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HomeMy WebLinkAboutLD24-4783Permit Number: LD24-4783 LD - Utilities/ Excavation - Parallel Issued: 12/12/2024 Expired: 08/04/2025 Job Address: 41630 Winchester Rd 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 Charter Spectrum (Utility Billing) (951) 547-3816 Applicant: Inland Engineering Services Inc Michael Wilhelm 4160 Temescal Canyon Rd 205 Corona, CA 92883 (951) 277-0800 ext 118 Contractor: Utility Work Order Number: 5693618 Description: Charter Spectrum P_5693618 WORK HOURS: MONDAY THRU FRIDAY, NO HOLIDAYS, 8:30am - 3:30pm Work Duration: 5 working days. Proposed Location: 41630 Winchester Road, 230' S/O Winchester Road and Enterprise Circle South intersection, W/E side of Enterprise Circle South. Proposed Work: Install conduits per Charter Spectrum plan "CONSTRUCTION DESIGN 41630 WINCHESTER RD, LD24-4783" All facilities shall be installed in accordance with City Standard Drawing 117. Traffic Control shall be in accordance with approved Traffic Control Plan LD24-4783. 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 Page 1 of 3*****See Page 2 of this Permit for Permittee Responsibilities***** Permit Number: LD24-4783 LD - Utilities/ Excavation - Parallel 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. 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. 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: LD24-4783 LD - Utilities/ Excavation - Parallel ******Contractor and all subcontractors shall be present at the pre-construction meeting; otherwise, the meeting will be rescheduled to a later date****** Permitee Date City Engineer or Authorized Representative Date 12/12/2024 Page 3 of 3 SCOPE OF WORK PUBLIC WORKS - TRAFFIC ENGINEERING DIVISION CITY OF TEMECULA FOR TRAFFIC CONTROL PLANS CONTRACTOR:USGaWHG TUaIILF CRQWURl NRWHV WR UHY -AJP AJP 1/26/12 7337 CENTRAL AVE RIVERSIDE CA.92504 OFFICE: (833) 267-6097 CHARTER UTILITY COMPANY: E;ISTING NO TURN LANE TRAFFIC CONE FLASHING ARROW SIGN (FAS) E;ISTING TURN ONLY LANE BARRICADE WORK ZONE TRAFFIC SIGNAL HIGH LEVEL WARNING DEVICE (WITH CALTRANS MUTCD CODE) SIGN (WITH CALTRANS CODE) TRAFFIC FLOW DIRECTION FLAGGER S DETAIL SHEET LEGEND CONE SPACING - 45' MAXIMUM AT LEAST TWO DAYS UG SERVICE ALERT OF SOUTHERN CALIFORNIA BEFORE YOU DIG DIGALERT Call: TOLL FREE 1-800-227-2600 CROSS STREETS TEMCULA PKWY & APIS RD PRISM#: 5693618 N.T.S. N DESIGN ORIENTATION PROPOSED SIGNS IES OFFICE: (951) 277-0800 CSLB#: 931684 | CLASS: A C10 C31 B C-7 1373 OLD TEMESCAL ROAD, CORONA, CA 92881 WORK HOURS MONDAY THRU FRIDAY NO HOLIDAYS 8:30AM - 3:30PM TRAFFIC CONTROL GENERAL NOTES (REV'D. 06/06/24): 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 (REFERENCE 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. 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. 41630 WINCHESTER RD TEMECULA, CA 92590 - JESUS SAMANIEGO IES 12/6/2024 ---- A.LOAYZA CITY OF TEMECULA PUBLIC WORKS DEPARTMENT PO#:- PRISM#:5693618 1 3 END ROAD WORK G20-2 ROAD AHEAD W20-1 WORK SHARE ROAD THE W11-1/W16-1 NARROW LANE C12(CA) ROAD NARROWS W5-1 E N T E R P R I S E C I R S WIN C H E S T E R R D V WORK AREA PROPOSED TCP 1.1 SEE PG 2 OF 3WORK AREA PROPOSED TCP 1.2 SEE PG 3 OF 3 WORK DURATION: ·02 DAYS FOR EXCAVATION / BORE / TRENCH WORK ·02 DAY FOR RESTORATION ·01 DAY TO PULL CABLE ·05 DAYS OF TRAFFIC CONTROL SET UP ·TOTAL # OF WORK DAYS: 05 SCOPE OF WORK: ·BORE / TRENCH TO INSTALL CONDUITS FOR CHARTER SPECTRUM (67 ft.). ·SET BORE PITS (2). ·ROD & ROPE TO OVERPULL NEW CABLE THRU EX.CHARTER CONDUIT (250 ft.). ·REMOVE & REPLACE STREET ASPH. (24 sq.ft.). ·REMOVE & REPLACE SIDEWALK CONC. (25 sq.ft.). CLEARED BY CITY OF TEMECULA PUBLIC WORKS Chris.White 12/09/2024 12/09/2024 12/09/2024 12/09/20 W5-1 ROAD NARROWS W5-1 12 ' M I N . 100'**TO BE DETERMINED BY THE CITY OF TEMECULA** RE V ' D 0 4 / 0 3 / 2 3 07/25/2024 N Page: 2/7 ENTERPRISE CIR S (25 MPH) 100' SIGN SPACING 100' SIGN SPACING 100' SIGN SPACING 45' SHIFTING TAPER 20'WORK ZONE WI N C H E S T E R RD (40 MP H ) 100' SIGN SPACING 11/01/2024 2/3 170' N PROPOSED TCP 1.1 W5-1 ROAD NARROWS W5-1 12 ' M I N . 100'**TO BE DETERMINED BY THE CITY OF TEMECULA** RE V ' D 0 4 / 0 3 / 2 3 07/25/2024 N Page: 2/7 ENTERPRISE CIR S (25 MPH) 100' SIGN SPACING 100' SIGN SPACING 100' SIGN SPACING 45' SHIFTING TAPER 20'WORK ZONE WI N C H E S T E R RD (40 MP H ) 140' 100' SIGN SPACING 11/01/2024 3/3 PROPOSED TCP 1.2 N CLEARED BY CITY OF TEMECULA PUBLIC WORKS Chris.White 12/03/2024 12/03/2024 12/03/2024 12/03/20 CONSTRUCTION TOTALS (TOTAL AMOUNTS OF ENTIRE ROUTE) PRISM#: 5693618 JOB NOTES: 1.The existence and location of any underground utility pipes or structures was obtained by a search of the available records and field conditions. Additional underground facilities may exist, or the location of the facilities may differ from the locations shown on these plans. The contractor shall, at his own expense, determine the exact location of all such underground facilities prior to commencement of any work or any action which may damage such facilities or interfere with their continuous and proper operation. 2.All plans must be checked and approved by the governmental agency, or agencies, having jurisdiction over the roadways shown on this plan being put into effect. All plans are intended to conform to the Manual on Uniform Traffic Control Devices. The customer/contractor is responsible for ascertaining addition agency requirements for work hours allowed, noise abatement, and other rules and regulations. 3.The temporary traffic controls must be installed per the agency approved plan to be effective. Field changes, other than minor adjustment, must be authorized in writing be a representative of the governmental agency, or agencies, having jurisdiction over the roadway. 4.Plan implementation and device placement should be performed by experienced and trained personnel. 5.Temporary traffic control must be monitored and maintained by the customer/contractor to remain effective. Monitoring and maintenance frequency is dictated by field conditions, but not less than daily. 6.Optimum Inc. has no control over, or responsibility for traffic control plan implementation and inspections performed by others. Users agree to indemnify Optimum Inc. for claims made regarding failure to install, maintain or remove controls per approved traffic control plans. PTIMUM, INC. GENERAL ENGINEERING CONTRACTORS OFFICE: (909) 990-0767 CSLB#: 817291 | CLASS: C-7 A C31 17890 VALLEY BLVD BLOOMINGTON CA SCOPE OF WORK SHEET 1 OF 2 7337 CENTRAL AVE RIVERSIDE CA.92504 OFFICE: (833) 267-6097 41630 WINCHESTER RD TEMECULA, CA 92590 - JESUS SAMANIEGO IES 12/6/2024 PENDING A.LOAYZA CITY OF TEMECULA PO#:- PRISM#: CHARTER PUBLIC WORKS DEPARTMENT TP TELEPHONE PEDESTAL T TELEPHONE VAULT EV ELECTRIC VAULT CATV VAULT IV IRRIGATION VAULT UTILITY POLE FIRE HYDRANT UNDERGROUND VALVE MAN HOLE F M SL STREET LIGHT VAULT TS TRAFFIC SIGNAL VAULT WV WATER VAULT CATV PEDESTALABOVE GROUND VALVE GV GAS VAULT FO FIBER OPTIC VAULT CV COMMUNICATIONS VAULT ELECTRIC LINE GAS LINE TELEPHONE LINE WATER LINE CATV LINE TRAFFIC SIGNAL LINE SEWER LINE STORM DRAIN LINE FIBER OPTIC LINE PETROLUEM LINE STREET LIGHTS INDUSTRIAL WASTE OIL LINE FUEL LINE RECLAIMED WATER T PROPOSED CONSTRUCTION PROPOSED HDD BORE / CONDUIT INSTALLATION PROPOSED TRENCH / CONDUIT INSTALLATION PROPOSED POTHOLE (2'x2') PROPOSED EXIT / MISSILE BORE PIT (2'x4') PROPOSED BORE PIT (3'x6') CATV PROPOSED NEW CATV VAULT (2'x3') UTILITY / LINE LEGENDEXISTING OBJECTS EDGE OF PAVEMENT CURB FACE RIGHT OF WAY (CITY) CENTERLINE (C/L) DESIGN ORIENTATIONREVISIONS REV#DATE DESCRIPTION 36" L E N G T H 24" W I D T H 18 " H E I G H T 3" CONDUIT 36 " T Y P . CO N D U I T D E P T H 18 " D E P T H EXISTING GRADE OR SURFACE OF CONCRETE MOUNT FLUSH WITH GRADE 6" ROCK BASE (3/4" GRAVEL) 36" L E N G T H 18 " W I D T H 20 " H E I G H T CO V E R 18 " H E I G H T BA S E 21 " A B O V E GR A D E COVER 3" CONDUIT 36 " T Y P . CO N D U I T D E P T H EXISTING GRADE OR SURFACE OF CONCRETE 17 " D E P T H BASE 6" ROCK BASE (3/4" GRAVEL) Ø 2 . 8 6 4 " Ø 3.164" 0. 3 0 0 " TYPICAL CATV 2'x3' VAULT DETAIL TYPICAL CATV PEDESTAL DETAIL CONDUIT DETAIL 6' 3'2' 4' 3" HDPE MIN. 36" EXIST. GRADESEND BORE PIT RECEIVE BORE PIT 3" CONDUIT FIBER OPTIC CABLE TRACER WIRE 3" HDPE FIBER OPTIC CABLE 3/8" TRACER WIRE 3" CONDUIT 3" CONDUIT TYPICAL DIRECTIONAL BORE DETAIL TRACER WIRE DETAIL INTERDUCT DETAIL EXISTING GRADE HORIZONTAL SCALE: 1" = 40' VERTICAL SCALE: 1" = 4' 36" - 48" COVER C/ L O F S T R E E T 12" CLEARANCE PLACE 1-3" CONDUIT AT 36" - 48" DEPTH EXISTING UTILITIES (NOTE: DEPTH MAY VARY FOR DIFFERENT UTILITIES) TYPICAL UTILITY CLEARANCE (PROTECT IN PLACE AT ALL EX. UTILITY CROSSINGS) N.T.S. S/W D/W PH R/W EX C/L EOP CF ABBREVIATIONS V PED · · · · · · N 5693618 – ➢ ➢ ➢ ➢ ➢ ➢ ➢ ➢ UTILITY PLAN GENERAL NOTES:REV 03-13-2024 WORK DURATION: ·02 DAYS FOR EXCAVATION / BORE / TRENCH WORK ·02 DAY FOR RESTORATION ·01 DAY TO PULL CABLE ·05 DAYS OF TRAFFIC CONTROL SET UP ·TOTAL # OF WORK DAYS: 05 SCOPE OF WORK: ·BORE / TRENCH TO INSTALL CONDUITS FOR CHARTER SPECTRUM (67 ft.). ·SET BORE PITS (2). ·ROD & ROPE TO OVERPULL NEW CABLE THRU EX.CHARTER CONDUIT (250 ft.). ·REMOVE & REPLACE STREET ASPH. (24 sq.ft.). ·REMOVE & REPLACE SIDEWALK CONC. (25 sq.ft.). E N T E R P R I S E C I R S WIN C H E S T E R R D E N T E R P R I S E C I R S BORE AREA EX. CONDUITV T V STANDARD 117: LOCATION OF UG UTILITIES STANDARD 407: TRENCH/POTHOLE REPAIR STANDARD 407: TRENCH/POTHOLE REPAIR STANDARD 407: TRENCH/POTHOLE REPAIR CLEARED BY CITY OF TEMECULA PUBLIC WORKS Chris.White 12/09/2024 12/09/2024 12/09/2024 12/09/20 E O P E O P E O P E O P E O P E O P E O P E O P E O P E O P E O P C F C F C F C F C F C F C F C F C F C F C F 1 | 3" 57' BORE BP1 TO BP2 2'x3' V1-C 4'x6' BP1-A ROD & ROPE THROUGH EXISTING CHARTER CONDUIT 250' E N T E R P R I S E C I R S 25 sq.ft R&R-C EX.CHARTER PEDESTAL 1 + 0 0 2+27 2 + 0 0 3 + 0 0 4 + 0 0 39' 39' ENT E R P R I S E C I R S T V T V T V T V T V V C A T V 2+81 4+64 EXISTING 2'x4' BP2-D 24 sq.ft R&R-A 1 | 3" 8' TRENCH-A V1 TO BP1 1 | 3" 50' BORE BP2 TO V2 2'x3' V2-D NEW1 | 3" 2' TRENCH-D V2 TO ROW S I D E W A L K G R E E N B E L T S I D E W A L K G R E E N B E L T 10' ROW 11' ROW 12' ROW TIE-IN POINT EXISTING CHARTER VAULT ELECTRIC LINE GAS LINE TELEPHONE LINE WATER LINE CATV LINE TRAFFIC SIGNAL LINE SEWER LINE STORM DRAIN LINE FIBER OPTIC LINE PETROLUEM LINE STREET LIGHTS INDUSTRIAL WASTE OIL LINE FUEL LINE RECLAIMED WATER PROPOSED CONSTRUCTION PROPOSED HDD BORE / CONDUIT INSTALLATION PROPOSED TRENCH / CONDUIT INSTALLATION PROPOSED POTHOLE (2'x2') PROPOSED EXIT / MISSILE BORE PIT (2'x4') PROPOSED BORE PIT (3'x6') CATV PROPOSED NEW CATV VAULT (2'x3') UTILITY / LINE LEGEND EDGE OF PAVEMENT CURB FACE RIGHT OF WAY (CITY) CENTERLINE (C/L) DESIGN ORIENTATIONREVISIONS REV#DATE DESCRIPTION 00 40'80' #-C #-A #-D _____ IN CONCRETE _____ IN ASPHALT _____ IN DIRT/GREENBELT CALLOUT ABBREVIATIONS TREN (TRENCH TO INSTALL 3" UG CONDUIT) BORE (BORE TO INSTALL 3" UG CONDUIT) BP (BORE PIT 3'x6') MBP (MISSILE BORE PIT 2'x4') PH (POTHOLE 2'x2') V (CATV VAULT) | P (CATV PEDESTAL) R&R (REMOVE & REPLACE) ##' ##- CALLOUT DETAILS XX-X ##' CONSTRUCTION TOTALS (TOTAL AMOUNTS FOR ENTIRE ROUTE) CONSTRUCTION SHEET OF JOB NOTES: 1.The existence and location of any underground utility pipes or structures was obtained by a search of the available records and field conditions. Additional underground facilities may exist, or the location of the facilities may differ from the locations shown on these plans. The contractor shall, at his own expense, determine the exact location of all such underground facilities prior to commencement of any work or any action which may damage such facilities or interfere with their continuous and proper operation. 2.All plans must be checked and approved by the governmental agency, or agencies, having jurisdiction over the roadways shown on this plan being put into effect. All plans are intended to conform to the Manual on Uniform Traffic Control Devices. The customer/contractor is responsible for ascertaining addition agency requirements for work hours allowed, noise abatement, and other rules and regulations. 3.The temporary traffic controls must be installed per the agency approved plan to be effective. Field changes, other than minor adjustment, must be authorized in writing be a representative of the governmental agency, or agencies, having jurisdiction over the roadway. 4.Plan implementation and device placement should be performed by experienced and trained personnel. 5.Temporary traffic control must be monitored and maintained by the customer/contractor to remain effective. Monitoring and maintenance frequency is dictated by field conditions, but not less than daily. 6.Optimum Inc. has no control over, or responsibility for traffic control plan implementation and inspections performed by others. Users agree to indemnify Optimum Inc. for claims made regarding failure to install, maintain or remove controls per approved traffic control plans. TP TELEPHONE PEDESTAL T TELEPHONE VAULT EV ELECTRIC VAULT CATV VAULT IV IRRIGATION VAULT UTILITY POLE FIRE HYDRANT UNDERGROUND VALVE MAN HOLE F M SL STREET LIGHT VAULT TS TRAFFIC SIGNAL VAULT WV WATER VAULT CATV PEDESTALABOVE GROUND VALVE GV GAS VAULT FO FIBER OPTIC VAULT CV COMMUNICATIONS VAULT T EXISTING OBJECTS S/W D/W PH R/W EX C/L EOP CF ABBREVIATIONS V PED · · · · · · PTIMUM, INC. GENERAL ENGINEERING CONTRACTORS OFFICE: (909) 990-0767 CSLB#: 817291 | CLASS: C-7 A C31 17890 VALLEY BLVD BLOOMINGTON CA 7337 CENTRAL AVE RIVERSIDE CA.92504 OFFICE: (833) 267-6097 41630 WINCHESTER RD TEMECULA, CA 92590 - JESUS SAMANIEGO IES 12/6/2024 ---- A.LOAYZA CITY OF TEMECULA PO#: PENDING PRISM#: CHARTER PUBLIC WORKS DEPARTMENT PRISM#: 5693618 N 5693618 S W E 2 2 STA. 0 + 0 0 @ C / L WINC H E S T E R R D 04/09/2024 Acrisure 2655 Camino Del Rio North #200 San Diego CA 92108 Hope Perry (Zamichieli) (619) 683-9990 (619) 683-9999 hperry@acrisure.com Inland Engineering Services Inc. 1373 Old Temescal Rd. Corona CA 92881 Middlesex Insurance Co 23434 Florists' Mutual Insurance Company 13978 Certain Underwriters at Lloyds 15642 At-Bay Specialty Insurance Company 19607 Mt. Hawley Insurance Company 37974 24-25 All Lines A Y Y A0248653004 04/15/2024 05/01/2025 1,000,000 500,000 5,000 1,000,000 3,000,000 2,000,000 PROJ. AGGREGATE 10,000,000 A Y Y A0248653001 04/15/2024 05/01/2025 1,000,000 COMP/COLL DED 100/250 A 0 A0248653006 04/15/2024 05/01/2025 5,000,000 5,000,000 B Y Y A0248653005 05/01/2024 05/01/2025 1,000,000 1,000,000 1,000,000 C Professional Liability ANE5429827.24 04/15/2024 05/01/2025 Policy Aggregate Limit $2,000,000 Each Claim Limit $2,000,000 City of Temecula is afforded Additional Insured, Primary Non-contributory and Waiver of Subrogation where required by written contract per attached Endorsements. City of Temecula 41000 Main St. Temecula CA 92590 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 CLEARED BY CITY OF TEMECULA PUBLIC WORKS Chris.White 12/03/2024 12/03/2024 12/03/2024 12/03/20 Inland Engineering Services Inc.Acrisure 25 Certificate of Liability Insurance: Notes INSURER D: At-Bay Specialty Insurance Company NAIC# 19607 Cyber Liability Policy #AB-6653839-03 Policy Period: 5/1/2024 - 5/1/2025 POLICY AGGREGATE LIMIT: $1,000,000 INSURER E: Mt. Hawley Insurance Company NAIC# 37974 Pollution Liability Policy #EGL0011705 Policy Period: 4/29/2024 - 5/1/2025 POLICY AGGREGATE LIMIT: $5,000,000 EACH POLLUTION INCIDENT: $5,000,000 ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: POLICY NUMBER: A0248653004 © Insurance Services Office, Inc., 2018 COMMERCIAL GENERAL LIABILITY CG 20 37 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s)Location And Description Of Completed Operations Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A.Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". However: 1.The insurance afforded to such additional insured only applies to the extent permitted by law; and 2.If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B.With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1.Required by the contract or agreement; or 2.Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 1 of 1CG 20 37 12 19 04/08/2024A0248653 Middlesex Insurance Company 00001 0000000000 24099 0 N1 49a51b0d-df71-471d-8ad6-786ec2926a3449a51b0d-df71-471d-8ad6-786ec2926a34 Any person or organization you are required to add as an additional insured under a written contract or agreement in effect prior to any accident, injury, or damage All locations and jobs performed that have a written contract, agreement or permit. Page 1 of 2CG 20 10 12 19 04/08/2024A0248653 Middlesex Insurance Company © Insurance Services Office, Inc., 2018 POLICY NUMBER: A0248653004 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE CG 20 10 12 19 Name Of Additional Insured Person(s) Or Organization(s)Location(s) Of Covered Operations Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A.Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1.Your acts or omissions; or 2.The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1.The insurance afforded to such additional insured only applies to the extent permitted by law; and 2.If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B.With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1.All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2.That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. 00001 0000000000 24099 0 N1 3d9d26e6-1a1c-4191-9943-6029a2cb9c673d9d26e6-1a1c-4191-9943-6029a2cb9c67 All locations and jobs performed that have a written contract, agreement or permit Any person or organization you are required to add as an additional insured under a written contract or agreement in effect prior to any accident, injury, or damage C.With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1.Required by the contract or agreement; or 2.Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. © Insurance Services Office, Inc., 2018 CG 20 10 12 19Page 2 of 2 04/08/2024A0248653 Middlesex Insurance Company COMMERCIAL GENERAL LIABILITY CG 71 25 06 22 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS BLANKET ADDITIONAL INSUREDS, PRIMARY & NONCONTRIBUTORY, WAIVER OF SUBROGATION This endorsement modifies the coverage provided under the following Coverage Form(s): COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE 1.Additional Insureds - Automatic Status for 13 Additional Insured Types Section II - Who Is An Insured is amended to include the following as additional insureds when you have agreed to add that person or organization as an Additional Insured on your policy in a written contract or written agreement with that person or organization, or because of a permit issued by a state or political subdivision; provided the injury or damage occurs subsequent to the execution of the contract or agreement or issuance of the permit and while the contract, agreement or permit remains in effect. A.Owners, Lessees Or Contractors - Automatic Status When Required In A Written Construction Agreement With You 1)A person or organization with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: a.Your acts or omissions; or b.The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. With respect to the coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. Coverage enhancements are listed below. For details of each coverage, please read the corresponding policy provisions in the body of this endorsement. 1.Additional Insureds - Automatic Status for 13 Additional Insured Types A.Owners, Lessees Or Contractors - Automatic Status When Required In A Written Construction Agreement With You B.Owners, Lessees Or Contractors - Automatic Status When Required In Written Construction Agreement With You (Completed Operations) C.State or Governmental Agency or Subdivision or Political Subdivision - Permits or Authorizations D.Lessor of Leased Equipment E.Owners or Other Interests From Whom Land Has Been Leased F.Manager or Lessor of Premise G.Mortgagee, Assignee, or Receiver H.Controlling Interest I.Co-owner Of Insured Premises J.Executors, Administrators, Trustees Or Beneficiaries K.State Or Governmental Agency Or Subdivision Or Political Subdivision - Permits Or Authorizations Relating To Premises L.Vendors M.Grantor of Franchise 2.Primary and Noncontributory - Other Insurance Condition 3.Waiver Of Transfer Of Rights Of Recovery Against Others To Us (Waiver Of Subrogation) - Automatic Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 5CG 71 25 06 22 04/08/2024A0248653 Middlesex Insurance Company 00003 0000000000 24099 0 N1 3e095d27-f0df-4c74-acc1-f5f0bd75c2ce3e095d27-f0df-4c74-acc1-f5f0bd75c2ce POLICY NUMBER: A0248653004 A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. 2)With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: a."Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: 1.The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or 2.Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. b."Bodily injury" or "property damage" occurring after: 1.All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2.That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. B.Owners, Lessees Or Contractors - Automatic Status When Required In Written Construction Agreement With You (Completed Operations) 1)Any person(s) or organization(s) with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" performed for that additional insured and included in the "products-completed operations hazard", but only when that portion of the “products-completed operations hazard” is not excluded by endorsement. 2)With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to: "Bodily injury" or "property damage" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a.The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b.Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage" involved the rendering of or the failure to render any professional architectural, engineering or surveying services. C.State or Governmental Agency or Subdivision or Political Subdivision - Permits or Authorizations Any state or governmental agency or subdivision or political subdivision, subject to the following provisions: 1)This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization. 2)This insurance does not apply to: Includes copyrighted material of Insurance Services Office, Inc., with its permission. CG 71 25 06 22Page 2 of 5 04/08/2024A0248653 Middlesex Insurance Company a."Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or b."Bodily injury" or "property damage" included within the "products-completed operations hazard". D.Lessor of Leased Equipment 1)Any person(s) or organization(s) with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person(s) or organization(s). 2)With respect to the insurance afforded to these additional insureds, this insurance does not apply to any "occurrence" which takes place after the equipment lease expires. E.Owners or Other Interests From Whom Land Has Been Leased 1)Any person(s) or organization(s) with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by you or those acting on your behalf in connection with the ownership, maintenance or use of that part of the land leased to you by the additional insured person(s) or organization(s). 2)With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: a.Any "occurrence" which takes place after you cease to lease that land; b.Structural alterations, new construction or demolition operations performed by or on behalf of the additional insured person(s) or organization(s). F.Manager or Lessor of Premise Any person(s) or organization(s) with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by you or those acting on your behalf in connection with the ownership, maintenance or use of that part of the premises leased to you by the additional insured person(s) or organization(s), subject to the following additional exclusions: This insurance does not apply to: 1)Any "occurrence" which takes place after you cease to be a tenant in that premises. 2)Structural alterations, new construction or demolition operations performed by or on behalf of the person(s) or organization(s) shown in the Schedule. G.Mortgagee, Assignee, or Receiver Any person(s) or organization(s) with respect to their liability as mortgagee, assignee or receiver and arising out of the ownership, maintenance or use of a premises by you. This insurance does not apply to structural alterations, new construction and demolition operations performed by or for such additional insured person(s) or organization(s). H.Controlling Interest 1)Any person(s) or organization(s) with respect to their liability arising out of: a.Their financial control of you; or b.Premises they own, maintain or control while you lease or occupy these premises. 2)This insurance does not apply to structural alterations, new construction and demolition operations performed by or for that person or organization. I.Co-owner Of Insured Premises Any person(s) or organization(s) with respect to their liability as co-owner of a premises co-owned by you and covered under this insurance. J.Executors, Administrators, Trustees Or Beneficiaries Any executor, administrator, trustee or beneficiary of your estate or living trust while acting within the scope of their duties as such. Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 3 of 5CG 71 25 06 22 04/08/2024A0248653 Middlesex Insurance Company 00003 0000000000 24099 0 N3 3e095d27-f0df-4c74-acc1-f5f0bd75c2ce3e095d27-f0df-4c74-acc1-f5f0bd75c2ce K.State Or Governmental Agency Or Subdivision Or Political Subdivision - Permits Or Authorizations Relating To Premises Any state or governmental agency or subdivision or political subdivision, subject to the following additional provision: This insurance applies only with respect to the following hazards for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization in connection with premises you own, rent or control and to which this insurance applies: 1)The existence, maintenance, repair, construction, erection or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners or decorations and similar exposures; or 2)The construction, erection or removal of elevators; or 3)The ownership, maintenance or use of any elevators covered by this insurance. L.Vendors 1)Any person(s) or organization(s) (referred to throughout this endorsement as vendor), but only with respect to liability for "bodily injury" or "property damage" arising out of "your products" which are distributed or sold in the regular course of the vendor's business. However: a.The insurance afforded to such vendor only applies to the extent permitted by law; and b.If coverage provided to the vendor is required by a contract or agreement, the insurance afforded to such vendor will not be broader than that which you are required by the contract or agreement to provide for such vendor. 2)With respect to the insurance afforded to these vendors, the following additional exclusions apply: a.The insurance afforded the vendor does not apply to: 1)"Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement; 2)Any express warranty unauthorized by you; 3)Any physical or chemical change in the product made intentionally by the vendor; 4)Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; 5)Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products; 6)Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; 7)Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor; or 8)"Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to: (1)The exceptions contained in Subparagraphs d. or f.; or Includes copyrighted material of Insurance Services Office, Inc., with its permission. CG 71 25 06 22Page 4 of 5 04/08/2024A0248653 Middlesex Insurance Company (2)Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. b.This insurance does not apply to any insured person or organization, from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. M.Grantor of Franchise Any person(s) or organization(s) with respect to their liability as grantor of a franchise to you. However: 1.The insurance afforded to such additional insureds only applies to the extent permitted by law; and 2.If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1.Required by the contract or agreement; or 2.Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. If there is any difference in coverage afforded to an additional insured in this endorsement and that provided under another additional insured endorsement attached to this policy, the broader coverage will apply to that additional insured. 2.Primary And Noncontributory Insurance The following is added to the Other Insurance Condition and supersedes any provision to the contrary: This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1)The additional insured is a Named Insured under such other insurance; and (2)You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. 3.Waiver Of Transfer Of Rights Of Recovery Against Others To Us (Waiver Of Subrogation) - Automatic The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions: We waive any right of recovery against any person or organization, because of any payment we make under this Coverage Part, to whom the insured has waived its right of recovery in a written contract or agreement. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person or organization prior to loss. Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 5 of 5CG 71 25 06 22 04/08/2024A0248653 Middlesex Insurance Company 00003 0000000000 24099 0 N5 3e095d27-f0df-4c74-acc1-f5f0bd75c2ce3e095d27-f0df-4c74-acc1-f5f0bd75c2ce POLICY NUMBER: A0248653004 © Insurance Services Office, Inc., 2018 COMMERCIAL GENERAL LIABILITY CG 24 04 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE Name Of Person(s) Or Organization(s): Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. Page 1 of 1CG 24 04 12 19 04/08/2024A0248653 Middlesex Insurance Company 00001 0000000000 24099 0 N1 77171d79-070d-4055-b94f-04db6398c58b77171d79-070d-4055-b94f-04db6398c58b Any person or organization from whom you are required to waive your right to recover under a written contract or agreement in effect prior to any loss or damage POLICY NUMBER: A0248653001 SCHEDULE COMMERCIAL AUTO CA 76 01 06 15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED - PRIMARY AND NONCONTRIBUTORY - COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated. Named Insured: Inland Engineering Services, Inc. Endorsement Effective Date: 04/15/2024 Name Of Person(s) Or Organization(s): Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A.Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in: (1)Paragraph A.1. of Section II - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms; or (2)Paragraph D.2. of Section I - Covered Autos Coverages of the Auto Dealers Coverage Form. B.Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other auto insurance issued to the person or organization in the schedule under your policy provided that: (1)The person or organization is a Named Insured under such other insurance; and (2)Prior to the “accident” you have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the person or organization. Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1CA 76 01 06 15 04/08/2024A0248653 Middlesex Insurance Company 00001 0000000000 24099 0 N1 e5148181-0760-412b-98e2-6ef9e68926a4e5148181-0760-412b-98e2-6ef9e68926a4 Any person or organization from whom you are required to waive your right to recover under a written contract or agreement in effect prior to any loss or damage. Named Insured: Inland Engineering Services, inc. Endorsement Effective Date: 04/15/2024 Name(s) Of Person(s) Or Organization(s): POLICY NUMBER: A0248653001 COMMERCIAL AUTO CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. SCHEDULE Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. © Insurance Services Office, Inc., 2011 Page 1 of 1CA 04 44 10 13 04/08/2024A0248653 Middlesex Insurance Company 00001 0000000000 24099 0 N1 45800998-7eb6-4231-ab16-e6e0de6b84f445800998-7eb6-4231-ab16-e6e0de6b84f4 Any person or organization from whom you are required to waive your right to recover under a written contract or agreement in effect prior to any loss or damage (Ed. 4-84) WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Name: Address: Description of Waiver: JobID: (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement No. Premium Countersigned by This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. Page 1 of 1 03/29/2023 00002 0000000000 23088 0 N1 d817710f-8fba-466b-b831-82704acebcecd817710f-8fba-466b-b831-82704acebcec Any person or organization from whom you are required to waive your right to recover under a written contract or agreement in effect prior to any loss or damage Policy No. A0248653005Endorsement Effective 5/1//2024 Insured Inland Engineering Services, Inc. Florists' Mutual Insurance Company WC 00 03 13 (Ed. 4-84) © 1983 National Council on Compensation Insurance. A0192224005 Middlesex Insurance Company 1373 Old Temescal Rd Corona, CA 92881-3315 Blanket as Required by Written Contract or Written Agreement Executed Prior to Loss CLEARED BY CITY OF TEMECULA PUBLIC WORKS Chris.White 12/03/2024 12/03/2024 12/03/2024 12/03/20 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 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. ·· BORE / TRENCH TO INSTALL CONDUITS FOR CHARTER SPECTRUM (67 ft.). ·· SET BORE PITS (2). ROD & ROPE TO OVERPULL NEW CABLE (250 ft.). ·REMOVE & REPLACE STREET ASPH. (24 sq.ft.). REMOVE & REPLACE SDWK CON. (25 sq.ft) 41630 WINCHESTER RD, TEMECULA, CA 92590 P_5693618 11-18-2024 11-22-2024 CLEARED BY CITY OF TEMECULA PUBLIC WORKS Chris.White 12/03/2024 12/03/2024 12/03/2024 12/03/20 LD24-4783 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 #: 06-06-2024 Charter Spectrum Stephen Wade (818) 427-4947 7337 Central Ave Riverside, CA 92504 INLAND ENGINEERING SERVICES INC 1373 OLD TEMESCAL ROAD, CORONA, CA 92881 MATTHEW BENNINGHOFF (951) 741-5240 MATTHEW BENNINGHOFF - (951) 741-5240 931684 A 056867 Stephen.wade1@charter.com