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HomeMy WebLinkAboutLD24-3355Permit Number: LD24-3355 LD - Utilities/ Excavation - Parallel Issued: 10/23/2024 Expired: 04/21/2025 Job Address: 41958 Calle Cedral 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 Sofia Alvarez 2042 S Grove Ave Applicant: John Griffin Construction Inc. David Pagliei 244 Jason Court Ct Corona, CA 92879 (909) 322-6792 Contractor: Utility Work Order Number: PID_5492900 Description: Charter PID_5492900 WORK HOURS SHALL BE MONDAY – FRIDAY, NO HOLIDAYS, 9:00am - 2:00pm Location: Calle Cedral E/S 225' N/O Pauba Rd Proposed work: Install one (1) new communications flower pot per Charter "EXCAVATION PLAN 41958 CALLE CEDRAL, LD24-3355" All facilities shall be installed in accordance with City Standard Drawing 117. Traffic Control shall be in accordance with approved Traffic Control Plan LD24-3355 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 the City Engineer or their designated assignee. 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: LD24-3355 LD - Utilities/ Excavation - Parallel Permittee must also request a final inspection 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: LD24-3355 LD - Utilities/ Excavation - Parallel City Engineer or Authorized Representative Date 10/23/2024 Page 3 of 3 WORK DURATION: 2 DAYS WORK HOURS: 9:00AM TO 2:00PM TRAFFIC CONTROL 41958 CALLE CEDRAL SOW EXCAVATION TO PLACE 66' OF NEW UNDERGROUND CATV CONDUIT & (1) NEW FLOWER POT. CONSTRUCTION NOTE: CONTRACTOR TO MAINTAIN MIN. 4' CLEARANCE IN ORDER TO MEET ADA REQUIREMENTS OR PROVIDE FLAGGER TO ESCORT PEDESTRIANS THROUGH WORK AREA AT ALL TIMES. D DRIVEWAY DELINEATOR DETAIL CONTRACTOR WILL PROVIDE ACCESS TO DRIVEWAYS IN WORK AREA DURING ALL WORK HOURS AS SHOWN. STREET SW UNDERGROUND SERVICE ALERT C A L L B E F O R E YO U D I G ! Call: TOLL FREE 811 www.call811.com TWO WORKING DAYS BEFORE YOU DIG PUBLIC WORKS - TRAFFIC ENGINEERING DIVISION CITY OF TEMECULA TRAFFIC CONTROL PLANS TEMECULA, CA 92590 CONTRACTOR: PROJECT ID: 5492900 41958 CALLE CEDRAL CHARTER Spectrum 24HR CONTACT: MARCOS IBARRA 909-821-3017 2 1 TRAFFIC CONTROL PLAN 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. 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 (ALL SHEETS) 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. A HEAD HIGH LEVEL WARNING DEVICE (HLWD) POST TUBE TRAFFIC CONE CHANGEABLE MESSAGE SIGN TRAILER (TYP.) FLASHING ARROW SIGN TRAILER (TYP.) (FAS)(CMS) MISCELLANEOUS DEVICES SLOW VICINITY MAP N.T.S. N.T.S. WARNING SIGNS MUTCD [FEDERAL HIGHWAY ADMIN.] DESIGNATION (TYP) DETOUR M4-8 C9A(CA) C28A(CA) W1-6L W1-3 TO STOP PREPARED BE W3-4 W4-1L W4-2R W4-2R W5-1 ROAD NARROWS W6-4 W6-3 ENDS W8-3 PAVEMENT SHOULDER W8-4 SOFT GRAVEL W8-7 LOSE ROAD W8-8 ROUGH W9-3 CLOSED CENTER AHEAD LANE W1-8R XX MPH W13-1 W20-3 ROAD CLOSED AHEAD W20-4 ONE LANE ROAD AHEAD W20-5L LEFT LANE CLOSED AHEAD RIGHT W21-1A OIL W21-2 FRESH W21-2 ROAD MACHINERY AHEAD SHOULDER WORK W21-5 SURVEY CREW W21-6 WORK UTILITY AHEAD W21-7 ROAD WORK END G20-2 END DETOUR M4-8A END DETOUR M4-8A DETOUR M4-10R C12(CA) NARROW LANE C27(CA) OPEN TRENCH STOP C28A(CA) SLOW C30(CA) LANE CLOSED W1-4 W20-2 DETOUR AHEADWORK ROAD AHEAD W20-1 W12-1 W1-2 W1-1 R4-7 STOP R3-4 R3-2R3-1 R3-1 R3-18 R3-6 TURN RIGHT M U S T RIGHT LANE R3-7R TURN RIGHT M U S T RIGHT LANE R3-7R R3-17 BIKE LANE ENDS AHEAD R3-17B R3-17A R3-18 R4-1 DO NOT PASS BEGIN RIGHT TURN LANE YIELD TO BIKES R4-4 R4-7A KEEP RIGHT R4-7B KEEP RIGHT R5-6 R9-3 R9-9 CLOSED SIDEWALK USE OTHER SIDE SIDEWALK CLOSED R9-10 CROSS HERE R9-11L SIDEWALK CLOSED AHEAD CROSS HERE SIDEWALK CLOSED R9-11AR ROAD CLOSED R11-2 R11-2 R11-2 ROAD CLOSED LOCAL TRAFFIC ONLY AHEAD ROAD CLOSED TO THRU TRAFFIC REGULATORY SIGNS NOTES TEMP. NO PARKING SIGNS WHERE AFFECTED 72 HOURS PRIOR TO WORK. MAINTAIN DRIVEWAY ACCESS AS CONSTRUCTION ALLOWS. MAINTAIN MINIMUM 12' TRAVEL LANE WIDTH. FLAGGERS ARE TO ASSIST DRIVERS EXITING DRIVEWAYS WHEN WORK ACTIVITY MAY IMPAIR VIEW OF APPROACHING VEHICLES AND PEDESTRIANS THROUGH WORK ZONES WHERE SIDEWALK IS AFFECTED. SW WORK AREA LEGEND FACE OF CURB EDGE OF PAVEMENT LANE STRIPING X X RIGHT OF WAY CENTERLINE FENCE RAILROAD PROPOSED CONDUIT WORK ROAD EX. CONDITIONS LINETYPESDESCRIPTION WORK LOCATION TRAFFIC CONE BARRICADE FLASHING ARROW SIGN DIRECTIONAL ARROW HIGH LEVEL WARNING DEVICE TRUCK LOCATION FLAGGER SYM 2042 S GROVE AVE ONTARIO, CA 91761 PROJECT MANAGER: VICTOR PARRA PHONE 909 393-3322 EMAIL: DG-HHSDESIGN@CONGRUEX.COM HHS CONGRUEX©A COMPANY CONSTRUCTION NOTE: CONTRACTOR TO MAINTAIN MIN. 4' CLEARANCE IN ORDER TO MEET ADA REQUIREMENTS OR PROVIDE FLAGGER TO ESCORT PEDESTRIANS THROUGH WORK AREA AT ALL TIMES. D CONTRACTOR WILL PROVIDE ACCESS TO DRIVEWAYS IN WORK AREA DURING ALL WORK HOURS AS SHOWN. STREET SW UNDERGROUND SERVICE ALERT C A L L B E F O R E YO U D I G ! Call: TOLL FREE 811 www.call811.com TWO WORKING DAYS BEFORE YOU DIG PUBLIC WORKS - TRAFFIC ENGINEERING DIVISION CITY OF TEMECULA TRAFFIC CONTROL PLANS CONTRACTOR: CHARTER Spectrum 24HR CONTACT: MARCOS IBARRA 909-821-3017 2 2 TRAFFIC CONTROL 41958 CALLE CEDRAL TEMECULA, CA 92590 PROJECT ID: 5492900 41958 CALLE CEDRAL (SEE SHEET 1 FOR GENERAL NOTES) SW SOW EXCAVATION TO PLACE 66' OF NEW UNDERGROUND CATV CONDUIT & (1) NEW FLOWER POT. LEGEND FACE OF CURB EDGE OF PAVEMENT LANE STRIPING X X RIGHT OF WAY CENTERLINE FENCE RAILROAD PROPOSED CONDUIT WORK ROAD EX. CONDITIONS LINETYPESDESCRIPTION WORK LOCATION TRAFFIC CONE BARRICADE FLASHING ARROW SIGN DIRECTIONAL ARROW HIGH LEVEL WARNING DEVICE TRUCK LOCATION FLAGGER SYM 2042 S GROVE AVE ONTARIO, CA 91761 PROJECT MANAGER: VICTOR PARRA PHONE 909 393-3322 EMAIL: DG-HHSDESIGN@CONGRUEX.COM HHS CONGRUEX©A COMPANY RE V ' D 0 4 / 0 3 / 2 3 **TO BE DETERMINED BY THE CITY OF TEMECULA CALLE CEDRAL (25 MPH) 215 TO C/L OF PAUBA RD. PA U B A R D ( 5 0 M P H ) 63' SHIFTING TAPER 100'100'100' 160' BUFFER 63' SHIFTING TAPER 100'100'100' WORK DURATION: 2 DAYS WORK HOURS: 9:00AM TO 2:00PM 12 ' E E E E E E T V T V T V T V T V T V G A S G A S G A S G A S G A S W W W W W W C A L L E C E D R A L CA L L E C E R E Z O F O C C / L F O C R O W R O W F O C C / L F O C R O W R O W G U T T E R 60' 35' 25' 20' 15' 15' 10' 60' 35' 25' 20' 15' 15' 10' P A R K W A Y P A R K W A Y G U T T E R P A R K W A Y P A R K W A Y D D V V P 5' 20' 17' 2' 17' 2' 8' 1 4 7 ' T O C A L L E C E R E Z O 5 8 ' 1 2" 8' TRENCH 1 2" 58' TRENCH PLACE NEW CHARTER FLOWER POT 2' BEHIND CURB, IN PARKWAY EX. CATV VAULT 5' BEHIND CURB, IN PARKWAY CONSTRUCTION TO CONTINUE IN PRIVATE PROPERTY EX. LETTER BOX EX. UNKNOWN VAULT 13' 22' 21' 20' CONSTRUCTION NOTES -DURING EXCAVATION, WORK CREW TO TUNNEL UNDER EXISTING CURB & GUTTER AND AVOID DISTURBING ADA RAMPS AT ALL TIMES. -CONTRACTOR TO POT HOLE FOR EXISTING DEPTH OF UTILITIES PRIOR TO START OF CONSTRUCTION. -CONTRACTOR TO REMOVE & REPLACE DAMAGED CONCRETE & MATCH EXISTING LANDSCAPE. PROJECT ID: 5492900 LOCATION: UNDERGROUND SERVICE ALERT C A L L B E F O R E YO U D I G ! Call: TOLL FREE 811 www.call811.com TWO WORKING DAYS BEFORE YOU DIG Cable SpectrumTime Warner 7337 CENTRAL AVE RIVERSIDE, CA 92504 41958 CALLE CEDRAL TEMECULA, CA 92592 WORK DURATION: 2 DAYS CITY OF TEMECULA VICINITY MAP N.T.S. N.T.S. UNDERGROUND SCOPE OF WORK NEW VAULT TRENCH FT. BORE FT. BORE PITS POT HOLES TOTAL CONDUIT FT. NEW FLOWER POT AERIAL/UNDERGROUND SCOPE OF WORK NEW ANCHOR(S) TOTAL CABLE INSTALL FT. AERIAL OVERLASH FT. NEW RISER(S) NEW AERIAL CONST. FT. 0 EX. UNDERGROUND FT. TOTAL AERIAL FT. 0 0 0 0 0 0 0 1 0 0 66 0 66 EXCAVATION PLAN 41958 CALLE CEDRAL LEGEND EX. CONDITIONS CURB AND GUTTER (C&G) LANE STRIPING RIGHT OF WAY LINETYPES X X CENTERLINE FENCE RAILROAD PROPOSED BORE PROPOSED TRENCH E FO EX. UTILITIES ELECTRIC FIBER OPTIC TELEPHONE LINETYPES SS SD T SANITARY SEWER STORM DRAIN WATER W CATV GASGAS EXISTING UTILITY POLE STREET LIGHT MAN HOLE VAULT PEDESTAL SYM SYM HAND HOLE PROPOSED NEW VAULT NEW PEDESTAL FIRE HYDRANT POT HOLE BORE PIT P #"# ###' CONDUIT COUNT DISTANCE CONDUIT SIZE P V ANCHORS RRISER POLE HH V P SHEET 1 OF 1 HHS CONGRUEX©A COMPANY 2042 S GROVE AVE ONTARIO, CA 91761 PROJECT DESIGN: VICTOR PARRA PHONE: 909-393-3322 EMAIL: DG-HHSDESIGN@CONGRUEX.COM R E V I S I O N S D E S C R I P T I O N SDATENO. WORK HOURS: 9AM TO 3PM 0 SCALE: 1"=20' 20'40' WORK AREA LANDSCAPE TRENCH DETAIL N.T.S. SOW EXCAVATION TO PLACE 66' OF NEW UNDERGROUND CATV CONDUIT & (1) NEW FLOWER POT. LD24-3355 CLEARED BY CITY OF TEMECULA PUBLIC WORKS Tricia.ortega 08/19/2024 08/19/2024 08/19/2024 08/19/20 ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED? INSR ADDL SUBRLTR INSD WVD PRODUCER CONTACTNAME: FAXPHONE(A/C, No):(A/C, No, Ext): E-MAILADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH-STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 3/12/2024 (619) 908-3100 (619) 908-3110 31453 John Griffin Construction Inc. 244 Jason Court Corona, CA 92879 27847 A 1,000,000 X 60474262 3/12/2024 3/12/2025 100,000 5,000 1,000,000 2,000,000 2,000,000 Per GL Ultra Liability Endorsmen 1,000,000A 60474262 3/12/2024 3/12/2025 5,000,000A 60474262 3/12/2024 3/12/2025 5,000,000 B WSD506757701 10/1/2023 10/1/2024 1,000,000 1,000,000 1,000,000 A Equipment Floater 60474262 3/12/2024 Rented/Leased 500,000 Re: Operations of the named insured subject to the terms and conditions of the policy. Certificate holder is named as additional insured per the attached endorsement. 30* days notice of cancellation, 10* days notice of cancellation in the event of nonpayment of premium. City of Temecula 41000 Main Street Temecula, CA 92589 JOHNGRI-01 CHYNNA Snapp & Associates Insurance Services, LLC3838 Camino Del Rio, N. Ste. 310San Diego, CA 92108 Service@snappins.com Financial Pacific Ins Co Insurance Company of the West X 3/12/2025 X X XX X X X Land Development Encroachment Permit 41000 Main Street Temecula, Ca 92590 Phone: 951-694-6444 www.temeculaca.gov R:\LAND DEVELOPMENT DIVISION\Forms\Permit Applications\Word\Encroachment Permit App.docx Page 1 of 2 Revised: 06/16/2020 APPLICATION INFORMATION 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 a set of Construction Drawings, 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 damage to persons or property happening or occurring as a proximate result of any work undertaken 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 ENCROACHMENT PERMIT. x On the E/s of Calle Cedral tie into existing CATV vault. Trench N to place a total of 66' of 2" conduit. Place 1 new Charter flower pot. 41958 Calle Cedral PID_5492900 08/26/24 08/28/24 LD24-3355 CLEARED BY CITY OF TEMECULA PUBLIC WORKS Tricia.ortega 08/19/2024 08/19/2024 08/19/2024 08/19/20 Land Development Encroachment Permit 41000 Main Street Temecula, Ca 92590 Phone: 951-694-6444 www.temeculaca.gov R:\LAND DEVELOPMENT DIVISION\Forms\Permit Applications\Word\Encroachment Permit App.docx Page 2 of 2 Revised: 06/16/2020 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 approac h 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 #: 7337 Central Ave, Riverside, Ca 92504 Stephen Wade dg-hhs-permits@congruex.com909-519-0476 Charter Communications, LLC 07/26/24 John Griffin Construction Inc 244 Jason Court, Corona, Ca 92879 951-278-2377David Pagliei 909-322-6792 618983 C10, B, C-7, A 030631