Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
TC2017-0050
444 ENCROACHMENT PERMIT Of PUBLIC WORKS CONSTRUCTION See below for Finance Revenue Codes 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 APPROVED SUBDIVISIONS. DATE: 8/31/2017 LOCATION OF CONSTRUCTION(Street address or Description): COACHELLA DRIVE AT EISENHOWER PURPOSE OF CONSTRUCTION: SOIL INVESTIGATION FOR PROPOSED STORM DRAIN LINES. MICHAEL BAKER INTERNATIONAL IS DESIGN DESCRIPTION OF CONSTRUCTION: CITY OF 10/ CIP / EISENHOWER STORM DRAIN -3 BORIGNS. MENSION OF INSTALLATIONOR REMOVAL: THREE 8 INCH DIAMETER GEOTECHNICAL BOR1GNS PER PLAN APPROXIMATE TIME WHEN WORK WILL BEGIN: 9/7/2017 TIME OF COMPLETION: 9/7/2017 ESTIMATED CONSTRUCTION COST: (Including removal of all obstruction, materials, and debris, backfilling, compaction and placing permanent resurfacing and/or replacing improvements) . 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 emplpyees, 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 béstaited at (760) 777-7097. To submit an inspection request, leave a message on the— liction 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 reguIationjof the City of and to pay for any additional replacement necessary as the result of this work. /0 Signature of Applicant or Agent PETRA GEOSCIENCES, INC. OUTSIDE CITY LIMITS (714)549-8920 Name of Applicant (please print) . Business Address Telephone. No. PETRA GEOSCIENCES, INC. OUTSIDE CITY LIMITS , (714)549-8920 Name of Contractor and Job Foreman Business Address Telephone No. 0. City Business License No. Applicant's Insurance Company Finance Revenue Code PERMIT INSPECTION CUT/BORE . . $684.00 TRAFFIC CONTROL ONLY - 1 DAY $304.00 TOTAL: $988.06 Policy Number PERMIT No: TC2017-0050 DATE ISSUED: I(Ok1 EXPIRATION.DATE: BY: CIS WORK INSPECTED BV*: PERMIT COMPLETION DATES: 51f the work is covered, by a Subdivision Improvement Agreement, Subdivider shall request final acceptance of improvements from the City Council. PUBLIC WORKS DEPARTMENT APPLICATION FOR PERMIT Date: Tract-No: Project Name: Vicinity." H' pQQW Purpose of Construction -6-e.: Rough Grading, Offsite Street, etc.)L~011 40 01 . k qposed stor,mcf rain lines 1 Description of Construction (i.e.: See Plan Set No.. 01234) or Removal: Approximate Construction Start Date:77 Approximate Construction Completion Date Iiath.aiwork I'J Estimated Construction Cost $LQ2 L L} Estimated Construction Cost shall include the removal 'of all obstructions, materials,.and debris, back-filling, compaction and placing permanent resurfacing and or. replacing improvements S . [ Contact Name: 99 sj9tijcn k LjPhone Number:!Y. Name of Applicant/Owner IPetra Geosciencesin' - ZTh Applicant Address: pplicant Telephone Number: 85f53 :-i- ::.': Applicant E-mail Address [djohston@petra;inc m'i9W4 ' .Name of Contractoi Contractor. Address Contractor Telepho Contractor State Li Contractor City Bu Contractor E-mail) Number: se Number: ss License. Number: : A COPY OF THE CURRENT INSURANCE CERTIFICATE MUST BE PROVIDED Applicant or Contractor General Liability Insurance Company: •• • S Qj r .. J Applicant or Contractor General Liability Insurance Policy Number / •Aw S.... Office Use Only: • • J • • inspection Fee: • • Permit Fee: • As-Built • • • • • t._)L &Dxt • Deposit: . • Dust Control • A lkjt.- Deposit: • _•. _ • Credit • • • • 't Amount: • • • . • p TOTAL FEE DUE: j.p(. I urive/ufleckllsts - i-arms & Applications AppIic • Office UseOnly: • • • . - • Assigned Permit Number: Approval Date: Expiration Date: Issue Date: • • • Administrative Authority: A 166~ kif ' CERTIFICATE OF LIABILITY INSURANCE DATE (MMfODNYYY) 6/23/2017 . THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CteciwiCATE 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(les) must 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 in_ lieu such_endorsement(s). _holder _of PRODUCER Dealey Renton and Associates Lic. #0020739 P.O. Box 10550 CONTACT Robin Lee PHONE 74A A')7 OO4fl FAX (aic, He Ft). 1 1t 1L1 VU IV INC. Nel - 6818 rleedealeyrenton.com INSURER(S) AFFORDING COVERAGE NAIC # Santa Ana CA 92711-0550 INSURER A:TraVelerS Indemnity Co. of Connecti 25682 INSURED PETRAGEOS INSURER :Travelers Property Casualty Co of A 25674 Petra Geosciences, Inc. INSURER C :Atlantic Specialty Insurance Compan 3198 Airport Loop Drive, Suite A2 Costa Mesa CA 92626 INSURER D INSURER E: INSURER F COVERAGES CERTIFICATE NUMRER: 150457088 RFVISION NUMRER 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 DI. INSO, UB1 WVD POLICY NUMBER POLICY EFF 'MMIDDTYYYY) POLICY EXP (MMIDDIYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y V 6802J292346 6/25/2017 6/25/2018 EACH OCCURRENCE $1,000,000 CI.AIMS-MADE )C OCCUR DAMAGE TO RENTED PREMISES Meocainence) $1,000,000 MED EXP (Any one person) $10,000 CONTRACTUAL BFPID. XCU PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 R POLICY [] bC PRODUCTS. COMP/OP AGG $2,000,000 $ OTHER: OTHER: A AUTOMOBILE LIABILITY V V BA2110L176 6/25/2017 6/25/2018 COMBINED SINGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO - ALL OWNED SCHEDULED AUTOS AUTOS - r-i NON-OWNED - HIRED AUTOS L_J AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) B X UMBRELLA UAB LJ OCCUR CUP6476Y241 6/25/2017 6/25/2018 EACH OCCURRENCE $5,000,000 - AGGREGATE $5,000,000 EXCESS LIAB CLAIMS-MADE - DIED I I RETENTIONS $ - - a WORKERS COMPENSATION AND EMPLOYERS LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory In NH) N IA Y UB4466T258 6/2512017 6/25/2018 x E.L. EACH ACCIDENT I $1,000,000 E.L. DISEASE - GA EMPLOYE $ 1.000,000 - If yes, describe under DESCRIPTION OF OPERATIONS below - - . E.L. DISEASE -POLICY LIMIT I $1,000,000 C Professional 0PL6923717 6/25/2017 6/25/2018 $1,000,000 per Claim Liability . $2,000,000 anni aggr. Claims Made DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES (ACORD 101. Additional Remarks Schedule, maybe attached if more apace Is required) General Liability policy excludes claims arising out of the performance of professional services. Umbrella Following Form Excludes Professional Liability. Independent Contractors Included as respects to General Liability. Re: 78-495 Calle Tampico; JN 12-173 City of La Quinta is additional insured as respects to General and Auto Liability as required by written contract. Primary and Non-Contributing coverage, Waiver of Subrogation applies to GL as required by written contract. Waiver of Subrogation or Rights applies to Workers Compensation policy only as required by a written signed contract prior to any loss occurring. s)U L)dVS flUtIUI IV City of La Quinta; Attn: Amy Vu 78-495 CaIle Tampico La Quints CA 92253 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. A UHORIZEO REPRESENTATIVE 0 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY This ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. The following is added to SECTION II - WHO IS its of insurance described in Section III - Lim- AN INSURED: its Of Insurance. Any person or organization that iou agree in a h. *This insurance does not aSply to "bodily inju- "written contract requiring insurance" to include as ry" or "property damage" caused by "your an additional insured on this Coverage Part, but: work" and included in the "products- completed operations hazard" unless the Only with respect to liability for "bodily injury", "written contract requiring insurance" specifi- cally requires you to provide such coverage If, and only to the extent that, the injury or for that additional insured, and then the insur- damage is caused by acts or. omissions of ance provided to the additional insured ap- vu or your subcontractor in the performance plies only to such "bodily injury" or "property of "your work" to which the "written contract damage" that occurs before the end of the pe- requiring insurance" applies, or in connection riod of time for which the "written contract re- with premises owned by or rented to you. quinng insurance" requires you to provide The person or organization does not qualify as an such coverage or the end of the policy period, whichever is earlier. additional insured: With respect to the independent acts or omis- sions of such person or organization; or For "bodily injury", "property damage" or "per- sonal injury" for which, such person or organi- zation has assumed liability in a contract or agreement. The insurance provided to such additional insured is limited as follows: This insurance does not apply on any basis to any person or organization for which cover- age as an additional insured specifically is added by another endorsement to this Cover- age Part. This insurance does not apply to the render- ing of or failure to render any "professional services". In the event that the Limits of Insurance of the Coverage Part shown in the Declarations ex- ceed the limits of liability required by the "writ- ten contract requiring insurance", the insur- ance provided to the additional insured shall be limited to the limits of liability required by that "written contract requiring insurance". This endorsement does not increase the lim- 2. The following is added to Paragraph 4.a. of SEC- TION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS: The insurance provided to the additional insured is excess over any valid and collectible other in- surance, whether primary, excess, contingent or on any other basis, that is available to the addi- tional insured for a loss we cover. However, if you specifically agree in the "written contract requiring insurance" that this insurance provided to the ad- ditional insured under this Coverage Part must apply on a primary basis or a primary and non- contributory basis, this insurance is primary to other insurance available to the additional insured which covers that person or organizations as a named insured for such loss, and we will not share with the other insurance, provided that: The "bodily injury" or "property damage" for which coverage is sought occurs; and The "personal injury" for which coverage is sought arises out of an offense committed; after you have signed that "written contract requir- ing insurance". But this insurance provided to the additional insured still is excess over valid and collectible other insurance, whether primary, ex- cess, contingent or on any other basis, that is CG D3 81 09 15 © 2015 The Travelers Indemnity Company. Al lights reserved. Page 1 of 2 Includes the copyrighted material of Insurance Services Office, Inc., with Its permission COMMERCIAL GENERAL LIABILITY available to the additional insured when that per- son or organization is an additional insured under any other insurance. . 3. The following is added to Paragraph 8., Transfer Of Rights Of. Recovery Against Others To Us, of SECTION IV - COMMERCIAL GENERAL LI- ABILITY CONDITIONS: We waive any right of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" performed by you, or on your behalf, done under a "written contract requiring insurance" with that person or organization. We waive this right only where you have agreed to do so as part of the "written contract requiring insurance" with such person or organization signed by you be- fore, and in effect when, the "bodily injury" or "property damage" occurs, or the "personal injury" offense is committed. 4. The following definition is added to the DEFINI- TIONS Section: "Written contract requiring insurance" means that part of any written contract under which you are required to include a person or organization as an additional insured on this Coverage Part, provid- ed that the "bodily injury" and "property damage". occurs and the "personal injury" is caused by an offense committed: . After you have signed that written contract;•• While that part of the written contract is in ef- fect; and . . Before the end of the policy period. Page 2 of 2 © 2015 The Travelers Indemnity Company. Al rights reserved. CG D3 8109 15 Includes the copyrighted materia1 of Insurance Services Ofl1e, Inc., v.ith its permission Policy #BA2110L176 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTO COVERAGE PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE - This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. BLANKET ADDITIONAL INSURED EMPLOYEE HIRED AUTO C. EMPLOYEES AS INSURED D. SUPPLEMENTARY PAYMENTS - INCREASED LIMITS TRAILERS - INCREASED LOAD CAPACITY HIRED AUTO PHYSICAL DAMAGE PHYSICAL DAMAGE - TRANSPORTATION EXPENSES - INCREASED LIMIT AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT - INCREASED LIMIT WAIVER OF DEDUCTIBLE - GLASS PERSONAL PROPERTY AIRBAGS L AUTO LOAN LEASE GAP M. BLANKET WAIVER OF SUBROGATION BLANKET ADDITIONAL INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION II— COVERED AUTOS LIABILITY COVERAGE: Any person or organization who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or 'property damage" occurs and that is in effect during the policy period, to be named as an addi- tional insured is an "insured" for Covered Autos Liability Coverage, but only for damages to which this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section Il. EMPLOYEE HIRED AUTO 1. The following is added to Paragraph A.1., Who Is An Insured, of SECTION If - COV- ERED AUTOS LIABILITY COVERAGE: An "employee" of yours isan"insured" while C. operating a covered "auto" hired or rented under a contract or agreement in an "em- ployee's" name; with your permission, while performing duties related to the conduct of your business. 2. The following replaces Paragraph b. in B.5., Other Insurance, of SECTION IV - BUSI- NESS AUTO CONDITIONS: b. For Hired Auto Physical Damage Cover- age, the following are deemed to be cov- ered "autos" you own: Any covered "auto" you lease, hire, rent or borrow; and Any covered "auto" hired or rented by your "employee" under a contract in an "employee's" name, with your permission, while performing duties related to the conduct of your busi- ness. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". EMPLOYEES AS INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION II— COVERED AUTOS LIABILITY COVERAGE: CA T4 20 02 15 • @2015 The Travelers Indemnity Company. All rights reserved. • Page 1 of 3 Includes copyrighted material of Insurance Services Office, Inc. with its permission. COMMERCIAL AUTO Any "employee" of yours is an Insured" while us- ing a covered "auto" you don't own, hire or borrow in your business or your personal affairs. D. SUPPLEMENTARY PAYMENTS - INCREASED LIMITS The following replaces Paragraph A.2.a.(2) of SECTION II— COVERED AUTOS LIABILITY COVERAGE: (2) Up to $3,000 for cost of bail bonds (in- cluding bones for related traffic law viola-. tions) required because of an "accident" we cover. We do not have to furnish these bonds. The following replaces Paragraph A.2.a.(4) of SECTION II— COVERED AUTOS LIABILITY COVERAGE: (4) All reasonable expenses incurred by the "insured" at Our request, including actual loss of earnings up to $500 a day be- cause of time off from work. E. TRAILERS - INCREASED LOAD CAPACITY The following replaces Paragraph C.1. of SEC- TION I - COVERED AUTOS: "Trailers" with a load capacity of 3,000 pounds or less designed primarily for travel on public roads. F. HIRED AUTO PHYSICAL DAMAGE The following is added to Paragraph A.4., Cover- age Extensions, of SECTION III - PHYSICAL DAMAGE COVERAGE: Hired Auto Physical Damage Coverage If hired "autos" are covered "autos" for Covered Autos Liability Coverage but not covered "autos" for Physical Damage Coverage, and this policy also provides Physical Damage Coverage for an owned "auto", then the Physical Damage Cover- age is extended to "autos" that you hire, rent or borrow subject to the following: (1) The most we will pay for "loss" to any one "auto" that you hire, rent or borrow is the lesser of: $50,000; The actual cash value of the damaged or stolen property as of the time -of the loss"; or The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality. An adjustment for depreciation and physical condition will be made in determining actual cash value in the event of a total "loss". If a repair or replacement results in better than like kind or quality, we will not pay for the amount of betterment. A deductible equal to the highest Physical Damage deductible applicable to any owned covered "auto". This Coverage Extension does not apply to: Any "auto" that is hired, rented or bor- rowed with a driver; or Any "auto" that is hired, rented or bor- rowed from your "employee". PHYSICAL DAMAGE - TRANSPORTATION EXPENSES - INCREASED LIMIT The following replaces the first sentence in Para- graph A.4.a., Transportation Expenses, of SECTION 'Ill - PHYSICAL DAMAGE COVER- AGE: We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense in- curred by you because of the total theft of a cov- ered "auto" of the private passenger type. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT -INCREASED LIMIT Paragraph C.1.b. of SECTION III - PHYSICAL DAMAGE COVERAGE is deleted. WAIVER OF DEDUCTIBLE - GLASS The following is added to Paragraph 0., Deducti- ble, of SECTION III - PHYSICAL DAMAGE COVERAGE: No deductible for a covered "auto" will apply to glass damage if the glass is repaired rather than replaced. PERSONAL PROPERTY The following is added to Paragraph A.4., Cover- age Extensions, of SECTION III - PHYSICAL DAMAGE COVERAGE: Personal Property Coverage We will pay up to $400 for 'loss" to wearing ap- parel and other personal property which is: Owned by an "insured"; and In or on your covered "auto". This coverage only applies in the event of a total theft of your covered "auto". No deductibles apply to Personal Property cover- age. Page 20f3 . . @2015 The Travelers Indemnity Company. All rights reserved. . CA 14 20 02 15 Includes copyrighted material of Insurance Services Office. Inc. with its permission. COMMERCIAL AUTO K. AIRBAGS The following is added to Paragraph B.3., Exclu- sions, of SECTION III — PHYSICAL' DAMAGE COVERAGE: Exclusion 3.a. does not apply 'to "loss" to one or• more airbags in a covered "auto" you own that in- flate due to a cause other than a cause of "loss" set forth in Paragraphs A.1.b. and A.tc., but only: If that "autq" is a' covered "auto' for Compre- hensive Coverage under this policy; The airbags are not covered under any war- .ranty;and The airbags were not intentionally inflated. We will pay up to a maximum of $1,000 for any one "lOss". L AUTO LOAN LEASE GAP The following is added to Paragraph A.4., Cover- age Extensions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Auto Loan Lease Gap Coverage for Private Passenger Type Vehicles In the event of a total "loss" to a covered "auto" of the private passenger type shown in the Schedule or Declarations for which Physical Damage Cov- erage is provided, we will pay any unpaid amount due on the lease or loan for such covered "auto" less the following: (1) The amount paid under the Physical Damage Coverage Section of the policy for that "auto"; and (2) Any: OverdUe lease or loan payments at the time of the "loss"; Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage: Security deposits not returned by the les- sor; Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and Carry-over balances from previous loans or leases. M. BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.5., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — BUSINESS AUTO CONDI- TIONS: S. Transfer Of Rights Of Recovery Against Others To Us ,We waive any right of recovery we may have against any person or organization to the ex- tent required of you by a written contract exe- cuted prior to any "accident" or loss", pro- vided that the "accident" or "loss", arises out of the operations contemplated by such con- tract. The waiver applies only to the person or organization designated in such contract. CA 14 20 02 15 , 02015 The Travelers Indemnity Company. All rights reserved. ' Page 3 of 3 Includes copyrighted material of Insurance Services Office. Inc. with its permission. WORKERS COMPENSATION S AND • EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 9903 76(00) - 001 POLICY NUMBER: uB4466T258 - WAIVER OF OURRIGHT TO RECOVER FROM OTHERS ENDORSEMENT CALIFORNIA (BLANKET WAIVER)° 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. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. S The additional premium for this endorsement shall be 3.00 % of the California workers' compensation premium otherwise due on such remuneration. S Schedule Person or Organization • • • • Job Description ALL PERSONS OR ORGANIZATIONS THAT ARE PARTIE TO A CONTRACT - THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT, PROVIDED YOU EXECUTED THE CONTRACT BEFORE THE LOSS. DATE OF ISSUE: 6/23/2017 ST ASSIGN: cA S • •• 017106 • •. • S • BUSINESS LOCATION eu11.• (I/j 1tthd 78-495 Calle Tampico La Quinta, California 92253 (760) 777-7000 CERTIFICATE NON-TRANSFERABLE---- Dear Business Owner: OUTSIDE CITY LIMITS BUSINESS NAME: PETRA GEOSCIENCES, INC. BUSINESS ADDRESS: 3198 AIRPORT LOOP DR, STE A-2 COSTA MESA, CA 92626 By DESIGN AND DEVELOPMENT DIRECTOR Please be aware that issuance of a business license by the City does not authorize you to conduct business in a building or tenant space that has not been approved for occupancy by the Design and Development Department. If you have any questions regarding this issue or if you are not sure If a Certificate of Occupancy has been issued for your place of business please contact Design and Development at (760)777-7000,- The Licensee named herein having paid to the City of La 0,uinta all fees required, license is hereby granted said licensee to transact the business herein set forth, for the period stated, in conformity with the Provisions of Ordinance No. 2 of this City. This Licensee is issued without verfication that the licensee is subject to or exempt from licensing by the State of California. BUSINESS LICNO: LIC-0110030 CLASSIFICATION: ENGINEERING SERVICES EXPIRATION DATE: 9/30/2017 - -TH Eli lif TEF EA I -TEF TH F E I r El T -1 ELE i./ .•.F 5SF ?' ... . SIT FFf / . . . If [f-I I T B-I FFf TEF SF FT IF- If-i fFF ICEFEtI -IH SIT - F-I FL -E . (f-TEE . ILET - . FFf f Cf-I c If I — . - - FF5 TIE-[ F-I 1 FF;f •• F-TEI Tf [5-I LEE UL-Fl SIT L FIT lo 1: FF5 FF -, -. IT E-- jj FL-f FF5 F- I FF5 FL -E T5 Ef - I[4 ipi:o B-3 - . I PETRAGEOSCIENCES, INC. Work Space issat aside for workers, equmen!3 and material storage Activity Area is where work t .5 lakesplace Buffer Space (longitudinal) provides protection for traffic and workers - - --- -'—n.: --- California MUTCD Page 6C-9 (FHWA's MUTCD 2003 including Revisions I and 2, as amended for use in California) Figure 6C-1. Component Parts of a Temporary Traffic Control Zone S Legend - :Directon of travel J ' Downstream Tape, Termination Area lots traffic resume Ttattc Space allows ItalIc to pass through the activity area Sulfa, Space (lateral) - provides protection for traffic and workoi Transmon Area. moves hattie out of Its normal path Advance Warning Area tells traffic what to expect ahead 4L •• •• S • • tz ello @16 • ______ r. S • • OLt- J . S • 5 Chapter 61b - Temporary Traffic Control Elements • • • January 21, 2010 Part 6- Temporary Traffic Control • • • , _---..'-----. PERMIT NO. TC2017-0050 Petra Geosciences, Inc. / Geotechnical Borings / Eisenhower Drive at Coachella Drive for City Storm Drain Project 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 permittec must compact any disturbed soil within the paved right of way back to its original condition or compact to a minimum density of 95% based on ASTM Dl 557 and be placed while the soil is at +1-2% of optimum moisture, which ever compacting effort produces the greatest density. 4: Any asphalt rempvedduringpotholing shall be replaced with City approved mix asphalt or equivalent. Temporary (Cold Patch) is not acceptable as an approved asphalt mix. The asphalt shall have a thickness equivalent or greater than the removed asphalt thickness and shall obtain a density of 95% or greater based on maximum density obtained by the ASTM Marshall Mix Design Method. 5. Petra Geosciences Inc., (Douglas Johnston), hereinafter referred to as "Permittee", shall be responsible for providing continuous dust and erosion control. J. Streets shall be kept clean. They shall be completely cleaned at the end of each working day and more frequently, if required. 7. The permittee shall submit inspection requests by calling the City Inspection Hotline at (760) 777-7097 before 1:30 p.m. and at least twenty-four (24) hours prior to the anticipated inspection. 8 The permittee shall block off the work area to prevent access and provide alternate pathways if applicable. 9. Pursuant to Section 6.08.050 of the La Quinta Municipal Code (Ordinance 18 § 1, 1982), throughout the work site, the Permittee shall comply with City regulated work hours. Operation and maintenance of equipment within one-half mile of human occupancy shall be performed only during the following time periods: . October 1st to April 30: Monday-Friday. 7:00 a.m. to 5:30 p.m. Saturday 8:00 a.m. to 5:00 p.m. May 1st to September 30: Monday-Friday 6:00 a.m. to 7:00 p.m. Saturday 8:00 a.m. to 5:00 p.m. Work shall be prohibited on legal holidays and Sundays. Special Conditions . . Page 1 of 4 PERMIT NO. TC2017-0050 Petra Geosciences, Inc. I Geotechnical Borings I Eisenhower Drive at Coachella Drive for City Storm Drain Project Note: Construction work (including setting up traffic control devices) is not permitted on any Arterial street (ie any lane street) before 8:00 a.m. Work within 500 feet of a signalized intersection shall be performed between the hours of 9 a.m. - 3 p.m. Traffic control shall be set up after 9 a.m. and removed before 3 p.m. The Permittee shall contact the City Traffic Signal Maintenance Division at (760) 777-7070 if signal operation at the intersection is to be altered in any way. 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. 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. Pursuant to Section 14.16.250 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), at residential streets, advance warning signs and traffic control shall be installed and maintained in accordance the latest edition of the California Manual of Uniform Traffic Control Devices (CA MUTCD) or the latest edition of the Work Area Traffic Control Handbook (WATCH). On Collectors to Arterial Streets, the permittee must submit a traffic control plan which shall be from or prepared under the guidance of the latest edition of the CaliforniaManual 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. Prior to excavating, if required, the Permittee shall contact Underground Service Alert at 1-800-422- 4133. It shall be the Permittee's responsibility to notify the Public Works Department of anticipated excavation which impact City facilities, including but not limited to traffic signal conduits and loops, irrigation lines, electrical conduits, and storm drain facilities. 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. The permittee shall be responsible for calling the city inspector to arrange the city inspector to observe random pothole backfill compaction and testing if requested by the inspector. If the inspector's phone Special Conditions Page 2 of 4 PERMIT NO. TC2017.0050 Petra Geosciences, Inc. / Geotechnical Borings / Eisenhower Drive at Coachella Drive *for City Storm Drain Project number is unknown, the permittee shall call the Public Works front counter phone at 7774075 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. 17. The issuance of this permit and the City approval of the related construction improvement plans do not provide a vested entitlement for all design parameters that may have been utilized for the plans. As such, plans approved for this permit may be "at risk" for further modifications as it relates to ãhy follow up improvement plan requirements as required by the city or existing errors & omissions by the architect or engineer of record. 18. This permit is not valid until the permittee submits, to the Public Works Department 2 weeks prior to start of construction, the name of the City approved contractor, who shall submit to the City the following items: General Liability Insurance Company and Policy Number • City Business License Contractors State License Number 19. The Applicant or Contractor shall furnish the City satisfactory evidence of insurance in the amounts provided in Engineering Bulletin for Indemnification & Insurance Requirements. This insurance shall be kept in full force and effect at all times by Applicant or Contractor during the prosecution of the permitted work and updated Certificate of Liability Insurance shall be submitted to the City. Each policy shall name the city as an additional insured. 20. If public traffic lanes are required to be closed, this permit is not valid until the permittee submits, to the Public Works Department, a traffic control plan for review and approval prior to start of construction or parking on the paved RJW. 21. All excavations within City of La Quinta right-of-way shall be backfilled, and temporarily paved if within the existing travel way, at the end of every workday as directed by and to the satisfaction of the City Engineer for the protection of the public. Lengths of open trench shall not greatly exceed that which can not be backfilled in the same day. Excavated trenches shall not be allowed open overnight; however, Permittee may leave a length of excavated trench, not to exceed twenty (20) feet in length, open overnight at a pOint where construction will begin the next day, provided that this length of trench is completely covered by steel plating. 22. All landscaping, irrigation, decorative rock; decorative concrete, lighting, etc., shall be replaced to its original condition. 23. Access and egress to all local properties shall be maintained at all times. Special Conditions Page 3 of 4 PERMIT NO. TC2017-0050 Petra Geosciences, Inc. / Geotechnical Borings I Eisenhower Drive at Coachella Drive for City Storm Drain Project 24. Pursuant to Section 14.16.375 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982), permanent pavement replacement shall be completed no later than seven (7) days after the completion of the work. Permanent pavement replacement shall conform to the following conditions: Existing asphalt concrete pavement shall be sawcut one (1) foot beyond trench edges. Edges shall be straight and clean. Permanent pavement replacement structural section, within all trenches, shall be 1" thicker than exisfing of asphalt conciete over the same existing thickness of crushed aggregate babe or crushed miscellaneous base, meeting the requirements of Sections 200-2.2 and 200-2.4 of the Standard Specifications for Public Works Construction. The replaced pavement and base material shall be compacted to 95% relative compaction and respectively tested, for each 300 linear feet of.trench. Verify exact structural replacement section thicknesses with the City prior to installation. Permanent pavement replacement shall be installed using a City approved 1/4" max medium asphalt concrete as the base course lift and a City approved '/2" max medium finish course lift for capping. Asphalt concrete mix design shall be approved by the City prior to its placement. D. Any existing lane striping or any existing detour lane striping affected by this resurfacing shall be replaced in kind by the Permittee, as directed by and to the satisfaction of the City Engineer. Affected traffic signal loops shall be removed and replaced in kind. The finished pavementS surface shall be smooth, consistent, and shall conform to the surrounding grades. 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. Pursuant to Chapter 12.56 of the La Quinta Municipal Code (Ordinance 10 § 1 (part), 1982) the City has designated certain city streets as Truck Routes. The weight limit for restricted streets (i.e., streets not part of the Truck Route network) is three (3) tons; trucks exceeding the weight limit may use a restricted street if making a delivery or pickup on-the subject street, or if this permit specifically grants permission to use the street to deliver Street construction materials and/or equipment. The City of La Quinta reserves the right to revoke, suspend or void this permit at any time The permittee shall indemnify, hold harmless and assume the defense of the City from all damages, delay costs, costs or expenses in law or equity that may arise out of work under this permit. If it is the intent of the permittee to cut the pavement and have it restored by a third party, the permittee shall postpone cutting the pavement until the intended third party has acquired a permit from the City to perform the required restoration work. Special Conditions Page 4 of 4 City of La Quinta The following General and Special Provisions are attached to and made a part of Permit Number TC2017-0050 The following shall always apply: 0 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-fated. 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 (21 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 encduntered during excavation which nbcessitate removal shall be replaced in kind. In the event it becomesnecessary 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 RI 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 Struures) 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 (W) 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. RB 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 'Al of A.C. paving on ( N/A ) of class ( N/A "s) aggregate base. Z R9 . SIGHT CLEARANCE: Sight Clearance of six-hundred feet (600') in all directions shall be assured and maintained at all times. 0 RIO . 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 ' Rill 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. Z 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 pemiittee. 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. Z 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. O 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. Rig 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 p.rior 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 (3) 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. Z 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. . • • • . •