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LD24-1802
Permit Number: LD24-1802 LD - Utilities/ Excavation - Parallel Issued: 07/18/2024 Expired: 02/25/2025 Job Address: 41920 6Th St Legal Description: City of Temecula - Land Development Division 41000 Main Street - Temecula, CA 92590 Mailing Address: P.O. Box 9033 Temecula, CA 92589-9033 Phone: (951) 308-6395 Fax: (951) 694-6475 Sung Baik 7391 Lincoln Dr Garden Grove, CA 92841 (714) 909-3912 Applicant: Hhs Construction, Llc 2042 S Grove Avenue Ontario, CA 91761 (909) 393-3322 Contractor: Utility Work Order Number: 5314532 Description: Charter PID 5314532 WORK HOURS SHALL BE MONDAY – FRIDAY, NO HOLIDAYS, 8:30am - 3:30pm Location: Mercedes St and 6th St East Corner Proposed work: Install Charter handhole as shown on Charter "EXCAVATION PLAN 41920 6TH ST, LD24-1802" Tie into existing Charter pedestal in concrete sidewalk, remove & replace sidewalk; bore and place conduit from existing pedestal to proposed Charter pedestal. Place new pedestal in concrete sidewalk; bore & place conduit from pedestal to bore pit; trench and place conduit from bore pit to right of way. All facilities shall be installed in accordance with City Standard Drawing 117. Traffic Control shall be in accordance with approved Traffic Control Plan LD24-1802 Permittee shall comply with all applicable Traffic Control General Notes. Safe pedestrian/bicycle traffic and driveway access shall be maintained at all times. Concrete repair shall be in accordance with City Standards and the Greenbook. Trench repair shall be in accordance with City Standard Drawing 407. Final compaction test results shall be provided by a soils engineer. Concrete curbs, walks, gutters, cross gutters and driveway approaches damaged during construction shall be removed from joint to joint and reconstructed in accordance with City Standards and the Greenbook. All disturbed landscaping and other improvements shall be removed/repaired and replaced to the satisfaction of Public Works Inspector. Page 1 of 3*****See Page 2 of this Permit for Permittee Responsibilities***** Permit Number: LD24-1802 LD - Utilities/ Excavation - Parallel Permittee shall contact LDInspections@temeculaca.gov a minimum of two (2) business days prior to any work. Permittee must also request a final inspection, via LDInspections@temeculaca.gov, to verify completion of project. Permittee Responsibilities This Permittee 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. Trench repair shall be pursuant to City of Temecula Standard Drawing No. 407. 3.Traffic control devices shall be utilized to protect and control pedestrian and vehicular traffic in the construction area in accordance with the latest revision of the “Manual of Uniform Traffic Control Devices for Streets and Highways” (MUTCD). The contractor shall submit a specific traffic control plan for review and approval by the City in accordance with City “Traffic Control Plan Guidelines” for all work within Major Circulation Element streets. 2.BEFORE YOU DIG - CALL (TOLL FREE) 800-422-4133 A pre-construction meeting is required two (2) business days prior to any scheduled work. Permittee shall contact LDInspections@TemeculaCA.gov to schedule a meeting. 1. 4. Water Quality: Contractor shall remain in compliance with the City Water Pollution Control Ordinance. Contractor is required to provide protection of the City storm drain system. 5. Work hours shall be limited between 7:30 AM and 4:30 PM, Monday through Friday, unless otherwise noted. No work shall be allowed during City-recognized holidays." 6. THIS PERMIT IS ISSUED AND ACCEPTED SUBJECT TO THE FOLLOWING CONDITIONS AND ANY ATTACHED PROVISIONS: All U.S.A. mark outs shall be removed prior to completion of project.7. 8.All contractors and subcontractors shall have a valid City of Temecula business license and valid Certificate of Liability prior to start of work. 9.Should there be any claim against the City and the property owner with the encroachment being the proximate cause, the property owner shall be notified in writing to remove the encroachment within 30 days or the City will remove and bill the owner. 10.Permission is hereby requested to encroach into public right of way to perform work as set forth above. It is understood that this permit is limited to the work described herein and that all work is to be done in compliance with the provisions attached to this permit and with all other applicable rules. Permittee shall be responsible for said compliance, for acceptability of the work, for repair or replacement thereof if defective, and for repair or replacement of any existing improvement damaged by the doing of the work I hereby certify and agree on behalf of the Permittee that all laws, regulations and ordinances of the City of Temecula and the State of California and the terms and conditions of the Permit shall be complied with whether herein stated or not. 11. 12.I hereby warrant and represent to the City that I am authorized to execute this Permit Application on behalf of the Permittee and bind the Permittee to the agreements contained herein and any conditions of the Permit. ******Contractor and all subcontractors shall be present at the pre-construction meeting; otherwise, the meeting will be rescheduled to a later date****** Any work commencing within the City right-of-way before permit issuance or a pre-construction meeting shall be subject to a 72-Hour suspension of said work and an assessment of double permit fees.13. Page 2 of 3 Permit Number: LD24-1802 LD - Utilities/ Excavation - Parallel Permitee Date City Engineer or Authorized Representative Date 07/18/2024 Page 3 of 3 CITY OF TEMECULA COVER PAGE 41920 6th ST WORK AREA VICINITY MAP N.T.S. N TABLE 1 RECOMMENDED SIGN SPACING FOR ADVANCE WARNING SIGN SERIES AND MINIMUM TAPER LENGTH B C APPROACH SPEED (S) (MPH) MINIMUM DISTANCE (FEET) BETWEEN SIGNS AND FROM LAST SIGN TO TAPER TAPER LENGTHS (L) (FEET) MINIMUM FOR 12-FOOT LANE L 1/2L 1/3L 25 30 35 40 45 50 55+ 100 250 250 250 350 350 1000 125 180 245 320 540 600 660 65 90 125 160 270 300 330 45 60 85 110 180 200 220 1/2L FOR SHIFT TAPER L FOR MERGE TAPER TABLE 2 RECOMMENDED TAPER LENGTH AND MAXIMUM CHANNELIZER/CONE SPACING A B C APPROACH SPEED (S) (MPH) BUFFER LENGTH (FEET)TAPER MAX CONE SPACING TANGENT CONFLICT(*) 25 30 35 40 45 50 55+ 125 200 250 350 360 425 495 25 30 35 40 45 50 55 50 60 70 80 90 100 100 12 15 17 20 22 25 27 (*) FACING OPPOSING TRAFFIC, ADJACENT TO WORK AREA OR CONFLICTING WITH EXISTING STRIPING NOTES: Taper Formula L = S X W FOR SPEEDS GREATER THAN 40 MPH L = W X S² 60 FOR SPEEDS OF 40 MPH OR LESS L = MINIMUM LENGTH OF TAPER (FEET) S = APPROACH SPEED (MPH) = POSTED SPEED LIMIT OR OFF-PEAK 85TH % SPEED PRIOR TO WORK STARTING OR ANTICIPATED OPERATING SPEED W = WIDTH OF OFFSET (FEET) A SCOPE OF WORK: WORK HOURS: 8:30 AM TO 3:30 PM TIE-IN POINT TO EX. PED IN CSW REMOVE & REPLACE 65 SF OF CONCRETE SIDEWALK REMOVE & REPLACE 106 SF OF CONCRETE SIDEWALK 160' BORE & PLACE 2-2" CONDUIT FROM EX. PED TO PED1 PROPOSED 24"X36" CHARTER PEDESTAL IN CSW REMOVE & REPLACE 100 SF OF CONCRETE SIDEWALK 163' BORE & PLACE 2-2" CONDUIT FROM EX. PED1 TO BORE PIT 4' TRENCH & PLACE 1-2" CONDUIT FROM BORE PIT TO R/W STUB @ R/W REMOVE & REPLACE 31 SF OF CONCRETE SIDEWALK (3)PLACE BORE PIT (3)PLACE POTHOLE MONDAY-FRIDAY PUBLIC WORKS - TRAFFIC ENGINEERING DIVISION CITY OF TEMECULA BYREVISIONSMARK APPR.DATE _____SHEETS SHEET ___ OF NO. DRAWING 1 5 ENGINEER'S SEAL FOR TRAFFIC CONTROL PLANS TRENCH, BORE, REMOVE & REPLACE CONCRETE SIDEWALK AND PLACE A PED 41920 6th ST CONTRACTOR: RECOMMENDED BY:DATE: ACCEPTED BY:DATE: R.T.E. NO. JOHN GRIFFIN CONSTRUCTION INC 244 JASON COURT CORONA, CA 92879 Business Phone Number:(951) 278-2377 ENGINEER OF WORK'S CERTIFICATE I, Essam Dolah , hereby declare that i am the engineer of Work for this project, that I have exercised responsible charge over the design of the project as defined in Section 6703 of the Business and Professions Code, and the deisgn is consistent with current standards and City of Temecula. I understand that the check of project drawings and specifications by the City of Temecula is confined to a reivew only and does not relieve me of responsibilities for project design. Signed Date 7/10/2024 R.C.E. NO. C95514 Exp. 012/31/2025 Firm Address 9 Albany Irvine, CA 29604 Telephone 714-862-3882 ERICK ESCOBEDO TRAFFIC ENGINEER 3002 TYPICAL CONSTRUCTION SIGNS END ROAD WORK ENGINEER'S INFORMATION Name: Essam Dolah RCE No.: C95514 EXP.: DEC 31, 2025 FIRM: ADDRESS: 9 Albany Irvine CA 92604 TRAFFIC CONTROL GENERAL NOTES : 1. ALL TRAFFIC CONTROL DEVICES SHALL CONFORM TO THE LATEST EDITION OF THE CALIFORNIA MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES (CALIFORNIA MUTCD) AND THE STANDARD SPECIFICATIONS FOR PUBLIC WORKS CONSTRUCTION. 2. THE CITY ENGINEER OR HIS REPRESENTATIVE HAS THE AUTHORITY TO INITIATE FIELD CHANGES TO ASSURE PUBLIC SAFETY. 3. ALL TRAFFIC CONTROL DEVICES SHALL BE REMOVED FROM VIEW WHEN NOT IN USE. 4. WORK HOURS SHALL BE RESTRICTED TO THE PERIOD BETWEEN 8:30 A.M. AND 3:30 P.M., MONDAY THROUGH FRIDAY, UNLESS APPROVED OTHERWISE. WHEN NIGHT WORK IS REQUIRED, WORK HOURS SHALL BE 9 P.M. TO 5 A.M., SUNDAY THROUGH THURSDAY. 5. TRENCHES MUST BE BACK FILLED OR PLATED DURING NON-WORKING HOURS. 6. PEDESTRIAN CONTROLS SHALL BE PROVIDED AS SHOWN ON THE PLANS. 7. TEMPORARY "NO PARKING" SIGNS WILL BE POSTED 24 HOURS PRIOR TO COMMENCING WORK. 8 ACCESS TO DRIVEWAYS WILL BE MAINTAINED AT ALL TIMES UNLESS OTHER ARRANGEMENTS ARE MADE. 9. THE CONTRACTOR SHALL REPLACE WITHIN 72 HOURS , ALL TRAFFIC SIGNAL LOOP DETECTORS DAMAGED DURING CONSTRUCTION. 10. THE CONTRACTOR SHALL REPLACE WITHIN 24 HOURS, ALL STRIPING REMOVED OR DAMAGED BY CONSTRUCTION WORK. (STRIPING MAY BE REPLACED TEMPORARILY WITH TAPE.) 11. ALL WORKERS SHALL BE EQUIPPED WITH AN ORANGE VEST (OR A REFLECTIVE VEST AT NIGHT). ALL FLAGGERS SHALL ALSO BE EQUIPPED WITH A HARD HAT, C28 "STOP/SLOW" PADDLE AND SHALL BE TRAINED IN THE PROPER FUNDAMENTALS OF FLAGGING TRAFFIC. 12. ANY WORK THAT DISTURBS NORMAL TRAFFIC SIGNAL OPERATIONS SHALL BE COORDINATED WITH THE CITY OF TEMECULA'S TRAFFIC DIVISION, 48 HOURS PRIOR TO BEGINNING CONSTRUCTION. CONTACT THE CITY'S TRAFFIC DIVISION AT (951) 694 -6411. 13. THE CONTRACTOR SHALL MAINTAIN ALL TRAFFIC CONTROL DEVICES 24 HOURS PER DAY AND 7 DAYS PER WEEK. 14. A MINIMUM OF TWELVE (12) FOOT TRAVEL LANES MUST BE MAINTAINED UNLESS OTHERWISE APPROVED BY THE DEPARTMENT OF PUBLIC WORKS. 15. ALL NIGHT WORK WILL REQUIRE WRITTEN APPROVAL FROM THE DEPARTMENT OF PUBLIC WORKS. LANE CLOSURES, ROAD DETOURS, ROAD CLOSURES, AND TRAFFIC SIGNAL MODIFICATIONS ASSOCIATED WITH OVERNIGHT CONSTRUCTION ACTIVITIES WILL REQUIRE WARNING SIGNS BE PLACED AT LEAST ONE WEEK IN ADVANCE OF STARTING CONSTRUCTION. 16. A SOLAR POWERED FLASHING ARROW BOARD SHALL BE REQUIRED ON ALL ARTERIAL STREET LANE CLOSURES. 17. IF THE PERMIT APPLICANT DETERMINES THAT CONDUIT INSTALLATION WILL BE BY THE BORING MACHINE METHOD, THE TRENCH PATCH FOR THE UTILITY OBSERVATION EXCAVATION WILL BE THE SAME AS FOR OPEN TRENCH EXCAVATION METHOD. THIS WILL PROVIDE A SINGLE CONTINUOUS SURFACE RESTORATION ELIMINATING THE MULTIPLE PENETRATION INTO THE PUBLIC ROADWAY TO ALL REQUIREMENTS IN CITY STANDARD DRAWING # 407 (SHEET 1 - 3) FOR TRENCH PATCH. 18. ANY WORK THAT CREATES AN UNDUE SAFETY RISK OR CREATES SEVERE CONGESTION MAY BE SHUT DOWN BY CITY TRAFFIC ENGINEERS, CITY FIELD INSPECTION, OR THE POLICE DEPARTMENT. 19. CONES AND DELINEATORS SHALL HAVE REFLECTORIZED SLEEVES FOR NIGHT WORK. 20. IF PARKING IS ALLOWED IN ADVANCE WARNING AREA, ADVANCE WARNING SIGNS SHALL BE MOUNTED ON HIGH LEVEL DEVICES. APPLICANT IS RESPONSIBLE FOR FULL AND COMPLETE REPRESENTATION OF THE ACTUAL ROAD CONDITIONS SHOWN ON THIS PLAN INCLUDING, BUT NOT LIMITED TO EXISTING STRIPINGM SIGNING, SIDEWALKS, AND BIKE LANES. TOTAL PROPOSED UNDERGROUND EXCAVATION TOTAL CONCRETE SIDEWALK REMOVED & REPLACED 302 TOTAL PROPOSED PEDESTAL IN PLACE 1 327 LF SCOPE OF WORK: (CITY OF TEMECULA) R4-11 MAY USE FULL LANE BIKE LANE W1-4 (RT)C9A (CA) NARROW LANE R4-7a RIGHT KEEP SIDEWALK CLOSED 5314532 PERMIT NO. LD24-1802 7/15/20 24 07/15/24 41920 41880 28462 6th S T 25 M P H M E R C E D E S S T 2 5 M P H ALL E Y 5th S T 25 M P H 5th S T 25 M P H ALL E Y SI D E W A L K DIRT ST O P STOP STOP ST O P S T O P S T O P 25 50' BUF F E R 44' 1 3 ' 3 0 ' 100 ' 100 ' G20-2 C9A (CA) W20-1 1 0 0 ' W20-1 G20-2 100 ' W20-1 1 0 0 ' T A P E R 1 0 0 ' C9A (CA) G20-2 100 ' C9A (CA) G20-2 1 0 0 ' C9A (CA) CONTACT PROPERTY OWNER(S) 72 HOURS PRIOR TO START OF WORK AN INDIVIDUAL WILL BE ASSIGNED TO MAINTAIN THE CONES WHILE THE WORK ZONE IS IN PLACE CONTRACTOR TO PROVIDE ACCESS TO DRIVEWAYS AT ALL TIMES ALL FLAGGERS TO USE RADIOS TO COORDINATE THE MOVEMENT OF TRAFFIC THROUGH THE WORK SITE R9-9 R9-9 WORK AREA A DEDICATED INDIVIDUAL WILL BE ASSIGNED THE RESPONSIBILITY OF ESCORTING PEDESTRIANS THROUGH THE WORK AREA IN ACCORDANCE WITH THREE MAJOR CONSIDERATIONS: 1.PEDESTRIANS SHOULD NOT BE LED INTO DIRECT CONFLICT WITH WORK SITE VEHICLES, EQUIPMENT OR OPERATIONS 2.PEDESTRIANS SHOULD NOT BE LED INTO DIRECT CONFLICT WITH MAINLINE TRAFFIC MOVING THROUGH OR AROUND THE WORK SITE 3.PEDESTRIANS SHOULD BE PROVIDED WITH A REASONABLY SAFE, CONVENIENT AND ACCESSIBLE PATH THAT REPLICATES AS NEARLY AS PRACTICAL THE MOST DESIRABLE CHARACTERISTICS OF THE EXISTING SIDEWALK OR FOOTPATH PEDESTRIAN NOTES FLAGGER TO ASSIST PEDESTRIANS THROUGH WORK AREA (SEE PED NOTES) CONTRACTOR SHALL PLATE TRENCH AND FLAGGER SHALL ASSIST PEDESTRIANS WHEN PRESENT DURING TRENCHING OPERATIONS ON SIDEWALK. 1 3 ' 5 0 ' B U F F E R 1 0 0 ' 1 0 0 ' W3-4 R4-7a W20-1 W20-4 CITY OF TEMECULA TRAFFIC PLANS 41920 6th ST PHASE 1 OF 4 0 SCALE: 1"=40' 40'80' 1-800-227-2600 TICKET# UNDERGROUND SERVICE ALERT OF SOUTHERN CALIFORNIA AT LEAST TWO DAYS BEFORE YOU DIG PUBLIC WORKS - TRAFFIC ENGINEERING DIVISION FOR CITY USE ONLY: FILE NO. CITY OF TEMECULA BYREVISIONSMARK APPR.DATE _____SHEETS SHEET ___ OF NO. DRAWINGENGINEER'S SEAL FOR TRAFFIC CONTROL PLANS TRENCH, BORE, REMOVE & REPLACE CONCRETE SIDEWALK AND PLACE A PED 41920 6th ST RECOMMENDED BY:DATE: ACCEPTED BY:DATE: R.T.E. NO. CONTRACTOR: JOHN GRIFFIN CONSTRUCTION INC 244 JASON COURT CORONA, CA 92879 Business Phone Number:(951) 278-2377 Charter COMMUNICATIONS 7337 CENTRAL AVE RIVERSIDE, CA 92504 VIDEO VOICE DATA 7391 Lincoln Way Garden Grove, CA 92841 714-897-6300 CLIENT: WORK HOURS: MONDAY TO FRIDAY 8:30 AM TO 3:30 PM 2 5 ENGINEER'S INFORMATION Name: Essam Dolah RCE No.: C95514 EXP.: DEC 31, 2025 FIRM: ADDRESS: 9 Albany Irvine CA 92604 5314532 PERMIT NO. LD24-1802 3002 ERICK ESCOBEDO TRAFFIC ENGINEER 7/15/20 24 07/15/24 P E D 41920 41880 28462 ALL E Y 5th S T 25 M P H 5th S T 25 M P H M E R C E D E S S T 2 5 M P H SI D E W A L K DI R T ST O P STOP ST O P STOP S T O P S T O P 25 6th S T 25 M P H 6th S T 25 M P H 5 0 ' B U F F E R 4 5 ' SHIFTING TAPER 100 ' W20-1 G20-2 100 ' W20-1 G20-2 1 2 0 ' 1 0 0 ' M E R C E D E S S T 2 5 M P H 5 0 ' D O W S T R E A M 1 0 0 ' G20-2 G20-2 W20-1 W20-1 W1-4L WORK AREA R9-9 R9-9 P . T . T . A . N . S . A . T . S . 9' 12' CONTACT PROPERTY OWNER(S) 72 HOURS PRIOR TO START OF WORK AN INDIVIDUAL WILL BE ASSIGNED TO MAINTAIN THE CONES WHILE THE WORK ZONE IS IN PLACE CONTRACTOR TO PROVIDE ACCESS TO DRIVEWAYS AT ALL TIMES A DEDICATED INDIVIDUAL WILL BE ASSIGNED THE RESPONSIBILITY OF ESCORTING PEDESTRIANS THROUGH THE WORK AREA IN ACCORDANCE WITH THREE MAJOR CONSIDERATIONS: 1.PEDESTRIANS SHOULD NOT BE LED INTO DIRECT CONFLICT WITH WORK SITE VEHICLES, EQUIPMENT OR OPERATIONS 2.PEDESTRIANS SHOULD NOT BE LED INTO DIRECT CONFLICT WITH MAINLINE TRAFFIC MOVING THROUGH OR AROUND THE WORK SITE 3.PEDESTRIANS SHOULD BE PROVIDED WITH A REASONABLY SAFE, CONVENIENT AND ACCESSIBLE PATH THAT REPLICATES AS NEARLY AS PRACTICAL THE MOST DESIRABLE CHARACTERISTICS OF THE EXISTING SIDEWALK OR FOOTPATH PEDESTRIAN NOTES FLAGGER TO ASSIST PEDESTRIANS THROUGH WORK AREA (SEE PED NOTES) CONTRACTOR SHALL PLATE TRENCH AND FLAGGER SHALL ASSIST PEDESTRIANS WHEN PRESENT DURING TRENCHING OPERATIONS ON SIDEWALK. 1 4 ' 19' W11-1 4 5 ' S H I F T I N G T A P E R 1 0 0 ' 1 0 0 ' C12 (CA) W11-1 W16-1 W16-1 C12 (CA) 1 0 0 ' W6-3 CITY OF TEMECULA TRAFFIC PLANS 41920 6th ST PHASE 2 OF 4 0 SCALE: 1"=40' 40'80' 1-800-227-2600 TICKET# UNDERGROUND SERVICE ALERT OF SOUTHERN CALIFORNIA AT LEAST TWO DAYS BEFORE YOU DIG PUBLIC WORKS - TRAFFIC ENGINEERING DIVISION FOR CITY USE ONLY: FILE NO. CITY OF TEMECULA BYREVISIONSMARK APPR.DATE _____SHEETS SHEET ___ OF NO. DRAWINGENGINEER'S SEAL FOR TRAFFIC CONTROL PLANS TRENCH, BORE, REMOVE & REPLACE CONCRETE SIDEWALK AND PLACE A PED 41920 6th ST RECOMMENDED BY:DATE: ACCEPTED BY:DATE: R.T.E. NO. CONTRACTOR: JOHN GRIFFIN CONSTRUCTION INC 244 JASON COURT CORONA, CA 92879 Business Phone Number:(951) 278-2377 Charter COMMUNICATIONS 7337 CENTRAL AVE RIVERSIDE, CA 92504 VIDEO VOICE DATA 7391 Lincoln Way Garden Grove, CA 92841 714-897-6300 CLIENT: WORK HOURS: MONDAY TO FRIDAY 8:30 AM TO 3:30 PM 3 5 ENGINEER'S INFORMATION Name: Essam Dolah RCE No.: C95514 EXP.: DEC 31, 2025 FIRM: ADDRESS: 9 Albany Irvine CA 92604 5314532 PERMIT NO. LD24-1802 3002 ERICK ESCOBEDO TRAFFIC ENGINEER 7/15/20 24 07/15/24 41920 41880 28462 6th S T 25 M P H M E R C E D E S S T 2 5 M P H ALL E Y 5th S T 25 M P H 5th S T 25 M P H ALL E Y M E R C E D E S S T 2 5 M P H SI D E W A L K DIRT ST O P STOP STOP ST O P S T O P S T O P 25 5 0 ' B U F F E R 65'SHIFTING TAPER 5 0 ' B U F F E R 6 5 ' S H I F T I N G T A P E R 1 0 0 ' 1 0 0 ' W20-1 1 0 0 ' 1 0 0 ' W20-1 G20-2 G20-2 6th S T 25 M P H P . T . T . A . N . S . A . T . S . P . T . T . A . N . S . A . T . S . R4-7a WORK AREA R4-7a 100 ' W20-1 G20-2 100 ' W20-1 G20-2 100 ' W20-1 G20-2 12' 12' 16' 12' 12' 16' 100 ' W20-1 G20-2 CONTACT PROPERTY OWNER(S) 72 HOURS PRIOR TO START OF WORK AN INDIVIDUAL WILL BE ASSIGNED TO MAINTAIN THE CONES WHILE THE WORK ZONE IS IN PLACE CONTRACTOR TO PROVIDE ACCESS TO DRIVEWAYS AT ALL TIMES 6' 16' W11-1 W16-1 1 0 0 ' C12 (CA) C12 (CA) W11-1 W16-1 1 0 0 ' C12 (CA) C12 (CA) CITY OF TEMECULA TRAFFIC PLANS 41920 6th ST PHASE 3 OF 4 0 SCALE: 1"=40' 40'80' 1-800-227-2600 TICKET# UNDERGROUND SERVICE ALERT OF SOUTHERN CALIFORNIA AT LEAST TWO DAYS BEFORE YOU DIG PUBLIC WORKS - TRAFFIC ENGINEERING DIVISION FOR CITY USE ONLY: FILE NO. CITY OF TEMECULA BYREVISIONSMARK APPR.DATE _____SHEETS SHEET ___ OF NO. DRAWINGENGINEER'S SEAL FOR TRAFFIC CONTROL PLANS TRENCH, BORE, REMOVE & REPLACE CONCRETE SIDEWALK AND PLACE A PED 41920 6th ST RECOMMENDED BY:DATE: ACCEPTED BY:DATE: R.T.E. NO. CONTRACTOR: JOHN GRIFFIN CONSTRUCTION INC 244 JASON COURT CORONA, CA 92879 Business Phone Number:(951) 278-2377 Charter COMMUNICATIONS 7337 CENTRAL AVE RIVERSIDE, CA 92504 VIDEO VOICE DATA 7391 Lincoln Way Garden Grove, CA 92841 714-897-6300 CLIENT: WORK HOURS: MONDAY TO FRIDAY 8:30 AM TO 3:30 PM 4 5 ENGINEER'S INFORMATION Name: Essam Dolah RCE No.: C95514 EXP.: DEC 31, 2025 FIRM: ADDRESS: 9 Albany Irvine CA 92604 5314532 PERMIT NO. LD24-1802 3002 ERICK ESCOBEDO TRAFFIC ENGINEER 7/15/20 24 07/15/24 41920 41880 28462 M E R C E D E S S T 2 5 M P H ALL E Y 5th S T 25 M P H 5th S T 25 M P H ALL E Y O L D T O W N F R O N T S T 2 5 M P H M E R C E D E S S T 2 5 M P H SI D E W A L K DIRT ST O P STOP STOP ST O P S T O P S T O P 25 50' BUF F E R 50' BUF F E R 1 2 ' 8' 100 ' 100 ' C9A (CA) W20-1 G20-2 50' C9A (CA) 1 0 0 ' 1 0 0 ' G20-2 G20-2 W20-1 W20-1 CONTACT PROPERTY OWNER(S) 72 HOURS PRIOR TO START OF WORK AN INDIVIDUAL WILL BE ASSIGNED TO MAINTAIN THE CONES WHILE THE WORK ZONE IS IN PLACE CONTRACTOR TO PROVIDE ACCESS TO DRIVEWAYS AT ALL TIMES ALL FLAGGERS TO USE RADIOS TO COORDINATE THE MOVEMENT OF TRAFFIC THROUGH THE WORK SITE WORK AREA 6th S T 25 M P H 6th S T 25 M P H 11' 8' CITY OF TEMECULA TRAFFIC PLANS 41920 6th ST PHASE 4 OF 4 0 SCALE: 1"=40' 40'80' 1-800-227-2600 TICKET# UNDERGROUND SERVICE ALERT OF SOUTHERN CALIFORNIA AT LEAST TWO DAYS BEFORE YOU DIG PUBLIC WORKS - TRAFFIC ENGINEERING DIVISION FOR CITY USE ONLY: FILE NO. CITY OF TEMECULA BYREVISIONSMARK APPR.DATE _____SHEETS SHEET ___ OF NO. DRAWINGENGINEER'S SEAL FOR TRAFFIC CONTROL PLANS TRENCH, BORE, REMOVE & REPLACE CONCRETE SIDEWALK AND PLACE A PED 41920 6th ST RECOMMENDED BY:DATE: ACCEPTED BY:DATE: R.T.E. NO. CONTRACTOR: JOHN GRIFFIN CONSTRUCTION INC 244 JASON COURT CORONA, CA 92879 Business Phone Number:(951) 278-2377 Charter COMMUNICATIONS 7337 CENTRAL AVE RIVERSIDE, CA 92504 VIDEO VOICE DATA 7391 Lincoln Way Garden Grove, CA 92841 714-897-6300 CLIENT: WORK HOURS: MONDAY TO FRIDAY 8:30 AM TO 3:30 PM 5 5 ENGINEER'S INFORMATION Name: Essam Dolah RCE No.: C95514 EXP.: DEC 31, 2025 FIRM: ADDRESS: 9 Albany Irvine CA 92604 5314532 PERMIT NO. LD24-1802 3002 ERICK ESCOBEDO TRAFFIC ENGINEER 7/15/20 24 07/15/24 TOTAL NEW CONDUIT BORE ASPHALT TRENCH CONCRETE TRENCH DIRT TRENCH (PARKWAY) REMOVE AND REPLACE RESURFACING LF LF LF LF SQ. FT. SQ. FT. QUANTITY OF VAULT(s) 494 323 0 4 0 302 0 1 EXCAVATION PLANWORK ZONE VICINITY MAP N.T.S. N REV#DATE DESCRIPTION INT TOTAL EXCAVATION 327 Charter LF SIDEWALKRAILROAD T TREE R/R S/W FOC R/W EDGE OF PAVEMENT CURB FACE UNDERGROUND CENTER LINE CONCRETE RIGHT OF WAY FRONT OF CURB EXISTING FROM CURB FACE CL EOP CF U/G CONC EX FCFEOP C/L R/W FOC SYMBOL/LINETYPE DESCRIPTIONABBRV. TRAFFIC SIGNAL HAND HOLE FIRE HYDRANT STREET LIGHT MANHOLE VALVE PEDESTAL UTILITY POLE SYMBOL/LINETYPE DESCRIPTIONABBRV. HH F/H MH VLV PED SL TS W G SS SLC SD E T ELECTRIC TELEPHONE GAS STORM DRAIN SANITARY SEWER WATER OIL / PETROLEUMOIL STREET LIGHT CONDUIT SYMBOL/LINETYPE DESCRIPTION DESCRIPTIONABBRV. C&G CURB & GUTTERC&G VENT METERM DRIVEWAYD/W CURB FACE GUTTER LIP POLE MTR SIDEWALK DRAIN POLE ANCHOR FIBER OPTICFO CATVTV EXISTING STRUCTURES MISC. LE G E N D ADA RAMP BACKFLOW CONC.SIDEWALKCSW P PARKING METER STREET SIGN BEHIND CURB FACEBCF VERTICAL GROUND RODVGR OVERHEADO/H OF SHEET E-MAIL: DATE: SCALE: PROJECT: WORK LOCATION: SERVICE ADDRESS:THOMAS GUIDE: CITY OF TEMECULA5314532 6TH ST / MERCEDES ST / ALLEY WAY 41920 6TH ST TEMECULA, CA 92590 1 2 04/19/2024 N.T.S. steven.gamilong@vvdcomm.net 958-H7 REVISION: CLIENT: 1 6/7/24 CITY REDLINES SG TICKET# UNDERGROUND SERVICE ALERT OF SOUTHERN CALIFORNIA AT LEAST TWO DAYS BEFORE YOU DIG CONTACT 811 ENGINEER: VIDEO VOICE DATA 7391 Lincoln Way Garden Grove, CA 92841 714-897-6300 PROPOSED WORK LEGEND NO. OF CONDUIT LENGTH OF CONDUIT SIZE OF CONDUIT POTHOLE DIRT / ASPHALT BORE PIT DIRT / ASPHALT PROPOSED VAULT / PEDESTAL PROPOSED TRENCH BP PHPH BP SYMBOL/LINETYPE DESCRIPTIONABBRV. PROPOSED BORE CONCRETE REPLACEMENT / PROPOSED ANCHOR PROPOSED POLE / PROPOSED VGR ' " X X X KEY NOTE# VT CONSTRUCTION NOTES: 1.BORE UNDER ALL CURBS AND GUTTERS. 2.PLACE PEDESTAL PARALLEL TO CURB. 3.USE SLURRY BACKFILL. 4.ALL CONDUITS SHALL BE SCH-40 UNLESS OTHERWISE SPECIFIED. ALL SWEEPS TO POLES SHALL BE SCH-80. 5.ALL CHANGES IN SKETCHES AND PERMIT LIMITS MUST HAVE PRIOR DEPT APPROVAL BY THE CITY'S PUBLIC WORKS DEPARTMENT/ENGINEERING DIVISION. 6.WHEN CROSSING EXISTING UTILITY LINES THAT ARE ALSO SAME DEPTH, PLACE NEW CONDUIT UNDERNEATH EXISTING UTILITIES TO PROVIDE ONE (1) FOOT MIN. VERTICAL CLEARANCE. 7.RESTORE DISTURBED LANDSCAPING & IRRIGATION. 8. ALL EXISTING STRUCTURES TO BE PROTECTED IN PLACE. 9. ANY SIDEWALK DISTURBANCE SHALL BE REPLACE FROM SCORE LINE TO SCORE LINE TO MEET CITY STANDARD. 10. TRAFFIC CONTROL NOTE: CONTRACTOR SHALL SET UP TEMPORARY TRAFFIC CONTROL PER APPROVED TRAFFIC CONTROL PLAN. 11. ALL PROPOSED FACILITIES SHALL BE PLACED BEHIND CONCRETE SIDEWALK OR IN GRASS/ DIRT AREA. 1. ASSUME SOLE AND COMPLETE RESPONSIBILITY OF THE JOB SITE CONDITIONS DURING THE COURSE OF CONSTRUCTION OF THIS PROJECT, INCLUDING THE SAFETY OF ALL PERSONS AND PROPERTIES THAT THESE REQUIREMENTS SHALL APPLY CONTINUOUSLY AND NOT BE LIMITED TO NORMAL WORKING HOURS AND CONDITION. THE CONTRACTOR FURTHER AGREES TO DEFEND , INDEMNIFY AND HOLD CITY OF TEMECULA, REPRESENTATIVES, AND ENGINEERS HARMLESS FROM ANY AND ALL LIABILITY, REAL OR ALLEGED IN CONNECTION WITH THE PERFORMANCE OF THE WORK ON THIS PROJECT. 2. PRIOR TO THE BEGINNING OF ANY CONSTRUCTION AND THROUGHOUT THE COURSE OF CONSTRUCTION WORK, THE CONTRACTOR SHALL FULLY COMPLY WITH THE "CALIFORNIA OCCUPATIONAL SAFETY AND HEALTH" ACT OF 1973 INCLUDING ALL REVISIONS AND AMENDMENTS THERETO. 3. ALL WORK SHALL CONFORM TO THE LATEST EDITION OF GO 95, 128, AND THE STANDARD "SPECIFICATIONS FOR PUBLIC WORKS CONSTRUCTION", AS ADOPTED BY THE CITY, COUNTY OR STATE AS MODIFIED BY STANDARD PLANS AND ADDENDUMS. 4. THE EXISTENCE AND LOCATION OF UTILITIES AND OTHER AGENCY FACILITIES AS SHOWN HEREON ARE OBTAINED BY A SEARCH OF AVAILABLE RECORDS. OTHER FACILITIES MAY EXIST, THE CONTRACTOR SHALL VERIFY PRIOR TO THE START OF CONSTRUCTION AND SHALL USE EXTREME CARE AND PROTECTIVE MEASURES TO PREVENT DAMAGE TO THESE FACILITIES. THE CONTRACTOR IS RESPONSIBLE FOR THE PROTECTION OF ALL UTILITY OR AGENCY FACILITIES WITHIN THE LIMITS OR WORK, WHETHER THEY ARE SHOWN ON THIS PLAN OR NOT. 5. THE CONTRACTOR SHALL NOTIFY UNDERGROUND SERVICE ALERT AT 811, AT LEAST TWO WORKING DAYS PRIOR TO THE START OF ANY EXCAVATION. 6. THE CONTRACTOR SHALL NOTIFY THE INSPECTION DEPARTMENT AT LDInspections@temeculaca.gov A MINIMUM OF TWO DAYS BEFORE START OF ANY WORK REQUIRING THEIR INVOLVEMENT. 7. ALL WORK AREA AND STREET TRAFFIC CONTROL SHALL BE IN ACCORDANCE WITH THE SPECIFICATIONS OF THE MUTCD AND SPECIFICATIONS FROM THE CITY, COUNTY AND STATE. 8. THE CITY, COUNTY OR STATE SHALL SPECIFY THE EXPIRATION PERIOD OF THE PERMIT FOR THIS CONSTRUCTION PROJECT. 9. THE MINIMUM COVER FOR ALL CONDUITS PLACED UNDERGROUND SHALL BE 36 INCHES BELOW GUTTER. 10. THE CONTRACTOR SHALL PUNCH THROUGH & BORE ALL CURB AND GUTTERS AND BORE ALL CONCRETE DRIVEWAYS AND WALKWAYS AT THE DIRECTION OF THE CITY, COUNTY OR STATE INSPECTION. 11. ALL ASPHALT CONCRETE AND/OR CONCRETE PAVEMENT SHALL BE REPLACED AT THE DIRECTION OF THE CITY, COUNTY OR STATE ENGINEERS. 12. ALL SHRUBS, PLANTS OR TREES THAT HAVE BEEN DAMAGED OR DISTURBED DURING THE COURSE OF THE WORK, SHALL BE REPLANTED AND OR REPLACED SO AS TO RESTORE THE WORK SITE TO ITS ORIGINAL CONDITION. 13. IF DAMAGE OCCURS TO THE CITY OR COUNTY FACILITIES, THE CONTRACTOR SHALL IMMEDIATELY NOTIFY: CITY OF TEMECULA, PUBLIC WORKS DEPARTMENT AT TEL. NO. (951) 694-6411 STREET LIGHTING IS ALSO REPORTED TO THE CITY. 14. AT LEAST TWO DAYS PRIOR TO THE COMMENCEMENT OF ANY WORK, THE CONTRACTOR SHALL NOTIFY THE POLICE DEPARTMENT AND THE FIRE DEPARTMENT. 15. THE CONTRACTOR WILL BE RESPONSIBLE FOR THE PROCESSING OF ALL APPLICATION PERMIT FORMS ALONG WITH THE REQUIRED LIABILITY INSURANCE FORMS, CLEARLY DEMONSTRATING THAT THE CITY OF TEMECULA AS ALSO INSURED WITH THE REQUIRED LIABILITY INSURANCE FOR THIS CONSTRUCTION PROJECT. 16. VAULTS, PEDESTALS, CONDUITS AND ALL OTHER TYPES OF SUBSTRUCTURE ARE EITHER SPECIFIED ON THIS PLAN OR WILL BE SPECIFIED BY THE CONSTRUCTION ENGINEER. ANY AND ALL DEVIATIONS FROM THE SPECIFIED TYPES OF MATERIAL MUST BE APPROVED BY THE SYSTEM ENGINEER OR CONSTRUCTION ENGINEER, IN WRITING BEFORE INSTALLATION THEREOF. GENERAL NOTES INDEMNIFICATION CLAUSE: THE CONTRACTOR AGREES AND SHALL; LF IMPROVEMENT PLAN FOR: TIE-INTO EX. CHARTER PEDESTAL IN CSW, 167' BORE, REMOVE & REPLACE ±302 SF OF CSW. PLACE NEW 24" x 36" CHARTER VAULT, 156' BORE, 4' TRENCH AND STUB TO R/W, PLACE BORE PITS. LD24-1802 CLEARED BY CITY OF TEMECULA PUBLIC WORKS Tricia.ortega 06/21/2024 06/21/2024 06/21/2024 06/21/20 R / W R / W R/W C L CL C L SS R/W C L CL C L C L C L C L W W W W W S S S S S S S S S S R/W T T T G G G G G G W W W SD SD 60' 30' 30' 20' 10' 20' 10' 60' 30' 30' 20' 10' 20' 10' 6 0 ' 3 0 ' 3 0 ' 2 0 ' 1 0 ' 2 0 ' 1 0 ' 6 0 ' 3 0 ' 3 0 ' 2 0 ' 1 0 ' 2 0 ' 1 0 ' 2 0 ' 1 0 ' 1 0 ' C L C L C L T T T T T H H H H H H H H H H H H 1 + 0 0 2 + 0 0 0 + 0 0 0+0 0 1+0 0 0+0 0 R / W R / W R / W R / W R/W R/W2' 1 0 ' 6' 1 0 ' 1 4 ' R / W R / W R/W R/W G G G 6' 14' 23' 6' " ' 2 167 2 EX. PED - PROP. PED BORE " ' 1 160 2 PROP. PED - R/W STUB @ R/W STA. 1+36 5 1 4 6 1'6'9'15'23'29' 2 PH BP 2 EX. PED ±65 SF ±106 SF 6' 4' 4' R/W R/W S S W W 8' 2' 2' 8' 16' 22' 7' 36' 10' 1 4 9 ' 2 ±100 SF VT HH M C&G C&G C&G C&G C & G C & G C & G C & G S / W S / W S / W S / W S/W S/W S/W S/W 7 5 ' SEE DETAIL "B" SEE DETAIL "A" 3 40' 2 4 ' 9' W SS E E 6±31 SF 6' 1 0 ' 41920 41880 28462 G BP 156' BORE SEE DETAIL "C" 4' TRENCH ASP H A L T P A V E M E N T V T G HH M E T G H H H H V T R/W EXCAVATION PLAN REV#DATE DESCRIPTION INT 0 SCALE: 1"=30' 30'60' Charter SIDEWALKRAILROAD T TREE R/R S/W FOC R/W EDGE OF PAVEMENT CURB FACE UNDERGROUND CENTER LINE CONCRETE RIGHT OF WAY FRONT OF CURB EXISTING FROM CURB FACE CL EOP CF U/G CONC EX FCFEOP C/L R/W FOC SYMBOL/LINETYPE DESCRIPTIONABBRV. TRAFFIC SIGNAL HAND HOLE FIRE HYDRANT STREET LIGHT MANHOLE VALVE PEDESTAL UTILITY POLE SYMBOL/LINETYPE DESCRIPTIONABBRV. HH F/H MH VLV PED SL TS W G SS SLC SD E T ELECTRIC TELEPHONE GAS STORM DRAIN SANITARY SEWER WATER OIL / PETROLEUMOIL STREET LIGHT CONDUIT SYMBOL/LINETYPE DESCRIPTION DESCRIPTIONABBRV. C&G CURB & GUTTERC&G VENT METERM DRIVEWAYD/W CURB FACE GUTTER LIP POLE MTR SIDEWALK DRAIN POLE ANCHOR FIBER OPTICFO CATVTV EXISTING STRUCTURES MISC. LE G E N D ADA RAMP BACKFLOW CONC.SIDEWALKCSW P PARKING METER STREET SIGN BEHIND CURB FACEBCF VERTICAL GROUND RODVGR OVERHEADO/H OF SHEET E-MAIL: DATE: SCALE: PROJECT: WORK LOCATION: SERVICE ADDRESS:THOMAS GUIDE: CITY OF TEMECULA5314532 6TH ST / MERCEDES ST / ALLEY WAY 41920 6TH ST TEMECULA, CA 92590 2 2 04/19/2024 1" = 30' steven.gamilong@vvdcomm.net 958-H7 REVISION: CLIENT: TICKET# UNDERGROUND SERVICE ALERT OF SOUTHERN CALIFORNIA AT LEAST TWO DAYS BEFORE YOU DIG CONTACT 811 ENGINEER: VIDEO VOICE DATA 7391 Lincoln Way Garden Grove, CA 92841 714-897-6300 PROPOSED WORK LEGEND NO. OF CONDUIT LENGTH OF CONDUIT SIZE OF CONDUIT POTHOLE DIRT / ASPHALT BORE PIT DIRT / ASPHALT PROPOSED VAULT / PEDESTAL PROPOSED TRENCH BP PHPH BP SYMBOL/LINETYPE DESCRIPTIONABBRV. PROPOSED BORE CONCRETE REPLACEMENT / PROPOSED ANCHOR PROPOSED POLE / PROPOSED VGR ' " X X X KEY NOTE# VT CONSTRUCTION NOTES: 1.BORE UNDER ALL CURBS AND GUTTERS. 2.PLACE VAULT OR PEDESTAL PARALLEL TO CURB. 3.USE SLURRY BACKFILL. 4.ALL CONDUITS SHALL BE SCH-40 UNLESS OTHERWISE SPECIFIED. ALL SWEEPS TO POLES SHALL BE SCH-80. 5.ALL CHANGES IN SKETCHES AND PERMIT LIMITS MUST HAVE PRIOR DEPT APPROVAL BY THE CITY'S PUBLIC WORKS DEPARTMENT/ENGINEERING DIVISION. 6.WHEN CROSSING EXISTING UTILITY LINES THAT ARE ALSO SAME DEPTH, PLACE NEW CONDUIT UNDERNEATH EXISTING UTILITIES TO PROVIDE ONE (1) FOOT MIN. VERTICAL CLEARANCE. 7.RESTORE DISTURBED LANDSCAPING & IRRIGATION. 8. ALL EXISTING STRUCTURES TO BE PROTECTED IN PLACE. 9. ANY SIDEWALK DISTURBANCE SHALL BE REPLACE FROM SCORE LINE TO SCORE LINE TO MEET CITY STANDARD. 10. TRAFFIC CONTROL NOTE: CONTRACTOR SHALL SET UP TEMPORARY TRAFFIC CONTROL PER APPROVED TRAFFIC CONTROL PLAN. 11. ALL PROPOSED FACILITIES SHALL BE PLACED BEHIND CONCRETE SIDEWALK OR IN GRASS/ DIRT AREA. LD24-1802 KEY NOTES: TIE-IN TO EXIST. CHARTER PEDESTAL IN CSW. STA. 0+40 - 9' BCF.1 C&G DETAIL "A" N.T.S. 10' S / W PROP. 2-2" CHARTER CONDUIT EXIST. CHARTER PEDESTAL TO PROTECT IN PLACE R/W EXIST. HANDHOLE TO PROTECT IN PLACE2 BPREMOVE & REPLACE (SCORELINE TO SCORELINE) OF CONCRETE COLORED S/W RESTORATION PER CITY STANDARD NO. 400 & MUST MATCH EXISTING CURRENT S/W COLOR. DETAIL "B" N.T.S. DETAIL "C" N.T.S. 3 PROTECT IN PLACE ADA RAMP. IF DISTURBED RESTORE IN KIND PER CITY STANDARD NO. 402 4 5 PROP. 24"x36" CHARTER VAULT IN CSW. STA 1+75 - 1' BCF (SEE VAULT DETAIL HEREIN) PROTECT IN PLACE DRIVEWAY & FLARE. PROP. 2-2" CHARTER CONDUIT PROP. 24" x 36" CHARTER VAULT PROP. 2-2" CHARTER CONDUIT EX. TREE TO PROTECT IN PLACE EXIST. HANDHOLE TO PROTECT IN PLACE EX. POLE TO PROTECT IN PLACE PROP. 2-2" CHARTER CONDUIT BP BP PROP. 1-2" CHARTER CONDUIT R / W R/W C & G 1 0 ' S / W PH 6 REMOVE & REPLACE (SCORELINE TO SCORELINE) OF CONCRETE PAVEMENT RESTORATION PER CITY STANDARD NO. 407 ADDITIONAL NOTES: 1.ALL EXISTING STRUCTURES TO BE PROTECTED IN PLACE. 2. RESTORE DISTURBED LANDSCAPING & IRRIGATION IN KIND. 3. NOTIFY PROPERTY OWNER PRIOR TO CONSTRUCTION. 4. MAINTAIN 1' MINIMUM FROM THE RIGHT OF WAY PER CITY STANDARD. 1' 3' 5' 4' 4' 1 0 ' 6' 5' IF DAMAGED, REPLACE PER CITY STANDARD NO. 118 BP ARMORCAST VAULT (COMPOSITE) 24"x36" POLYMER SPLICE FRAME & COVER COVER MODEL # A6001975T FRAME MODEL # A6001974TAPCX18 (NOT TO SCALE) " ALL COVERS, EQUIPMENT PADS, ETC., THAT ARE EXPOSED TO FOOT TRAFFIC HAVE A SLIP RESISTANT SURFACE WITH MINIMUM COEFFICIENT OF FRICTION OF 0.60 UNDER WET OR DRY CONDITIONS. VAULT SLIP RESISTANT COVERS MEET THE AMERICAN WITH DISABILITIES ACT (ADA) SLIP RESISTANCE REQUIREMENTS." 1 6/7/24 CITY REDLINES SG SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 6/18/2024 Spectrum Risk Management 74 Discovery Irvine, CA 92618 949-756-5730 949-756-5740 www.spectrumrisk.com 0C77485 Continental Insurance Company 35289 Continental Casualty Company 20443 Everest Premier Insurance Company 16045 Westchester Surplus Lines Insurance Co 10172 A 1,000,00070398936788/30/2023 8/30/2024 100,000 3 15,000 3 1,000,000 2,000,000 2,000,0003 B 7039893681 8/30/2023 8/30/2024 1,000,000 3 3 3 A 7039893700 8/30/2023 8/30/2024 5,000,0003 5,000,0003 0 C 7600023569231 9/1/2023 9/1/2024 3 1,000,000Y 1,000,000 1,000,000 D Pollution Liability G74334982 002 10/20/2023 10/20/2024 $100,000 per occ./ $100,000 aggregate Gennyne Walker Account Manager office@spectrumrisk.com PrimeBore Directional Boring Corp. 10822 Vernon Ave. Ontario CA 91762-4041 80536407 3 3 City of Temecula is included as additional insured, on a primary and non-contributory basis, with respects to the general liability, where required by respects to the general liability, per attached policy forms. Re: Permits City of Temecula 41000 Main Street Temecula CA 92590 Re: Permits written contract, per attached policy forms. Waiver of subrogation applies to the additional insured, where required by written contract, with 80536407 | 2023 Master Certificate (All Lines) | Jena Harrison | 6/18/2024 2:44:31 PM (PDT) | Page 1 of 20 Blanket Additional Insured - Owners, Lessees or Contractors - with Products-Completed Operations Coverage Endorsement CNA75079XX (10-16) Page 1 of 2 Insured Name: Copyright CNA All Rights Reserved. Policy No: Effective Date: Includes copyrighted material of Insurance Services Office, Inc., with its permission. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I.WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily injury, property damage or personal and advertising injury caused in whole or in part by your acts or omissions, or the acts or omissions of those acting on your behalf: A.in the performance of your ongoing operations subject to such written contract; or B.in the performance of your work subject to such written contract, but only with respect to bodily injury or property damage included in the products-completed operations hazard, and only if: 1.the written contract requires you to provide the additional insured such coverage; and 2.this coverage part provides such coverage. II.But if the written contract requires: A.additional insured coverage under the 11-85 edition, 10-93 edition, or 10-01 edition of CG2010, or under the 10-01 edition of CG2037; or B.additional insured coverage with “arising out of” language; or C.additional insured coverage to the greatest extent permissible by law; then paragraph I. above is deleted in its entirety and replaced by the following: WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of your work that is subject to such written contract. III.Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: A.coverage broader than required by the written contract; or B.a higher limit of insurance than required by the written contract. IV.The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property damage, or personal and advertising injury arising out of: A.the rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: 1.the preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and 2.supervisory, inspection, architectural or engineering activities; or B.any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this coverage part. V.Under COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance is amended to add the following, which supersedes any provision to the contrary in this Condition or elsewhere in this coverage part: Primary and Noncontributory Insurance 6/18/2024 PrimeBore Directional Boring Corp. 7039893678 08/30/2023 Continental Insurance Company 80536407 | 2023 Master Certificate (All Lines) | Jena Harrison | 6/18/2024 2:44:31 PM (PDT) | Page 2 of 20 Blanket Additional Insured - Owners, Lessees or Contractors - with Products-Completed Operations Coverage Endorsement CNA75079XX (10-16) Page 2 of 2 Insured Name: Copyright CNA All Rights Reserved. Policy No: Effective Date: Includes copyrighted material of Insurance Services Office, Inc., with its permission. With respect to other insurance available to the additional insured under which the additional insured is a named insured, this insurance is primary to and will not seek contribution from such other insurance, provided that a written contract requires the insurance provided by this policy to be: 1.primary and non-contributing with other insurance available to the additional insured; or 2.primary and to not seek contribution from any other insurance available to the additional insured. But except as specified above, this insurance will be excess of all other insurance available to the additional insured. VI.Solely with respect to the insurance granted by this endorsement, the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: The Condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1.give the Insurer written notice of any claim, or any occurrence or offense which may result in a claim; 2.send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation, defense, or settlement of the claim; and 3.make available any other insurance, and tender the defense and indemnity of any claim to any other insurer or self-insurer, whose policy or program applies to a loss that the Insurer covers under this coverage part. However, if the written contract requires this insurance to be primary and non-contributory, this paragraph 3. does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. VII.Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is amended to add the following definition: Written contract means a written contract or written agreement that requires you to make a person or organization an additional insured on this coverage part, provided the contract or agreement: A.is currently in effect or becomes effective during the term of this policy; and B.was executed prior to: 1.the bodily injury or property damage; or 2.the offense that caused the personal and advertising injury; for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. 80536407 | 2023 Master Certificate (All Lines) | Jena Harrison | 6/18/2024 2:44:31 PM (PDT) | Page 3 of 20 CNA PARAMOUNT Contractors'General Liability Extension Endorsement COMMERCIAL GENERAL LIABILITY COVERAGE PARTIt is understood and agreed that this endorsement amends the as follows. If any other endorsement attached to this policy amends any provision also amended by this endorsement, then that other endorsement controls with respect to such provision,and the changes made by this endorsement with respect to such provision do not apply. TABLE OF CONTENTS 1.Additional Insureds 2.Additional Insured -Primary And Non-Contributory To Additional Insured's Insurance 3.Bodily Injury –Expanded Definition 4.Broad Knowledge of Occurrence/Notice of Occurrence 5.Broad Named Insured 6.Broadened Liability Coverage For Damage To Your Product And Your Work 7.Contractual Liability -Railroads 8.Electronic Data Liability 9.Estates,Legal Representatives and Spouses 10.Expected Or Intended Injury –Exception for Reasonable Force 11.General Aggregate Limits of Insurance –Per Project 12.In Rem Actions 13.Incidental Health Care Malpractice Coverage 14.Joint Ventures/Partnership/Limited Liability Companies 15.Legal Liability –Damage To Premises /Alienated Premises /Property In The Named Insured's Care, Custody or Control 16.Liquor Liability 17.Medical Payments 18.Non-owned Aircraft Coverage 19.Non-owned Watercraft 20.Personal And Advertising Injury –Discrimination or Humiliation 21.Personal And Advertising Injury -Contractual Liability 22.Property Damage -Elevators 23.Supplementary Payments 24.Unintentional Failure To Disclose Hazards 25.Waiver of Subrogation –Blanket 26.Wrap-Up Extension:OCIP CCIP,or Consolidated (Wrap-Up)Insurance Programs Effective Date: CNA74705XX (1-15) Page 1of17 VALLEY FORGE INSURANCE COMPANY Insured Name: Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 30 0 2 0 0 0 7 3 5 0 9 5 0 5 4 6 7 3 7 5 3 5 Policy No. PrimeBore Directional Boring Corp. 7039893678 8/30/2023 80536407 | 2023 Master Certificate (All Lines) | Jena Harrison | 6/18/2024 2:44:31 PM (PDT) | Page 4 of 20 CNA PARAMOUNT Contractors'General Liability Extension Endorsement 1.ADDITIONAL INSUREDS a.WHO IS AN INSURED Insuredisamendedtoinclude as an any person or organization described in paragraphs A. H.Named Insured Coverage Partthroughbelowwhomaisrequiredto add as an additional insured on this under a written contract or written agreement,provided such contract or agreement: (1)Coverage Partiscurrentlyineffectorbecomeseffectiveduringthetermofthis;and (2)was executed prior to: (a)bodily injury property damagetheor;or (b)personal and advertising injurytheoffensethatcausedthe, for which such additional insured seeks coverage. b.However,subject always to the terms and conditions of this policy,including the limits of insurance,the Insurer will not provide such additional insured with: (1)a higher limit of insurance than required by such contract or agreement;or (2)coverage broader than required by such contract or agreement,and in no event broader than that described A. H.by the applicable paragraph through below. Any coverage granted by this endorsement shall apply only to the extent permissible by law. A.Controlling Interest Named InsuredAnypersonororganizationwithacontrollinginterestina,but only with respect to such person or bodily injury property damage personal and advertising injuryorganization's liability for ,or arising out of: 1.Named Insuredsuchpersonororganization's financial control of a ;or 2.Named Insuredpremisessuchpersonororganizationowns,maintains or controls while a leases or occupies such premises; provided that the coverage granted by this paragraph does not apply to structural alterations,new construction or demolition operations performed by,on behalf of,or for such additional insured. B.Co-owner of Insured Premises Named InsuredAco-owner of a premises co-owned by a and covered under this insurance but only with respect bodily injury property damage personal and advertising injurytosuchco-owner's liability for ,or as co-owner of such premises. C.Lessor of Equipment Named InsuredAnypersonororganizationfromwhoma leases equipment,but only with respect to liability for bodily injury property damage personal and advertising injury Named,or caused,in whole or in part,by the Insured's occurrencemaintenance,operation or use of such equipment,provided that the giving rise to such bodily injury property damage personal and advertising injury,or the offense giving rise to such takes place prior to the termination of such lease. D.Lessor of Land Named Insured bodilyAnypersonororganizationfromwhomaleaseslandbutonlywithrespecttoliabilityfor injury property damage personal and advertising injury,or arising out of the ownership,maintenance or use occurrence bodily injury property damageofsuchland,provided that the giving rise to such ,or the offense personal and advertising injurygivingrisetosuch takes place prior to the termination of such lease.The CNA74705XX (1-15) Page 2of17 VALLEY FORGE INSURANCE COMPANY Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 80536407 | 2023 Master Certificate (All Lines) | Jena Harrison | 6/18/2024 2:44:31 PM (PDT) | Page 5 of 20 CNA PARAMOUNT Contractors'General Liability Extension Endorsement coverage granted by this paragraph does not apply to structural alterations,new construction or demolition operations performed by,on behalf of,or for such additional insured. E.Lessor of Premises Named InsuredAnownerorlessorofpremisesleasedto the ,or such owner or lessor's real estate manager,but bodily injury property damage personal and advertising injuryonlywithrespecttoliabilityfor,or arising out of Named Insuredtheownership,maintenance or use of such part of the premises leased to the ,and provided that occurrence bodily injury property damage personalthegivingrisetosuchor,or the offense giving rise to such and advertising injury,takes place prior to the termination of such lease.The coverage granted by this paragraph does not apply to structural alterations,new construction or demolition operations performed by,on behalf of,or for such additional insured. F. Mortgagee,Assignee or Receiver A mortgagee,assignee or receiver of premises but only with respect to such mortgagee,assignee or receiver's bodily injury property damage personal and advertising injury Namedliabilityfor,or arising out of the Insured's Named Insuredownership,maintenance,or use of a premises by a . The coverage granted by this paragraph does not apply to structural alterations,new construction or demolition operations performed by,on behalf of,or for such additional insured. G.State or Governmental Agency or Subdivision or Political Subdivisions –Permits A state or governmental agency or subdivision or political subdivision that has issued a permit or authorization but bodilyonlywithrespecttosuchstateorgovernmentalagencyorsubdivisionorpolitical subdivision's liability for injury property damage personal and advertising injury,or arising out of: 1.Named Insuredthefollowinghazardsinconnectionwithpremisesa owns,rents,or controls and to which this insurance applies: a.the existence,maintenance,repair,construction,erection,or removal of advertising signs,awnings, canopies,cellar entrances,coal holes,driveways,manholes,marquees,hoistaway openings,sidewalk vaults,street banners,or decorations and similar exposures;or b.the construction,erection,or removal of elevators;or c.the ownership,maintenance or use of any elevators covered by this insurance;or 2.Named Insured Named Insured'sthepermittedorauthorized operations performed by a or on a behalf. The coverage granted by this paragraph does not apply to: a.Bodily injury property damage personal and advertising injury,or arising out of operations performed for the state or governmental agency or subdivision or political subdivision;or b.Bodily injury property damage products-completed operations hazardorincludedwithinthe. With respect to this provision's requirement that additional insured status must be requested under a written contract or agreement,the Insurer will treat as a written contract any governmental permit that requires the Named Insured to add the governmental entity as an additional insured. H.Trade Show Event Lessor 1.Named Insured'sWithrespectto a participation in a trade show event as an exhibitor,presenter or displayer, Named Insuredanypersonororganizationwhomthe is required to include as an additional insured,but only bodily injury property damage personal andwithrespecttosuchpersonororganization's liability for ,or advertising injury caused by: CNA74705XX (1-15) Page 3of17 VALLEY FORGE INSURANCE COMPANY Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 30 0 2 0 0 0 7 3 5 0 9 5 0 5 4 6 7 3 7 5 3 6 80536407 | 2023 Master Certificate (All Lines) | Jena Harrison | 6/18/2024 2:44:31 PM (PDT) | Page 6 of 20 CNA PARAMOUNT Contractors'General Liability Extension Endorsement a.Named Insured'sthe acts or omissions;or b.Named Insured'stheactsoromissionsofthoseactingon the behalf, Named Insured'sintheperformanceof the ongoing operations at the trade show event premises during the trade show event. 2.bodily injury property damageThecoveragegrantedbythisparagraphdoesnotapplytoor included within products-completed operations hazardthe. 2.ADDITIONAL INSURED -PRIMARY AND NON-CONTRIBUTORY TO ADDITIONAL INSURED'S INSURANCE Other Insurance COMMERCIAL GENERAL LIABILITY CONDITIONSTheConditioninthe Section is amended to add the following paragraph: Named InsuredIfthe has agreed in writing in a contract or agreement that this insurance is primary and non- contributory relative to an additional insured's own insurance,then this insurance is primary,and the Insurer will not 2.seek contribution from that other insurance.For the purpose of this Provision ,the additional insured's own insurance means insurance on which the additional insured is a named insured.Otherwise,and notwithstanding anything to the contrary elsewhere in this Condition,the insurance provided to such person or organization is excess of any other insurance available to such person or organization. 3.BODILY INJURY –EXPANDED DEFINITION DEFINITIONS bodily injuryUnder,the definition of is deleted and replaced by the following: Bodily injury means physical injury,sickness or disease sustained by a person,including death,humiliation,shock, mental anguish or mental injury sustained by that person at any time which results as a consequence of the physical injury,sickness or disease. 4.BROAD KNOWLEDGE OF OCCURRENCE/NOTICE OF OCCURRENCE CONDITIONS Duties in The Event of Occurrence,Offense,Claim or SuitUnder,the condition entitled is amended to add the following provisions: A.BROAD KNOWLEDGE OF OCCURRENCE Named Insured occurrenceThemustgivetheInsurerortheInsurer's authorized representative notice of an , claim occurrence claim Named Insuredoffenseoronlywhenthe,offense or is known to a natural person ,to a Named Insured employeepartner,executive officer,manager or member of a ,or an designated by any of the above to give such notice. B.NOTICE OF OCCURRENCE Named Insured's Coverage Part Named InsuredTherightsunderthiswillnot be prejudiced if the fails to give occurrence claim Named Insured'stheInsurernoticeof an ,offense or and that failure is solely due to the bodily injury property damage Coverage Partreasonablebeliefthat the or is not covered under this .However, Named Insured occurrence claimtheshallgivewrittennoticeofsuch,offense or to the Insurer as soon as the Named Insured occurrence claimisawarethatthisinsurancemayapplytosuch,offense or . 5.BROAD NAMED INSURED WHO IS AN INSURED 3.is amended to delete its Paragraph in its entirety and replace it with the following: 3.4.Named InsuredPursuantto the limitations described in Paragraph below,any organization in which a has management control: a.Coverage Parton the effective date of this ;or CNA74705XX (1-15) Page 4of17 VALLEY FORGE INSURANCE COMPANY Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 80536407 | 2023 Master Certificate (All Lines) | Jena Harrison | 6/18/2024 2:44:31 PM (PDT) | Page 7 of 20 CNA PARAMOUNT Contractors'General Liability Extension Endorsement b.Named Insured policy periodbyreasonof a creating or acquiring the organization during the , Named Insuredqualifiesasa,provided that there is no other similar liability insurance,whether primary, contributory,excess,contingent or otherwise,which provides coverage to such organization,or which would have provided coverage but for the exhaustion of its limit,and without regard to whether its coverage is broader or narrower than that provided by this insurance. BROAD NAMED INSUREDButthis provision does not apply to: (a)any partnership,limited liability company or joint venture;or (b)Coverage Partanyorganizationforwhichcoverageisexcludedbyanotherendorsementattachedtothis. For the purpose of this provision,management control means: A.owning interests representing more than 50%of the voting,appointment or designation power for the selection of a majority of the Board of Directors of a corporation;or B.having the right,pursuant to a written trust agreement,to protect,control the use of,encumber or transfer or sell property held by a trust. 4.Named Insureds 3.With respect to organizations which qualify as by virtue of Paragraph above,this insurance does not apply to: a.bodily injury property damageor that first occurred prior to the date of management control,or that first occurs after management control ceases;nor b.personal or advertising injury caused by an offense that first occurred prior to the date of management control or that first occurs after management control ceases. 5.Coverage Part Named InsuredsTheinsuranceprovidedbythisappliesto when trading under their own names Named Insuredorundersuchothertradingnamesordoing-business-as names (dba)as any should choose to employ. 6.BROADENED LIABILITY COVERAGE FOR DAMAGE TO YOUR PRODUCT AND YOUR WORK A.COVERAGES Coverage A –Bodily Injury and Property Damage LiabilityUnder,,the paragraph entitled Exclusions k.I.is amended to delete exclusions and and replace them with the following: This insurance does not apply to: k.Damage to Your Product Property damage your productto arising out of it,or any part of it except when caused by or resulting from: (1)fire; (2)smoke; (3)collapse;or (4)explosion. I.Damage to Your Work Property damage your work products-completedtoarisingout of it,or any part of it and included in the operations hazard. This exclusion does not apply: (1)NamedIfthedamagedwork,or the work out of which the damage arises,was performed on the Insured's behalf by a subcontractor;or CNA74705XX (1-15) Page 5of17 VALLEY FORGE INSURANCE COMPANY Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 30 0 2 0 0 0 7 3 5 0 9 5 0 5 4 6 7 3 7 5 3 7 80536407 | 2023 Master Certificate (All Lines) | Jena Harrison | 6/18/2024 2:44:31 PM (PDT) | Page 8 of 20 CNA PARAMOUNT Contractors'General Liability Extension Endorsement (2)If the cause of loss to the damaged work arises as a result of: (a)fire; (b)smoke; (c)collapse;or (d)explosion. B.LIMITS OF INSURANCEThefollowingparagraphisadded to : 5.Coverage A damagesSubjecttoabove,$100,000 is the most the Insurer will pay under for the sum of arising occurrence property damage your product your workout of any one because of to and that is caused by fire, product-completed operations hazardsmoke,collapse or explosion and is included within the .This sublimit property damage your workdoesnotapplytoto if the damaged work,or the work out of which the damage Named Insured'sarises,was performed on the behalf by a subcontractor. C.Broadened Liability Coverage For Damage To Your Product And Your WorkThis Provision does not apply if an endorsement of the same name is attached to this policy. 7.CONTRACTUAL LIABILITY –RAILROADS insured contractWithrespecttooperationsperformedwithin50 feet of railroad property,the definition of is replaced by the following: Insured Contract means: a.A contract for a lease of premises.However,that portion of the contract for a lease of premises that indemnifies Named Insuredanypersonororganizationfordamagebyfiretopremiseswhilerentedto a or temporarily Named Insured insured contractoccupiedbyawithpermissionof the owner is not an ; b.A sidetrack agreement; c.Any easement or license agreement; d.An obligation,as required by ordinance,to indemnify a municipality,except in connection with work for a municipality; e.An elevator maintenance agreement; f.Named Insured'sThatpartofanyothercontractoragreementpertainingto the business (including an Namedindemnificationof a municipality in connection with work performed for a municipality)under which the Insured bodily injury property damageassumesthetortliabilityofanotherpartytopayforor to a third person or organization.Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. f.Paragraph does not include that part of any contract or agreement: (1)That indemnifies an architect,engineer or surveyor for injury or damage arising out of: (a)Preparing,approving or failing to prepare or approve maps,shop drawings,opinions,reports,surveys, field orders,change orders or drawings and specifications;or (b)Giving directions or instructions,or failing to give them,if that is the primary cause of the injury or damage; (2)InsuredUnderwhichthe,ifan architect,engineer or surveyor,assumes liability for an injury or damage (1)arising out of the insured's rendering or failure to render professional services,including those listed in above and supervisory,inspection,architectural or engineering activities. 8.ELECTRONIC DATA LIABILITY CNA74705XX (1-15) Page 6of17 VALLEY FORGE INSURANCE COMPANY Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 80536407 | 2023 Master Certificate (All Lines) | Jena Harrison | 6/18/2024 2:44:31 PM (PDT) | Page 9 of 20 CNA PARAMOUNT Contractors'General Liability Extension Endorsement A.COVERAGES Coverage A –Bodily Injury and Property Damage LiabilityUnder,,the paragraph entitled Exclusions p.Electronic Dataisamendedtodeleteexclusion and replace it with the following: This insurance does not apply to: p.Access Or Disclosure Of Confidential Or Personal Information And Data-related Liability Damages arising out of: (1)any access to or disclosure of any person's or organization's confidential or personal information, including patents,trade secrets,processing methods,customer lists, financial information,credit card information,health information or any other type of nonpublic information;or (2)the loss of, loss of use of,damage to,corruption of, inability to access,or inability to manipulate electronic data that does not result from physical injury to tangible property. (1)damages bodilyHowever,unless Paragraph above applies,this exclusion does not apply to because of injury. This exclusion applies even if damages are claimed for notification costs,credit monitoring expenses, Namedforensicexpenses,public relation expenses or any other loss,cost or expense incurred by the Insured (1) (2)or others arising out of that which is described in Paragraph or above. B.LIMITS OF INSURANCEThefollowingparagraphisadded to : 5.Coverage A damagesSubjecttoabove,$100,000 is the most the Insurer will pay under for all arising out of occurrence property damageanyonebecauseof that results from physical injury to tangible property and electronic dataarisesout of . C.DEFINITIONSThefollowing definition is added to : Electronic data means information,facts or programs stored as or on,created or used on,or transmitted to or from computer software (including systems and applications software),hard or floppy disks,CD-ROMS,tapes, drives,cells,data processing devices or any other media which are used with electronically controlled equipment. D.ELECTRONIC DATA LIABILITYForthepurposeof the coverage provided by this Provision,the definition of property damage DEFINITIONSin is replaced by the following: Property damage means: a.Physical injury to tangible property,including all resulting loss of use of that property.All such loss of use shall be deemed to occur at the time of the physical injury that caused it; b.Loss of use of tangible property that is not physically injured.All such loss of use shall be deemed to occur at occurrencethetimeof the that caused it;or c.Loss of, loss of use of,damage to,corruption of, inability to access,or inability to properly manipulate electronic data electronic data,resulting from physical injury to tangible property.All such loss of shall be occurrencedeemedtooccurat the time of the that caused it. electronic dataForthepurposesofthisinsurance,is not tangible property. E.If Electronic Data Liability is provided at a higher limit by another endorsement attached to this policy,then the ELECTRONIC DATA LIABILITY$100,000 limit provided by this Provision is part of,and not in addition to,that higher limit. 9.ESTATES,LEGAL REPRESENTATIVES,AND SPOUSES spouses InsuredTheestates,heirs,legal representatives and of any natural person shall also be insured under this spousespolicy;provided,however,coverage is afforded to such estates,heirs,legal representatives,and only for CNA74705XX (1-15) Page 7of17 VALLEY FORGE INSURANCE COMPANY Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 30 0 2 0 0 0 7 3 5 0 9 5 0 5 4 6 7 3 7 5 3 8 80536407 | 2023 Master Certificate (All Lines) | Jena Harrison | 6/18/2024 2:44:31 PM (PDT) | Page 10 of 20 CNA PARAMOUNT Contractors'General Liability Extension Endorsement claims spouse claimarisingsolelyout of their capacity or status as such and,in the case of a ,where such seeks damages from marital community property,jointly held property or property transferred from such natural person Insured spousetosuch.No coverage is provided for any act,error or omission of an estate,heir,legal spouserepresentative,or outside the scope of such person's capacity or status as such,provided however that the spouse Named Insured spousesof a natural person and the of members or partners of joint venture or partnership Named Insureds Insureds spouses'Namedarewithrespecttosuch acts,errors or omissions in the conduct of the Insured's business. 10.EXPECTED OR INTENDED INJURY –EXCEPTION FOR REASONABLE FORCE COVERAGES,Coverage A –Bodily Injury and Property Damage LiabilityUnder,the paragraph entitled Exclusions Expected or Intended Injuryisamendedtodeletetheexclusionentitled and replace it with the following: This insurance does not apply to: Expected or Intended Injury Bodily injury property damage Insuredorexpectedorintendedfromthestandpointof the .This exclusion does not bodily injury property damageapplytoor resulting from the use of reasonable force to protect persons or property. 11.GENERAL AGGREGATE LIMITS OF INSURANCE -PER PROJECT A.Named InsuredForeachconstructionprojectawayfrompremisesthe owns or rents,a separate Construction Project General Aggregate Limit,equal to the amount of the General Aggregate Limit shown in the Declarations, is the most the Insurer will pay for the sum of: 1.damages Coverage A damages bodily injury property damageAllunder,except because of or included in products-completed operations hazardthe;and 2.Coverage CAllmedicalexpensesunder, occurrencesthatarisefrom or accidents which can be attributed solely to ongoing operations at that construction project.Such payments shall not reduce the General Aggregate Limit shown in the Declarations,nor the Construction Project General Aggregate Limit of any other construction project. B.All: 1.Damages Coverage Bunder,regardless of the number of locations or construction projects involved; 2.Damages Coverage A occurrencesunder,caused by which cannot be attributed solely to ongoing damages bodily injury property damageoperationsat a single construction project,except because of or products-completed operations hazardincludedinthe;and 3.Coverage CMedicalexpensesunder caused by accidents which cannot be attributed solely to ongoing operations at a single construction project, will reduce the General Aggregate Limit shown in the Declarations. C.The limits shown in the Declarations for Each Occurrence,for Damage To Premises Rented To You and for Medical Expense continue to apply,but will be subject to either the Construction Project General Aggregate Limit occurrenceortheGeneralAggregateLimit shown in the Declarations,depending on whether the can be attributed solely to ongoing operations at a particular construction project. D.products-completed operations hazardWhencoverageforliabilityarisingout of the is provided,any payments damages bodily injury property damage products-completed operationsforbecauseoforincludedinthe hazard will reduce the Products-Completed Operations Aggregate Limit shown in the Declarations,regardless of the number of projects involved. CNA74705XX (1-15) Page 8of17 VALLEY FORGE INSURANCE COMPANY Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 80536407 | 2023 Master Certificate (All Lines) | Jena Harrison | 6/18/2024 2:44:31 PM (PDT) | Page 11 of 20 CNA PARAMOUNT Contractors'General Liability Extension Endorsement E.InsuredIfasingleconstructionprojectawayfrompremisesownedbyorrentedto the has been abandoned and then restarted,or if the authorized contracting parties deviate from plans,blueprints,designs,specifications or timetables,the project will still be deemed to be the same construction project. F.LIMITS OF INSURANCETheprovisionsof not otherwise modified by this endorsement shall continue to apply as stipulated. 12.IN REM ACTIONS Named InsuredAquasiinremactionagainst any vessel owned or operated by or for the ,or chartered by or for the Named Insured Named, will be treated in the same manner as though the action were in personam against the Insured. 13.INCIDENTAL HEALTH CARE MALPRACTICE COVERAGE bodily injury health care incidentSolelywithrespecttothatarisesout of a : A.COVERAGES Coverage A –Bodily Injury and Property Damage LiabilityUnder,,the paragraph entitled Insuring Agreement 1.b.(1) 1.b.(2)is amended to replace Paragraphs and with the following: b.bodily injuryThisinsuranceappliesto provided that the professional health care services are incidental to Named Insured'sthe primary business purpose,and only if: (1)bodily injury occurrence coverage territorysuchiscausedbyanthattakes place in the . (2)bodily injury policy period bodily injury occurrencethefirstoccursduringthe.All arising from an will occurrencebedeemedtohaveoccurredat the time of the first act,error,or omission that is part of the ; and B.COVERAGES Coverage A –Bodily Injury and Property Damage LiabilityUnder,,the paragraph entitled Exclusions is amended to: i.Employers Liabilityadd the following to the exclusion: bodily injury health care incidentThisexclusionappliesonlyifthearisingfroma is covered by other Insuredliabilityinsuranceavailableto the (or which would have been available but for exhaustion of its limits). ii.Contractual Liabilitydeletetheexclusionentitled and replace it with the following: This insurance does not apply to: Contractual Liability Insured'sthe actual or alleged liability under any oral or written contract or agreement,including but not limited to express warranties or guarantees. iii.add the following additional exclusions: This insurance does not apply to: Discrimination claimsanyactualorallegeddiscrimination,humiliation or harassment,including but not limited to based on an individual's race,creed,color,age,gender,national origin, religion, disability,marital status or sexual orientation. Dishonesty or Crime Any actual or alleged dishonest,criminal or malicious act,error or omission. Medicare/Medicaid Fraud CNA74705XX (1-15) Page 9of17 VALLEY FORGE INSURANCE COMPANY Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 30 0 2 0 0 0 7 3 5 0 9 5 0 5 4 6 7 3 7 5 3 9 80536407 | 2023 Master Certificate (All Lines) | Jena Harrison | 6/18/2024 2:44:31 PM (PDT) | Page 12 of 20 CNA PARAMOUNT Contractors'General Liability Extension Endorsement any actual or alleged violation of law with respect to Medicare,Medicaid,Tricare or any similar federal,state or local governmental program. Services Excluded by Endorsement health care incidentAny for which coverage is excluded by endorsement. C.DEFINITIONS is amended to: i.add the following definitions: Health care incident Named Insured's employees volunteermeansanact,error or omission by the or workers in the rendering of: a.professional health care services Named Insuredonbehalfof the or b.Good Samaritan services rendered in an emergency and for which no payment is demanded or received. Professional health care services means any health care services or the related furnishing of food, beverages,medical supplies or appliances by the following providers in their capacity as such but solely to the extent they are duly licensed as required: a.Physician; b.Nurse; c.Nurse practitioner; d.Emergency medical technician; e.Paramedic; f.Dentist; g.Physical therapist; h.Psychologist; i.Speech therapist; j.Other allied health professional;or Professional health care services does not include any services rendered in connection with human clinical trials or product testing. ii.occurrencedeletethedefinitionof and replace it with the following: Occurrence health care incidentmeansa.Allacts,errors or omissions that are logically connected by any common fact,circumstance,situation,transaction,event,advice or decision will be considered to constitute a occurrencesingle; iii.Insuredamendthedefinitionof to: a.add the following: Named Insured's employees Insuredstheare with respect to: (1)bodily injury employee employee'sto a co-while in the course of the co-employment by the Named Insured Named Insured'sorwhileperformingdutiesrelatedto the conduct of the business;and CNA74705XX (1-15) Page 10 of 17 VALLEY FORGE INSURANCE COMPANY Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 80536407 | 2023 Master Certificate (All Lines) | Jena Harrison | 6/18/2024 2:44:31 PM (PDT) | Page 13 of 20 CNA PARAMOUNT Contractors'General Liability Extension Endorsement (2)bodily injury volunteer workerto a while performing duties related to the conduct of the Named Insured's business; bodily injury health care incidentwhensucharisesout of a . Named Insured's volunteer workers Insuredstheare with respect to: (1)bodily injury volunteer workerto a co-while performing duties related to the conduct of the Named Insured's business;and (2)bodily injury employee employee's Namedto an while in the course of the employment by the Insured Named Insured'sorwhileperformingdutiesrelatedto the conduct of the business; bodily injury health care incidentwhensucharisesout of a . b.(a)(b)(c)and (d)2.a.(1)WHO IS AN INSUREDdeleteSubparagraphs,,of Paragraph of . D.Other Insurance b.(1)The condition is amended to delete Paragraph in its entirety and replace it with the following: Other Insurance b.Excess Insurance (1)To the extent this insurance applies,it is excess over any other insurance,self insurance or risk transfer instrument,whether primary,excess,contingent or on any other basis,except for insurance purchased Named Insuredspecificallybythe to be excess of this coverage. 14.JOINT VENTURES /PARTNERSHIP /LIMITED LIABILITY COMPANIES WHO IS AN INSURED is amended to delete its last paragraph and replace it with the following: InsuredNopersonororganizationisan with respect to the conduct of any current or past partnership,joint venture or Named Insured Named Insuredlimited liability company that is not shown as a in the Declarations,except that if the was a joint venturer,partner,or member of a limited liability company and such joint venture,partnership or limited policy period Named Insured Insuredliabilitycompanyterminatedpriortoorduringthe,such is an with respect to its interest in such joint venture,partnership or limited liability company but only to the extent that: a.personal and advertising injuryanyoffensegivingriseto occurred prior to such termination date, and the personal and advertising injury arising out of such offense first occurred after such termination date; b.bodily injury property damagetheor first occurred after such termination date; and c.there is no other valid and collectible insurance purchased specifically to insure the partnership,joint venture or limited liability company;and consolidated (wrap-up)If the joint venture,partnership or limited liability company is or was insured under a insurance program,then such insurance will always be considered valid and collectible for the purpose of paragraph c.bodily injury property damage personal and advertisingabove.But this provision will not serve to exclude ,or injury Contractors General Liability Extension Endorsementthatwouldotherwisebecoveredunderthe provision WRAP-UP EXTENSION:OCIP,CCIP,OR CONSOLIDATED (WRAP-UP)INSURANCE PROGRAMSentitled. consolidated (wrap-up)insurance programPleaseseethatprovisionforthedefinitionof. 15.LEGAL LIABILITY –DAMAGE TO PREMISES /ALIENATED PREMISES /PROPERTY IN THE NAMED INSURED'S CARE,CUSTODY OR CONTROL A.COVERAGES,Coverage A –Bodily Injury and Property Damage LiabilityUnder,the paragraph entitled Exclusions j.Damage to Propertyisamendedtodeleteexclusion in its entirety and replace it with the following: This insurance does not apply to: CNA74705XX (1-15) Page 11 of 17 VALLEY FORGE INSURANCE COMPANY Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 30 0 2 0 0 0 7 3 5 0 9 5 0 5 4 6 7 3 7 5 4 0 80536407 | 2023 Master Certificate (All Lines) | Jena Harrison | 6/18/2024 2:44:31 PM (PDT) | Page 14 of 20 CNA PARAMOUNT Contractors'General Liability Extension Endorsement j.Damage to Property Property damage to: (1)Named InsuredPropertythe owns,rents,or occupies,including any costs or expenses incurred by you, or any other person,organization or entity,for repair,replacement,enhancement,restoration or maintenance of such property for any reason,including prevention of injury to a person or damage to another's property; (2)Named Insured property damagePremisesthesells,gives away or abandons,if the arises out of any part of those premises; (3)Named InsuredPropertyloanedto the ; (4)InsuredPersonalpropertyinthecare,custody or control of the ; (5)Named InsuredThatparticularpartofrealpropertyonwhichthe or any contractors or subcontractors Named Insured's propertyworkingdirectlyorindirectlyon the behalf are performing operations,if the damage arises out of those operations;or (6)your workThatparticularpartofanypropertythatmustberestored,repaired or replaced because was incorrectly performed on it. (1),(3) (4)property damageParagraphsand of this exclusion do not apply to (other than damage by fire)to Named Insured Named Insuredpremisesrentedto the or temporarily occupied by the with the permission of Named Insuredtheowner,nor to the contents of premises rented to the for a period of 7 or fewer consecutive days.A separate limit of insurance applies to Damage To Premises Rented To You as described LIMITS OF INSURANCEin. (2)your workParagraphofthisexclusiondoesnotapplyifthepremisesare. 3),(4),(5) (6)Paragraphs (and of this exclusion do not apply to liability assumed under a sidetrack agreement. (6)property damage products-completedParagraphofthisexclusiondoesnotapplytoincludedinthe operations hazard. (3) (4)property damageParagraphsand of this exclusion do not apply to to: i.Named Insuredtools,or equipment the borrows from others,nor ii.Named Insured'sotherpersonalpropertyofothersinthe care,custody or control while being used in the Named Insured's Named Insured'soperationsawayfromany premises. (3) (4)However,the coverage granted by this exception to Paragraphs and does not apply to: a.property at a job site awaiting or during such property's installation,fabrication,or erection; b.mobile equipment Insuredpropertythatisleasedbyan; c.autopropertythatisan, aircraft or watercraft; d.property in transit;or e.property damage Insuredanyportionofforwhichthe has available other valid and collectible insurance,or would have such insurance but for exhaustion of its limits,or but for application of one of its exclusions. LIMITS OF INSURANCEAseparatelimitofinsuranceanddeductibleapplytosuchpropertyofothers.See as amended below. CNA74705XX (1-15) Page 12 of 17 VALLEY FORGE INSURANCE COMPANY Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 80536407 | 2023 Master Certificate (All Lines) | Jena Harrison | 6/18/2024 2:44:31 PM (PDT) | Page 15 of 20 CNA PARAMOUNT Contractors'General Liability Extension Endorsement B.COVERAGES,Coverage A –Bodily Injury and Property Damage LiabilityUnder,the paragraph entitled Exclusions is amended to delete its last paragraph and replace it with the following: c.n.Named InsuredExclusionsthroughdo not apply to damage by fire to premises while rented to a or Named Insuredtemporarilyoccupiedbya with permission of the owner,nor to damage to the contents of Named Insuredpremisesrentedto a for a period of 7 or fewer consecutive days. LIMITS OF INSURANCEAseparatelimitofinsuranceappliestothiscoverageasdescribedin. C.LIMITS OF INSURANCEThefollowingparagraphisadded to : 5.Coverage A damagesSubjecttoabove,$25,000 is the most the Insurer will pay under for arising out of any occurrence property damageonebecauseof the sum of all to borrowed tools or equipment,and to other Named Insured's Namedpersonalpropertyofothersinthecare,custody or control,while being used in the Insured's Named Insured's propertyoperationsawayfromanypremises.The Insurer's obligation to pay such damage property damagedoesnotapplyuntiltheamountofsuch exceeds $1,000.The Insurer has the right but not the duty to pay any portion of this $1,000 in order to effect settlement.If the Insurer exercises that right,the Named Insured will promptly reimburse the Insurer for any such amount. D.6.LIMITS OF INSURANCEParagraph,Damage To Premises Rented To You Limit,of is deleted and replaced by the following: 6.5.Subject to Paragraph above,(the Each Occurrence Limit),the Damage To Premises Rented To You Limit Coverage A damages property damageisthemosttheInsurerwillpayunderforbecauseof to any one Named Insured Named Insuredpremiseswhilerentedto the or temporarily occupied by the with the Named Insuredpermissionof the owner,including contents of such premises rented to the for a period of 7 or fewer consecutive days.The Damage To Premises Rented To You Limit is the greater of: a.$500,000;or b.The Damage To Premises Rented To You Limit shown in the Declarations. E.4.b.(1)(a)(ii)Other InsuranceParagraphof the Condition is deleted and replaced by the following: (ii)Named InsuredThatispropertyinsuranceforpremisesrentedto the ,for premises temporarily occupied by Named Insured Namedthewiththepermissionof the owner;or for personal property of others in the Insured's care,custody or control; 16.LIQUOR LIABILITY COVERAGES,Coverage A –Bodily Injury and Property Damage LiabilityUnder,the paragraph entitled Exclusions Liquor Liabilityisamendedtodeletetheexclusionentitled. LIQUOR LIABILITYThis provision does not apply to any person or organization who otherwise qualifies as an Coverage Partadditionalinsuredonthis. 17.MEDICAL PAYMENTS A.LIMITS OF INSURANCE 7.is amended to delete Paragraph (the Medical Expense Limit)and replace it with the following: 7.5.Subject to Paragraph above (the Each Occurrence Limit),the Medical Expense Limit is the most the Coverage C –Medical Payments bodily injuryInsurerwillpayunderforallmedicalexpensesbecauseof sustained by any one person.The Medical Expense Limit is the greater of: (1)$15,000 unless a different amount is shown here:$N,NNN,NNN,NNN;or (2)the amount shown in the Declarations for Medical Expense Limit. CNA74705XX (1-15) Page 13 of 17 VALLEY FORGE INSURANCE COMPANY Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 30 0 2 0 0 0 7 3 5 0 9 5 0 5 4 6 7 3 7 5 4 1 80536407 | 2023 Master Certificate (All Lines) | Jena Harrison | 6/18/2024 2:44:31 PM (PDT) | Page 16 of 20 CNA PARAMOUNT Contractors'General Liability Extension Endorsement B.COVERAGES Insuring Agreement Coverage C Medical PaymentsUnder,the of –is amended to replace 1.a.(3)(b)Paragraph with the following: (b)The expenses are incurred and reported to the Insurer within three years of the date of the accident;and 18.NON-OWNED AIRCRAFT COVERAGES,Coverage A –Bodily Injury and Property Damage LiabilityUnder,the paragraph entitled Exclusions is amended as follows: Aircraft,Auto or WatercraftTheexclusionentitled is amended to add the following: Named InsuredThisexclusiondoesnotapplyto an aircraft not owned by any ,provided that: 1.the pilot in command holds a currently effective certificate issued by the duly constituted authority of the United States of America or Canada,designating that person as a commercial or airline transport pilot; 2.Named Insuredtheaircraft is rented with a trained,paid crew to the ;and 3.the aircraft is not being used to carry persons or property for a charge. 19.NON-OWNED WATERCRAFT COVERAGES,Coverage A –Bodily Injury and Property Damage LiabilityUnder,the paragraph entitled Exclusions (2)Aircraft,Auto or Watercraftisamendedtodeletesubparagraphof the exclusion entitled ,and replace it with the following. This exclusion does not apply to: (2)Named Insuredawatercraftthatisnotownedbyany,provided the watercraft is: (a)less than 75 feet long;and (b)not being used to carry persons or property for a charge. 20.PERSONAL AND ADVERTISING INJURY –DISCRIMINATION OR HUMILIATION A.DEFINITIONS personal and advertising injuryUnder,the definition of is amended to add the following tort: Discrimination or humiliation that results in injury to the feelings or reputation of a natural person. B.COVERAGES Coverage B –Personal and Advertising Injury LiabilityUnder,,the paragraph entitled Exclusions is amended to: 1.Knowing Violation Of Rights Of AnotherdeletetheExclusionentitled and replace it with the following: This insurance does not apply to: Knowing Violation of Rights of Another Personal and advertising injury Insuredcausedbyorat the direction of the with the knowledge that the act personal and advertising injurywouldviolatetherightsofanotherandwouldinflict.This exclusion shall not apply to discrimination or humiliation that results in injury to the feelings or reputation of a natural person,but only if such discrimination or humiliation is not done intentionally by or at the direction of: (a)Named Insuredthe;or (b)executive officer Named Insuredany,director,stockholder,partner,member or manager (if the is a Named Insuredlimited liability company)of the . 2.add the following exclusions: CNA74705XX (1-15) Page 14 of 17 VALLEY FORGE INSURANCE COMPANY Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 80536407 | 2023 Master Certificate (All Lines) | Jena Harrison | 6/18/2024 2:44:31 PM (PDT) | Page 17 of 20 CNA PARAMOUNT Contractors'General Liability Extension Endorsement This insurance does not apply to: Employment Related Discrimination Discrimination or humiliation directly or indirectly related to the employment,prospective employment,past Insuredemploymentorterminationofemploymentofanypersonbyany. Premises Related Discrimination discrimination or humiliation arising out of the sale,rental,lease or sub-lease or prospective sale,rental, Insuredleaseorsub-lease of any room,dwelling or premises by or at the direction of any . Notwithstanding the above,there is no coverage for fines or penalties levied or imposed by a governmental entity because of discrimination. PERSONAL AND ADVERTISING INJURY –DISCRIMINATION OR HUMILIATIONThecoverageprovidedbythis InsuredProvisiondoesnotapplytoanypersonororganizationwhosestatusasan derives solely from 1.ADDITIONAL INSUREDProvision of this endorsement;or Coverage Partattachmentof an additional insured endorsement to this . PERSONAL AND ADVERTISING INJURY –DISCRIMINATION OR HUMILIATIONThis Provision does not apply to Coverage Partanypersonororganizationwhootherwisequalifiesasanadditionalinsuredonthis. 21.PERSONAL AND ADVERTISING INJURY -CONTRACTUAL LIABILITY A.COVERAGES Coverage B –Personal and Advertising Injury LiabilityUnder,,the paragraph entitled Exclusions Contractual Liabilityisamendedtodeletetheexclusionentitled. B.PERSONAL AND ADVERTISING INJURY -Solely for the purpose of the coverage provided by this CONTRACTUAL LIABILITY provision,the following changes are made to the section entitled SUPPLEMENTARY PAYMENTS –COVERAGES A AND B: 1.2.d.Paragraph is replaced by the following: d.suit suitTheallegationsinthe and the information the Insurer knows about the offense alleged in such Insuredaresuchthat no conflict appears to exist between the interests of the and the interests of the indemnitee; 2.2.f.(2)(b)The first unnumbered paragraph beneath Paragraph is deleted and replaced by the following: So long as the above conditions are met,attorneys fees incurred by the Insurer in the defense of that indemnitee,necessary litigation expenses incurred by the Insurer,and necessary litigation expenses incurred defense costsbytheindemniteeat the Insurer's request will be paid as .Such payments will not be deemed damages personal and advertising injuryto be for and will not reduce the limits of insurance. C.PERSONAL AND ADVERTISING INJURY -CONTRACTUAL LIABILITYThis Provision does not apply if Coverage B –Personal and Advertising Injury Liability is excluded by another endorsement attached to this Coverage Part. PERSONAL AND ADVERTISING INJURY -CONTRACTUAL LIABILITYThis Provision does not apply to any Coverage Partpersonororganizationwhootherwisequalifiesasanadditionalinsuredonthis. 22.PROPERTY DAMAGE –ELEVATORS A.COVERAGES Coverage A Bodily Injury and Property Damage LiabilityUnder,–,the paragraph entitled Exclusions Damage to Your Product (3) (4) (6)is amended such that the Exclusion and subparagraphs ,and of Damage to Property property damagetheExclusiondo not apply to that results from the use of elevators. CNA74705XX (1-15) Page 15 of 17 VALLEY FORGE INSURANCE COMPANY Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 30 0 2 0 0 0 7 3 5 0 9 5 0 5 4 6 7 3 7 5 4 2 80536407 | 2023 Master Certificate (All Lines) | Jena Harrison | 6/18/2024 2:44:31 PM (PDT) | Page 18 of 20 CNA PARAMOUNT Contractors'General Liability Extension Endorsement B.PROPERTY DAMAGE –ELEVATORSSolelyforthepurposeof the coverage provided by this Provision,the Other Insurance conditions is amended to add the following paragraph: This insurance is excess over any of the other insurance,whether primary,excess,contingent or on any other basis that is Property insurance covering property of others damaged from the use of elevators. 23.SUPPLEMENTARY PAYMENTS SUPPLEMENTARY PAYMENTS –COVERAGES A AND BThesectionentitled is amended as follows: A.1.b.Paragraph is amended to delete the $250 limit shown for the cost of bail bonds and replace it with a $5,000. limit;and B.1.d.Paragraph is amended to delete the limit of $250 shown for daily loss of earnings and replace it with a $1,000.limit. 24.UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Named Insured NamedIftheunintentionallyfailstodiscloseall existing hazards at the inception date of the Insured's Coverage Part Coverage Part,the Insurer will not deny coverage under this because of such failure. 25.WAIVER OF SUBROGATION -BLANKET CONDITIONS Transfer Of Rights Of Recovery Against Others To UsUnder,the condition entitled is amended to add the following: The Insurer waives any right of recovery the Insurer may have against any person or organization because of payments the Insurer makes for injury or damage arising out of: 1.Named Insured'sthe ongoing operations;or 2.your work products-completed operations hazardincludedinthe. Named InsuredHowever,this waiver applies only when the has agreed in writing to waive such rights of recovery in a written contract or written agreement,and only if such contract or agreement: 1.Coverage Partis in effect or becomes effective during the term of this ;and 2.bodily injury property damage personal and advertising injurywasexecutedpriorto the ,or giving rise to the claim. 26.WRAP-UP EXTENSION:OCIP,CCIP,OR CONSOLIDATED (WRAP-UP)INSURANCE PROGRAMS Note:The following provision does not apply to any public construction project in the state of Oklahoma,nor to any consolidated (wrap-up)construction project in the state of Alaska,that is not permitted to be insured under a insurance program by applicable state statute or regulation. EXCLUSION –CONSTRUCTION WRAP-UPIftheendorsement is attached to this policy,or another exclusionary endorsement pertaining to Owner Controlled Insurance Programs (O.C.I.P.)or Contractor Controlled Insurance Programs (C.C.I.P.)is attached,then the following changes apply: A.The following wording is added to the above-referenced endorsement: consolidated (wrap-up)insurance program Named InsuredWithrespectto a project in which the is or was Named Insuredinvolved,this exclusion does not apply to those sums the become legally obligated to pay as damages because of: 1.Bodily injury property damage personal or advertising injury Named Insured's,,or that occurs during the Named Insured'songoingoperationsat the project,or during such operations of anyone acting on the behalf;nor CNA74705XX (1-15) Page 16 of 17 VALLEY FORGE INSURANCE COMPANY Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 80536407 | 2023 Master Certificate (All Lines) | Jena Harrison | 6/18/2024 2:44:31 PM (PDT) | Page 19 of 20 CNA PARAMOUNT Contractors'General Liability Extension Endorsement 2.Bodily injury property damage products-completed operations hazardorincludedwithinthe that arises residential structuresout of those portions of the project that are not . B.4.Other Insurance 4.b.(1)(c)Condition is amended to add the following subparagraph : This insurance is excess over: (c)Any of the other insurance whether primary,excess,contingent or any other basis that is insurance available Named Insured Named Insured consolidated (wrap-up)to the as a result of the being a participant in a insurance program Named Insured's consolidated (wrap-up),but only as respects the involvement in that insurance program. C.DEFINITIONS is amended to add the following definitions: Consolidated (wrap-up)insurance program means a construction,erection or demolition project for which the prime contractor/project manager or owner of the construction project has secured general liability insurance covering some or all of the contractors or subcontractors involved in the project,such as an Owner Controlled Insurance Program (O.C.I.P.)or Contractor Controlled Insurance Program (C.C.I.P.). Residential structure means any structure where 30%or more of the square foot area is used or is intended to be used for human residency,including but not limited to: 1.single or multifamily housing,apartments,condominiums,townhouses,co-operatives or planned unit developments;and 2.1.the common areas and structures appurtenant to the structures in paragraph (including pools,hot tubs, detached garages,guest houses or any similar structures). residential structureHowever,when there is no individual ownership of units,does not include military housing, Residential structurecollege/university housing or dormitories,long term care facilities,hotels or motels.also does not include hospitals or prisons. WRAP-UP EXTENSION:OCIP,CCIP,OR CONSOLIDATED (WRAP-UP)INSURANCE PROGRAMSThis Provision Coverage Partdoesnotapplytoanypersonororganizationwhootherwisequalifiesasanadditionalinsuredonthis. All other terms and conditions of the Policy remain unchanged. This endorsement,which forms a part of and is for attachment to the Policy issued by the designated Insurers,takes effect on the effective date of said Policy at the hour stated in said Policy,unless another effective date is shown below,and expires concurrently with said Policy. CNA74705XX (1-15) Page 17 of 17 VALLEY FORGE INSURANCE COMPANY Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. 30 0 2 0 0 0 7 3 5 0 9 5 0 5 4 6 7 3 7 5 4 3 80536407 | 2023 Master Certificate (All Lines) | Jena Harrison | 6/18/2024 2:44:31 PM (PDT) | Page 20 of 20 Land Development Encroachment Permit 41000 Main Street Temecula, Ca 92590 Phone: 951-694-6444 www.temeculaca.gov R:\LAND DEVELOPMENT DIVISION\FORMS\Permit Applications\Encroachment Permit App.docx Page 1 of 2 Revised: 06/03/2019 APPLICATION INFORMATION PA No.: PERMIT NO.: Type of Encroachment: Street/Storm Drain Sewer/Water Utility Trenching Signing & Striping Traffic Signal Miscellaneous (SPECIFY BELOW) The undersigned hereby applies to excavate, construct and otherwise encroach on City street right-of-way, as follows: Name(s) of street(s) and/or street address: Utility Work Order #: Start Date: End Date: In consideration of granting this application, all applicants including utility companies hereby agree to: 1. If applicable, submit two (2) sets of Construction Drawings along with two (2) sets of the appropriate Traffic Control Plans, proof of City Business License for all parties involved, proof of Contractor’s License along with this application at the time of submittal. See the Traffic Control Plan Checklist for details. 2. 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 dam age to persons or property happening or occurring as a proximate result of any work under taken under the permit granted pursuant to this application. (See below for specific liability insurance requirements.) 3. Remove/relocate any encroachment installed/maintained under this permit, upon written notice from the City Engineer. 4. Notify the Land Development Inspection Division via email at LDInspections@temeculaca.gov at least two (2) working days prior to commencing construction. Hold a pre-construction meeting prior to the start of construction. The developer/general contractor must be present for the timely request of inspections. 5. Comply with the Standard Specifications, most current Improvement Standard Drawings for Public Works Construction, City of Temecula Municipal Code Chapters 13.04 and 18.12, terms and conditions of the permit and all applicable rules and regulations for the City of Temecula and other public agencies having jurisdiction. LIABILITY INSURANCE REQUIREMENTS PROVIDE PROOF OF INSURANCE COVERAGE MEETING THE REQURIEMENTS STATED BELOW OR A CITY ATTORNEY APPROVED EQUIVALENT WITH THE CITY NAMED AS ADDITIONAL INSURED. IN THE EVENT THAT THE INSURANCE IS PROVIDED BY THE CONTRACTOR, THE CITY AND THE OWNER/DEVELOPER MUST BE NAMED AS ADDITIONAL INSURED. THIS REQUREMENT SHALL BE MET BY EITHER THE APPLICANT (DEVELOPER, OWNER, PUBLIC UTILITY AGENCY OR FRANCHISE) OR BY THE CONTRACTOR PERFORMING THE SUBJECT WORK, PRIOR TO BEGININNG ANY WORK PROPOSED UNDER THE SUBJECT ENCROACH MENT PERMIT. Tie into existing Charter pedestal in concrete sidewalk, remove & replace sidewalk; bore and place conduit from existing pedestal to proposed Charter pedestal. Place new handhole in concrete sidewalk; bore & place conduit from pedestal to bore pit; trench and place conduit from bore pit to right of way. 41920 6th St Ste A3 Temecula CA 92590 5314532 2 weeks from issuance 1 month after start date LD24-1802 CLEARED BY CITY OF TEMECULA PUBLIC WORKS Tricia.ortega 06/21/2024 06/21/2024 06/21/2024 06/21/20 Land Development Encroachment Permit 41000 Main Street Temecula, Ca 92590 Phone: 951-694-6444 www.temeculaca.gov R:\LAND DEVELOPMENT DIVISION\FORMS\Permit Applications\Encroachment Permit App.docx Page 2 of 2 Revised: 06/03/2019 Proof of coverage shall be by certificate (Accord or equivalent) naming the City of Temecula as certificate holder and the minimum limits of insurance coverage shall be as follows: a. General Liability: One million dollars ($1,000,000) per occurrence for bodily injury, personal injury and property damage. If Commercial General Liability Insurance or other form with a general aggregate limit is used, either the general aggregate lim it shall apply separately to this project/location or the general aggregate limit shall be twice the required occurrence limit. b. Automobile Liability: One million dollars ($1,000,000) per accident for bodily injury and property damage. c. Worker’s Compensation as required by the State of California; Employer’s Liability: One million dollars ($1,000,000) per accident for bodily injury or disease. d. Course of Construction: Completed value of the project. There is a limited exception to this requirement. Owners of single family homes doing work on the home’s driveway approach located in the public right-of-way, may use their homeowners insurance with public liability and property damage coverage in at least the following minimum limits and which will name the City of Temecula as an additional insured for the duration of the encroachment permit: BODILY INJURY $250,000.00 EACH PERSON $500,000.00 EACH OCCURANCE $500,000.00 AGGREGATE PRODUCTS AND COMPLETED OPERATIONS PROPERTY DAMAGE $100,000.00 EACH OCCURANCE $250,000.00 AGGREGATE PRODUCTS AND COMPLETED OPERATIONS A combined single limit homeowner’s policy with aggregate limits in the amount of $1,000,000.00 will be considered equivalent to the required minimum limits. Homeowners: a copy of the required homeowners insurance and a Certificate of Insurance showing the City named as an additional insured shall be attached to the application. The undersigned applicant and/or contractor states that they have read and agrees to meet all the conditions on this application, including provisions of required liability insurance or a City Attorney approved equivalent, and acknowledges that this application will be made a part of the encroachment permit. APPLICANT’S INFORMATION (THIS SECTION MUST BE COMPLETED) Company Name: Mailing Address: Contact: Phone #: E-mail: I hereby warrant and represent to the City that I am authorized to execute this permit application on behalf of the permittee and bind the permittee to the agreements contained herein and any conditions of the permit. Authorized Signature: Date Applied: CONTRACTOR’S INFORMATION Company Name: Mailing Address: Contact: Phone #: 24-HR Emergency #: State Contractor’s License #: Class: City Business License #: Charter Communications 7337 Central Ave Riverside CA 92504 Emily Osborn 562-332-0499 emily.osborn@vvdcomm.net 06/11/2024 HHS Construction LLC 2042 S Grove Avenue Ontario CA 91761 Michael Sisler 657-207-4641 (657)207-4641 818906 A, C31, C10, B, C-7 049178