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ENC2025-0088
ta Qa�fra ENCROACHMENT PERMIT PUBLIC WORKS CONSTRUCTION For the construction of public or private curbs, driveways, pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and/or APPROVED SUBDIVISIONS. DATE: 10/7/2025 LOCATION AND CONSTRUCTION: 46896 JEFFERSON AVE.: JEFFERSON ST & CA-111 PURPOSE OF CONSTRUCTION: PLACE SIGNS AND CONES WITHIN CITY OF LA QUINTA RIGHT OF WAY TO ACCESS FACILITIES WITHIN CITY OF INDIO DESCRIPTION OF CONSTRUCTION: FRONTIER 70058-5391339: PLACE SIGNS AND CONES TO ACCESS FACILITIES WITHIN CITY OF INDIO TO SERVICE A CUSTOMER LOCATED AT 46896 JEFFERSON APROXIMATE TIME WHEN WORK WILL BEGIN: 10/28/2025 DATE OF COMPLETION: 12/15/2025 COMMENTS: THIS ENCROACHMENT PERMIT IS FOR WORK AND/OR TRAFFIC CONTROL WITHIN THE CITY OF LA QUINTA ONLY In consideration of the granting of this permit, the applicant hereby agrees to: Indemnify, defend and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and all penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or property happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to this application. Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started at (760) 777- 7097. To submit an inspection request, leave a message on the Inspection Request Hotline at (760) 777-7097 prior to 1:30 P.M. at least twenty-four (24) hours prior to the anticipated inspection. Comply with all applicable City Ordinances, the terms and conditions of the permit and all applicable rules and regulations of the City of La Quinta and to pay for any additional replacement necessary as the result of this work. MOUNTAIN TOP COMM SERVICES 1902 ORANGE TREE LN, STE 140 Debbie Williams REDLANDS, CA 92376 (909) 748-1246 Name of Applicant Business Address Telephone No. 1326 N. Market St Sacramento, CA TAK Broadband CA, LLC 95834 (605) 362-6630 Name of Contractor 1042947 Contractor's License No. Stonington Insurance Company Applicant's Insurance Company Business Address FEES Traffic Control $800.00 Technology Enhancement Fee $40.00 Total: $840.00 Telephone No. LIC-0773567-2025 City Business License No. 175000044 Policy Number PERMIT NO: ENC2025-0088 DATE ISSUED: 10/27/2025 EXPIRATION DATE: 10/27/2026 BY: Amy Yu If the work is covered by a Subdivision Improvement Agreement, Subdivider shall request final acceptance of improvements from the City Council. 10/27/2025 2:11:22 PM ®1 M 2 °° TRAFFIC CONTROL PLANS TILE LA Q UINTA, CA WARNING SIGNS 1224 Ln) MISCELLANEOUS DEVICES �6'� `36'n) 6c' ROAD s END LANE � RIGHT LANE kW20-513 WORK ROAD WORK CLOSED MUST_AHEAD G20-2 TURN RIGHT m ��W20-1 W12-1 C30(CA) R3.7R r0 m (O m (O `~ (O (0 (D .0 ;O ;O CO r0 (O (0 m i0 m P/0 P (30in) (30 in) </��Q 0 0/ �/1� r�s �/C�� f -� SIDEWALK CLOSED SIDEWALK CLOSED S BINE ��/ �6`7 m m co RIGHT CROSS HERE CROSS HERE L° E SCLOSED wn• m SIDEWALK — cLoseD CLOSED � Ra"fLn R9-11A (LT)— R9-12 IA21-5AR CLOSED f30 in) wtrrt ITTAII��;. R9- WI1.1 ASSEMBLY - CA TYPE N-3 (24 m) u TRAFFIC CONE OBJECT MARKER (OM1-3) �. 2-" HIGH LEVEL WARNING DEVICE (TYP.) FLASHING ARROW SIGN TRAILER (TYP,) (HLWD) (FAS) WORK HOURS: 9AM - 2PM WORK DATES: 12/1/25 - 12/18/25 ACTUAL WORK DAYS: 2 2 c i+ 1,-n„ ALL WORK ZONE TRAFFIC CONTROL SIGNS AND MARKINGS ARE TO BE REMOVED AT THE END OF THE DAY TYPE 1 BARRICADE NOTE: 1.ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN ACCORDANCE WITH THE 2014 CALIFORNIA MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES (CALIFORNIA M U.T.0 D) 2. TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED ADDITIONAL TRAFFIC CONTROL MAY BE REQUIRED TO FACILITATE PUBLIC SAFETY AND TRAFFIC FLOW IF DEEMED NECESSARY BY CITY OF LA QUINTA REPRESENTATIVE, 3. THROUGHOUT EACH WORK PERIOD, CONTRACTOR SHALL INSPECT TRAFFIC CONTROL (SIGNS, BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN ACCORDANCE WITH TRAFFIC CONTROL PLANS. 4. CONTRACTOR SHALL MAINTAIN A MINIMUM 10' (12- TYP.) TRAFFIC LANE WIDTH AT ALL TIMES. THERE SHALL BE A MINIMUM 2' BETWEEN THE EDGE OF CUT AND THE NEAREST TRAFFIC LANE 5. ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED AT ALL TIMES 6. THIS TRAFFIC CONTROL SHALL BE IN PLACE DURING WORK HOURS ONLY. AT THE END OF WORK HOURS, THE ROAD SHALL BE CLEAR OF DEBRIS AND TRAFFIC RETURNED TO NORMAL 7. CLOSURE HOURS TO COINCIDE WITH WORK HOURS 9AM-2PM . NO NOTIFY TRAFFIC SIGNAL MAINTENANCE STAFF 48 HOURS BEFORE TRAFFIC SIGNALS OPERATIONS HAVE TO BE MOTIFIED, TURNED OFF OR PUT INTO FLASHING OPERATION DETAIL SHEET LEGEND —'* EXISTING TURN ONLY EXISTING NO TURN LANE S- TRAFFIC SIGNAL — TRAFFIC FLOW DIRECTION FTR ENG'NEER: LENNIE GREEN 626-372-0634 Traffic Cone ® Work Area FTR INSPECTOR: MIKE REDDING 760-342-1240 O Temporary Sign Work Vehicle FRONTIER 411111111111111111 Direction of Travel S O Signalized Intersection E) -e-e • %={ Flashing Arrow Sign (FAS) Type III Barricade with sign WORKSITE TRAFFIC CONTROL PLAN FAS Support or Trailer SITE SPECIFIC ® Portable Flashing Beacon HLWD High Level Warning Device "tOJE`7'DMESS �a 0058-5391339 PR08CT ADDRESS .IF FFF RSON ST R CA-711 IFFFFR,;ON'; Q b Flagger CONE SPACING TO BE 25' MAXIMUM VICINITY MAP NOT TO SCALE F—� TYPE III BARRICADE W/ SIGN F-� TYPE III BARRICADE W/O SIGN �( TYPE II BARRICADE W/ SIGN �( TYPE II BARRICADE W/O SIGN • CHANNELIZING DEVICE T TRAFFIC CONE WITH SLIP ON SIGN SIGN SO SIGNALIZED INTERSECTION ••••• [FAS] ARROW PANEL (FLASHING ARROW) HIGH LEVEL WARNING DEVICE (FLAGTREE) (OPTIONAL) FLAGGER ® WORK ZONE (ACTIVITY AREA) LIMITS DIRECTION OF TRAFFIC (NOT PAVEMENT MARKING) m mm m m mm m > » U U U U L-Ozm I [ Dtl3Htl I I I Otl021>180m �T IEND I i ROAD WORK Z Z I G20-2 U)�� I I IL 10 CI I TX3' HUB lO I LOCATION L0 7 L0 I Y Q Lu V I I I 0 of Q ® I 0I IQ I LANE CLOSED[Lel D CA)10 11-11- I I z I O o la ILL O IY } Im I I LL Z U 12'I LANE 05 00 I CLOSED I I U� I t I C30(CA) I MATCHLINE A SEE SHEET 2 nnAA// eN *-O�g W H 0 60' 120' SCALE: 1 "=60' TMeOIcal Cence: 6._ "-'Nalq iemcez �Te�coz Gwvalerz Vdley Meat MetkM V mn F: 9 ADDRESS NEAREST TO WORK LOCATION: 80120 CA-111 #1, Indio, CA 92201 MAXIMUM CHANNELIZER SPACING SPEED (MPH) TAPER (FT) TANGENT (FT) CONFLICT (FT) 55 55, 110' 27' FTR ENGINEER: LENNIE GREEN 626-372-0634 FTR INSPECTOR: MIKE REDDING 760-342-1240 FRONTIER WORKSITE TRAFFIC CONTROL PLAN SITE SPECIFIC PROJECT ID I WORK ORDER. 70058-5391339 PROJECT ADDRESS: JEFFERSON ST & CA-111 CITY, STATE: LA QUINTA, CA DATE: 10912025 SCALE: NOT TO SCALE SHEET: 2 OF4 DRAWN BY: mm��m�LL 10 HWY 111 (50 MPH) Y O N O� O' wa CURB CURB CURB CURB 350' SIGN SPACING LEGEND o\/ F—� TYPE III BARRICADE W/ SIGN r� F-� TYPE III BARRICADE W/O SIGN >=( TYPE II BARRICADE W/ SIGN �( TYPE II BARRICADE W/O SIGN V) • CHANNELIZING DEVICE T TRAFFIC CONE WITH SLIP ON SIGN N _lFI SIGN SO SIGNALIZED INTERSECTION Z ;Y•••• [FAS] ARROW PANEL (FLASHING ARROW) 01-1 HIGH LEVEL WARNING DEVICE (FLAGTREE) (OPTIONAL) Ld � FLAGGER � ® WORK ZONE (ACTIVITY AREA) LIMITS DIRECTION OF TRAFFIC (NOT PAVEMENT MARKING) MATCHLINE A SEE SHEET � I 0 L L L 10 I J o 10 TI I° I° I Y Q ❑ LL O MH Q LOCATION L J111 Y W 12'J QW11-1 IIzO mW can SH RE M Of O � W16-N W W11-1 ASSEMBLY LL LL 0 Off=• o m 350' SIGN SPACING I D/W SIDEWALK CITY OF LA QUINTA O S CITY OF INDIO 1 O 40 V,VAV1 O LANE CLOSED C30(CA) C W Q MATCHLINE B SEE ABOVE RIGHT MATCHLINE B SEE BELOW LEFT CURB CURB CURB J a w 0 co CURB Z-OZs N210M OVO?J T I ' ON3 z Q 0 w 2 W a U U) z g 0IIIf r W12-1 W N J zo z DO z Q O U m m :(1 RIGHT LANE '�- MUST Z o TURN RIGHT � R3-7R m .Z) `1 w O LO L0 u H (A Z 0 Of L� L.� w� 0 W11-1 0 W16-1 SHARE THE ROAD W11-1 ASSEMBLY i c� ZZ (DaLO I� 0 Z Z W4-2R CD Ln Q cl) RIGHT LANE � CLOSED Z Z AHEAD 120(RT) LO d = UJ *W20-1 VICINITY MAP NOT TO SCALE e �T�coz Gwval¢ mn Vdley Meat MetkM V — a a ADDRESS NEAREST TO WORK LOCATION: 80120 CA-111 #1, Indio, CA 92201 ,,�AA// eN *-O�g 9 W D 0 60' 120' SCALE: 1 "=60' MAXIMUM CHANNELIZER SPACING SPEED (MPH) TAPER (FT) TANGENT (FT) CONFLICT (FT) 55 55, 110' 27' FTR ENGINEER: LENNIE GREEN 626-372-0634 FTR INSPECTOR: MIKE REDDING 760-342-1240 FRONTIER WORKSITE TRAFFIC CONTROL PLAN SITE SPECIFIC PROJECT ID I WORK ORDER. 70058-5391339 PROJECT ADDRESS: JEFFERSON ST & CA-111 CITY, STATE: LA QUINTA, CA DATE: 10912025 SCALE: 1 "=6O' SHEET: 3 OF4 DRAWN BY: mm��m�LL 10 CONSTRUCTION NOTE: ALL DRIVEWAYS TO REMAIN OPEN (WHENEVER POSSIBLE) THROUGHOUT TRAFFIC CONTROL ZONE. CA MUTCD (California Manual on Uniform Traffic Control Devices) Approved by the Federal Highway Administrator as the National Standard in accordance with Title 23 U.S. Code, Sections 109(d),114(a), 217,315, and 402(a), 23 CFR 655, and 49 CFR 1.48(b)(8), 1.48(b)(33), and 1.48(c)(2). NO ROAD LANE TURN WOAD CLOSED ON RED RIGHT LANE TURN RIGHT 1% W20-1 C30(CA) W4-2R R10-11 = a R3-7R VI112-1 LID END /- RIGHT�LANE SIDEWALK ROAD WORK vJ W11-1 CLOSED CLOSED SIDEWAHEADCLOSED z G20-2 AHEAD R9-9 CROSS o z R9-11(J) w Y SHARE W16-1 W20-5 BIKE U- m THE ROAD INTERCHANGEABLE WITH LU —� (USE IF APPLICABLE) C20A(CA) LANE CLOSED t R9-12 G20-2 LANDSCAPED MEDIAN LEGEND F—� TYPE III BARRICADE W/ SIGN F-� TYPE III BARRICADE W/O SIGN �( TYPE II BARRICADE W/ SIGN �( TYPE II BARRICADE W/O SIGN • CHANNELIZING DEVICE BIKE LANE T TRAFFIC CONE WITH SLIP ON SIGN W20-1 W20.5 W4.2R W11-1 I T SIGN W16-1 SO SIGNALIZED INTERSECTION 350' 350' 350' ••••• [FAS] ARROW PANEL (FLASHING ARROW) SIGN SIGN SIGN SPACING SPACING SPACING HIGH LEVEL WARNING DEVICE (FLAGTREE) (OPTIONAL) FLAGGER ® WORK ZONE (ACTIVITY AREA) LIMITS DIRECTION OF TRAFFIC (NOT PAVEMENT MARKING) CA-111 (45 MPH J J J J J N W121 F • C J(CA) f R3-7R SIDEWALK R3-7RF 90, URB OPENING 540' MERGING TAPER 0 K t CITY OF LA QUINTA r O CITY OF t I0IU[0 N W16-1 P R9-12 C30(CA) R9-11(J) ♦I h h a 83' TO C/L fffm o z � z U � a M U7 Z 0 In WORK AREA CONSTRUCTION NOTES 1. WORK CREW TO MAINTAIN 4' MIN. WALKWAY OR ASSIST PEDESTRIANS AROUND WORK AREA WHEN NECESSARY. 2. WORK CREW TO COORDINATE WORK WITH PROPERTY OWNERS WHEN NECESSARY. 3. WORK HOURS ARE AS FOLLOWS 08:30 A.M. TO 3:30 P.M. 4. IF A SCHOOL IS IN PROXIMITY OF THE WORK AREA, WORK HOURS ARE AS FOLLOWS 09:00 A.M. TO 2:30 P.M. 5. WHEN PERFORMING WORK ON ROADWAYS DESIGNATED AS A BIKE ROUTE OR WHERE SEPARATE BIKE LANES ARE PRESENT, SPECIAL ATTENTION SHALL BE GIVEN TO BICYCLISTS. 6. WORK CREW TO ADJUST TRAFFIC CONTROL PER FIELD CONDITIONS. 7. REFERENCE CA MUTCD (DWG NO. 22) MODIFIED FOR THIS TCP. 350' SIGN SPACING L L 57' TO C/L r r LANDSCAPED MEDIAN BIKE LANE -j R9-9 SIDEWALK BUS STO G20-2 MH#754 LOCATION ADDRESS NEAREST TO WORK LOCATION: 80225 CA-111, INDIO, CA 92201 Vpr �e' 9 w Qf MAXIMUM CHANNELIZER SPACING SPEED (MPH) TAPER (FT) TANGENT (FT) CONFLICT (FT) 45 45' 90, 22' FRONTIER WORKSITE TRAFFIC CONTROL PLAN WORK BEYOND INTERSECTION (RIGHT LANE) PROJECT ID I WORK ORDER. 70058-5391339 PROJECT ADDRESS: CA-111 & JEFFERSON ST CITY, STATE, LA QUINTA, CA DATE: 10912025 SCALE: NOT TO SCALE SHEET: DRAWN BY: communxmwn sawm uc 4 OF 4 CA MUTCD DRAWING NO. 22 City of La Quinta The following General and Special Provisions are attached to and made a part of Permit Number ENC2025-0088 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. 1. 2. a Q PERMIT NO. ENC2025-0088 Frontier 70058-5391339/ Traffic control signs in City La Quinta's jurisdiction; Work within City of Indio/ Jefferson St and Hwy 111 In addition to the standard permit conditions, the following shall apply: Pursuant to Section 14.16.320 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), all work shall be performed in accordance with the latest edition of the Standard Specifications for Public Works Construction (SSPWC) and as directed by and to the satisfaction of the City Engineer. 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 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. Frontier California Inc, 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 responsible for obtaining a valid separate permit from other Cities, County jurisdictions, or other agencies if any of the work or traffic control devices extend into the other Cities, County, or agencies right of way. 7. This permit is for work within the R/W only. The permittee shall obtain written approval from the private landowner for any work or improvements on private property. The City of La Quinta reserves the right to require modifications of the work be made at permittee's sole cost for further modifications as it relates to any sight distance concerns and/or improvement plan requirements as required by the City Engineer. 9. Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance 18 § 1,1982), throughout the work site, the Permittee shall comply with City regulated work hours. Operation and maintenance of equipment within one-half mile of human occupancy shall be performed only during the following time periods: October 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 (i.e. any 4 lane street) before 8:00 a.m. Special Conditions Page 1 of 5 PERMIT NO. ENC2025-0088 Frontier 70058-5391339/ Traffic control signs in City La Quinta's jurisdiction; Work within City of Indio/ Jefferson St and Hwy 111 10. Work within 500 feet of a signalized intersection shall be performed between the hours of 9 a.m. - 3 p.m. Traffic control shall be set up after 9 a.m. and removed before 3 p.m. The Permittee shall contact the City Traffic Signal Maintenance Division at (760) 777-7070 if signal operation at the intersection is to be altered in any way. 11. Pursuant to Section 14.16.250 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 with 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. The permittee and/or contractor placing engineered fill must provide adequate time and safety for the Geotechnical Engineer of Record to perform soils testing during engineered fill placement. The testing frequency shall be determined by the Geotechnical Engineer of Record such that the fill can be determined to be placed according to the city approved plans. 13. Pursuant to Section 14.16.110 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), Permittee shall assume responsibility for repair of any pavement damage to any public or private street and for any damage to other City streets or facilities as a result of work performed under this permit. 14. This permit is not valid until the permittee submits, to the Public Works Department 2 weeks prior to start of construction, a letter from any owners of the driveways/access ways that will be closed down due to the construction. The letter must be approved by the city and at minimum state from the owner the following: A. Approval of the construction B. Plan identification C. Time Frame of Closure D. Alternative Routes 15. Any land on which Williamson Act contracts apply shall remain undisturbed. 16. The permittee shall place temporary no parking signs along the parking area affected by the construction. The signs shall be placed along the area 48hrs prior to the start of closing the area, and removed immediately after the construction completion date. Special Conditions Page 2 of 5 PERMIT NO. ENC2025-0088 Frontier 70058-5391339/ Traffic control signs in City La Quinta's jurisdiction; Work within City of Indio/ Jefferson St and Hwy 111 17. Prior to excavating, if required, the Permittee shall contact Underground Service Alert at 811. It shall be the Permittee's responsibility to notify the Public Works Department of anticipated excavation which impact City facilities, including but not limited to traffic signal conduits and loops, irrigation lines, electrical conduits, and storm drain facilities. 18. 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. 19. 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, 5t' Edition" or latest, in the installation of all appurtenances abutting and within the public street right-of-way. 20. The permittee shall be responsible for calling the city inspector to arrange the city inspector to observe random trench compaction testing performed by a city approved material testing firm. If the inspector's phone number is unknown, the permittee shall call the Public Works front counter phone at 777-7075 or the Associate Engineer at 777-7047 to determine the city inspector's phone number. The inspector shall determine the number and location of the test location/s. The above testing does not relieve the permittee's responsibility for future repairs due to settlement at and near the locations of the work area. Materials testing must be performed under direct supervision of a California Registered Civil Engineer. 21. The issuance of this permit and the City approval of the related construction improvement plans do not provide a vested entitlement for all design parameters that may have been utilized for the plans. As such, plans approved for this permit may be "at risk" for further modifications as it relates to any follow up improvement plan requirements as required by the city or existing errors & omissions by the architect or engineer of record. 22. 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 23. 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. 24. 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. Special Conditions Page 3 of 5 PERMIT NO. ENC2025-0088 Frontier 70058-5391339/ Traffic control signs in City La Quinta's jurisdiction; Work within City of Indio/ Jefferson St and Hwy 111 25. 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. 26. If traffic lanes are closed on an any Arterial street (any street with more than 2 lanes) within the City of La Quinta right of way, The permittee is required to provide an informative message board (approved by the City Engineer). It shall inform 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. The board does not have to be electrical or solar powered. 27. 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. Special Conditions Page 4 of 5 PERMIT NO. ENC2025-0088 Frontier 70058-5391339/ Traffic control signs in City La Quinta's jurisdiction; Work within City of Indio/ Jefferson St and Hwy 111 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. 28. 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. 29. All landscaping, irrigation, decorative rock, decorative concrete, lighting, sidewalk, etc., shall be replaced to its original condition. 30. Access and egress to all local properties shall be maintained at all times. 31. Permittee shall permanently stabilize any and all soil that was disturbed as a result of work performed under this permit with an approved dust control treatment. Soil stabilization shall be done immediately after completing the operation. 32. Pursuant to Chapter 12.56 of the La Quinta Municipal Code (Ordinance 10 § I (part), 1982) the City has designated certain city streets as Truck Routes. The weight limit for restricted streets (i.e., streets not part of the Truck Route network) is three (3) tons; trucks exceeding the weight limit may use a restricted street if making a delivery or pickup on the subject street, or if this permit specifically grants permission to use the street to deliver street construction materials and/or equipment. 33. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time. 34. 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. 35. 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. Special Conditions Page 5 of 5 DATE (M—DlYYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE L/ 1 /2026 10/2 3!2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Lockton Companies, LLC CONTACT NAME: DBA Lockton Insurance Brokers. I. LC in CA PHONE FAX (Al', IC ..I: CA license #OFI $767 E-MAIL 444 W 47th St., Ste 900 ADDRESS: Kansas City'1064112-1906 INSURERS AFFORDING COVERAGE NAIC 9 (816)960-9000 kcasualockton.coin INSURER A:Stonington_IRSurance_Company 10340 INSURED TAK BROADBAND CA, LLC wsURERB:North Pointe Insurance Com any 27740 1544437 1326 N. MARKET S FREE I INSURER C : Indian Harbor Insurance Com any 36940 SACRAM EN 1'0. CA 95834 INSURER D: BElnsuranceCor oration 39217 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: YYYYYYY. 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 I= SUBR POLICY NUMBER EFF MMIDDPOLICY/YYYY Y EXP MMIDDIYYYY LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS-MADE � OCCUR N N 175000044 1 1 _o�2 - � _ 11 206 EACH OCCURRENCE $ 1,000,000 ED- PREMISES jEa occurrence $ 1,000,000 MED EXP (Any one person) S 15,000 _ PERSONAL & ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY 1:1 JECTPRO- PRO- LOC PRODUCTS - COMPIOP AGG S 2,000,000 S OTHER: B AUTOMOBILE LIABILITY N N 165000047 111;2025 1 1r2026 EaacadeD1 INGLE LIMIT S 2 000 000 X BODILY INJURY (Per person) S XXXXXXX ANY AUTO OWNE ONLY SCHEDULED AUTOS BODILY,NXJRY(PeraccidenU S XXXXXXX PROPER'Y PeraccidentDAMAfE S XXXXXXX HIRED AUTOS ONLY AUUTOSONLYD SXXXXXXX D X UMBRELLA LIAR j( OCCUR N N 195000038 1/1,2025 11,1026 EACHOCC„RRENCE S 10,000,000 AGGREGATF S 10,000,000 EXCESS LIAR CLAIMS -MADE DED I }( I RETENTIONS 10.000 S XXXXXXX A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORrPARTNERrEXECUTIVE YIN OFFICEWMEMBER EXCLUDED? N (Mandatory in NH) NIA N I SjO000047 1� 1.2025 1i 1�2016 I PER X STATUTE ERH E.L. EACH ACCIDENT $ 1 000 000 E L. DISEASE - EA EMPLOYEE $ 1 000 000 II Yes, descnbe under DESCRIPTION OF OPERATIONS below E L. DISEASE - POLICY LIMIT $ 1,000,000 C N N PECO06187502 11+2025 L'V2026 EACH OCC: 5,000,000 PROFESSIONALIPOLLUTION AGG: 5,000,000 RETENTION: 25,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CFRTIFICATF HOLDER CANCFI t ATION Ree Attachment, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 22536472 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of l,a Quinta 78-495 Calle'[ampico AUTHORIZED REPRESENTATIV La Quinta CA 92253 I �'1 ©1988L2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Attachment Code: D648970 Master ill: 1544437, Certificate ID: 22536472 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other (2) You have agreed in writing in a contract or Insurance Condition and supersedes any agreement that this insurance would be primary and provision to the contrary: would not seek contribution from any other Primary And Noncontributory Insurance insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 04 13 ©Insurance Services Office, Inc 2012 Page 1 of 1 Attachment Code: D645010 Masser ID: 1544437. Certificate ID: 22536472 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Contract or Waiver Waiver Type State Entity Name Project Number Description of work Premium Any person or organization for whom you perform work under a written contract if the contract required you to obtain this agreement from us, but only if the contract is executed prior to the injury or damage occurring. Blanket For a blanket Waiver, you have agreed to execute a waiver of your right to recover from any person or organization. However, for purposes of work performed by the employer in Missouri, this waiver of subrogation does not apply to any construction group of classifications as designated by the waiver of right to recover from others (subrogation) rule in our manual. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 01/01/2025 Policy No. 155000047 Endorsement No 000 Insured TAK Broadband LLC Premium Insurance Company: STONINGTON INSURANCE COMPANY Countersigned by WC 00 03 13 (E D. 4-84 ) Attachment Code: D645067 Master ID 15-14437. Certificate ID:22536472 POLICY NUMBER: 175000044 COMMERCIAL AUTO CA20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is Indicated below. Named Insured TAK Broadband LLC Endorsement Effective Date, 01/01/2025 SCHEDULE Name Of Person(s) Or Organization(s): Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.I. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 PAGE 1 OF 1 Attachment Code: D644973 Master ID: 1544437. Certificate ID: 22536472 QBEWORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONALINSURED-OWNERS, LESSEES OR CONTRACTORS -COMPLETED OPERATIONS (07-04) Name of Insured: TAK Broadband, LLC Policy Number: 175000044 Endorsement Number: GL-OC-2055 (08-20) Effective Date of Endorsement: 01/01/2025 Name of Insurer: STONINGTON INSURANCE COMPANY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM (OCCURRENCE VERSION) SCHEDULE Name Of Additional Insured Person(s) person or organization you are required or a written contract or agreement in ect prior to loss or damage to add as an itional insured to this policy. Location And Description Of Completed Operations location where you are performing rations and you are required to add the son organization described in Name Of itional Insured Person(s) Or anizatxon(s) of this SCHEDULE as an itional insured. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section 11 - 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". All other terms and conditions of this policy remain unchanged. GL-OC2055 (08-20) Page 1 of 1 Attachment Code: D652471 Master ID: 1544437. Certificate ID: 22536472 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE ENHANCEMENT Name of Insured: TAK Broadband LLC Policy Number: 165000047 Endorsement Number: CA-BA-2003 12-20 Effective Date of Endorsement: 1/1/202S Name of Insurer: NORTH POINTE INSURANCE COMPANY This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM PRELIMINARY STATEMENT - This endorsement broadens coverage provided under the Coverage Form. However, further limitations and exclusions may apply to these coverages. Read all provisions of this endorsement and the entire policy carefully to determine all rights, duties, coverages and limitations provided. A. BROADENED WHO IS AN INSURED B. NEWLY ACQUIRED OR FORMED ORGANIZATIONS C. LIABILITY COVERAGE EXTENSIONS SUPPLEMENTARY PAYMENTS D. FELLOW EMPLOYEE COVERAGE E. POLLUTION LIABILITY - BROADENED COVERAGE FOR COVERED AUTOS F. EXTENDED TOWING G. PHYSICAL DAMAGE COVERAGE EXTENSIONS H. RENTAL REIMBURSMENT I. AIRBAG COVERAGE J. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT K. TAPES, RECORDS AND DISCS COVERAGE L. PHYSICAL DAMAGE DEDUCTIBLE- SINGLE DEDUCTIBLE AND GLASS REPAIR M. PERSONAL EFFECTS COVERAGE N. LOAN/LEASE PAYOFF COVERAGE O, CUSTOM SIGNS AND DECORATIONS P. HIRED AUTO PHYSICAL DAMAGE Q. EXTENDED EMPLOYEE HIRED AUTO PHYSICAL DAMAGE R. EXTRA EXPENSE- STOLEN AUTOS S. DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT, OR LOSS T. WAIVER OF SUBROGATION U. CANCELLATION CONDITION V. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS W. POLICY PERIOD, COVERAGE TERRITORY X. DEFINITION OF BODILY INJURY AMENDED Includes copyrighted material of Insurance Services Offce Inc., CA-BA-2003 (12-20) Atlachment Code: D652471 Master ID: 1544437. Certificate 11): 22536472 PROVISIONS A. BROADENED WHO IS AN INSURED A. LIABILITY COVERAGE EXTENSIONS SECTION II - COVERED AUTOS LIABILITY SUPPLEMENTARY PAYMENTS COVERAGE, A. Coverage, 1. Who Is An SECTION II - COVERED AUTOS LIABILITY Insured is amended by the addition of the COVERAGE, A. Coverage, 2. Coverage following: Extensions, a. Supplementary Payments, Employees As Insureds Paragraphs (2) and (4) are replaced by the following Any "employee" of yours is an "insured" while using (2) Up to $5,000 for the cost of bail bonds (including a covered "auto" you don't own, hire or borrow in bonds for related traffic law violations) required your business or your personal affairs. because of an "accident" we cover. We do not have to furnish these bonds. Employee Hired Auto Any "employee" of yours is an "insured" while using an "auto" hired or rented under a contract or agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business. Additional Insured By Written Contract Any person or organization to whom you are required by a written contract or agreement to provide additional insured status is an "insured" under Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under Section II.A.1. Who Is An insured of this Coverage Form. The written contract or agreement must be in effect during the policy period shown in the Declarations and must have been executed prior to the "bodily injury" or "property damage". B. NEWLY ACQUIRED OR FORMED ORGANIZATIONS Throughout this policy, the words "you" and "your" also refer to any subsidiary organization you newly acquire or form and over which you maintain 50% or more ownership interest, but only if there is no similar insurance available to that organization. However: 1. "Insured" does not include any subsidiary organization where similar insurance is unavailable because the organization has exhausted that policy's limits of insurance or the other carrier has become insolvent. 2. The coverage does not apply to an "accident" which occurred prior to your acquisition or formation of the organization. 3. Unless you notify us to add coverage to your policy, the coverage under this provision is afforded only until: a. The 180th day after you acquire or form the organization, or (4) All reasonable expenses incurred by the "insured" at our request, including actual foss of earnings up to $500 a day because of time off from work. B. FELLOW EMPLOYEE COVERAGE SECTION II - COVERED AUTOS LIABILITY COVERAGE, B. Exclusions, 5. Fellow Employee does not apply if the "bodily injury" results from the use of a covered "auto" you own or hire that is not a bus, motorcycle or van used to transport "employees". This Fellow Employee Coverage is excess over any other collectible insurance. C. POLLUTION LIABILITY - BROADENED COVERAGE FOR COVERED AUTOS 1. SECTION II - COVERED AUTOS LIABILITY COVERAGE, B. Exclusions is amended as follows. a. 11. Pollution, Paragraph a. applies only to liability assumed under a contract or agreement. a With respect to the coverage afforded by Paragraph i.a. above, 6. Care, Custody Or Control does not apply. 2. Changes in Definitions For the purposes of this endorsement, SECTION V - DEFINITIONS, Paragraph D. is replaced by the following: D. "Covered pollution cost or expense" means any cost or expense arising out of: i. Any 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 disablement. The most we will pay under this Extended Towing coverage is $750 per occurrence. No deductible applies to this coverage. Includes copyrighted material of Insurance Services Office, Inc., CA-BA-2003 (12-20) Attachment Code: D652471 Master ID: 1544437. Certificate ID: 22536472 b. The end of the policy period, whichever is earlier. 2. Any claim or "suit" by or on behalf of a governmental authority for damages because of testing for, monitoring, cleaning up, removing, containing, treating, detoxifying or neutralizing, or in any way responding to or assessing the effects of 'pollutants". "Covered pollution cost or expense" does not include any cost or expense arising out of the actual, alleged or threatened discharge, dispersal, seepage, migration, release or escape of "pollutants": A. Before the "pollutants" or any property in which the "pollutants" are contained are moved from the place where they are accepted by the "insured" for movement into or onto the covered "auto"; or G. PHYSICAL DAMAGE COVERAGE EXTENSIONS SECTION III - PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions is amended as follows: a. Transportation Expenses The amount we will pay for temporary transportation expense is increased to $75 per day to a maximum of $3,000. b. Loss of Use Expenses b. After the "pollutants" or any property in which the ..pollutants" are contained are moved from the covered "auto" to the place where they are finally delivered, disposed of or abandoned by the "insured". Paragraphs a. and b. above do not apply to "accidents" that occur away from premises owned by or rented to an "insured" with respect to "pollutants" not in or upon a covered "auto" if: 1 The "pollutants" or any property in which the "pollutants" are contained are upset, overturned or damaged as a result of the maintenance or use of a a. covered "auto"; and 2 The discharge, dispersal, seepage, migration, release or escape of the "pollutants" is caused directly by such upset, overturn or damage. This Pollution Liability Coverage is subject to an Annual Aggregate Limit of Liability of $100,000. F. EXTENDED TOWING The amount we will pay for loss of use is increased to $75 per day and to a maximum limit of $1,000, H. RENTAL REIMBURSEMENT 1. This coverage applies only to a covered "auto" described or designated in the Schedule or in the Declarations as carrying physical damage coverage. 2. We will pay for rental reimbursement expenses incurred by you for the rental of an "auto" because of "loss" to a covered "auto". Payment applies in addition to the otherwise applicable amount of coverage you have on each covered "auto". 3. We will pay only for those expenses incurred during the policy period beginning 24 hours after the "loss" and ending, regardless of the policy's expiration, with the lesser of the following number of days: The number of days reasonably required to repair or replace the covered "auto". If "loss" is caused by theft, this number of days is added to the number of days it takes to locate the covered "auto" and return it to you; or b. 30 days. 4. Our payment is limited to the lesser of the following amounts: SECTION III - PHYSICAL DAMAGE COVERAGE, a. Necessary and actual expenses incurred; or A. Coverage, 2. Towing And Labor is replaced by b. $75 per day the following: 5. This coverage does not apply while there are 2. Extended Towing And labor We will pay for towing and labor costs each time a spare or reserve "autos" available to you for your covered "auto" is disabled. All labor must be performed at operations. the place of fi. If loss" results from the total theft of a covered "auto" of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided for Includes copyrighted material of Insurance Services Office, Inc., CA-BA-2003 (12-20) Attachment Code: D669188 Master ID: 1544437. Certificate ID: 22536472 POLICY NUMBER: 165000047 COMMERCIAL AUTO CA04441013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: TAx Broadband LLC Endorsement Effective Date: 01/01/2025 SCHEDULE Name(s) Of Person(s) Or Organ ization(s): Any person or organization for whom you perform work under a written contract if the contract requires you to obtain this agreement from us, but only if the contract is executed prior to the injury or damage occurring. Information required to complete this Schedule, if not shown above, will be shown in the Declarations The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident' or the "loss" under a contract with that person or organization. CA 04 44 10 13 C Insurance Services Office, Inc., 2011 Page 1 of 1 Attachment Code: D669230 Master ID: 1344437. Cerlilicate ID. 22536472 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED - PRIMARY AND NON-CONTRIBUTORY Name of Insured: TAK Broadband LLC Policy Number: 165000047 Endorsement Number: CA-U-2014 (12-20) Effective Date of Endorsement: 01/01/2025 Name of Insurer: NORTH POINTE INSURANCE COMPANY This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM AUTO DEALERS COVERAGE FORM MOTOR CARRIER COVERAGE FORM SCHEDULE Insured(s): Any person or organization you are required under a written contract or agreement in effect prior to loss or damage to add as an additional insured to this policy, but only to the extent required by the written contract or agreement, including any limits of insurance specified therein. (Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. The following is added to the Other Insurance Condition in the BUSINESS AUTO COVERAGE FORM and the Other Insurance — Primary And Excess Insurance Provisions in the MOTOR CARRIER COVERAGE FORM and supersedes any provision to the contrary. This Coverage Form's Covered Autos Liability Coverage is primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that: Such "insured" is named in the SCHEDULE above; any other insurance available to such "in- sured"; and 3. Such contract or agreement is in effect during the policy period and is signed and executed before any damage or "loss" occurs. B. The following is added to the Other Insurance Condition in the AUTO DEALERS COVERAGE FORM and supersedes any provision to the contrary: This Coverage Form's Covered Autos Liability Coverage and General Liability Coverages are primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that. 2 You have agreed in writing in a contract or 1. Such "insured" is named in the SCHEDULE agreement that this insurance would be primary above, and would not seek contribution from CA-U-2014 (12-20) includes copyrighted material of Insurance Services Office, Inc., Page 1 of 2 with its permission. Attachment Code: D669230 Master 11): 1544437. Certificate Ill: 22536472 2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to such "insured"; and 3. Such contract or agreement is in effect during the policy period and is signed and executed before any damage or "loss" occurs All other terms and conditions of the policy remain unchanged. CA-U-2014 (12-20) Includes copyrighted material of Insurance Services Office, Inc., page 1 of 2 with its permission Altachment Code: D645072 Master Ill: 1544437. Certificate ID: 22536472 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION (07-04) Name of Insured: TAK Broadband, LLC Policy Number: 175000044 Endorsement Number: GL-OC-2053 (08-20) Effective Date of Endorsement: 01/01/2025 Name of Insurer: STONINGTON NSURANCE COMPANY This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM (OCCURRENCE VERSION) SCHEDULE Name Of Additional Insured Person(s) Or Oraanizationfsl: person or organization who you are ui.red to add as an additional insured this policy under a written contract eement in effect prior to any loss or age but only to the extent required in written contract agreement including amounts of limits specified Locationts) Of Covered Onerations project location where you are forming operations when you have eed in a written contract or tten agreement that any person or anization be added as an itional insured on your policy requ red 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 liabi ity 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 om ssions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above B. With respect to the insurance afforded to these additional insureds, the following additional exclus ons apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All workr 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 beha f of the additional insured(s) at the location of the covered operations has been completed; or GL-OC-2053 (08-20) QBE 2020 Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc - used with its permission Attachment Code: D645072 Master Ib: 1544437. Certificate ID: 22536472 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. All other terms and conditions of this policy remain unchanged GL-OG-2053 (08-20) OBE 2020 Page 2 of 2 Includes copyrighted material of Insurance Services Office. Inc used with its permission Attaeluttew Code: D666932 Blaster ID: 1544437. Certificate ID: 22536472 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. GENERAL LIABILITY COVERAGE ENHANCEMENT (CONTRACTORS) Name of Insured: TAK BROADBAND LLC Policy Number: 175000044 Endorsement Number: GL-OC-2083 (05-21) Effective Date of Endorsement: 01/01/25 Name of Insurer: STONINGTON INSURANCE COMPANY This endorsement modifies nsurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM (OCCURRENCE VERSION) PRELIMINARY STATEMENT - This endorsement broadens coverage provided under the Commercial General Liab lity Coverage Form (Occurrence Version). However, further limitations and exclusions may apply to these coverages. Read all provisions of this endorsement and the entire poticy carefully to determine all rights, duties, coverages and limitations provided. A. ADDITIONAL INSURED - AUTOMATIC STATUS WHEN REQUIRED IN AN AGREEMENT WITH YOU B. ADDITIONAL INSURED - ARCHITECTS, ENGINEERS OR SURVEYORS C. ADDITIONAL INSURED - MORTGAGEE, ASSIGNEE OR RECEIVER D. BODILY INJURY REDEFINITION E. BORROWED EQUIPMENT F. BROAD FORM NAMED INSURED G. CANCELLATION CONDITION DAMAGE TO PREMISES RENTED TO H. YOU I. GOOD SAMARITAN SERVICES J. INSURED CONTRACT - LEASE OF PREMISES K. KNOWLEDGE OR NOTICE OF OCCURRENCE L. MEDICAL PAYMENTS M. NEWLY ACQUIRED OR FORMED ORGANIZATION N. NON OWNED WATERCRAFT O. REASONABLE FORCE P. SUPPLEMENTARY PAYMENTS UNINTENTIONAL FAILURE TO Q. DISCLOSE HAZARDS R. WAIVER OF SUBROGATION GL-OC-2083 (05-21) © QsE , 2021 Page 1 of 9 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Atfaclunent Code: D666932 Master ID: 1544437, Certificate ID: 22536472 A. ADDITIONAL INSURED - AUTOMATIC STATUS WHEN REQUIRED IN AN AGREEMENT WITH YOU 1. SECTION II - WHO IS AN INSURED is amended to include as an additional insured any person(s) or organization(s) for whom you have agreed in writing in a contract or agreement that such person(s) or organization(s) be added as an additional insured on your policy with respect to liability for "bodily injury", "property damage" or "personal and advertising injury", subject to the following additional provisions: a. The written contract or agreement must be in effect during the policy period shown in the Declarations and must have been executed prior to the "bodily injury", "property damage", or "personal and advertising injury" b. This insurance does not apply to or for the benefit of any person or organization renting or leasing property from you or performing work for you or on your behalf. c. With regard to any coverage provided to the insured added by Paragraph A. of this endorsement Paragraph 4. Other Insurance of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, applies However, if the written contract or agreement which requires the person or organization be added as an insured specifically requires that this insurance apply without regard to other valid and collectible primary insurance available to that insured Paragraph 4. Other Insurance Subparagraph a. Primary Insurance is replaced by the following a. Primary Insurance This insurance is primary except when b. below applies. However, no coverage will be provided if, in the absence of this endorsement, no liability would be imposed by law on you. d. The person or organization added as an additional insured by this endorsement is an insured only as follows: (1) Lessors of Leased Equipment — but only with respect to liability caused by your maintenance, operation or use of equipment leased to you by such person(s) or organization(s). This insurance does not apply to. a. Any "occurrence" which takes place after the equipment lease expires; or b. "Bodily injury" or "property damage" arising out of or in any way related, in whole or in part to the sole negligence of such person or organization. (2) Owners, Lessees or Contractors — but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused by a Your acts or omissions, or b The acts or omissions of those acting on your behalf, in the performance of your ongoing operations for the additional insured A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed With respect to insurance afforded to such additional insureds, the following additional exclusion applies: This insurance does not apply to 'bodily injury", "property damage" or "personal and advertising injury" arising out of or in any way related in whole or in part to the rendering of or failure to render any "professional service". This exclus on applies even if the claims against any insured allege negligence or other wrongdoing in the supervision hiring employment, training or monitoring of others by that insured if the "occurrence" which caused the "bodily injury" or "property damage' or the offense which caused the "personal and advertising injury", involved the rendering of or failure to render any "professional service" Solely for the purposes of the coverage provided by this Paragraph (2), SECTION V DEFINITIONS is amended by the addition of the following: "Professional service" includes but is not limited to. (a) Lega accounting or advertising services; GL-OC-2083 (05-21) ©QsE, 2021 Page 2 of 9 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Attachment Code: D666932 Master ID: 1544437, Certificate ID: 22536472 (b) Preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings or specifications, (c) Inspection, supervision, quality control, architectural or engineering activities done by or for you on a project on which you serve as construction manager: (d) Engineering services, including related supervisory or inspection services, (e) Medical, surgical, dental, X-ray or nursing services treatment, advice or instruction, (f) Any health or therapeutic service treatment. advice or instruction, (g) Any service, treatment, advice or instruction for the purpose of appearance or skin enhancement, hair removal or replacement, or personal grooming or therapy (h) Any service, treatment, advice or instruction relating to physical fitness, including service, treatment, advice or instruction in connection with diet, cardiovascular fitness, bodybuilding or physical training programs; (i) Optometry or optical or hearing aid services including the prescribing, preparation, fitting, demonstration or distribution of ophthalmic lenses and similar products or hearing aid devices. Q) Body piercing services; (k) Services in the practice of pharmacy- (1) Law enforcement or firefighting services and (m) Handling, embalming, disposal, burial, cremation or disinterment of dead bodies (3) Owners, Managers, or Lessors of Premises — but only with respect to liability caused by the ownership, maintenance or use of that part of the premises leased or rented to you, subject to the following additional provisions. This insurance does not apply to: a Any "occurrence" which takes place after you cease to be a tenant in any premises leased to or rented to you; or b Any structural alterations, new construction or demolition operations performed by or on behalf of such person(s) or organization(s). (4) State or Governmental Agency or Subdivision or Political Subdivision — Permits or Authorizations — but only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. This insurance does not apply to: a "Bodily injury"property damage", or 'personal and advertising injury" arising out of or in any way related, in whole or in part, to operations performed for the federal government, state or municipality, or b "Bodily injury" or "property damage" included within the "products- completed operations hazard" (5) Vendors — but only with respect to "bodily injury" or "property damage" caused by "your products" which are distributed or sold in the regular course of the vendor's business, subject to the following additional provisions and only if the policy to which this endorsement is attached provides insurance for "bodily njury" and "property damage" included in the "products -completed operations hazard". This insurance does not apply to: a. "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a written contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement; b Any express warranty unauthorized by you; c. Any physical or chemical change in the product made intentionally by the vendor; GL-OC-2083 (05-21) @QBE, 2021 Page 3 of 9 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Attachment Code: D666932 Master ID: 1544437. Certificate ID: 22536472 (d) Repackaging, unless unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; (e) Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products; (f) Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; (g) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor; or (h) "Bodily injury" or "property damage" arising out of or in any way related, in whole or in part, to the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to: 1. The exceptions contained in Subparagraphs (d) or (f); or 2. Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. This insurance does not apply to any insured person or organization from whom you have acquired such products, or any container, part or ingredient entering into, accompanying or containing such products. 2. The insurance afforded to such additional insured described in Paragraph A.I. of this endorsement: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the written contract or agreement to provide for such additional insured. 3. With respect to the insurance afforded to such additional insureds described in Paragraph A.1. of this endorsement, SECTION III - LIMITS OF INSURANCE is amended by the addition of the following The most we will pay on behalf of the additional insured is the amount of insurance a. Required by the written contract or agreement described in Paragraph A. 1.; or b. Available under the applicable limits of insurance; whichever is less. This Additional Insured coverage shall not increase the applicable limits of insurance shown in the Declarations. B. ADDITIONAL INSURED - ARCHITECTS, ENGINEERS OR SURVEYORS 1. When you have agreed in a written contract or agreement to provide them coverage as an additional insured under your policy, SECTION It - WHO IS AN INSURED is amended to include as an additional insured any architect, engineer. or surveyor engaged by you but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused by your acts or omissions or the acts or omissions of those acting on your behalf: a. In connection with your premises; or b. In the performance of your ongoing operations. However, the insurance afforded to such additional insured: i. Only applies to the extent permitted by law, and ii. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured 2.The written contract or agreement must be in effect during the policy period shown in the Declarations and must have been executed prior to the "bodily injury", "property damage", or "personal and advertising injury" 3.This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of or in any way related, in whole or in part, to the rendering of or failure to render any professional services by or for you including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or GL OC-2083 (05-21) © QSE, 2021 Page 4 of 9 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Attachment Code: D666932 blaster ID: 1544437. Cerlificate ID: 22536472 b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdo ng in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the 'personal and advertising injury", involved the rendering of or failure to render any professional services by or for you. 4. Wth respect to the insurance afforded to such additional insured, SECTION III - LIMITS OF INSURANCE is amended by the addition of the following: The most we will pay on behalf of the additional insured is the amount of insurance: a. Required by the contract or agreement, or b. Available under the applicable limits of insurance; whichever is less. This Additional Insured coverage shall not increase the applicable limits of insurance shown in the Declarations- C. ADDITIONAL INSURED - MORTGAGEE, ASSIGNEE OR RECEIVER 1. When you have agreed in a written contract or agreement to provide them coverage as an additional insured under your policy, SECTION II - WHO IS AN INSURED, is amended to include as an additiona` insured any person or organization that is a mortgagee, assignee or receiver, but only with respect to their liability as mortgagee, assignee or receiver and caused by the ownership, maintenance or use by you of a premises shown as a covered location in the Declarations. However, the insurance afforded to such additional insured. a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such addit onal insured 2. The written contract or agreement must be in effect during the policy period shown in the Declarations and must have been executed prior to the "bodily injury", "property damage", or "persona and advertising injury'. 3.This insurance does not apply to structural alterations, new construction and demolition operations performed by or for that person or organization. 4. Wth respect to the insurance afforded to such additional insured, SECTION III - LIMITS OF INSURANCE is amended by the addition of the following: The most we will pay on behalf of the additional insured is the amount of insurance. a Required by the contract or agreement, or b Available under the applicable limits of insurance; whichever is less. This Additional Insured coverage shall not increase the applicable limits of insurance shown in the Declarations. D. BODILY INJURY REDEFINITION SECTION V - DEFINITIONS, Paragraph 3. is replaced by 3. "Bodily injury" means bodily injury, sickness or disease sustained by a person, including mental anguish, injury or i Iness or emotional distress and/or death resulting from any of these at any time. E. BORROWED EQUIPMENT 1. SECTION I - COVERAGES, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, Paragraph j. Damage to Property is amended by the addition of the following to the end thereof. Paragraph (4) of this exclusion does not apply to "property damage" to equipment you borrow from others at a jobsite. 2. SECTION III - LIMITS OF INSURANCE is amended by the addition of the following to the end thereof: Subject to Paragraph S. above, the most we will pay under Coverage A for damages caused by "property damage" to equipment you borrow from others at a jobsite is $25,000 per "occurrence". GL-OC-2083 (05-21) © QsE , 2021 Page 5 of 9 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Altachrnent Code: D666932 Master ID: 1544437, Certificate ID: 22536472 F. BROAD FORM NAMED INSURED SECTION II - WHO IS AN INSURED, Paragraph 2 s amended by the addition of the following: Any subsidiary organization which is legally incorporated or organized under the laws of the states territories or possessions of the United States of America in which you own a financial interest greater than 50% of the voting stock or otherwise maintain a controlling interest over assets and for which you have the responsibil ty of placing insurance on the effective date of this Coverage Form. However the insurance provided by this provision does not apply to any subsidiary organization described above that is an insured under 1 Any other general liability policy for which coverage has been specifically placed; or 2 Any other general liability policy where that policy's limit of insurance has been exhausted or that carrier has become insolvent In addition, the insurance provided by this provision does not apply to "bodily injury", ''property damage" or "personal and advertising injury" which arises out of whether in whole or in part, from any 'occurrence' or offense prior to your acquisition or formation of the subsidiary organization stated above G. CANCELLATION CONDITION Subject to any statute or regulation requiring a longer time period, if we cancel for any reason other than nonpayment of premium we will mad or deliver to the first Named Insured written notice of cancellation at least 90 days prior to the effective date of cancellation H. DAMAGE TO PREMISES RENTED TO YOU 1 The last paragraph in SECTION I - COVERAGES, COVERAGE A- BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions is replaced by Exclusions e. through n. do not apply to 'property damage" by fire, smoke from a "hostile fire", explosion, lightning smoke resulting from such explosion or lightning collision by "mobile equipment" or leakage from fire protection systems to premises while rented to you or temporarily occup ed by you with permission of the owner. A separate limit of insurance applies to this coverage as described in SECTION III - LIMITS OF INSURANCE. 1. SECTION III - LIMITS OF INSURANCE, Paragraph 6. is replaced by: 6. Subject to Paragraph S. above, the Damage To Premises Rented To You Limit is the most we will pay in any one event under COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY for damages because of "property damage" from fire; smoke from a "hostile fre", explosion, lightning, smoke resulting from such explosion or lightning co lision by 'mobile equipment' or leakage from fire protection systems to premises while rented to you or temporarily occupied by you w th permission of the owner. I. GOOD SAMARITAN SERVICES 1. SECTION II - WHO IS AN INSURED, Paragraph 2.a.(1) is amended by the addition of the following to the end thereof Unless you are in the business or occupation of providing professional health care services, Paragraphs (1)(a), (b), (c) and (d) above do not apply to "bode y injury" caused by providing or failing to provide "Good Samaritan services" by any of your 'employees" or "volunteer workers other than an employed or volunteer physician. Any such "employees" or "volunteer workers' providing or failing to provide 'Good Samaritan services" during their work hours for you will be deemed to be acting within the scope of their emp oyment by you or performing duties related to the conduct of your business. 2. SECTION III - LIMITS OF INSURANCE, Paragraph S. is amended by the addition of the following to the end thereof For purposes of determining the applicab a Each Occurrence Limit, all related acts or omissions committed in providing or failing to provide "Good Samaritan services' to any one person will be deemed to be one "occurrence". 1. SECTION V - DEFINITIONS is amended as follows a. The definition of 13. "Occurrence" is amended by the addition of the following: "Occurrence" also means an act or omission committed in providing or failing to provide "Good Samaritan services" to a person, unless you are in the business or occupation of providing professional health care services. b. The following definition is added 'Good Samar tan services" means any emergency medical services for which no compensation is demanded or GL-OC-2083 (05-21) cl QBE, 2021 Page 6 of 9 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Attachment Code: D666932 Master ID: 1544437. Certificate ID 72536472 received- J. INSURED CONTRACT - LEASE OF PREMISES SECTION V - DEFINITIONS, Paragraph 9.a. is replaced by the following a. A contract for lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for property damage" by fire; smoke from a 'hosti'e fire", explosion lightning; smoke resulting from such explosion or lightning collision by mobile equipment" or eakage from fire protect'on systems to premises whi'e rented to you or temporarly occupied by you with permission of the owner is not an "insured contract' K. KNOWLEDGE OR NOTICE OF OCCURRENCE SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit is amended by the addition of the following to the end thereof. Knowledge or notice of an "occurrence", offense claim or "suit" by your agent, servant or "employee" shall not be considered knowledge by you unless you, your insurance manager or any other person you designate has received notice of the "occurrence", offense, claim or "suit" from your agent servant, or "employee." L. MEDICAL PAYMENTS SECTION I - COVERAGES, COVERAGE C -MEDICAL PAYMENTS, 1. Insuring Agreement, Paragraph a. is rep aced by: 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 "coverage territory" and during the policy per od, b. The expenses are 'ncurred and reported to us within three years of the date of the accident; and c The injured person submits to examination, at our expense, by physicians of our choice as often as we reasonably require- M. NEWLY ACQUIRED OR FORMED ORGANIZATIONS SECTION II - WHO IS INSURED, Paragraph 3. is replaced by the following: Throughout this policy, the words "you" and "your" also refer to any subsidiary organization you newly acquire or form and over which you maintain 50% or more ownership interest, but only if there is no similar insurance available to that organization. However: a Named Insured does not include any subsidiary organization where similar insurance is unavailable because the organization has exhausted that policy's limits of insurance or the other carrier has become insolvent. b The coverage does not apply to "bodily injury", "property damage" or "personal and advertising injury" which occurred prior to your acquisition or formation of the organization. c Unless you notify us to add coverage to your policy, the coverage under this provision is afforded only until: 1 The 180th day after you acquire or form the organization, or 2 The end of the policy period, whichever is earlier. N. NON OWNED WATERCRAFT SECTION I - COVERAGES, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, g. Aircraft, Auto Or Watercraft, Paragraph (2) is replaced by: (2) A watercraft you do not own that is. a Less than 75 feet long; and b Not being used to carry persons or property for a charge- O. REASONABLE FORCE SECTION I - COVERAGES, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2. Exclusions, Paragraph a. Expected or Intended Injury is replaced by: GL-OC-2083 (05-21) o QBE , 2021 Page 7 of 9 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Attachment Code: D666932 Master ID: 1544437. Certificate ID: 22536472 a. Expected or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the Insured. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect any person or property P. SUPPLEMENTARY PAYMENTS SECTION I - COVERAGES, SUPPLEMENTARY PAYMENTS - COVERAGES A AND B is replaced by SUPPLEMENTARY PAYMENTS - COVERAGES A AND B 1, We will pay, with respect to any claim we investigate or settle, or any "suit" against an insured we defend a. All expenses we incur, b. Up to $5,000 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 furnish these bonds. c. The cost of bonds to release attachments, but only for bond amounts within the applicable limit of insurance. We do not have to furnish these bonds. d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time off from work. e. All court costs taxed against the "insured" in any "suit". However, these payments do not include attorneys' fees or attorneys' expenses taxed against the insured. f. 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. g. 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 insurance. 2. If we defend an insured against a "suit" and an indemnitee of the insured is also named as a party to the "suit", we will defend that indemnitee if all of the following conditions are met: a. The "suit" against the indemnitee seeks damages for which the insured has assumed the liability of the indemnitee in a contract or agreement that is an "insured contract", b. This insurance applies to such liability assumed by the insured; c. The obligation to defend, or the cost of the defense of, that indemnitee, has also been assumed by the insured in the same "insured contract", d. The allegations in the "suit" and the information we know about the "occurrence" are such that no conflict appears to exist between the interests of the insured and the interests of the indemnitee; e. The indemnitee and the insured ask us to conduct and control the defense of that indemnitee against such "suit" and agree that we can assign the same counsel to defend the insured and the indemnitee; and f. The indemnitee: (1) Agrees in writing to: a. Cooperate with us in the investigation, settlement or defense of the "suit', b. Immediately send us copies of any demands, notices, summonses or legal papers received in connection with the "suit' c. Notify any other insurer whose coverage is available to the indemnitee; and d. Cooperate with us with respect to coordinating other applicable insurance available to the indemnitee and (2) Provides us with written authorization to: GL-OC-2083 (05-21) © QBE, 2021 Page 8 of 9 Includes copyrighted material of Insurance Services Office, Inc., with its permission, Altachment Code: D666932 Master ID: 1544437. Certificate ID: 22536472 a. Obtain records and other information related to the "suit"; and b. Conduct and control the defense of the indemnitee in such "suit". Our obligation to defend an insured's indemnitee and to pay for attorneys' fees and necessary litigation expenses as Supplementary Payments ends when we have used up the applicable limit of insurance in the payment of judgments, settlements or medical expenses, or the conditions set forth above, or the terms of the agreement described in Paragraph f. above, are no longer met. Q. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, 6. Representations is amended by the addition of the following to the end thereof: Any unintentional failure to disclose all exposures or hazards existing as of the effective date of the Commercial Generai Liability Coverage Form or at any time during the policy period will not invalidate or adversely affect the coverage for such exposure or hazard. However, you must report the undisclosed exposure or hazard to us as soon as reasonably possible after the exposure or hazard is discovered This provision does not affect our right to collect additional premium or to exercise our rights of cancellation or nonrenewal in accordance with applicable insurance laws or regulations. R. WAIVER OF SUBROGATION SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, 8. Transfer Of Rights Of Recovery Against Others To Us is amended by the addition of the following to the end thereof This condition does not apply to any person or organization to which you waived this condition by written contract or agreement, subject to the following additional provisions: The written contract or agreement containing such waiver must: 1 Be in effect during the policy period shown in the Declarations, and 2 Have been executed prior to the "bodily injury" or "property damage". All other terms and conditions of the policy remain unchanged. GL-OC-2083 (05-21) ©QBe, 2021 Page 9 of 9 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Attachment Code: D666921 Master ID: 1544437. Certificate ID: 22536472 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT - CANCELLATION CONDITION Name of Insured: TAK Broadband LLC Policy Number: 175000044 Endorsement Number: GL-OC-2065 (08-20) Effective Date of Endorsement: 01/01/2025 Name of Insurer: STONINGTON INSURANCE COMPANY This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM (OCCURRENCE VERSION) Subject to any statute or regulation requiring a longer time period, if we cancel for any reason other than nonpayment of premium, we will mail or deliver to the first Named Insured written notice of cancellation at least 90 days prior to the effective date of cancellation. All other terms and conditions of this Policy remain unchanged GL-OC-2065 (08-20) Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. Attachment Code: D67331 I blaster ID: 1544437. Certificate ID: 22536472 COMMERCIAL GENERAL LIABILITY CG20381219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS FOR OTHER PARTIES WHEN REQUIRED IN WRITTEN CONSTRUCTION AGREEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to include as an additional insured: 1. Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy; and 2. Any other person or organization you are required to add as an additional insured under the contract or agreement described in Paragraph 1. above. Such person(s) or organization(s) is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured described in Paragraph 1. or 2. above. However, the insurance afforded to such additional insured described above: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for the person or organization described in Paragraph 1. above are completed. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply. - This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of, or the failure to render, any professional architectural, engineering or surveying services. 2. "Bodily injury" or "property damage" occurring after: a. 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 b. That portion of "your work" out of which 2. Available under the applicable limits of insurance; CG 20 38 12 19 ©Insurance Services Office, Inc, 2018 Page 1 Attachment Code: I)67331 1 Master Ill: 1544437. Certificate ID: 22536472 the injury or damage arises has been put to whichever is less. its intended use by any person or This endorsement shall not increase the applicable limits of organization other than another contractor or insurance. 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: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement described in Paragraph A.1.; or CG 20 38 12 19 © Insurance Services Office, Inc., 2018 Page 2