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HomeMy WebLinkAboutN2018-0187City of Newport Beach �1111111 1111111111111111111111 mill III III II II Permit No: N201 H-0187 1, C C v r :;t:ntc=r D-,ve Newvo,t f3enctr i:A 92650 N 2 0 1 8 © 1 8 7 Permit Counter Phone (949)644-3311 Project No Online Inspection Request - www newportbeachca gov / Online ~ Services �. - F InspectioriRequ" Phone (�9!49)6y44,-3255 Job Address 1 PUBLIC ROW NB Thomas:Guide: Description INSTALL 27 STREET LIGHT BANNERS FOR CDM SCENIC 51K ALONG E. COAST HWY. Parcel # . Legal Desc : Ts e VQ�,o u,( Owner: CDM BID Contractor : DEKRA - LITE INDUSTRIES INCORPORATED Phone: Phone: 714-436-0705 Address : Address : 3102 W ALTON AVENUE SANTA ANA CA Applicant: CDM BID Phone: [ Address Special Cond.: SEP 18-014 NO FEE- CITY CONTRACT Permit Processing Fee $0 00 Sewer Connection $0 00 Agreement Fee $0.00 4TT Box Cover $0 00 Traffic control Plan Check $0 00 Total Water Meters $0 00 Inspection Fee $0.00 Water Meter Connection $0 00 Refundable Deposit $0 00 Total Water Meter Box $0 00 Street Tree Fee $0 00 Adjustment $0 00 Processed By Utilities Approval Traffic Approval : General Services Approval Sc. �L Date Date / 0/ Date: 14 Date . Contractor State Lic: 764987 License Expire : 06 30, 2019 Business License : BT00011959 Business Expire : 07 31, 2018 Workers' Compensation Insurance - - Carrier : EMPLOYEE SERVICE GROUP Policy No : RWCC64400125 W. C. Expire: 10 01, 2018 Total Fee $0.00 Paid : $0.00 Balance : $0.00 Receipt No Other Department Date Permit Denied . Date Issued Permit . 5L Date: 9 / (0/ I J ALL UNDERGROUND WORK SHALL BE PERFORMED BY A LICENSED CONTRACTOR Contact "Underground Service Alert" At Least 48-Hours in Advance of Any Excavation at 800-422-4133 TERMS AND CONDITIONS OF ENCROACHMENT PERMIT croacnm cnt Parr,.., mey -,e out ... .he _,.ne- c` oe-iehted p`c,perty or _ liter sisic .,, „acto' A !.tens_.. rat,_tor rr,us: trot de a 'Li:lte' c' ALlhcrzaticnto allon another party to ptr a perm?. ti aoorcvec copy o` tra pe rn t anv canstruct. n pan slid!: be kept at Ih� iob s to at a, time- 'A o, , v n ch has beer done pno,;c issuance of a perp r, - surC ;e' 1D ,ei'-1i,cr�rnF rii`, r'senra<'hn;`, F ; tc .o•c F�^ndr,r : •c^ doe, ^ot cetnrrten,:e .vd^rr ::2 day;ar, afic- Cale at ssuan, E he ''e-n tree _Create : ce-er_ •mdemnl*t an7 nPIG trI;: _`iv il< au;horned 7, en', ceps re?resenta'Ives and emp c sees harm ess -rem ?n; re;_,msi; ICy, haadih', Si,.. o- ion cf ar d-sc, p'ic, 2ri-,no cr ofrn., acciCent. l,^sS or oaril :e oersor's or prop.-,•tr beet rr a iesu., of n'cr,, ur.ae-ta'•er u^,de; 'n,s ermi: 3 All *.tic-,n sha,` ate --one n a ,co-dancv, .: t � aoorcdec cidns Sta' c"o S.. teens ors cad Stwuard Dra`,t neat of ;he C ty o' Nevrperi Beac ., and n comp ia-icle v;m a I app! cable Sta lan.. and City ordinances Perr ittee gcaranlees a I wor'-, perfomed ender ;1i s renpr -. to be 'ree of I- aces Fr-- latent defects Any failures shall be corra:ted .^,ilh[n t.vo , Jee,s after Poll, cahc- io Lie satisfacr,or of the PubPc ;V-rKs Direcicr A vz!id State hcorsc:d corrector must oe:form all c^rstrcciicn witn,- the Puo:,c -ighi-ef-way, unless ,vaved by the Pubic' .or<s D,reo'o A :'add Sla'e ont-zct;r ..,tense Cass A car ee'form ?ny:Work in the of b!ic rght-cf-way For ccnctr.,cnon or ^nnectien to :,ate; Imes . val id Stare Cortractor-I-ense Clas'_ C-34 is regi_Irec For corstruc:ion or conrect on to sewer Ines a va is S'atc Ccntra^tor t_i,en<.e Class C-42 i , required o Aa:renching anG;o- res.,rfacinc, shall co -form to City St?rcard 1Cf,-L for par<vr: 40adway and City Standard 14C-u in the at e, where a micrrcm half-alcy ,%idth resurfacing shall be provided, unless ethenvlse directed iry the Publ c ::'Ones Dept Corctrctors snall cbtair permds to petorin excavation or trench wo•, from U,e Cdlifuma Dvision of Industra! Safety prior to con mencine underground ccnsiruc;ivn as requnec b? State Ia Walls and races of at exca,ahons ovar 5 feet in cepth shd'.I tie r,rc!ecaed by a sholirg system, slopinq of the ground, or otne- equivalent means Trenches less than �_ fee; !n depth st'ali be guarced wher, haza-doo<_ ground movement may be expected i The Public IVorks Cepa tn,ert Inspectors must inscect all work ;n the r'ublic ngnt-cf-way Forms and suggrade must be inspected and approved before concrete is cidered;poured Sewer oipalines and suograde cons'ructan must ce rspectcd and approved oaf re nck`!I ng cr oppiicar; ,nav re required to excavate site Separate Utilities Departmcrt or Gene-o Services Deoartrr.ent inspections may be required dependtne on scope o. `:;ork Derformed 8 All trench resiura ;ior must be tnspected by the clubhc Works Department No ufilily instaJation{s; shall be allowed over or `,W,fn'n 5 fee; ci anp CC; '_PfiLds, cnless aF .icved by the Pub.,c 1Nv-ks Department Locate and pothole exisGrg dv-uwned ,_(diUe I,e water, sewer, ur street lighting conourts; ;o venfy locations Maintain a one -foot _leararice oter or u':der exis'mg C tv 1w.ned 01,1.es Sewer cleanows requre VCR c: PVC SDR35 be used .vCh a ,IT- bz>y over the '.ser 9_ Propery lighted b9mcaces rust be provded and mairtained around all trenches, excavations and ebstrucaors All s gins, fiags, lignts and otn _r `.va,ming era safety devices shal` con`orm to the requ rer ents of the rowan' 'Vanua of :^laming Signn Sights and Other Devlcen for the Use n Penormaxc of L'Jor< Ucvn ;ghw:ays', issued oy the Catforn a Deoartment at Trarspe'at o;; needea, barricades can oe obta neat from the C,ty at a cna,ge of `G13 02 per camcace per oar wtl, a mir.Imcm cna'ge o` S25 09 it is :he resoonsiclHy of the acphcant to pace barricades to protect the genc-al pub',c 4ccess i_. `rc hyerarts must oe rraintai^ed at III times V.1or'r. :w'hin or near oen,­ ensli,c areas :Will not ce during City nchdays spring break, P,lemonal Day we,l,en:, ss.rrrner t,2--veer Jt,nE- iS and Scpte:rnocr 15 aria curing the tclida•. season iron December 19 to .,anuary ' Lniess aoprevec b r 'hc =ut;,c Viorks Departmert „ny `.c-K tha' extents ntc t;ar`•c c- ,,arK!ng ;apes _end .mpedes the normal flc.v of traffic ecWres :he appl.cant to acqu re a Tempera; Stree' Closure Permit from 'he r' bLc V arks Department Access for fee, aol:ce and emergency ve-',icles must be ma r:acne- s, ai '•mes ',arc Ccntroi -rust be per h;ork Area Traffic Contra! Hare, aak ".:'a T C` NO nigre me :rnS,c lane cicsures unless crier sppro:al has been g•arted Any larets; cicsure on, a ma;or s'rcet an" onl/ b: �Lcr,ed : et:teen 9:00 a m. and 3.00 p.m. (Monday thru Friday', unless approved by ;he Oubiic bVcrks Department '`rt ^,c•'. a`fect ng the State hich`,tiays traf i o wdh,n lne State Plgh,vay nigh`.-of-e:ay tilt requ,re a Ca trans Permit r'I v:;n cles shall be !a%%ful,y panted This per'Ti' doer rot .,:For.-e ire : g,ure p side,va F,5 sUeeis, or ahe, fir constructlor: access Ste -age ct matena s or par,xg of corstr..ct,on veh ties mess detailed on an attachee `emporary S:nee' Ciesire 19 ooLca-d must rotes/ USA at 1-800-227-2600 2 days before starting any underground construction AcFicant trust not,fy al! a7ec'ec resiJeris 24 no-,rs in _c:ano= of rz?strcted acce5s and any incorve'.ie�des_ 14 Re -,use or un soil materials sha,i ate emoved wanin -4 7c ins after cc nDlet•cn o'the :.c k not removed, the City may remove and of I tie anci'canr Coorr_--ate at ev ^ osures with Otv s refesa piCk-uo days by ca:''trig 949-644-KI56 for tre coliec!icn schecule so see, ce is net inte•n pied To place a dumpste• or mater 31s in [he pubic right-cf-ways. a Te•rperarJ Street C,csure Pe'm,t must b,_ ou:aired from the Public VVorKs Department WORKER'S COMPENSATION iNSURANCE (Section 3800 '_abor Ccdel I certify that I have a Certificate of consent to self -insure. Certificate of Worker's Ccmpensation insurance, er a Certified Copy they If. Mate. 01/DG / Z07q Signature. CERTIFICATE OF EXEWIPT!ON (Section 3800 Labor Code', ! certify that in the oerformance of the work under this permit, I shaii not employ any person so as to become subject to California Worker's Compensation Laws. If, after signing this cert=icate i become subject to the Worker's Compensation provisions of the State Labor Code I must comply with the provisions of Section 3700 or this permit shall be deemed revoked. Date: Signature CONTRACTOR LICENSE EXEMPTION As the Owner of the benefiting property i certify i am personally per`orming all work in the Public Right -of -Way Date: Signature: HOLD HARMLESS STA-EMENT t understand :hat i am locating minor encroachments within the City Right-of- Way/Easement As property owner it is my responsibility to maintain the encroachments, i will be responsible for replacing the improvements if the City removes them for maintenance of utilities or other pub:ic need i shall indemnify and hold the City harmless for any liability associated with the minor encroachments. Date: Signature: 24-hour notice for Encroachment Permit Inspection is required by calling Public Works at 949-644-3311. 15 Any atrve gru.:• d uh i'.v f:ac•L'ies :;II' r gt,tre taco n enfed approva' 'roir the attected property o`N'ner s) iv ~•criers;.her, contracts":., ar'id <<thcortrtce:rs ma,' each tw ha!:'e for .io'a!ons of %%ate' i„ua,•;v Caws Besi %lanagemr`n Pr,.C.in'cs 'Mh erfc.cec, It Is agcirst'he 'av, to c schase ,onstri ct on debris irto the gutter aro ^.torm drain Fe o^y'^olat'o. s o` Wa Qua I'y _ay.'S are Lunl,rldo,& J4 h-les up 'J 525 OCC and/or up to three ',ears in Star_ pnso, p — the full cost tc cl :a^ .,p an i14 drecharge cr spi f a erundable deposit .. - pa d, ap ilcartt must submit a Soils Compacavn Certncate. or Fvi!erce if a 'Slurned ackf,l and request a'ral ,rspection from tr,e f L.tI'c:"/orks Decar-isent. (::onies may ,e ^eld for s,A, m ,,ihs a`ter lira: insuecbui' betore a refund:"ill be Drocesse_ °. No hoe: the pubI :, right-c-v:ay sna I olart.. ,_, re,-ovcd, rimmec, . atec withcut 2parcv21 from 'he Genera; Services Deca^,ent 19 All :v.r in the oucac nigger -of --`.vat} must eel `he aporeval trio a grit D-ep. ­"ent or correct,ons ,,il be recwred ;i e remava;s, exbos rg ccnncct,cns, etc 1 Accao;;ai nsoection sees may oe required 20 Peen it is 'cr stanawc r-,a-.Pr,als n the c_:ol,c r,en'-cf-`.vov on,; cnless p e'.rio iy approved by Public Vvcks a c an En:roCc`unen: Agraemert has beer processed 21. Parini; is .`al d for "description' o` 'v.ork notec or, front only Adcitiora. leerferrnec ray re:,,uire issuance of a separate permit ancior aoditio.^.a! tees No work related to this encroachment permit shall be performed until the Public Works Department has issued this permit. Applicant hereby acknowledges he/she has read and and rstands the terms and conditions of this permit and he/she agrees to abide by them. Permit is void if work is not commenced within 30 days after issuanc Permit fees are nonrefundable. a e: l� Signature: — __ ENCROWHRMW PERM CRY OF IIEI%VM BEAM PUBLIC VJCNM INEPARMEW COMPLETE THE BELOW INFORMATION PROJECT ADDRESS: 100 Civic Center Drive, Newport Beach, CA 92660 DETAILED DESCRIPTION OF PROPOSED WORK (include measurements): Installation of 27 30"x96" 5K Banners and hardware on street light poles on Pacific Coast Hwy. The work is being done on behalf of Corona Del Mar BID. per G, er1 t APPLICANT:Dekra-Lite Ind. Phone: 714-436-0705 Email Address: north polemissioncontrol@dekra-lite.com Mailing Address: 3102 W. Alton Ave City/State/Zip: Santa Ana, CA 92704 OWNER: Corona Del Mar BID Phone: Email Address: Mailing Address: City/State/Zip: ALL CONTRACTOR IFOIUMTM IS REOILORED44MAW C0111PLETE CONTRACTOR: Dekra-Lite Industries, Inc. Office Phone: 714-436-0705 Company (if different): Jobsite Phone:714-705-5210 Other Phone:800-436-3627 Email Address: north polemissioncontrol@dekra-lite.com Mailing Address:3102 W. Alton Ave City/State/Zip: Santa Ana, CA 92704 State License Number & Class: 764987 Z,:�kN Expires: 06-30-200 City Business License Number: BT00011959 Expires: 7-31-2018 WORKERS COMPENSATION INSURANCE - Certificate of Insurance (Section 3800 Labor Code) Company: ACE American Insurance Company Policy No: RWC C64400125 Expires: 10/01/2018 REFUNDABLE DEPOSIT INFORMATION (KApplicable): Refund Payable To: Mail Refund To: FOR OFFICE UM ONLY Special Conditions of Permit: 01 ADDITIONAL APPROVAL REQUIRED FROM THE FOLLOWING DEPARTMENTS Utilities: General Services: Traffic: Fire: Other: Engin � PWS: Date: �I/'I� `7 Permit No. h7/0Ik - 0 16- f /users/pbw/shared/encroach/masterslepwon, sheet xls Public Works Department 949-644-3311 3300 Newport Boulevard, Newport Beach, CA 92663 0�Wp0R CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT 100 CIVIC CENTER DR ��. P.O BOX 1768, NEWPORT BEACH, CA 92659-1768 cy `P (949) 644-3311 �rt=ou CONDITIONS OF APPROVAL TO: Jose Woo Loo, 714-436-0705 x419 Josel@dekra-lite.com DEKRA-LITE INDUSTRIES FROM: Socheata Chhouk, (949) 644-3346 schh o ukC(Dne wportb each ca. go DATE: April 10, 2018 SUBJECT: Encroachment Permit N2018-0187 CdM Scenic 5K Banners Installation (Corona Del Mar BID) The following is the Encroachment Permit N2018-0187 conditions of approval for the installation of the Corona Del Mar Scenic 5k banners: • All work shall be per City Council Policy L-16 Temporary Banners Extending Over the Public Right -of -Way. • Banners are to be installed only on the 27 street light poles as indicated on the attached exhibits. • The mounting hardware shall be per the Council Policy: "All banner brackets on streetlight poles must be installed using stainless steel band clamps and the brackets must be sufficiently strong enough to withstand wind -load generated by ninety (90) mile per hours wind." • Poles or standards must be wrapped with forty five (45) ml thick black rubber sheet or other pre -approved material under all steel brackets and clamps and no portion of any bracket shall be in direct contact with the surface of any street light pole or standard. • Applicant shall contact the Municipal Operations Department at (949) 644-3011 at least forty eight (48) hours prior to the installation of any banner on street light poles • All banners shall be removed within thirty (30) days after the date of installation. The proposed installation date is Friday, May 4, 2018 and the removal date is on Monday, June 4, 2018. • Banners shall not be installed on any steel poles • A minimum of two 5-inch wide half -circle wind slits per banner are required to minimize the wind load. • Traffic control shall be per the latest edition of WATCH manual and the attached traffic control plan. The work hours are limited to 9 AM to 3 PM. • Banners cannot be installed on the same street light standard as ones with the City's wayfinding signs. CORONA DEL MAR le - Scenic S'K Banner (9) - No banner 1. Li \�+ifs � ;��.iy.+w,u�,'�H�1 � : • �• � I(<< mot. P � •, tic �• ,/ �.? �, � C 37th <I do 4 poll, S k40Z SCENIC . DO • 40— 5K ii •; v!i<cwr /\ _:1 / JUNE 2 'or / s►cssrr 97,��� , ♦/ .�rF�F% CORONA DEL MAR 49 • Scenic A Banner (2) Lw rl, fAe fll �. ��.-- 1 stcule ,w me Ile tit n r^ re"'l J Alf ffeo yM rl, I lot d g Far • trig MA 1 fill. ro ' asel 1 t h rol t 37th 63 Pod f7N � ►.--_ `'Iris 1,04?06 SCENIC DAD �7Y t 4144 Iof ele • frp 1 /e 5K its t1t.l1l LyM till ,1. .0 .ua�'. y JUNE2 sly r I - r,• sls 1 u. !walk •" efl .ssn ��., Lf elf sitfse Mto, / WWW.oinlciin .can of el.Kke w• sio Ie Sir tee Ip. Its W.on Sur !IM ew r !o) $01 us t !ee $41 - CORONA DEL MAR . Scenlc 5K Banner (5) 40 . No banner a.» tat)- - 6ft- ----- NI Gas x r WI foa vC !It N.QpMt' 601 604 All 600 6" tOi P JOSA I�a� I110 wa Pub V�*� .°' I N I 81101:10 6" a;.. Iflt tell al M4 .r lfOf 601 MM t00 tIM 601 Nl 37th 41 CIO tit h .� SCENIC al aar ail f/lf ur !•N f� tao � a5K u+ ..o �n7r ....: i nt WI oil JUNE 2 UI : IN a Ito;+ lt rr» � fNa1r n .l' r.w t► aal tpl 1000 all alU is tlt tMf' 41) tN/ tl1 !1� fa +�f OM Ill •tl all NI tOlo wo *if al UI • X)Y t0) lot.: t tla r fa .,tr tots A of q/ t t fl! al. fA �Y IOfO $to •' •tt fOf a� aM 414 .If • 10rt l0a fOf '*, ..It e1 1fo lot . t . tf1►► y ~aO noo► &Lc2a;caa J#C4b too aor Alto • 109 1 of s14�R,Y��l. k t mol l `llt,taH 601 wl sot a ttl LDtr CORONA DEL MjkR - Scenic SK Banner (11) 37TH SCENIC 5K JUNE 2 1 www.cdmchurnb*e.com ,�eDkra-Cite Doccirarron Inr-ovation Windbreaker Bracket System The %WKS Or Bradret System has been ergneered :or ene is irulatations in at types of weather. The banrer system features in aluminum housing with an adjustabre fiberglass arm carttlevered ro keep the banner bW The tledble arm wW the "Ind pressure from the pole and banner to p-obrg the life of vow banner program Specifications: • adaptarle to any type of pole regardless ofsnape, stee, or material • Equipped with a antilevered flexible fl berglass arm tot spills the wind off of tte banner, thet" add" longewirte to your banner program. Standari arm length is 30". Custom lengths available upon request. • Bracket shoes allow for up to B" of adjustability In height without nemsvrng shoes. • Built with 100% extruUed alurninum stxtdt; v w. OValled with stainless steel tiartding there are no oxfdizirtg materias on your poles- • Simple to install and the arms remove easi4 when your banner program is root In use. • Indudes a six year hmltea warranty • Banner is secures with a rnetal safety wire tnrough a grommet. City of Newport Beach Newport Beach Police Dispatch Public Works Department Phone:949-644-3717 Phone:949-644-3311 Fax:949-644-3318 APPLICATION FOR TEMPORARY STREET t SIDEWALK CLOSURE OR DUMPSTER PLACEMEtJt City of Newport Beach Municipal Code 12.62.010 Permit for Temporary Street Closure APPLICANT INFORMATION Name Jose Woo I oo ____ _ Newpcnt Lteach tlusmess license No Company Narne _Dekra-Ute Industries Inc Address 3102 W Alton Ave City/Lip _Santa Ana 92704____ _. Phone. Day __714 436 0705_ Night_714-436-0705 Exact Location of Encroachment: _E. Pacific Coast HWY between Avocado and Hazel _ (Use street address or appmr,mate number of feet from newest intersection Reason for Encroachment: Franchised Hauler or Durnpster Company Name: Size: Date Closure to Begin_ ,-May-1-+F-�949- ) � � ; ��fy t �I� Date Closure to En�(j{�u�n%ee 6, 2018 � Time of of Closure: to DIAGRAM LOCATION OF ENCROACHMENT BELOW: See attached specific site planrs. Our truck will moVe from pole location to pole pole location only stopping to install a banner on each light pole as indicated on the site plan attached. A co of this permit must he visible on the dash of each vehicle authorized to ark in reserved parking spots, The applicant is responsible for notifying Police thspatch of any road closure, detow, or reserved parking—, See reverse side of covering use of this ermit ADDITIONAL CONDITIONS OF{ APPROVAL FOR THIS PERMIT A/R/E�AS /FOLLLOWS: o e- � (A, f /f-� J ii -)-k �,�'Y1^� 1 ( �t •� L( z4b( C-t 1."l Cd )1 e 4 be,•, C /- j CITY RESERVES THE RIGHT TO REVOKE OR MODIFY CONDITIONS AT ANY TIME (Perrmtee) hereby certify the Inforrnalion providec is true and correct, and I agree to comply with the terms and n-ddiuns on the front and back of this permit. Permlee guarantees to micicmrnfy and hold the City of Newport Beach armless a✓ga7ist any claims, lia5ddy, or judgments fat damages arising out of perrnitee''ss/activitls Date: n`—i �i t1/�ZU i K Re\66wea by Dale, Approved by, c- r Date_41�1. __ Permit Fee $ ti3O [ , Q /c� Receipt No _ r' �' t r.., iPf;:. ,ti., r. .r TCR; 1TRFF.T C.01 O :TrR��' �t e� _vn „ ,i ,i,.l., ♦II �EMPOFk;Ry 7RAFFA CCO"'L PLAN DIME NSJON pm r GUIDELINES ADVANCE vG vEnGINS LT.2 OivePfgA NAAiMWM sp"6,51 TA�Eg L�3, wwmd, EN" SNOV:qu E" 'WFfX SPACE XA, 'Apfr, AM 'LADDER STATIOM (21 ft 250 250 90 245 250 125 390 MPP." SIGW tl$5� 7n aso so 50 T648!.' 17317 --------------- OWNM sq- n.;w SPACYxG SPACIMS W� WAIC MINIMUN RECC Dt♦ENSKIN DIMEwcN A S SPEED 8' Sam MNMAN M SPACND M940M TOPM L --may— 1�'-Ml 90 ISO No is In _ ?M m mi__-m MENDED CN_ ANNCL¢IR AND SIGN OSIHa90N DIWIaON 1 M&IMN C O e NNMIAI fpIM1M &iF6R i11FTM. EIIDIAO®t TAPER 12 ) ;iP 1?3 L )ro a a', Inl) Mf1XMLIM CKq#fAJM SPACNO TANC£fR 0 0% 1 " 301 Momentary (10-15 Min.) Lane Closure On Shoulder Of The Road At Various Street Light Pole Locations Only Blocking A Right Lane Or Bike Lane When Necessary (�) AaM DacNIcSU4 �quke nwft for work W Ocala Frwawn and Slain Wo"Ve 17) ` a olb�wd opwdnp a(aaa (rHctwrr I. jva I 131 alnalear dpe:tna"Lv WILKW Y had W ara n whwa WwN IN I&kv phca an drew. n Iaaad of harm oo-11c1. Buller epeoe my W Inwned in Ipa spied ur61n atan, allpud be eaelwd Intwall spew wtan ar10 na al alias. anll %h&U to naarlad in L.ecet Agwry Fiwawr.. Suawepeoa, warn Ineded,:Muld w Mlusawu u ww.ywm and id b kqA dw Street Light Pole with of ayaPl nl and mdanalawwpt for a Shades Whii1e (5) FMU 1p 3a wa ror'Ifah sped SiM "., ■ Banner Traffic Cone: Delineator Accordingly MENEM*~^�••-•°— To Above Watch Manual Chart AAAA ROAD RIGHT LANE JAL WORK i CLOSED AHEAD AHEAR High Level Warning Sign Spaced According jo Directional Flashing Sign Above Chart In Watch Manual Board MIMIMUN RECOMMENDED CNANNELQERAND SIGN 6PACSNGi" DhOOM UIMENSK:N WMgDN OIMENION I DNEVSQN " -.. LM1%MUM A B C D 'e 4.N1.0.aR Gi4NN:LJ�N SPEED TP 3KiN WISAIM NNF.lifl MNtYUM SYACM6 SPACNO Mall P SPACND MM M 3UFTIMG 8NOULOM w TAMRa TANCfftT4 Tam L TAPER 12 L rAPER Vd I e Im nro t tro n un f roI i i IIn J;rj,. 3X cilq tip) Momentary (10-15 Min.) 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Lane Closure On Shoulder Of The Road At Various Street Light Pole Locations Only Blocking A Right Lane Or Bike Lane When Necessary Street Light Pole with Banner ■ Traffic Cone: Delineator Accordingly To Above Watch Manual Chart BIKE LANE CLOSED / AHEAD / ■ High Level Warning Sign Spaced According To Above Chart In Watch Manual Directional Flashing Sign • Board ACC> CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) • %. . 4/4/2018 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 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). PRODUCER CONTACT NAME_ Jessica Helllwell United Agencies, Inc PHONE FAX One Post, Ste 200 tA(C—No. E:t1: 949-988-7160 (arc, No) Irvine CA 92618 AD RIESS lhelliwelI@united agencies com INSURER(S) AFFORDING COVERAGE NAIC M INSURER A United Fire & Casualty Company 13021 INSURED DEKPIND-01 INSURERS Dekra-Late Industries Inc 3102 W Alton Ave INSURER C Santa Ana, CA 92704 INSURER D INSURER E INSURER F COVFRAGFS CFRTIFICATF NIIMRFR• 1APAA?AAR9 RFVISION NIIMRFP- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR ADDL SUBR POLICY EFF POLICY EXP 7ypE OF INSURANCE LTR POLICY NUMBER MM/DDIYYYY /Y1'YY LIMITS A GENERAL LIABILITY Y Y 60475294 4/8/2018 4/8/2019 EACH OCCURRENCE S 1 000 OG0 X �.� DAMAGE TO RENTED COMMERCINL GENERAL LIABILITY PREMISES iEa occurrences 5100000 CLAIMS-M. DE X OCCUR MED EXP (Any one person S 5 00C PERSONAL & ADV INJURY S 1 000 000 GENERAL AGGREGATE 52 000 000 GEN L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG S 2 000 000 X POLICY X PRO- X LOC $ A AUTOMOBILE LIABILITY Y Y 60475294 4/8/2018 8/2019 COMBINED SINGLE LIMIT {Ea accident) S 1 000 000 X ANY AUTO _ BODILY INJURY iPer person S ALL OWNED SCHEDULED BODILY INJURY (Per accident) S AUTOS AUTOS X X NON -OWNED PROPERTY DAMAGE S HIREDAUTOS AUTOS .(Per accident) X Deductible X $1 000 �`- Leased/Rented Autos S 100 000 A X UMBRELLA LIAB X OCCUR 60475294 4/8/2018 4/1/2019 EACH OCCURRENCE $2 000 000 / EXCESS LIAB CLAIMS -MADE AGGREGATE 52000000 DED RETENTION S $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N TORY LIMITS ER ANY PROPRIETOR PARTNER EXECUTIVE E L EACH ACCIDENT S OFFICER MEMBER EXCLUDED? ❑ N / A (Mandatory in NH) E L DISEASE - EA EMPLOYEE S If yes describe under DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Newport Beach its City Council, boards and commissions, officers, agents volunteers & employees are included as Additional Insured with respect to the operations of the named insured per the attached endorsements Waiver of subrogation applies in favor of the certificate holder per the attached endorsements Coverage shall be primary & non-contributory per the attached endorsement I.LK I Wit -A I L KULUtK I.ANI LLLA I IUN The City of Newport Beach its City Council boards and commissions, officers, agents, volunteers & employees 100 Civic Center Drive Newport Beach CA 92660 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD IV201-0 1 y --.- 0/9� Inspector: /. lam_ Date: / .v Time: AM PM Comments: ^ Z,(/ -S- F \Use rs\PBW\S h a red\ENCROACH\MASTERS\FORMS\InspectorSheet doc