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HomeMy WebLinkAboutLD24-1560Permit Number: LD24-1560 LD - Utilities/ Excavation - Parallel Issued: 04/25/2024 Expired: 03/31/2025 Job Address: 29903 Preece Ln 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 Eloy Bueno 24487 Prielipp Rd., 2Nd Flr 24487 Prielipp Rd., 2Nd Flr Wildomar, CA 92595 (909) 341-3810 Applicant: Southern California Edison 24487 Prielipp Rd Wildomar, CA 92595 Contractor: Utility Work Order Number: 904436348 Description: UPDATE 9/26/2024: WORK HOURS SHALL BE MONDAY – FRIDAY, NO HOLIDAYS, 9:00am - 2:00pm SCE 904436348 WORK HOURS SHALL BE SUNDAY – THURSDAY, NO HOLIDAYS, 9:00pm – 5:00am Location: Ynez Rd W/S 940' N/O Rancho Vista Rd Proposed work: EMERGENT WORK Replace damaged false curb at vault V5197000 All facilities shall be installed in accordance with City Standard Drawing 117. Traffic Control shall be in accordance with approved Traffic Control Plan LD24-1560 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. Permittee shall contact LDInspections@temeculaca.gov a minimum of two (2) business days prior to any work. Page 1 of 3*****See Page 2 of this Permit for Permittee Responsibilities***** Permit Number: LD24-1560 LD - Utilities/ Excavation - Parallel 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. Permitee Date Page 2 of 3 Permit Number: LD24-1560 LD - Utilities/ Excavation - Parallel City Engineer or Authorized Representative Date 04/25/2024 Page 3 of 3 FOR CITY USE ONLY: FILE NO.REVISIONREV. #DATE W.O. NO. PROJECT: ADDRESS: TD/SAP NO. TCP NO. CONTACT CLIENT:SHEET DATE:4.5.2024 ERIK ERNST REV. 1 SOUTHERN CALI)ORNIA EDISON COMPANY 904436348VAULT LID REPLACEMENT YNEZ RD & TIERRA VISTA RD TCPSJPRO3240657 PUBLIC WORKS - TRAFFIC ENGINEERING DIVISION TEMPORARY TRAFFIC CONTROL PLANS DESIGNED BY: PRO TRAFFIC SERVICES WBE CERTIFEID LIC. # 978979 CITY OF TEMECULA NOT TO SCALE C FLASHING ARROW SIGN TRAILER (TYP.) (FAS) (HLWD) HIGH LEVEL WARNING DEVICE TRAFFIC CONE POST TUBE (CMS) CHANGEABLE MESSAGE SIGN TRAILER (TYP.) TYPE II BARRICADE PERMIT NO. 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. STEEL PLATES SHALL HAVE ASPHALTIC CONCRETE BERM ON ALL EDGES. ALL DIRT, DUST, AND DEBRIS SHALL BE REMOVED FROM STREET AT END OF EACH DAY AND AT THE END OF THE JOB. THE STREET SHALL BE IN DRIVABLE CONDITION AT ALL TIMES. 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 AND 2) 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 STRIPING, SIGNING, SIDEWALKS, AND BIKE LANES. ORDINANCE NO. 90-10 AN ORDINANCE OF THE CITY COUNCIL OF THE CITY OF TEMECULA GRANTING TO SOUTHERN CALIFORNIA EDISON COMPANY, ITS SUCCESSORS AND ASSIGN, A FRANCHISE TO USE AND TO CONSTRUCT AND USE, FOR TRANSMITTING AND DISTRIBUTING ELECTRICITY FOR ANY AND ALL PURPOSES, POLES, WIRES, CONDUITS AND APPURTENANCES, INCLUDING COMMUNICATIONS CIRCUITS NECESSARY OR PROPER THEREFOR, IN, ALONG, ACROSS, UPON, OVER AND UNDER THE PUBLIC STREETS, WAYS, ALLEYS, AND PLACES WITHIN THE CITY OF TEMECULA. THE CITY COUNCIL OF THE CITY OF TEMECULA DOES NOT HEREBY ORDAIN AS FOLLOWS: SECTIONS 8. Grantee of the franchise granted hereby shall indemnify, save, defend and hold harmless the City and any duly established City redevelopment agency and the respective officers and employees thereof from all liability for damages proximately resulting from and operations under the franchise. LD24-1560 FOR CITY USE ONLY: FILE NO.REVISIONREV. #DATE W.O. NO. PROJECT: ADDRESS: TD/SAP NO. TCP NO. CONTACT CLIENT:SHEET DATE:4.5.2024 ERIK ERNST REV. 1 SOUTHERN CALI)ORNIA EDISON COMPANY 904436348VAULT LID REPLACEMENT YNEZ RD & TIERRA VISTA RD TCPSJPRO3240657 PUBLIC WORKS - TRAFFIC ENGINEERING DIVISION TEMPORARY TRAFFIC CONTROL PLANS DESIGNED BY: PRO TRAFFIC SERVICES WBE CERTIFEID LIC. # 978979 CITY OF TEMECULA YNEZ RD 45 MPH ADDITIONAL NOTES: 25 SPEED LIMIT 30 SPEED LIMIT 40 SPEED LIMIT SPEED LIMIT 45 WORKING HOURS: WORK SCOPE/DURATION: TIERRA VISTA RD 30 MPH TIERRA VISTA RD 25 MPH YNEZ RD 45 MPH RANCHO HIGHLAND RD 30 MPH RANCHO CALIFORNIA RD 40 MPH RANCHO CALIFORNIA RD 40 MPH YNEZ RD 45 MPH YNEZ RD 45 M P H 1 PERMIT NO. MA T C H L I N E - A MA T C H L I N E - A LD24-1560 WORK HOURS SUNDAY - THURSDAY NO HOLIDAYS 9:00pm - 5:00am UCC #: 904436348-200 D: 88/ SH PR258312 / C-3317 WO #: 904436348 DIMP due date: 10/03/24 DIMP CLEARED BY CITY OF TEMECULA PUBLIC WORKS Tricia.ortega 04/24/2024 04/24/2024 04/24/2024 04/24/20 1 Michelle Y Ramirez From:Environmental Requirements Sent:Thursday, April 4, 2024 7:23 AM To:Greg Cagle Cc:Environmental Requirements; Sarah Stark; UG Civil Mailbox San Jacinto Region; Scott Hyde; Kenneth Hansen Subject:eERD Environmental Standard Measures: O&M Environmental Requirements: San Jacinto 904436348 structure 5197000 10/03/2024 Attachments:904436348 413787940.pdf Greg,     Thank you for your request. The following work for 904436348 structure 5197000 will not require environmental  support to replace vault lid/frame only. Please have the crew follow the environmental standard measures listed below.  Please contact (833)SCE‐2ENC for any change in the scope of work or if you have any additional questions or concerns.      The following Environmental Standard Measures must be available on‐site at all times and be read and understood by  the crew before work commences. You may proceed with the following environmental requirements:     Tailboard Briefing: The Environmental Requirements must be kept on site and be read to the crew prior to starting work.  If any of  the requirements create a safety or scope concern, please contact Environmental Services. If additional ground disturbing or  vegetation clearing activities are proposed during project activities, stop work and contact Environmental Services.     No Overland Travel or Cutting Paths: Stay on existing paved or maintained dirt roads (two‐tracks routes are overland travel and not  approved under this measure). No trimming or removal of vegetation to create new or widen existing foot paths can occur. Overland  routes must be approved by SCE Environmental Services prior to work.     No Vegetation Impacts:  No vegetation/tree removal or trimming/mowing/brushing may occur. If there is a change in scope, contact  Environmental Services.     Scope of Work Authorization: The following ERD conditions apply to the work outlined in the Scope of Work provided to ESD. Any  changes or additions, including but not limited to construction means and methods, equipment identified, materials used, extent of  grading, scope of vegetation impacting activities, add‐ons, or proposed access routes, must be reviewed and released by SCE  Environmental prior to the start of work.      Minimize work area: The work area shall be minimized to the smallest area necessary to complete the work.      Crew Check: Prior to starting work, crews will check the workspace for bird nests (e.g., pole cavities, vegetation to be  removed).  Contact the biological monitor or call the number above prior to work within 200 feet of an active nest.     Cavity Nests: Prior to starting work, crews will check the workspace for cavities in poles and trees. Crews will tap loudly on poles and  trees with potential cavity nests and watch for wildlife leaving the cavity or the sounds of young birds inside the cavity. If an active  cavity nest is suspected, crew must STOP WORK and contact SCE Environmental Services prior to work.      Injured/Trapped Wildlife:  Prior to the start of work, crews will inspect their workspace for any injured or dead wildlife.  In addition,  look in holes and trenches, construction material, and equipment for any trapped wildlife. Call the number above if you observed  dead, injured, or trapped wildlife.       Spill Release/Prevention:  Vehicles/equipment must be inspected for leaks (e.g., fuel, oil, hydraulic fluids, etc.) and repaired prior to  work.  Storing, fueling, and maintenance shall not occur locations where spilled materials could potentially enter a wetland,  waterway, or riparian area. Spill kits/absorbent clean‐up materials shall be available on‐site and if used, disposed of properly. All  releases to the environment must be reported to your SCE Representative and 844‐GOT‐SPIL (844‐468‐7745).   2    Avoid Waters and Wetlands: No work is allowed within waters or riparian vegetation unless there are Site‐Specific Environmental  Requirements authorizing such work and all necessary permits have been issued. If wetlands, waters, and riparian vegetation are  encountered with no Site‐Specific Environmental Requirements – STOP WORK and contact SCE Environmental Services.       Driving on road through waters (wet or dry): Only rubber wheeled vehicles and equipment are allowed to travel through drivable  water crossings on existing access roads. No grading or road improvements/repairs/alterations (e.g., damming, diversions, fill,  placement of plates or boards, etc.) are allowed within these areas unless reviewed and released by SCE Environmental. No stopping  within flowing or standing water. Crews shall avoid water crossings when soils are too wet/muddy to support the vehicle without  creating ruts or causing the vehicle to become stuck.      Unanticipated groundwater: For ground disturbance work, if unanticipated groundwater is encountered, STOP WORK and contact  SCE Environmental.      Archaeological/Human Remains/Paleontological Discoveries:  If Archaeological resources (Native American or historical artifacts),  fossils, or human remains are encountered, STOP WORK, and call 833‐SCE‐2ENC and ask for an on‐call Archaeologist.      Site re‐contouring: Upon project completion, all disturbed areas must be returned to meet pre‐existing contours (i.e., original line  and grade).      Weed Maintenance and Prevention: Use certified weed‐free materials (e.g., gravel, straw, and fill) to the extent practicable.  Maintain facilities and infrastructure to limit the introduction and spread of weeds.     Dust Control:  No visible dust plumes are allowed.  If dust plumes are observed, then slow speeds on dirt roads, water dirt/work  areas, or work when the soil is not extremely dry.     Generator Usage:  Generators are not allowed unless a Generator Ordering Form (GOF) has been completed 20 days prior to  work.  Contact Transportation Services Department (951) 440‐8370 to verify if a form has been received; if no form has been  submitted, contact the SCE representative to complete this form immediately.             From: Greg Cagle <Greg.Cagle@sce.com>   Sent: Wednesday, April 3, 2024 1:57 PM  To: Sarah Stark <sarah.p.stark@sce.com>; UG Civil Mailbox San Jacinto Region  <UGCivilMailboxSanJacintoRegion@sce.com>; Environmental Requirements <EnvironmentalRequirements@sce.com>  Cc: Scott Hyde <Scott.Hyde@sce.com>; Kenneth Hansen <Kenneth.Hansen@sce.com>  Subject: 88 ‐ Civil Request for DIMP ‐ 413787940/ UG‐5197000     Good afternoon,      We are requesting civil for the following DIMP notification:       NOTIFICATION           ORDER                DUE DATE                         413787940             904436348        10/3/2024     @Environmental Requirements please provide civil with clearance for this job.     3         Greg Cagle  Cell: (951) 314‐0892  Wildomar District PRS          Land Development Encroachment Permit 41000 Main Street Temecula, Ca 92590 Phone: 951-694-6444 www.temeculaca.gov R:\LAND DEVELOPMENT DIVISION\FORMS\Permit Applications\EP App.docx Page 1 of 2 Revised: 05/13/2019 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. x *EMERGENT WORK* - SCE TO REMOVE & REPLACE DAMAGED FALSE CURB AT VAULT# V5197000. TRAFFIC CONTROL PER SITE SPECIFIC PLANS ATTACHED. 904436348 S/S OF YNEZ RD BTWN RANCHO CALIFORNIA RD & RANCHO VISTA RD 904436348 ASAP 5 DAYS LD24-1560 CLEARED BY CITY OF TEMECULA PUBLIC WORKS Tricia.ortega 04/24/2024 04/24/2024 04/24/2024 04/24/20 Land Development Encroachment Permit 41000 Main Street Temecula, Ca 92590 Phone: 951-694-6444 www.temeculaca.gov R:\LAND DEVELOPMENT DIVISION\FORMS\Permit Applications\EP App.docx Page 2 of 2 Revised: 05/13/2019 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 #: Southern California Edison 24487 Prilipp Dr., Wildomar CA 92595 ELOY BUENO 909-341-3810 ELOY.BUENO@SCE.COM 4/10/2024 Southern California Edison 24487 Prilipp Dr., Wildomar CA 92595