way. 15. The permittee shall be responsible for calling the city inspector to arrange the city inspector to observe random trench compaction testing. 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. Special Conditions Page 2 of 6 PERMIT NO. ENC2025-0050 Indio Water Authority / Install 18" Water Line (Traffic Control Only in La Quinta) / Ave 50 Between Jefferson St and Hjorth St 16. 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 17. 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. 18. 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. 19. 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. 20. 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. 21. 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. 22. 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. Special Conditions Page 3 of 6 PERMIT NO. ENC2025-0050 Indio Water Authority / Install 18" Water Line (Traffic Control Only in La Quinta) / Ave 50 Between Jefferson St and Hjorth St 23. Pursuant to Section 14.16.370 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), backfill compaction within street rights -of -way shall conform to 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 jetting 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. 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. Special Conditions Page 4 of 6 PERMIT NO. ENC2025-0050 Indio Water Authority / Install 18" Water Line (Traffic Control Only in La Quinta) / Ave 50 Between Jefferson St and Hjorth St 24. All landscaping, irrigation, decorative rock, decorative concrete, sidewalk, lighting, etc., shall be replaced to its original condition. 25. Access and egress to all local properties shall be maintained at all times. 26. 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 Standard Specifications for Public Works Construction (SSPWC). 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. 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. 29. 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. 30. 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. 31. Flagger Requirements A. Minimum Requirements 1. Receive and communicate specific instructions clearly, firmly, and courteously; 2. Move & maneuver quickly; 3. Provide clear and positive guidance; 4. Understand and apply safe traffic control practices; 5. Recognize dangerous traffic situations in sufficient time to avoid injury. B. Flagger Safety Apparel 1. Background a. Fluorescent orange -red, or b. Fluorescent yellow -green 2. Retroreflective material (Orange, yellow, white, silver, yellow -green, or fluorescent version. 3. Material shall be visible at 1000 ft 4. Apparel shall be designed to identify the wearer as a person 5. Law enforcement personnel should adhere to the same standard Page 5 of 6 PERMIT NO. ENC2025-0050 Indio Water Authority / Install 18" Water Line (Traffic Control Only in La Quinta) / Ave 50 Between Jefferson St and Hjorth St STOP C. Hand -Signaling Devices 1. Stop/Slow paddle octagonal in shape with minimum 18" width and 6" letters. Must have white legend on red background. D. Directing Traffic 1. Only three (3) signals are required. STOP SLOW E. Flagger Communications 1. If work area is too long for relay (2 flaggers can't see each other) a. One flagger given the responsibility to coordinate b. Use Radios or c. Field phones F. Flagger warning signs must be removed or covered when flagging is finished, when work is not going to start immediately, or when work is completed. Page 6 of 6 ® CERTIFICATE OF LIABILITY INSURANCE I DATE(MMIDD/YYYY) 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: Jennifer Bernal SullivanCurtisMonroe Insurance Services (COR) c"a/9514933315 951 49333992010 Main Street HONE No: E-MAIL Suite 700 ADDRESS: 'bernal sullicurt.com Irvine, CA 92614 INSURERS AFFORDING COVERAGE NAIC# www.SuilivanCurtisMonroe.com License # OE83670 INSURERA: Executive Risk Indemnity Inc. 35181 INSURED INSURERB: Federal Insurance Company 20281 J&J Brothers Construction Company Inc INSURERC: The Hanover Insurance Company 22292 DBA: Jones Bros Construction Company P.O. Box 905 INSURER D : Coachella CA 92236 INSURERE: COVERAGES CERTIFICATE NUMBER: R�44RRni 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 POLICY EFF MMIDD/YYYY POLICY EXP MM/DD/YYYY LIMITS A ✓ COMMERCIAL GENERAL LIABILITY ✓ 54326828 1/1/2025 1/1/2026 EACH OCCURRENCE $1,000,000 CLAIMS -MADE �✓ OCCUR PREM SES Ea occurrDence $100,000 ✓ MED EXP (Any one person) $ 5,000 $5,000 Deductible PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 ✓� JPRO- POLICY �✓ LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY 54326827 1/1/2025 1/1/2026 (CMEeaBINED1SINGLELIMIT $1,000,000 ✓ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ ✓ FIR PERTYDAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY ✓ AUTOS ONLY Comp/Coll Deductible $$5000 B UMBRELLA LIAB ,/ OCCUR 56717386 1/1/2025 1/1/2026 EACH OCCURRENCE $5,000,000 ✓ AGGREGATE $5,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N OFFICER/MEMBEREXCLUDED?ECUTIVE N/A ✓ 54326829 1/1/2025 1/1/2026 ,/ STER ATUTE ERH E.L.FJaCHACCIDENT $1,000,000 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 $1,000,000 C Inland Marine RH3J26212403 1/1/2025 1/1/2026 Leased/Rented Equip:$1,000,000/Ded $2,500 Scheduled Equip:$2,067,457/Ded $2,500 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: IWA Ave 50 and Madison Street Pipe Project Additional applies to: City of La Quinta Primary /non-contributory is included and Waiver of Subrogation applies per attached form. ira=I iildr6711%II=1:roll 11=1 ael.raz>AAillillir07. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of La Quinta THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 78-495 Calle Tampico ACCORDANCE WITH THE POLICY PROVISIONS. La Quinta CA 92253 AUTHORIZED REPRESENTATIVE Jennifer Bernal © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 85448801 1 25-26 All + Pollution I Excl:OT3 OT4 I Jennifer Bernal 1 5/22/2025 4:29:54 PM (PDT) I Page 1 of 21 J&J Brothers Construction Company Inc DBA: Jones Bros Construction Company 5/22/2025 POLICY NUMBER: 54326828 COMMERCIAL GENERAL LIABILITY CG20101219 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 Organization(s) Locations Of Covered Operations Any owner, lessee, or contractor whom you All Locations of the Named Insured have agreed to include as an additional insured under a fully executed written contract or written agreement, provided that such was executed prior to an "occurrence", loss, injury or damage. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured 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" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 85448801 1 25-26 All + Pollution I Excl:OT3 OT4 I Jennifer Bernal 1 5/22/2025 4:29:54 PM (PDT) I Page 2 of 21 B. 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: 1. 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 2. 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. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of 2 © Insurance Services Office, Inc., 2018 85448801 1 25-26 All + Pollution I Excl:OT3 OT4 I Jennifer Bernal 1 5/22/2025 4:29:54 PM (PDT) I Page 3 of 21 CG20101219 J&J Brothers Construction Company Inc DBA: Jones Bros Construction Company 5/22/2025 POLICY NUMBER: 54326828 COMMERCIAL GENERAL LIABILITY CG20371219 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 PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any owner, lessee, or contractor whom All Locations of the Named Insured you have agreed to include as an additional insured under a fully executed written contract or written agreement, provided that such was executed prior to an "occurrence", loss, or damage. rinjury Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured 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" 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". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG20371219 © Insurance Services Office, Inc., 2018 85448801 1 25-26 All + Pollution I Excl:OT3 OT4 I Jennifer Bernal 1 5/22/2025 4:29:54 PM (PDT) I Page 4 of 21 Page 1 of 1 J&J Brothers Construction Company Inc DBA: Jones Bros Construction Company 54326828 5/22/2025 COMMERCIAL GENERAL LIABILITY Form 10-02-1800 (Rev. 09-17) COMMERCIAL GENERAL LIABILITY COVERAGE FORM Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights, duties and what is and is not covered. Throughout this policy the words "you" and "your" refer to the Named Insured shown in the Declara- tions, and any other person or organization qualifying as a Named Insured under this policy. The words .,we", "us" and 'bur" refer to the company providing this insurance. The word "insured" means any person or organization qualifying as such under Section II — Who Is An In- sured. Other words and phrases that appear in quotation marks have special meaning. Refer to Section V — Definitions. SECTION I — COVERAGES COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY 1. Insuring Agreement a. We will pay damages that the insured be- comes legally obligated to pay for "bodily inju- ry" or "property damage" to which this insur- ance applies. We will have the right and duty to defend the insured against any "suit" seeking those damages. However, we will have no duty to defend the insured against any "suit' seek- ing damages for "bodily injury" or "property damage" to which this insurance does not ap- ply. We may, at our discretion, investigate any "occurrence" and settle any claim or "suit' that may result. But: (1) The amount we will pay for damages is limited as described in Section III — Limits Of Insurance; and (2) Our right and duty to defend ends when we have used up the applicable limit of insur- ance in the payment of judgments or set- tlements under Coverages A or B or medi- cal expenses under Coverage C. No other obligation or liability to pay sums or perform acts or services is covered unless ex- plicitly provided for under Supplementary Payments — Coverages A and B. (2) The "bodily injury" or "property damage" occurs during the policy period; and (3) Prior to the policy period, no insured listed under Paragraph 1. of Section II — Who Is An Insured and no "employee" authorized by you to give or receive notice of an "oc- currence" or claim, knew that the "bodily in- jury" or "property damage" had occurred, in whole or in part. If such a listed insured or authorized "employee" knew, prior to the policy period, that the "bodily injury" or "property damage" occurred, then any con- tinuation, change or resumption of such "bodily injury" or "property damage" will be deemed to have been known prior to the policy period. c. 'Bodily injury" or "property damage" will be deemed to have been known to have occurred at the earliest time when any insured listed un- der Paragraph 1. of Section II — Who Is An In- sured or any "employee" authorized by you to give or receive notice of an 'occurrence" or claim: (1) Reports all, or any part, of the "bodily injury" or "property damage" to us or any other in- surer; (2) Receives a written or verbal demand or claim for damages for the "bodily injury" or "property damage"; or (3) Becomes aware by any other means that "bodily injury" or "property damage" has oc- curred or has begun to occur. d. Damages for "bodily injury" include damages claimed by any person or organization for care, loss of services or death resulting at any time from the "bodily injury". 2. Exclusions This insurance does not apply to: a. Expected Or Intended Injury "Bodily injury" or "property damage" arising out of an act that: (1) Is expected or intended from the standpoint of the insured; or b. This insurance applies to "bodily injury" and (2) Would be expected or intended from the "property damage" only if: standpoint of a reasonable person in the (1) The "bodily injury" or "property damage" is circumstances of the insured; caused by an 'occurrence" that takes place in the "coverage territory"; Form 10-02-1800 (Rev. 09- Includes copyrighted material of ISO Properties, Inc., with Page 1 of 16 17) its permission 85448801 1 25-26 All + Pollution I Excl:OT3 OT4 I Jennifer Bernal 1 5/22/2025 4:29:54 PM (PDT) I Page 5 of 21 to cause "bodily injury" or "property damage", even if the actual "bodily injury" or "property damage" is of a different degree or type than intended or expected. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or proper- ty. b. Contractual Liability "Bodily injury" or "property damage" for which the insured is obligated to pay damages by reason of the assumption of liability in a con- tract or agreement. This exclusion does not apply to liability for damages: (1) That the insured would have in the absence of the contract or agreement; or (2) Assumed in a contract or agreement that is an "insured contract", provided the "bodily injury" or "property damage" occurs subse- quent to the execution of the contract or agreement. c. Liquor Liability "Bodily injury" or "property damage" for which any person or organization may be held liable by reason of: (1) Causing or contributing to the intoxication of any person; (2) The furnishing of alcoholic beverages to a person under the legal drinking age or un- der the influence of alcohol; (3) Any statute, ordinance or regulation relating to the sale, gift, distribution or use of alco- holic beverages; or (4) Providing or failing to provide transportation with respect to any person that may be un- der the influence of alcohol in connection with any circumstances described in c.(1), (2), or (3) above. This exclusion applies only if you are in the business of manufacturing, distributing, selling, serving or furnishing alcoholic beverages. For the purposes of this exclusion, consump- tion of alcoholic beverages brought on your premises (whether or not a fee is charged or a license is required for such activity) will not be deemed, in itself, to constitute the business of furnishing, selling or serving alcoholic bever- ages. d. Workers' Compensation And Similar Laws Any obligation of the insured under a workers' compensation, disability benefits or unem- ployment compensation law or any similar law. e. Employer's Liability "Bodily injury" to: (1) An "employee" of the insured arising out of and in the course of: (a) Employment by the insured; or (b) Performing duties related to the conduct of the insured's business; or (2) The spouse, child, parent, brother or sister of that "employee" as a consequence of Paragraph (1) above. This exclusion applies whether the insured may be liable as an employer or in any other capacity and to any obligation to share dam- ages with or repay someone else who must pay damages because of the injury. This exclusion does not apply to liability as- sumed by the insured under an "insured con- tract". f. Pollution (1) "Bodily injury" or "property damage" arising out of the actual, alleged or threatened dis- charge, dispersal, seepage, migration, re- lease or escape of "pollutants": (a) At or from any premises, site or location which is or was at any time owned or occupied by, or rented or loaned to, any insured. However, this subparagraph does not apply to: (i) "Bodily injury" if sustained within a building and caused by smoke, fumes, vapor or soot produced by or originating from equipment that is used to heat, cool or dehumidify the building, or equipment that is used to heat water for personal use, by the building's occupants or their guests; (II) "Bodily injury" or "property damage" for which you may be held liable, if you are a contractor and the owner or lessee of such premises, site or location has been added to your pol- icy as an additional insured with re- spect to your ongoing operations performed for that additional insured at that premises, site or location and such premises, site or location is not and never was owned or occupied by, or rented or loaned to, any in- sured, other than that additional in- sured; or (iii) "Bodily injury" or "property damage" arising out of heat, smoke or fumes from a "hostile fire"; (b) At or from any premises, site or location which is or was at any time used by or for any insured or others for the han- dling, storage, disposal, processing or treatment of waste; Page 2 of 16 Includes copyrighted material of ISO Properties, Inc., with its permission 85448801 1 25-26 All + Pollution I Excl:OT3 OT4 I Jennifer Bernal 1 5/22/2025 4:29:54 PM (PDT) I Page 6 of 21 Form 10-02-1800 (Rev. 09-17) (c) Which are or were at any time trans- (e) At or from any premises, site or location ported, handled, stored, treated, dis- on which any insured or any contractors posed of, or processed as waste by or or subcontractors working directly or in - for: directly on any insured's behalf are per- (i) Any insured; or forming operations if the operations are to test for, monitor, clean up, remove, (ii) Any person or organization for whom contain, treat, detoxify or neutralize, or you may be legally responsible; or in any way respond to, or assess the ef- (d) At or from any premises, site or location fects of, "pollutants". on which any insured or any contractors (2) Any loss, cost or expense arising out of or subcontractors working directly or in- any: directly on any insured's behalf are per- forming operations if the "pollutants" are (a) Request, demand, order or statutory or brought on or to the premises, site or lo- regulatory requirement that any insured cation cation in connection with such opera- or others test for, monitor, clean up, re - by such insured, contractor or move, contain, treat, detoxify or neutral - subcontractor. However, this subpara- ize, or in any way respond to, or assess graph does not apply to: the effects of, "pollutants"; or (i) "Bodily injury" or "property damage" (b) Claim or "suit" by or on behalf of a gov- arising out of the escape of fuels, ernmental authority for damages be - lubricants or other operating fluids cause of testing for, monitoring, clean - which are needed to perform the ing up, removing, containing, treating, normal electrical, hydraulic or me- detoxifying or neutralizing, or in any way chanical functions necessary for the responding to, or assessing the effects operation of "mobile equipment" or of, "pollutants". its parts, if such fuels, lubricants or However, this paragraph does not apply to other operating fluids escape from a liability for damages for "property damage" vehicle part designed to hold, store that the insured would have in the absence or receive them. This exception does of such request, demand, order or statutory not apply if the "bodily injury" or or regulatory requirement, or such claim or "property damage" arises out of the "suit" by or on behalf of a governmental au - intentional discharge, dispersal or re- thority. lease of the fuels, lubricants or other g, Aircraft, Auto Or Watercraft operating fluids, or if such fuels, lub- ricants or other operating fluids are "Bodily injury" or "property damage" arising out brought on or to the premises, site or of the ownership, maintenance, use or en - location with the intent that they be trustment to others of any aircraft, "auto" or wa- discharged, dispersed or released as tercraft owned or operated by or rented or part of the operations being per- loaned to any insured. Use includes operation formed by such insured, contractor and "loading or unloading". or subcontractor; This exclusion applies even if the claims (ii) "Bodily injury" or "property damage" against any insured allege negligence or other sustained within a building and wrongdoing in the supervision, hiring, employ - caused by the release of gases, ment, training or monitoring of others by that fumes or vapors from materials insured, if the "occurrence" which caused the brought into that building in connec- "bodily injury" or "property damage" involved tion with operations being performed the ownership, maintenance, use or entrust - by you or on your behalf by a con- ment to others of any aircraft, "auto" or water - tractor or subcontractor; or craft that is owned or operated by or rented or loaned to any insured. (���) Y9 iii "Bodily injury" or "property dama e" arising out of heat, smoke or fumes This exclusion does not apply to: from a "hostile fire". (1) A watercraft while ashore on premises you own or rent; (2) A watercraft you do not own that is: (a) Less than 26 feet long; and (b) Not being used to carry persons or property for a charge; Form 10-02-1800 (Rev. 09- Includes copyrighted material of ISO Properties, Inc., with Page 3 of 16 17) its permission 85448801 1 25-26 All + Pollution I Excl:OT3 OT4 I Jennifer Bernal 1 5/22/2025 4:29:54 PM (PDT) I Page 7 of 21 (3) Parking an "auto" on, or on the ways next to, premises you own or rent, provided the "auto" is not owned by or rented or loaned to you or the insured; (4) Liability assumed under any "insured con- tract' for the ownership, maintenance or use of aircraft or watercraft; or (5) "Bodily injury" or "property damage" arising out of: (a) The operation of machinery or equip- ment that is attached to, or part of, a land vehicle that would qualify under the definition of "mobile equipment" if it were not subject to a compulsory or fi- nancial responsibility law or other motor vehicle insurance law where it is li- censed or principally garaged; or (b) The operation of any of the machinery or equipment listed in Paragraph f.(2) or f.(3) of the definition of "mobile equip- ment". h. Mobile Equipment "Bodily injury" or "property damage" arising out of: (1) The transportation of "mobile equipment" by an "auto" owned or operated by or rented or loaned to any insured; or (2) The use of "mobile equipment" in, or while in practice for, or while being prepared for, any prearranged racing, speed, demolition, or stunting activity. Damage To Property "Property damage" to: (1) Property you own, rent, or occupy; (2) Premises you sell, give away or abandon, if the "property damage" arises out of any part of those premises; (3) Property loaned to you; (4) Personal property in the care, custody or control of the insured; (5) That particular part of real property on which you or any contractors or subcontrac- tors working directly or indirectly on your behalf are performing operations, if the "property damage" arises out of those op- erations; or (6) That particular part of any property that must be restored, repaired or replaced be- cause "your work" was incorrectly per- formed on it. Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire) to premises, including the con- tents of such premises, rented to you for a pe- riod of 7 or fewer consecutive days. A separate limit of insurance applies to Damage To Prem- ises Rented To You as described in Section III — Limits Of Insurance. Paragraph (2) of this exclusion does not apply if the premises are "your work" and were never occupied, rented or held for rental by you. Paragraphs (3), (4), (5) and (6) of this exclu- sion do not apply to liability assumed under a sidetrack agreement. Paragraph (6) of this exclusion does not apply to "property damage" included in the "products - completed operations hazard". j. Damage To Your Product "Property damage" to "your product" arising out of it or any part of it. k. Damage To Your Work "Property damage" to "your work" arising out of it or any part of it and included in the "products - completed operations hazard". This exclusion does not apply if the damaged work or the work out of which the damage arises was performed on your behalf by a sub- contractor. Damage To Impaired Property Or Property Not Physically Injured "Property damage" to "impaired property" or property that has not been physically injured, arising out of: (1) A defect, deficiency, inadequacy or dan- gerous condition in "your product" or "your work"; or (2) A delay or failure by you or anyone acting on your behalf to perform a contract or agreement in accordance with its terms. This exclusion does not apply to the loss of use of other property arising out of sudden and accidental physical injury to "your product" or "your work" after it has been put to its intended use. m. Recall Of Products, Work Or Impaired Property Damages claimed for any loss, cost or ex- pense incurred by you or others for the loss of use, withdrawal, recall, inspection, repair, re- placement, adjustment, removal or disposal of: (1) "Your product"; (2) "Your work"; or (3) "Impaired property"; Page 4 of 16 Includes copyrighted material of ISO Properties, Inc., with its permission 85448801 1 25-26 All + Pollution I Excl:OT3 OT4 I Jennifer Bernal 1 5/22/2025 4:29:54 PM (PDT) I Page 8 of 21 Form 10-02-1800 (Rev. 09-17) if such product, work, or property is withdrawn or recalled from the market or from use by any person or organization because of a known or suspected defect, deficiency, inadequacy or dangerous condition in it. n. Personal And Advertising Injury "Bodily injury" arising out of "advertising injury" or "personal injury". o. Access To Or Disclosure Of Confidential Or Personal Information And Data -Related Liability Damages arising out of: (1)Any access to or disclosure of any person's or organization's confidential or personal in- formation, including patents, trade secrets, processing methods, customer lists, finan- cial information, credit card information, health information or any other type of non- public information; or (2)The loss of, loss of use of, damage to, cor- ruption of, inability to access, or inability to manipulate electronic data. This exclusion applies even if damages are claimed for notification costs, credit monitoring expenses, forensic expenses, public relations expenses or any other loss, cost or expense incurred by you or others arising out of that which is described in Paragraph (1) or (2) above. However, unless Paragraph (1) above applies, this exclusion does not apply to damages be- cause of "bodily injury". As used in this exclusion, electronic data means information, facts or programs stored as or on, created or used on, or transmitted to or from computer software, including systems and applications software, hard or floppy disks, CD-ROMS, tapes, drives, cells, data pro- cessing devices or any other media which are used with electronically controlled equipment. Exclusions c. through m. do not apply to damage by fire to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to this coverage as described in Section III — Limits Of Insurance. COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY 1. Insuring Agreement a. We will pay damages that the insured be- comes legally obligated to pay for "advertising injury" or "personal injury" to which this insur- ance applies. We will have the right and duty to defend the insured against any "suit" seeking those damages. However, we will have no duty to defend the insured against any "suit" seek- ing damages for "advertising injury" or "per- sonal injury" to which this insurance does not apply. We may, at our discretion, investigate any offense and settle any claim or "suit" that may result. But: (1) The amount we will pay for damages is limited as described in Section III — Limits Of Insurance; and (2) Our right and duty to defend end when we have used up the applicable limit of insur- ance in the payment of judgments or set- tlements under Coverages A or B or medi- cal expenses under Coverage C. No other obligation or liability to pay sums or perform acts or services is covered unless ex- plicitly provided for under Supplementary Payments — Coverages A and B. b. This insurance applies to "advertising injury" or "personal injury" caused by an offense arising out of your business but only if the offense was committed in the "coverage territory" during the policy period. 2. Exclusions This insurance does not apply to: a. Expected Or Intended Injury "Advertising injury" or "personal injury" arising out of an offense committed by or on behalf of the insured, that: (1) Is intended by such insured; or (2) Would be expected from the standpoint of a reasonable person in the circumstances of such insured; to cause injury. b. Publications With Knowledge Of Falsity "Advertising injury" or "personal injury" arising out of any electronic, oral, written or other pub- lication of content or material by or with the consent of the insured: (1) With knowledge of its falsity; or (2) If a reasonable person in the circumstances of such insured would have known such content or material to be false. Form 10-02-1800 (Rev. 09- Includes copyrighted material of ISO Properties, Inc., with 17) its permission 85448801 1 25-26 All + Pollution I Excl:OT3 OT4 I Jennifer Bernal 1 5/22/2025 4:29:54 PM (PDT) I Page 9 of 21 Page 5 of 16 c. Prior Offenses "Advertising injury" or "personal injury" arising out of any offense first committed before the beginning of the policy period. d. Crime Or Fraud "Advertising injury" or "personal injury" arising out of any criminal or fraudulent conduct com- mitted by or with the consent or knowledge of the insured. e. Contracts "Advertising injury" or "personal injury" for which the insured is obligated to pay damages by reason of assumption of liability in a con- tract or agreement. This exclusion does not apply to the liability for damages: (1) That such insured would have in the ab- sence of such contract or agreement; or (2) Assumed in a written contract or agreement that is an "insured contract", provided the "advertising injury" or "personal injury" to which this insurance applies is caused by an offense first committed after the execu- tion of such contract or agreement. f. Breach Of Contract "Advertising injury" or "personal injury" arising out of breach of contract. g. Failure To Conform To Representations Or Warranties "Advertising injury" or "personal injury" arising out of the failure of goods, products or services to conform with any electronic, oral, written or other representation or warranty of durability, fitness, performance, quality or use. h. Wrong Description Of Prices "Advertising injury" or "personal injury" arising out of the wrong description of the price of goods, products or services. i. Media Type Businesses "Advertising injury" or "personal injury" arising out of an offense committed by or on behalf of an insured whose business is advertising, broadcasting, cablecasting, publishing, tele- casting or telemarketing. This exclusion does not apply to "personal inju- ry" caused by an offense described in Para- graphs 21. a., b. and c. of the definition of "personal injury" under the Definitions Section. j. Internet Activities "Advertising injury" or "personal injury" arising out of: (1) Controlling, creating, designing or develop- ing of another's Internet site; (2) Controlling, creating, designing, developing, determining or providing the content or ma- terial of another's Internet site; (3) Controlling, facilitating or providing, or failing to control, facilitate or provide, access to the Internet or another's Internet site; or (4) Publication of content or material on or from the Internet, other than material developed by you to or at your direction. k. Continuing Offenses "Advertising injury" or "personal injury" that arises out of that part of an offense that contin- ues or resumes after the later of the end of the policy period of: (1) This insurance; or (2) A subsequent, continuous renewal or re- placement of this insurance, that: (a) Is issued to you by us or by an affiliate of ours; (b) Remains in force while the offense con- tinues; and (c) Would otherwise apply to "advertising injury" and "personal injury". I. Pollution "Advertising injury" or "personal injury" arising out of the actual, alleged or threatened dis- charge, dispersal, seepage, migration, release or escape of "pollutants" at any time. m. Pollution -Related Any loss, cost or expense arising out of any: (1) Request, demand, order or statutory or regulatory requirement that any insured or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of, "pollutants"; or (2) Claim or suit by or on behalf of a govern- mental authority for damages because of testing for, monitoring, cleaning up, remov- ing, containing, treating, detoxifying or neu- tralizing, or in any way responding to, or assessing the effects of, "pollutants". n. Access Or Disclosure Of Confidential Or Personal Information "Personal and advertising injury" arising out of any access to or disclosure of any person's or organization's confidential or personal infor- mation, including patents, trade secrets, pro- cessing methods, customer lists, financial in- formation, credit card information, health information or any other type of nonpublic in- formation. Page 6 of 16 Includes copyrighted material of ISO Properties, Inc., with its permission 85448801 1 25-26 All + Pollution I Excl:OT3 OT4 I Jennifer Bernal 1 5/22/2025 4:29:54 PM (PDT) I Page 10 of 21 Form 10-02-1800 (Rev. 09-17) This exclusion applies even if damages are claimed for notification costs, credit monitoring expenses, forensic expenses, public relations expenses or any other loss, cost or expense incurred by you or others arising out of any access to or disclosure of any person's or organization's confidential or personal information. COVERAGE C MEDICAL PAYMENTS 1. Insuring Agreement a. We will pay medical expenses as described below for "bodily injury" caused by an accident: (1) On premises you own or rent; (2) On ways next to premises you own or rent; or (3) Because of your operations; provided that: (a) The accident takes place in the "cover- age territory" and during the policy peri- od; (b) The expenses are incurred and reported to us within one year of the date of the accident; and (c) The injured person submits to examina- tion, at our expense, by physicians of our choice as often as we reasonably require. d. Workers Compensation And Similar Laws To a person, whether or not an "employee" of any insured, if benefits for the "bodily injury" are payable or must be provided under a workers' compensation or disability benefits law or a similar law. e. Athletics Activities To a person injured while practicing, instructing or participating in any physical exercises or games, sports, or athletic contests. f. Products -Completed Operations Hazard Included within the "products -completed opera- tions hazard". g. Coverage A Exclusions Excluded under Coverage A. COVERAGE FORM EXCLUSIONS The following exclusions apply to all Coverages in this Coverage Form and all endorsements attached to it. 1. Asbestos, Silica Or Similar Compounds, Including Mixed Dust a. b. We will make these payments regardless of fault. These payments will not exceed the ap- b plicable limit of insurance. We will pay reason- able expenses for: (1) First aid administered at the time of an accident; (2) Necessary medical, surgical, x-ray and dental services, including prosthetic devic- es; and (3) Necessary ambulance, hospital, profes- sional nursing and funeral services. 2. Exclusions We will not pay expenses for "bodily injury": a. Any Insured To any insured, except "volunteer workers". b. Hired Person To a person hired to do work for or on behalf of any insured or a tenant of any insured. c. Injury On Normally Occupied Premises To a person injured on that part of premises you own or rent that the person normally occu- pies. This insurance does not apply to any damages, loss, cost or expense arising out of the actual, alleged or threatened contaminative, pathogen- ic, toxic or other hazardous properties of: (1) "Asbestos"; (2) "Silica"; or (3) "Mixed dust". This insurance does not apply to any damages, loss, cost or expense arising, in whole or in part, out of any: (1) Demand, order, request or regulatory or statutory requirement that any insured or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess; or (2) Claim or proceeding by or on behalf of a governmental authority or others for any damages, loss, cost or expense because of testing for, monitoring, cleaning up, remov- ing, containing, treating, detoxifying or neu- tralizing, or in any way responding to, or as- sessing; the effects of "asbestos", "silica" or "mixed dust". 2. Employment -Related Practices This insurance does not apply to any damages, loss, cost or expense sustained at any time by: a. Any person, whether or not sustained in the course of employment by any insured, arising out of any employment -related act, omission, policy, practice or representation directed at Form 10-02-1800 (Rev. 09- Includes copyrighted material of ISO Properties, Inc., with 17) its permission 85448801 1 25-26 All + Pollution I Excl:OT3 OT4 I Jennifer Bernal 1 5/22/2025 4:29:54 PM (PDT) I Page 11 of 21 Page 7 of 16 such person, occurring in whole or in part at anytime, including any: (1) Arrest, detention or imprisonment; (2) Breach of any express or implied cove- nant; (3) Coercion, criticism, humiliation, prosecu- tion or retaliation; (4) Defamation or disparagement; (5) Demotion, discipline, evaluation or reas- signment; (6) Discrimination, harassment or segrega- tion; (7) (a) Eviction; or (b) Invasion or other violation of any right of occupancy; (8) Failure or refusal to advance, compensate, employ or promote; (9) Invasion or other violation of any right of privacy or publicity; (10)Termination of employment; or (11)Other employment -related act, omission, policy, practice, representation or relation- ship in connection with any insured at any time. b. The brother, child, parent, sister or spouse of such person at whom any employment -related act, omission, policy, practice or representation is directed, as described in paragraph a. above, as a consequence thereof. This exclusion applies: i. Whether the insured may be liable as an em- ployer or in any other capacity; and ii. To any obligation to share damages with or repay someone else who must pay damages because of any of the foregoing. 3. Enhancement, Maintenance Or Prevention Ex- penses This insurance does not apply to any loss, cost or expense incurred by you or others for any: a. Enhancement or maintenance of any proper- ty; or b. Prevention of any injury or damage to any: (1) Person or organization; or (2) Property you own, rent or occupy. 4. Fungi Or Bacteria This insurance does not apply to: a. "Bodily injury', "property damage", "personal injury" or "advertising injury" arising out of the actual, alleged or threatened contaminative, pathogenic, toxic or other hazardous properties of "fungi" or bacteria. b. Any damages, loss, cost or expense arising out of any: (1) Demand, order, request or regulatory or statutory requirement that any insured or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess; or (2) Claim or proceeding by or on behalf of a governmental authority or others for any damages, loss, cost or expense because of testing for, monitoring, cleaning up, re- moving, containing, treating, detoxifying or neutralizing, or in any way responding to, or assessing; the effects of "fungi" or bacteria. 5. Information Laws, Including Unauthorized Or Unsolicited Communications This insurance does not apply to any damages, loss, cost or expense arising out of any actual or alleged violation of: a. The United States of America CAN-SPAM Act of 2003 (or any law amendatory thereof) or any similar regulatory or statutory law in any other jurisdiction; b. The United States of America Telephone Con- sumer Protection Act (TCPA) of 1991 (or any law amendatory thereof) or any similar regulato- ry or statutory law in any other jurisdiction; c. The United States of America Fair Credit Re- porting Act (FCRA) (or any law amendatory thereof including the Fair and Accurate Credit Transactions Act (FACTA)) or any similar regu- latory or statutory law in any other jurisdiction; or d. Any other regulatory or statutory law in any ju- risdiction that addresses, limits or prohibits the collecting, communicating, disposal, dissemina- tion, distribution, monitoring, printing, publica- tion, recording, sending or transmitting of con- tent, information or material. 6. Intellectual Property Laws And Rights This insurance does not apply to any damages, loss, cost or expense arising out of, giving rise to or in any way related to any actual, alleged or threatened: a. Assertion; or b. Infringement or violation; Page 8 of 16 Includes copyrighted material of ISO Properties, Inc., with its permission 85448801 1 25-26 All + Pollution I Excl:OT3 OT4 I Jennifer Bernal 1 5/22/2025 4:29:54 PM (PDT) I Page 12 of 21 Form 10-02-1800 (Rev. 09-17) by any person or organization (including any insured) of any "intellectual property law or right". Further, this insurance does not apply to the entirety of all allegations in any claim or "suit", if such claim or "suit" includes an allegation of or a reference to an infringement or violation of any "intellectual property law or right", even if this insurance would otherwise apply to any part of the allegations in the claim or "suit". 1. All expenses we incur. 2. Up to $250 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to fur- nish these bonds. 3. The cost of bonds to release attachments, but only for bond amounts within the applicable limit of in- surance. We do not have to furnish these bonds. This exclusion applies unless the only 4. All reasonable expenses incurred by the insured at infringement or violation of an "intellectual property our request to assist us in the investigation or de - law or right" is an offense described in the fense of the claim or "suit", including actual loss of definition of "advertising injury" to which this earnings up to $250 a day because of time off insurance applies. from work. 7. Lead a. This insurance does not apply to any damages, loss, cost or expense arising out of the actual, alleged or threatened contaminative, pathogenic, toxic or other hazardous properties of "lead". b. This insurance does not apply to any damages, loss, cost or expense arising, in whole or in part, out of any: (1) Demand, order, request or regulatory or statutory requirement that any insured or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess; or (2) Claim or proceeding by or on behalf of a governmental authority or others for any damages, loss, cost or expense because of testing for, monitoring, cleaning up, remov- ing, containing, treating, detoxifying or neu- tralizing, or in any way responding to, or as- sessing; the effects of "lead". 8. War This insurance does not apply to any damages, loss, cost or expense, however caused, arising, di- rectly or indirectly, out of: a. War, including undeclared or civil war; b. Warlike action by a military force, including ac- tion in hindering or defending against an actual or expected attack, by any government, sover- eign or other authority using military personnel or other agents; or c. Insurrection, rebellion, revolution, usurped power, or action taken by governmental author- ity in hindering or defending against any of these. SUPPLEMENTARY PAYMENTS — COVERAGES A AND B We will pay, with respect to any claim we investigate or settle, or any "suit" against an insured we defend: 5. All court costs taxed against the insured in the "suit". However, these payments do not include at- torneys' fees or attorneys' expenses taxed against the insured. 6. Prejudgment interest awarded against the insured on that part of the judgment we pay. If we make an offer to pay the applicable limit of insurance, we will not pay any prejudgment interest based on that period of time after the offer. 7. All interest on the full amount of any judgment that accrues after entry of the judgment and before we have paid, offered to pay, or deposited in court the part of the judgment that is within the applicable limit of insurance. These payments will not reduce the limits of insur- ance. SECTION II — WHO IS AN INSURED 1. If you are designated in the Declarations as: a. An individual, you and your spouse are in- sureds, but only with respect to the conduct of a business of which you are the sole owner. b. A partnership or joint venture, you are an in- sured. Your members, your partners, and their spouses are also insureds, but only with re- spect to the conduct of your business. c. A limited liability company, you are an insured. Your members are also insureds, but only with respect to the conduct of your business. Your managers are insureds, but only with respect to their duties as your managers. d. An organization other than a partnership, joint venture or limited liability company, you are an insured. Your "executive officers" and directors are insureds, but only with respect to their du- ties as your officers or directors. Your stock- holders are also insureds, but only with respect to their liability as stockholders. e. A trust, you are an insured. Your trustees are also insureds, but only with respect to their du- ties as trustees. Form 10-02-1800 (Rev. 09- Includes copyrighted material of ISO Properties, Inc., with 17) its permission 85448801 1 25-26 All + Pollution I Excl:OT3 OT4 I Jennifer Bernal 1 5/22/2025 4:29:54 PM (PDT) I Page 13 of 21 Page 9 of 16 2. Each of the following is also an insured: a. Your "volunteer workers" only while performing duties related to the conduct of your business, or your "employees", other than either your "executive officers" (if you are an organization other than a partnership, joint venture or lim- ited liability company) or your managers (if you are a limited liability company), but only for acts within the scope of their employment by you or while performing duties related to the conduct of your business. However, none of these "employees" or "volunteer workers" are insureds for: (1) "Bodily injury", "advertising injury" or "per- sonal injury": (a) To you, to your partners or members (if you are a partnership or joint venture), to your members (if you are a limited li- ability company), to a co -"employee" while in the course of his or her em- ployment or performing duties related to the conduct of your business, or to your other "volunteer workers" while perform- ing duties related to the conduct of your business; (b) To the spouse, child, parent, brother or sister of that co -"employee" or "volun- teer worker" as a consequence of Para- graph (1)(a) above; (c) For which there is any obligation to share damages with or repay someone else who must pay damages for the in- jury described in Paragraphs (1)(a) or (b) above; or (d) Arising out of his or her providing or failing to provide professional health care services. (2) "Property damage" to property: (a) Owned, occupied or used by, (b) Rented to, in the care, custody or con- trol of, or over which physical control is being exercised for any purpose by you, any of your "employees", "volunteer workers", any partner or member (if you are a partnership or joint venture), or any member (if you are a limited liability com- pany). b. Any person (other than your "employee" or "volunteer worker"), or any organization while acting as your real estate manager. c. Any person or organization having proper temporary custody of your property if you die, but only: (1) With respect to liability arising out of the maintenance or use of that property; and (2) Until your legal representative has been appointed. d. Your legal representative if you die, but only with respect to duties as such. That repre- sentative will have all your rights and duties under this Coverage Part. 3. Any organization you newly acquire or form, other than a partnership, joint venture or limited liability company, and over which you maintain ownership or majority interest, will qualify as a Named In- sured if there is no other similar insurance availa- ble to that organization. However, coverage under this provision is afforded only until the 90th day af- ter you acquire or form the organization or the end of the policy period, whichever is earlier. No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations. No person or organization is an insured with respect to the: a. Ownership, maintenance or use of any assets; or b. Conduct of any person or organization whose assets, business or organization; you acquire, either directly or indirectly, for any: a. "Bodily injury" or "property damage" that occurred; or b. "Advertising injury" or "personal injury" arising out of an offense first committed; in whole or in part, before you, directly or indirectly, acquired such assets, business or organization. SECTION III — LIMITS OF INSURANCE 1. The Limits of Insurance shown in the Declarations and the rules below fix the most we will pay re- gardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". 2. The General Aggregate Limit is the most we will pay for the sum of: a. Medical expenses under Coverage C; and b. Damages under Coverage A, except damages for "bodily injury" or "property damage" includ- ed in the "products -completed operations haz- ard". 3. The Products -Completed Operations Aggregate Limit is the most we will pay under Coverage A for damages for "bodily injury" and "property damage" included in the "products -completed operations hazard". Page 10 of 16 Includes copyrighted material of ISO Properties, Form 10-02-1800 (Rev. 09-17) Inc., with its permission 85448801 1 25-26 All + Pollution I Excl:OT3 OT4 I Jennifer Bernal 1 5/22/2025 4:29:54 PM (PDT) I Page 14 of 21 4. The Personal and Advertising Injury Aggregate Limit is the most we will pay for the sum of dam- ages under Coverage B. 5. Subject to Paragraph 2. or 3. above, whichever applies, the Each Occurrence Limit is the most we will pay for the sum of: a. Damages under Coverage A; and b. Medical expenses under Coverage C for all "bodily injury" and "property damage" arising out of any one "occurrence". 6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages for "property damage" to any one premises, while rented to you, or in the case of damage by fire, while rented to you or temporarily occupied by you with per- mission of the owner. 7. Subject to Paragraph 5. above, the Medical Ex- pense Limit is the most we will pay under Cover- age C for all medical expenses because of "bodily injury" sustained by any one person. The Limits of Insurance of this Coverage Part apply separately to each consecutive annual period and to any remaining period of less than 12 months, starting with the beginning of the policy period shown in the Declarations, unless the policy period is extended after issuance for an additional period of less than 12 months. In that case, the additional period will be deemed part of the last preceding period for purposes of determining the Limits of Insurance. SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS 1. Bankruptcy Bankruptcy or insolvency of the insured or of the insured's estate will not relieve us of our obliga- tions under this Coverage Part. 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit a. You must see to it that we are notified as soon as practicable of an "occurrence" or an offense which may result in a claim. To the extent pos- sible, notice should include: (1) How, when and where the "occurrence" or offense took place; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or damage arising out of the "occurrence" or offense. b. If a claim is made or "suit" is brought against any insured, you must: (1) Immediately record the specifics of the claim or "suit" and the date received; and (2) Notify us as soon as practicable. You must see to it that we receive written no- tice of the claim or "suit" as soon as practica- ble. c. You and any other involved insured must: (1) Immediately send us copies of any de- mands, notices, summonses or legal pa- pers received in connection with the claim or "suit"; (2) Authorize us to obtain records and other information; (3) Cooperate with us in the investigation or settlement of the claim or defense against the "suit"; and (4) Assist us, upon our request, in the en- forcement of any right against any person or organization which may be liable to the insured for injury or damage to which this insurance may also apply. d. No insured will, except at that insured's own cost, voluntarily make a payment, assume any obligation, or incur any expense, other than for first aid, without our consent. 3. Legal Action Against Us No person or organization has a right under this Coverage Part: a. To join us as a party or otherwise bring us into a "suit" asking for damages from an insured; or b. To sue us on this Coverage Part unless all of its terms have been fully complied with. A person or organization may sue us to recover on an agreed settlement or on a final judgment against an insured; but we will not be liable for damages that are not payable under the terms of this Coverage Part or that are in excess of the ap- plicable limit of insurance. An agreed settlement means a settlement and release of liability signed by us, the insured and the claimant or the claim- ant's legal representative. 4. Other Insurance If other valid and collectible insurance is available to the insured for a loss we cover under Coverag- es A or B of this Coverage Part, our obligations are limited as follows: a. Primary Insurance This insurance is primary except when Para- graph b. below applies. If this insurance is pri- mary, our obligations are not affected unless any of the other insurance is also primary. Then, we will share with all that other insur- ance by the method described in Paragraph c. below. Form 10-02-1800 (Rev. 09- Includes copyrighted material of ISO Properties, Inc., with 17) its permission 85448801 1 25-26 All + Pollution I Excl:OT3 OT4 I Jennifer Bernal 1 5/22/2025 4:29:54 PM (PDT) I Page 15 of 21 Page 11 of 16 b. Excess Insurance (1) This insurance is excess over: (a) Any of the other insurance, whether primary, excess, contingent or on any other basis: (i) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work"; (II) That is Fire insurance for premises rented to you or temporarily occu- pied by you with permission of the owner; (iii) That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises rent- ed to you or temporarily occupied by you with permission of the owner; or (iv) If the loss arises out of the mainte- nance or use of aircraft, "autos" or watercraft. c. Method Of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method al- so. Under this approach each insurer contrib- utes equal amounts until it has paid its appli- cable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable lim- it of insurance to the total applicable limits of insurance of all insurers. 5. Premium Audit (b) Any other primary insurance available to you covering liability for damages aris- ing out of the premises or operations, or the products and completed operations, for which you have been added as an additional insured. 6. (2) When this insurance is excess, we will have no duty under Coverages A or B to defend the insured against any "suit" if any other insurer has a duty to defend the insured against that "suit". If no other insurer de- fends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. (3) When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: a. We will compute all premiums for this Cover- age Part in accordance with our rules and rates. b. We may audit your books and records as they relate to this insurance at any time during the term of this policy and up to three years after- wards. c. The first Named Insured must keep records of the information we need for premium computa- tion, and send us copies at such times as we may request. Representations By accepting this policy, you agree: a. The statements in the Declarations are accu- rate and complete; b. Those statements are based upon representa- tions you made to us; and c. We have issued this policy in reliance upon your representations. 7. Separation Of Insureds (a) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (b) The total of all deductible and self - insured amounts under all that other in- surance. (4) We will share the remaining loss, if any, 8. with any other insurance that is not de- scribed in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, this in- surance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom claim is made or "suit" is brought. Transfer Or Waiver Of Rights Of Recovery Against Others To Us We will waive the right of recovery we would oth- erwise have had against another person or organ- ization, for loss to which this insurance applies, provided the insured has waived their rights of re- covery against such person or organization in a contract or agreement that is executed before such loss. Page 12 of 16 Includes copyrighted material of ISO Properties, Inc., with its permission 85448801 1 25-26 All + Pollution I Excl:OT3 OT4 I Jennifer Bernal 1 5/22/2025 4:29:54 PM (PDT) I Page 16 of 21 Form 10-02-1800 (Rev. 09-17) To the extent that the insured's rights to recover all or part of any payment made under this Cover- age Part have not been waived, those rights are transferred to us. The insured must do nothing af- ter loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. This condition does not apply to Coverage C 9. When We Do Not Renew If we decide not to renew this Coverage Part, we will mail or deliver to the first Named Insured shown in the Declarations written notice of the nonrenewal not less than 30 days before the expi- ration date. If notice is mailed, proof of mailing will be sufficient proof of notice. SECTION V — DEFINITIONS 1. "Advertisement" means an electronic, oral, written or other notice, about goods, products or services, designed for the specific purpose of attracting the general public or a specific market segment to use such goods, products or services. "Advertisement" does not include any e-mail ad- dress, Internet domain name or other electronic address or metalanguage. 2. "Advertising injury" means injury, other than "bodi- ly injury", "property damage" or "personal injury", sustained by a person or organization and caused by an offense of infringing, in that particular part of your "advertisement" about your goods, products or services, upon their: a. Copyrighted "advertisement"; or b. Registered collective mark, registered service mark or other registered trademarked name, slogan, symbol or title. 3. "Asbestos" means asbestos in any form, including its presence or use in any alloy, by-product, com- pound or other material or waste. Waste includes materials to be recycled, reconditioned or re- claimed. 4. "Auto" means: a. A land motor vehicle, trailer or semitrailer de- signed for travel on public roads, including any attached machinery or equipment; or b. Any other land vehicle that is subject to a com- pulsory or financial responsibility law or other motor vehicle insurance law where it is li- censed or principally garaged. However, "auto" does not include "mobile equip- ment". 5."Bodily injury" means physical: a. Injury; b. Sickness; or c. Disease; sustained by a person, including resulting death, humiliation, mental anguish, mental injury or shock at any time. All such loss shall be deemed to oc- cur at the time of the physical injury, sickness or disease that caused it. 6. "Coverage territory" means: a. The United States of America (including its territories and possessions), Puerto Rico and Canada; b. International waters or airspace, but only if the injury or damage occurs in the course of travel or transportation between any places included in Paragraph a. above; or c. All other parts of the world if the injury or dam- age arises out of: (1) Goods or products made or sold by you in the territory described in Paragraph a. above; (2) The activities of a person whose home is in the territory described in Paragraph a. above, but is away for a short time on your business; or (3) "Advertising injury" or "personal injury" offenses that take place through the Inter- net or similar electronic means of commu- nication provided the insured's responsibility to pay dam- ages is determined in a "suit" on the merits, in the territory described in Paragraph a. above or in a settlement we agree to. 7. "Employee" includes a "leased worker". "Employ- ee" does not include a "temporary worker". 8. "Executive officer" means a person holding any of the officer positions created by your charter, con- stitution, by-laws or any other similar governing document. 9. "Fungi" means any type or form of fungus, includ- ing mold or mildew and any mycotoxins, spores, scents or byproducts produced or released by fungi. 10."Hostile fire" means one which becomes uncontrol- lable or breaks out from where it was intended to be. 11."Impaired property" means tangible property, other than "your product" or "your work", that cannot be used or is less useful because: a. It incorporates "your product" or "your work" that is known or thought to be defective, defi- cient, inadequate or dangerous; or b. You have failed to fulfill the terms of a contract or agreement; Form 10-02-1800 (Rev. 09- Includes copyrighted material of ISO Properties, Inc., with 17) its permission 85448801 1 25-26 All + Pollution I Excl:OT3 OT4 I Jennifer Bernal 1 5/22/2025 4:29:54 PM (PDT) I Page 17 of 21 Page 13 of 16 if such property can be restored to use by the re- pair, replacement, adjustment or removal of "your product" or "your work" or your fulfilling the terms of the contract or agreement. 12."Insured contract" means: a. A contract for a lease of premises. However, that portion of the contract for a lease of prem- ises that indemnifies any person or organiza- tion for damage by fire to premises while rent- ed to you or temporarily occupied by you with permission of the owner is not an "insured con- tract"; b. A sidetrack agreement; c. Any easement or license agreement, except in connection with construction or demolition op- erations on or within 50 feet of a railroad; d. An obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a municipality; e. An elevator maintenance agreement; f. That part of any other contract or agreement pertaining to your business (including an in- demnification of a municipality in connection with work performed for a municipality) under which you assume the tort liability of another party to pay for "bodily injury" or "property damage" to a third person or organization. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. Paragraph f. does not include that part of any contract or agreement: (1) That indemnifies a railroad for "bodily inju- ry" or "property damage" arising out of con- struction or demolition operations, within 50 feet of any railroad property and affecting any railroad bridge or trestle, tracks, road- beds, tunnel, underpass or crossing; (2) That indemnifies an architect, engineer or surveyor for injury or damage arising out of: (a) Preparing, approving, or failing to pre- pare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifi- cations; or (b) Giving directions or instructions, or failing to give them, if that is the primary cause of the injury or damage; or (3) Under which the insured, if an architect, engineer or surveyor, assumes liability for an injury or damage arising out of the in- sured's rendering or failure to render pro- fessional services, including those listed in (2) above and supervisory, inspection, ar- chitectural or engineering activities. 13. "Intellectual property law or right" means any: a. Certification mark, copyright, patent or trade- mark (including collective or service marks); b. Right to, or judicial or statutory law recognizing an interest in, any trade secret or confidential or proprietary non -personal information; c. Other right to, or judicial or statutory law rec- ognizing an interest in, any expression, idea, likeness, name, slogan, style of doing busi- ness, symbol, title, trade dress or other intel- lectual property; or d. Other judicial or statutory law concerning pira- cy, passing off or similar practices. 14. "Lead" means the element lead in any form, in- cluding its presence or use in any alloy, by- product, compound or other material or waste. Waste includes materials to be recycled, recondi- tioned or reclaimed. 15. "Leased worker" means a person leased to you by a labor leasing firm under an agreement between you and the labor leasing firm, to perform duties related to the conduct of your business. "Leased worker" does not include a "temporary worker". 16."Loading or unloading" means the handling of property: a. After it is moved from the place where it is accepted for movement into or onto an aircraft, watercraft or "auto"; b. While it is in or on an aircraft, watercraft or "auto"; or c. While it is being moved from an aircraft, water- craft or "auto" to the place where it is finally de- livered; but "loading or unloading" does not include the movement of property by means of a mechanical device, other than a hand truck, that is not at- tached to the aircraft, watercraft or "auto". 17. "Mixed dust" means any combination or mixture of "asbestos" or "silica" and any other dust, fibers or particles, in any form, including any presence or use in any alloy, by-product, compound or other material or waste. Waste includes materials to be recycled, reconditioned or reclaimed. 18. "Mobile equipment" means any of the following types of land vehicles, including any attached ma- chinery or equipment: a. Bulldozers, farm machinery, forklifts and other vehicles designed for use principally off public roads; b. Vehicles maintained for use solely on or next to premises you own or rent; c. Vehicles that travel on crawler treads; Page 14 of 16 Includes copyrighted material of ISO Properties, Inc., with its permission 85448801 1 25-26 All + Pollution I Excl:OT3 OT4 I Jennifer Bernal 1 5/22/2025 4:29:54 PM (PDT) I Page 18 of 21 Form 10-02-1800 (Rev. 09-17) d. Vehicles, whether self-propelled or not, main- tained primarily to provide mobility to perma- nently mounted: (1) Power cranes, shovels, loaders, diggers or drills; or (2) Road construction or resurfacing equipment such as graders, scrapers or rollers; e. Vehicles not described in Paragraph a., b., c. or d. above that are not self-propelled and are maintained primarily to provide mobility to permanently attached equipment of the follow- ing types: (1) Air compressors, pumps and generators, including spraying, welding, building clean- ing, geophysical exploration, lighting and well servicing equipment; or (2) Cherry pickers and similar devices used to raise or lower workers; f. Vehicles not described in Paragraph a., b., c. or d. above maintained primarily for purposes other than the transportation of persons or car- go. However, self-propelled vehicles with the fol- lowing types of permanently attached equip- ment are not "mobile equipment" but will be considered "autos": (1) Equipment designed primarily for: (a) Snow removal; (b) Road maintenance, but not construction or resurfacing; or (c) Street cleaning; (2) Cherry pickers and similar devices mounted on automobile or truck chassis and used to raise or lower workers; and (3) Air compressors, pumps and generators, including spraying, welding, building clean- ing, geophysical exploration, lighting and well servicing equipment. However, "mobile equipment" does not include any land vehicles that are subject to a compulsory or financial responsibility law or other motor vehi- cle insurance law where it is licensed or principally garaged. Land vehicles subject to a compulsory or financial responsibility law or other motor vehicle insurance law are considered "autos". 19. "Occurrence" means an accident, including con- tinuous or repeated exposure to substantially the same general harmful conditions. 20. "Personal and advertising injury" means: a. "Advertising injury"; or b. Personal injury". 21. "Personal injury" means injury, other than "bodily injury", "property damage" or "advertising injury", caused by an offense of: a. False arrest, false detention or other false im- prisonment; b. Malicious prosecution; c. Wrongful entry into, wrongful eviction of a person from or other violation of a person's right of private occupancy of a dwelling, prem- ises or room that such person occupies, if committed by or on behalf of its landlord, les- sor or owner; or d. Electronic, oral, written or other publication of material that: (1) Libels or slanders a person or organiza- tion (which does not include disparage- ment of goods, products, property or ser- vices); or (2) Violates a person's right of privacy. 22."Pollutants" mean any solid, liquid, gaseous or thermal irritant or contaminant, including smoke, vapor, soot, fumes, acids, alkalis, chemicals and waste. Waste includes materials to be recycled, reconditioned or reclaimed. 23. "Prod ucts-completed operations hazard": a. Includes all "bodily injury" and "property dam- age" occurring away from premises you own or rent and arising out of "your product" or "your work" except: (1) Products that are still in your physical pos- session; or (2) Work that has not yet been completed or abandoned. However, "your work" will be deemed completed at the earliest of the fol- lowing times: (a) When all of the work called for in your contract has been completed. (b) When all of the work to be done at the job site has been completed if your con- tract calls for work at more than one job site. (c) When that part of the work done at a job site has been put to its intended use by any person or organization other than another contractor or subcontractor working on the same project. Work that may need service, maintenance, correction, repair or replacement, but which is otherwise complete, will be treated as completed. b. Does not include "bodily injury" or "property damage" arising out of: Form 10-02-1800 (Rev. 09- Includes copyrighted material of ISO Properties, Inc., with 17) its permission 85448801 1 25-26 All + Pollution I Excl:OT3 OT4 I Jennifer Bernal 1 5/22/2025 4:29:54 PM (PDT) I Page 19 of 21 Page 15 of 16 (1) The transportation of property, unless the 28."Volunteer worker" means a person who is not injury or damage arises out of a condition in your "employee", and who donates his or her work or on a vehicle not owned or operated by and acts at the direction of and within the scope of you, and that condition was created by the duties determined by you, and is not paid a fee, "loading or unloading" of that vehicle by any salary or other compensation by you or anyone insured; else for their work performed for you. (2) The existence of tools, uninstalled equip- ment or abandoned or unused materials; or (3) Products or operations for which the classi- fication, listed in the Declarations or in a policy schedule, states that products - completed operations are subject to the General Aggregate Limit. 24. "Property damage" means: a. Physical injury to tangible property, including all resulting loss of use of that property. All such loss of use shall be deemed to occur at the time of the physical injury that caused it; or b. Loss of use of tangible property that is not physically injured. All such loss of use shall be deemed to occur at the time of the "occur- rence" that caused it. For the purposes of this insurance, electronic data is not tangible property. As used in this definition, electronic data means information, facts or programs stored as or on, created or used on, or transmitted to or from com- puter software, including systems and applications software, hard or floppy disks, CD-ROMS, tapes, drives, cells, data processing devices or any other media which are used with electronically con- trolled equipment. 25. "Silica" means silica in any form (including sili- cates or other similar silicon compounds), includ- ing its presence or use in any alloy, by-product, compound or other material or waste. Waste in- cludes materials to be recycled, reconditioned or reclaimed. 26."Suit' means a civil proceeding in which damages for "bodily injury", "property damage" or "personal and advertising injury" to which this insurance ap- plies are alleged. "Suit' includes: a. An arbitration proceeding in which such dam- ages are claimed and to which the insured must submit or does submit with our consent; or b. Any other alternative dispute resolution pro- ceeding in which such damages are claimed and to which the insured submits with our con- sent. 27. "Temporary worker" means a person who is fur- nished to you to substitute for a permanent "em- ployee" on leave or to meet seasonal or short-term workload conditions. 29. "Your product": a. Means: (1) Any goods or products, other than real property, manufactured, sold, handled, dis- tributed or disposed of by: (a) You; (b) Others trading under your name; or (c) A person or organization whose busi- ness or assets you have acquired; and (2) Containers (other than vehicles), materials, parts or equipment furnished in connection with such goods or products. b. Includes: (1) Warranties or representations made at any time with respect to the fitness, quality, du- rability, performance or use of "your prod- uct"; and (2) The providing of or failure to provide warn- ings or instructions. c. Does not include vending machines or other property rented to or located for the use of oth- ers but not sold. 30. "Your work": a. Means: (1) Work or operations performed by you or on your behalf; and (2) Materials, parts or equipment furnished in connection with such work or operations. b. Includes: (1) Warranties or representations made at any time with respect to the fitness, quality, du- rability, performance or use of "your work", and (2) The providing of or failure to provide warn- ings or instructions. Page 16 of 16 Includes copyrighted material of ISO Properties, Inc., with its permission 85448801 1 25-26 All + Pollution I Excl:OT3 OT4 I Jennifer Bernal 1 5/22/2025 4:29:54 PM (PDT) I Page 20 of 21 Form 10-02-1800 (Rev. 09-17) Workers' Compensation and Employers' Liability Policy Named Insured J&J Brothers Construction Company Inc DBA: Jones Bros Construction Company Endorsement Number Policy Number Symbol: Number: 54326829 Policy Period 01/01/2025 01/01/2026 Effective Date of Endorsement 5/22/2025 Issued By (Name of Insurance Company) Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. CALIFORNIA WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in Item 3.A. of the Information Page. 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, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule, where you are required by a written contract to obtain this waiver from us. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. Schedule 1. (❑) Specific Waiver Name of person or organization (®) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: 3. Premium: The premium charge for this endorsement shall be 1 % percent of the California premium developed on payroll in connection with work performed for the above person(s) or organization(s) arising out of the operations described. 4. Minimum Premium: Authorized Representative WC 90 03 75 (05/18) 85448801 1 25-26 All + Pollution I Excl:OT3 OT4 I Jennifer Bernal 1 5/22/2025 4:29:54 PM (PDT) I Page 21 of 21