Loading...
HomeMy WebLinkAboutC-2522 - Gas Line from Oil Filed to Hoag Hospital6 CITY OF NEWPORT BEACH April 18, 1986 OFFICE OF THE CITY CLERK P.O. BOX 1768, NEWPORT BEACH; CA 92658 -8915 (714) Husby Construction P.O. Box 636 San Juan Capistrano, CA 92672 Subject: Surety: American Motorists Insurance Company Bonds No.: #3 SM 678 61700 Contract No.: C -2522 Project: Gas Line from oil Field to Hoag Hospital The City Council on March 24, 1986 accepted the work of subject project and authorized the City Clerk to file a Notice of Completion and to release the bonds 35 days after the Notice has been recorded. The Notice was recorded by the Orange County Recorder on April 2, 1986, Reference No. 86- 131891. Please notify your surety company that the bonds may be released 35 days after this date. Sinncperely, ,a L�:CZ��l�- � • � O Wanda E. Reggio City Clerk WER:pm cc: Public Works 3300 Newport LEASE RETURN TO: City Clerk Qa EXEMPT RECORDING REQUEST PER city of Newp�rt Bilach GOVERNMENT CODE 6103 EXEMPT 3300 Newport Blvd. C6 Newport Beach, CA 92663 -3884 NOTICE. OF COMPLETION im""k 131891 No C PON PUBLIIQ:�WflRKS I o All Laborers and Material Men and to Every Other Person Interested: YOU WILL PLEASE TAKE NOtiVE that on N the Public.Works project consisting of Gas Line from on which. ttusoy construction, was the contractor, and Ameri was the surety, was completed. I, the undersigned, say: Juan 4p" 19% _ ield to Hoag Hosp trano, CA 92672 any, c/o Al Barke 685 So. Carondelet, Los Angeles, CA 90057 VERIFICATION CITY OF NEWPORT BF.AC bli Works Diirrreef)ctor I am the Public Works Director of the City of Newport Beach; the foregoing Notice of Completion is true of my own knowledge. I declare under penalty of perjurlC.thatAhe. foregoing is true and correct. Executed on March 26, 1986 at Newport Beach, California. Public 'Works Director VERIFICATION OF CITY CLERK I, the undersigned, say: I am the City Clerk of the City of Newport Beach; the City Council of said City on March 24, 1986 accepted the above described work as completed and ordered that a Notice of Completion be filed. I declare under penalty of perjury that the foregoing is true and correct. Executed on March 26, 1986 at Newport Beach, California. City Clerk CITY OF ;( NEWPORT BEAC CALIF. APR 171986• RECEIVE& CITY CLERIr RECORDED IN Ur^�' or ORANGE COUNTY .340 PM APR 2'86 COUNTY 1 AW .�I . A OfflTARIMS ON 0 0 CITY OF NEWPORT BEACH March 27, 1986 OFFICE OF THE CITY CLERK P.O. BOX 1768, NEWPORT BEACH, CA 92658 -8915 Lee A. Branch County Recorder P.O. Box 238 Santa Ana, CA 92702 Dear Mr. Branch: (714) 6443005 Attached for recordation is Notice of Completion of Public Works project consisting of Gas Line from.Oil:Field to._Hoag Hospital, Contract No. 2522 on which Husby Construction was the Contractor and American Motorists Insurance Company was the Surety. Please record and return to us. Sincerely, Wand a�� City Clerk WER:pm Attachment cc: Public Works 3300 Newport. Boulevard, Newport Beach,. • • E BY THE CITY COUNCIL CITY OF NEWPORT RFAr" MAR 24 1986 APPROVED TO: CITY COUNCIL FROM: Public Works Department 41 March 24, 1986 CITY COUNCIL AGENDA ITEM NO. F -14 SUBJECT: ACCEPTANCE OF GAS LINE FROM OIL FIELD TO HOAG HOSPITAL (C -2522) V RECOMMENDATIONS: 1. Accept the work 2. Authorize the City Clerk to file a Notice,_of-- Completion. 3. Authorize the DISCUSSION: The contract for the subject project has been completed to the satisfaction of the Public Works Department. The bid price was: $ 52,750.00 Amount of unit price items constructed 53,322.55 Amount of change orders: 3,394.00 Total contract cost: 56,716.55 Funds were budgeted in the Tide and Submerged Lands Fund Account No. 23- 5497 -020. The final alignment of the gas line was slightly longer than anticipated, resulting in the increase in the amount of unit price items constructed. One change order was issued to provide for reimburse- ment for the cost of Caltrans inspection; relocation of a condensate trap; interference caused by the Sanitation District project in the oil field; and the need to work around a number of existing pipes not shown on the plans. The contractor is Husby Construction of San Juan Capistrano, California. The contract date of completion was • was completed on January 15, 1986. aBenjVaomin B. Nolah Public Works Director PD:jw February 1, 1986. The work TO: FINANCE DIRECTOR Public Works FROM: CITY CLERK DATE:. December 3, 1985 CITY OF NEWPORT BEACH OFFICE OF THE CITY CLERK 1714) 640 -2251 SUBJECT: Contract No. C -2522 / Description of Contract Gas Line from Oil Field to Hoag Hospital Effective date of Contract December 3. 1985 Authorized by Minute Action, approved on October 28, 1985 Contract with Husby Construction Address P.O. Box.636 San Juan Capistrano, CA 92672 Amount of Contract $52,750.00 1� . Wanda E. Andersen City Clerk WEA:lr 1 attach. City Hall 3300 Newport Boulevard, Newport Beach, Califotnia 92663 . s.__ .c.. .Y V�._�...�.4.s,.�.C... .3.`F��a:' y4i - "fil�i�wY v.fr..x ^___ •�" -,.w -- CITY CLERK NOTICE T -4 7. Sealed bids may be received at the office of the City - Clerk, 3300 Newport Boulevard, P. 0. Box 1768, Newport Beach, CA 92658 -8915 until 11 a.m. on the l7triday of October, 1985. at whi time such bids shall be open an read for GAS LINE FROM OIL FIELD TO HOAG HOSPITAL Title of roject 2522 Contract No. $70,000 Engineer's Estfmate Approved by the City Council this 23rd day of September,1985. an a E. Raggio City Clerk Prospective bidders may obtain one set of bid documents at no cost at the office of the Public Works Department, 3300 Newport Boulevard, P. 0. Box 1768, Newport Beach, CA 92658 -8915. For further information, call Gil6prt Giona at 644 -3311, ject Manager. 0 0 I � v L 7 O N N d U 0 utt U 4� C 3:4- i •r •r O O r d •r u C Y j m U p i J ro m o 3 4) r i U r 7 G) N G r + 4 C•r •r O to 4 3:4- O O 0), — O to V U M N O c cc C 01 41 b E on to L r N Y 4) +� c s--o,2 U •r 4) O L W V U (D V) 4) C O, a = 4J 4- ro 4) 000rr +» +> ++ N c L i O N O 0 O c C r � •r N O c N U r r O C C > 0_•r O y O E+)•r EE i y to N O N •r O >,c> u 4! L G) O 4J > E G a) 0 0 4- u (U V- O 6) L N i- 4J .0 7 L r N = ro Cr V ; Gl Y - r c O+� roLi ;•rU E t 3 w � i ro U L c O C �t o ro i O 4- V O. U w Z O U K F- V) Z O U V) V1 2 N N LO N M t PROPOSAL 2522 Contract No. To the Honorable City Council City of Newport Beach 33.00 Newport Boulevard Nwport Beach, California 92663 Ge tlemen: 6- f HOAG HOSPITAL PR 1.1 The undersigned declares that he has carefully examined the location of the work, has read the Instructions to Bidders, has examined the Plans and Special Provisions, and hereby proposes to furnish all.materials and do all work required to complete this Contract No. 2522 in accordance with the Plans and Special Provisions, and will take in full payment therefor the following unit price for the work, complete in place, to wit: ITEM QUANTITY ITEM DESCRIPTION UNIT TOTAL NO. AND UNIT UNIT PRICE WRITTEN IN WORDS PRICE PRICE i. 5450 Install 3" Polyethylene gas line Lineal Feet @ Nine Dollars and Seventeen Cents $ Per Lineal Foot +2. Lump Sum Connect to existing piping and install odorizer per Detail "A" @ Nine Hundred Dollars and No Cents Per Lump Sum 3. 2 Construct condensate trap per Each Detail "B" @ Five Hundred Fifty Dollars and No Cents Per Each 9.17 900.00 550.00 $ 50,000.00 $ 900.00 1100.00 PR 1.2 ITEM QUANTITY ITEM DESCRIPTION UNIT TOTAL NO. AND UNIT UNIT PRICE WRITTEN IN WORDS PRICE PRICE 4. 1 Construct condensate trap per Each Detail "C" @ Five Hundred Dollars and No Cents $ Per Each 5. 1 Install 3" plug valve Each @ Two Hundred Fifty Dollars and No Cents $ TOTAL PRICE WRITTEN IN WORDS: 500.00 $ 500.00 250.00 $ 250.00 Fifty -two Thousand Seven Hundred Fifty _ Dollars and No Cents $ 52,750.00 295696 A & B HUSBY- CONSTRUCTION Contracto s Lic. No. & Classification Bider (714) 493 -8098 idder s Telephone Number October 17, 1985 Date S /Knut H. Husby, Owner Authorized Signature/Title P.O. Box 636 San Juan Capistrano, CA 92672 Bidder s A21dress 0 INSTRUCTIONS TO BIDDERS The following contract documents shall be completed, executed and received by the City Clerk in accordance with NOTICE INVITING BIDS. 1. PROPOSAL 2. INSTRUCTIONS TO BIDDERS 3. DESIGNATION OF SUBCONTRACTOR(S) 4. BIDDER'S BOND (sum not less than 10% of total bid price) 5. NON- COLLUSION AFFIDAVIT 6. TECHNICAL ABILITY AND EXPERIENCE REFERENCES except that cash, certified check or cashier's check (sum not less that 10% of the total bid price) may be received in lieu of the Bidder's Bond. The title of the project and the words SEALED BID shall be clearly marked on the outside of the envelope containing the bid. The City of Newport Beach will not permit a substitute format for the contract documents listed above. Bidders are advised to review their content with bonding and legal agents prior to submission of bid. Bids shall not be received from bidders who are not licensed in accordance with the provisions of Chapter 9, Division III of the Business and Professions' Code. The low bidder shall also be required to possess a City of Newport Beach business license prior to execution of contract. The estimated quantities indicated in the PROPOSAL are approximate, and are given solely to allow the comparison of bid totals. Page 2 Bids are to be computed upon the estimated quantities indicated in the PROPOSAL multiplied by unit price submitted by the bidder. In the event of dis- crepancy between wording and figures, bid wording shall prevail over bid figures. In the event of error in the multiplication of estimated quantity by unit price, the correct multiplication will be computed and the bids will be compared with correctly multiplied totals. The City shall not be held responsible for bidder errors and omissionsin the PROPOSAL. Contract documents shall bear signatures and titles of persons authorized to sign on behalf of the bidder. For corporations, the signatures shall be of the President or Vice President. For partnerships, the signatures shall be of a general partner. For sole ownership, the signature shall be of the owner. In accordance with the California Labor Code (Sections 1770 et seq.), the Director of Industrial Relations has ascertained the general prevailing rate of per diem wages in the locality in which the work is to be performed for each craft, classification, or type of workman or mechanic needed to execute the con- tract. A copy of said determination is available in the office of the City Clerk. All parties to the contract shall be governed by all provisions of the California Labor Code relating to prevailing wage rates (Sections 1770 -7981 in- clusive). The Contractor shall be responsible for compliance with Section 1777.5 of the California Labor Code for all apprenticeable occupations. 295696 A & B Contr s Lic. No. & Classification October 17, 1985 Date HUSBY CONSTRUCTION BiUder S /Knut H. Husby, Owner Authorized Signature/Title Page 3 DESIGNATION OF SUBCONTRACTOR(S) The undersigned certifies that he has used bid(s) of the following listed subcontractor(s) in making up his bid,and that the subcontractor(s) listed will be used for the work for which they bid, subject to the approval of the Engineer and in accordance with the applicable provisions of the Specifications. No change of subcontractor may be made except with the prior approval of the Engineer.and as provided by State law. Subcontract Work Subcontractor Address 1. -- NONE -- 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. HUSBY CONSTRUCTION Bidder S /Knut H. Husby, Owner Authorized ignature Tit e r FOR &GINAL SEE CITY CLERK'S FILE Cf& Page 4 BIDDER'S BOND KNOW ALL MEN BY THESE PRESENTS, That we, HUSBY CONSTRUCTION , as bidder, and AMERICAN MOTORISTS INSURANCE COMPANY , as Surety, are held and firmly bound unto the City of Newport Beach, Calfornia, in the sum of SEVEN THOUSAND AND NO/ 100 * * *** *** * * * * * * * * * * * * * *** * * * * ** Dollars ($ 7,000.00 * * ****) lawful money of the United States for the payment of which sum well and truly to be made, we bind ourselves, jointly and severally, firmly by these presents. THE CONDITION OF THE FOREGOING OBLIGATION IS SUCH, That if the proposal of the above bounden bidder for the construction of GAS LINE FROM OIL FIELD TO HOAG HOSPITAL C -2522 Title of Project Contract No. in the City of Newport Beach, is accepted by the City Council of said City, and if the above bounden bidder shall duly enter into and execute a contract for such construction and shall execute and deliver to said City the "Payment" and "Faithful Performance" contract bonds described in the Specifications within ten (10) days (not including Saturday, Sunday, and Federal holidays) from the date of the mailing of contract documents for execution to the above bounden bidder by and from said City, then this obligation shall become null and void; otherwise it is and shall remain in full force and effect, and the amount specified herein shall be forfeited to the said City. In the event that any bidder above named executed this bond as an individual, it is agreed that the death of any such bidder shall not exonerate the Surety from its obligations under this bond. IN WITNESS WHEREOF, we hereunto set our hands and seals this 17th day of October , 1985 . HUSBY CONSTRUCTION (Attach acknowledgement of Bidder Attorney -in -Fact) S /Lisa Warburton S /Knut H. Husby, Owner Notary Public Authorized Signature/Title Commission Expires: February 15, 1986 AMERICAN MOTORISTS INSURANCE COMPANY Surety By S /Stephen C. Kolb Title Attorney -in -Fact i NON- COLLUSION AFFIDAVIT • The bidder, by its officers and agents or representatives present at the time of filing this bid, being duly sworn on their oaths, say that neither they nor any of them have, in any way, directly or indirectly, entered into any arrange- ment or agreement with any other bidder, or with any public officer of such CITY OF NEWPORT BEACH whereby such affiant or affiants or either of them, has paid or is to pay to such bidder or public officer any sum of money, or has given or is to give to such other bidder or public officer anything of value whatever; or such affiant or affiants or either of them has not directly or indirectly, entered into any arrangement or agreement with any other bidder or bidders, which tends to or does lessen or destroy free competition in the letting of the contract sought for by the attached bids; that no bid has been accepted from any subcontractor or materialman through any bid depository, the bylaws, rules or regulations of which prohibit or prevent the bidder from con- sidering any bid from any subcontractor or materialman which is not processed through said bid depository, or which prevent any subcontractor or materialman from submitting bids to a bidder who does not use the facilities of or accept bids from or through such bid depository; that no inducement of any form or character other than that which appears upon the face of the bid will be sug- gested, offered, paid or delivered to any person whomsoever to influence the acceptance of the said bid or awarding of the contract; nor has the bidder any agreement or understanding of any kind whatsoever with any person whomso- ever to pay, deliver to, or share with any other person in any way or manner, any of the proceeds of the contracts sought by this bid. HUSBY CONSTRUCTION Bidder S /Knut H. Husby, Owner Authorized Signature /Title Subscribed and sworn to before me this 17th day of October 1985 . My commission expires: February 15, 1986 S /Lisa Warburton Notary Public Page 5 'i 40 Page 6 TECHNICAL ABILITY AND EXPERIENCE REFERENCES The undersigned submits herewith a statement of the work of similar character to that proposed herein which he has performed and successfully completed. Year Completed For Whom Performed (Detail) Person to Contact Telephone No. 1985 City of Lake Elsinore John Riley 714 - 674 -3124 1985 Montebello Land and Water Co. Bill Sintle 213 - 722 -8654 1985 City of San Clemente City Engineer 714 - 361 -8200 1985 Laguna Self Storage John Heatley 714 - 497 -5379 HUSBY CONSTRUCTION Bidder S /Knut H. Husby, Owner Authorized Signature /Title Page 7 NOTICE The following are contract documents which shall be completed and executed by the successful bidder after he receives a letter of award from the City of Newport Beach: PAYMENT BOND (pages 8 & 9) FAITHFUL PERFORMANCE BOND (pages 10 & 11) CERTIFICATE OF INSURANCE & ENDORSEMENTS (pages 12, 13, 14) CONTRACT (pages 15 & 16) The City of Newport Beach will not permit a substitute format for these contract documents. Bidders are advised to review their content with bonding, insuring and legal agents prior to submission of bid. BONDING COMPANIES shall be acceptable as sureties in accordance with the latest revision of Federal Register Circular 570. INSURANCE COMPANIES shall be (1) licensed to conduct business in California, and (2) assigned Policyholders' Rating A (or higher) and Financial Size Category Class VIII (or larger) in accordance with the latest edition of Best's Ke Ratin Guide: Pro ert -Casualty. Coverages shall be prove a or a P 0 IN URAN checked on the CERTIFICATE OF INSURANCE. All costs associated with the specifications of these contract documents shall be absorbed in the bid. Such specifications shall include those contained in (1) each contract document and (2) the Standard Specifications for Public Works Construction (latest edition adopted for use in the City of Newport Beach-)—, except as supplemented or modified by the Special Provisions for this project. 0 w 0 61700 r . BOND #3 SM 678 6 so EU7C[T M IN FOUR MPIES PAYMENT BOND KNOW ALL MEN BY THESE PRESENTS, That WHEREAS, the City Council of the City of Newport Beach, State of California, by motion adopted October 28, 1985 has awarded to HUSBY CONSTRUCTION hereinafter designated as the "Principal ", a contract for GAS LINE FROM OIL FIELD TO HOAG HOSPITAL C -2522 Page 8 in the City of Newport Beach, in strict conformity with the Drawings and Specifications and other contract documents on file in the office of the City Clerk of the City of Newport Beach; WHEREAS, said Principal has executed or is about to execute said contract and the terms thereof require the furnishing of a bond with said contract, providing that if said Principal or any of his or its subcontractors, shall fail to pay for any materials, provisions, or other supplies used in, upon, for, or about the performance of the work agreed to be done, or for any work or labor done thereon of Any kind, the Surety on this bond will pay the same to the extent hereinafter set forth: NOW, THEREFORE, We HUSBY CONSTRUCTION as Principal, and AMERICAN MOTORISTS INSURANCE COMPANY as Surety, are held firmly bound unto the City of Newport Beach, in the sum of FIFTY -TEA THOUSAND, SEVEN HUNDRED FIFTY AND NO /100 * * * * * * ** Dollars ($52,750.00 )> said sum being equal to 100% of the estimated amount payable by the City of Newport Beach under the terms of the contract; for which payment well and truly to be made, we bind ourselves, our heirs, executors and administrators, successors, or assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, that if the above bounden Principal or his subcontractors, fail to pay for any materials, provisions, or other supplies, used in, upon, for, or about the performance of the work contracted to be done, or for any other work or labor thereon of any kind or for amounts due under the Unemploy- ment Insurance Code with respect to such work or labor, that the Surety or Sureties will pay for the same, in an amount not exceeding the sum specified in the bond, and also, in case suit is brought upon the bond, a reasonable attorney's fee, to be fixed by the Court as required by the provisions of Section 3250 of the Civil Code of the State of California. The bond shall inure to the benefit of any and all persons, companies, and corporations entitled to file claims under Section 3181 of the California Civil Code so as to give a right of action to them or their assigns in any suit brought upon Ll 11 t Page 9 Payment Bond (Continued) this bond, as required by the Provisions of Sections 3247 et. seq. of tht.ivil Code of the State of California. And said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alterations or additions to the terms of the contract or to the work to be performed thereunder or the specifications accompanying the same shall in any wise affect its obligations on this bond, and it does hereby waive notice of any such change, extension of time, alterations or additions to the terms of the contract or to the work or to the specifications, , In the event that any principal above named executed this bond as an individual, it is agreed that the death of any such principal shall not exonerate the Surety from its obligations under this bond. IN WITNESS WHEREOF, this instrument has been duly executed by the Principal and Surety above named, on the 30th day of OCT. 19 85 IM TO sz, YOU n U�1YiNT �s K #%R -t E 2 470 A1 D'j ee rpy) Ae k e+ s„ 9 , f HUSBY CONS'1RUMON (Seal) Name of Contractor Principal thorized Signature and/Title Authorized Signature and Title AMERICAN mmmisrs INSURANCE comm: (Seal.) Name of Surety Address of Surety Signatureland Title of ut orize . "gent" STEPHEN C. IMIB ATPCIRNEY IN PACT OiceCt All (Ywm andam Ta . . Address of gent AL BARKER BONDS 1701 So. Euclid Telephone No. of Agent n , CA 92802 6. (714) 635.4250 ,I .. � � f "' i �� 1 .. _ _ - �a, =. _. _ - — ::. i -N �� � X _ � Y O O y •••••••••• _ _ • Q f9 • U V 4 W1�O =a Y ¢ ° •Ja. LIZ `• A ww �ca.3aXc > Q V ♦ N W V- m• 03 iQ �U V's• d x? Vc A A '^ °2° > 543c 7 O > l C p > A � e §u;a i do ] a W " C w 1-0 OM X Q - y Q } .9 Y y q or is ax cZ�ac ac Z ;—C . > O O t c Y � 3� Eli M •••••••••• _ _ • Q f9 • ♦L �Qq ♦ O N♦ •Ja. LIZ `• _� Q V ♦ N W V- m• 03 iQ �U V's• � �yY�U(7 .� O •4 mac. €_• O > i Z >� H � r 2 i i do ] • • 1-0 • • 3 %3 AMERICAN MOTORISTS INSURANCAPANY Mome Office: Long Grove, IL 60049 to POWAM POWER OF ATTORNEY Knorr AR GAen 8y TFiea Ftssaastb: That the American Motorists Insurance Company, a corporaltort organized and existing under the laws of the State of Illinois, and having its principal office in Long Grove, Illinois, doe •••'••••••'• ••'••' see woo we00000•••..•••••.. Stephen C. Kolb, Marie L. Jilek, R.76. Park and Mary M. Sullivan of Los Angeles, California ( EACH)w••vow•w••s► wow•*•+ r•w•••w•w••w••+►•w•••w• *•w••w :• its true and lawful agent(s) and attorney(s)4n-fact, to make, execute, seal, and deliver during the period beginning with the dace of issuance of this power and ending December 31 1966, unless sooner revoked for and on its behalf as surety, and as its act and dead:Ariy and all bonds and undertakings provided the amount of no one bond or undertaking exceeds ONE MILLION DOLLARS ($1, 000 ,000.00)•**• *•••w•w••••••••••• EXCEPTION: NO AUTHORITY is granted to make, execute, seal and deliver any bond or undertaking which guarantees the payment or collection of any promissory note, check, draft or letter of credit. This authority does not permit the some obligation to be split into two or more bonds in order to bring each such bond within the dollar limit of authority as set forth herein. This apPaintment may be revoked at any time by the American Motorists Insurance Company. The execution of such bonds and undertakings in pursuance of these presents shall be as binding upon the said American Motorists Insurance Comparry as fully and amply to all intents and purposes, as if the same had been duty executed and acknowledged by its regularly elected officers at its principal office in Long Grove, Illinois. THIS APPOINTMENT SHALL CEASE AND TERMINATE WITHOUT NOTICE AS OF DECEMBER 31,1986. This Power of Attomey is executed by authority of a resolution adopted by the Board of Directors of said American Motorists Insurance Comparry on May 20, 1981 at Long Grove, Illinois, a true and accurate copy of which is hereinafter set forth and is hereby certi to by the undersigned Secretary as being in full force and effect: ' VOTED, That the Chairman of the Board, the Chairman, the President, or any Vice President, or their appointees designated in writing and filed with the Secretary , or the Secretary shall have the power and authority to appoint agents aril attomeys- imfact, and to authorize them to execute on bAWof the Company, and attach Ate seal of the Company thereto, bonds and undertakings, recoltirrizances, contracts of indemnity and otter writings, obligatory in the nature thereof, arrdany such officers of it* Company may appoint writs for acceptance of process" This Power of Attorney is signed, sealed and certified by facsimile under and by authority of the following resolution adopted by the Board of Directors of the Company at a meeting duly called and held on the 20th day of May, 1981: "VOTED, That the signature of the Chairman of the Board, the Chairman, the President, any vice Presidem, or their appointees designated in writing and filed with the Secretary, and the signature of she Secretary, the seal of the Company and certifications by the Secretary, may be affixed by facsimile on any power of attorney or bond executed pursuant to resolution adopted by the Board of Dimmis on May 20th, 19a 1 and any such power so executed, sealed and certified with respect to any bond or undertaking to which it is attached, shall continue to be valid and binding upon Are Company" In Testimony Whereof the American Motorists Insurance Company has caused this instrument to signed and its corporate seal to be affixed by its autftori2ed officers, this T 13 - day of Sep t ? m_h_ - 19 . A71esWand Certified: AMERICAN MOTORISTS INSURANCE COMPANY R. H. Johnson, Secretary G. H.Xasbohm. We Presiders STATE OF ILLINOIS COUNTY OF LAKE I, Margaret Redmore, a Notary Public, do hereby certi� that G. H. Kasbohm and R. H. Johnson personally known to me to be the Noration free and.voluntary act of said corporation and as their own free and voluntary act for the uses and purposes therein set forth. My commission expires: July 6, 1988 FMN6.3.744 1M PowrefAYmey —lbrm .. _ - mAY0llR+dmrrore.WOYryfkbik PRINTED IN U.S.A. _ i! ! , Wl wi E-4com '60009 SIONIIII'3AObJ JNOI'dnos!) b3dW3b'iN3W1bVd3a ON091JVbiNO:) hulbMb0 1N3W1bVd30 (3NOB ID"INO:)'000Z-ObS (Z I£) IIV:)'A3NbQL1V iO b3MOd SIHI JNINb3JN0:) NOIIVWVOJNI bOd -yams uwa4 walxa a4100 pue jauuew ayl ul Waaxa Auedwo: app pwq of Aluoysne ou aeeq Aatp pm 'uwaw pauuu Apeaypads dulileyapun pue spuoq a41 os ulaAa41 paweu asoyl )o sue a41 sllwll AawojV p jamod sl41 Aw�anK'uw�wyol � as 6 / ! N�Ii�Z -insu sisuo leas a.modico �c�g �e�l aweu Aw u s Wunapia na e0£ 1141 uo NOWU, sane I lOW u�uawV up � 1 app f"�y{ P� 4 41 �03b3HM ANOWI1531 NI •Auedwo:) aouejnsul sisuoloW ueauawV mg Jo AiewaaS pue luaplsaid aa!A pauala Alnp ayl AawouV )o jamod pagwue asp jo uopmaxe ayl Jo alep ayl uo aiam Alenluadsai AMWOS pue luaplswd aa!A:Q AawouV 10 jaMOd ayl palnaaxa o4M uOsu4Of'H •b pue wyogseN'H •O Res "1e41 Ml» wWn! Op I pue !aleagww s141 Jo Mel) 041 uo a e awo n w s e oasyl ale caul ua a awo n u u se aum le i W43 pue Adoa uamw put am a sl o Van n x lOJle4MluO 179 l [Z ,aqua ,48ag FwwF wLwyFjQ payaeue ay )eyl A 1%jao Agaja4 op Auedu • aauejnsul slsuolOW ueauawV ayl jo Aniaua5 'uosueyo( •I uaAS 11 NOLLY31JUAI D SM 678 t BOND #3 8 617 00 Page 10 PREMIUM $1, 55.00 EXDCAM IN FOUR COPIES FAITHFUL PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS, That WHEREAS, the City Council of the City of Newport Beach, State of California, by motion adopted October 28, 1985 has awarded to HUSBY CONSTRUCTION hereinafter designated as the "Principal ", a contract for GAS LINE FROM OIL FIELD TO HOAG HOSPITAL C -2522 in the City of Newport Beach, in strict conformity with the Drawings and Specifications and other contract documents on file in the office of the City Clerk of the City of Newport Beach; WHEREAS, said Principal has executed or is about to execute said contract and the terms thereof require the furnishing of a bond for the faithful performance of said contract; NOW, THEREFORE, We, HUSBY CONSiRUCPION as Principal, and AMERICAN M7TORISTS'INSLff0WM COMPANY as Surety, are held and firmly bound unto the City of Newport Beach, in the sum of FIFTY —TWO THOUSAND, SEVEN WNDRDD FIFTY AND N01100 * * * * * * ** Dollars ($ 52,750.00 ) , said sum being equal to 100% of the estimated amount of the contract, to be paid to the said City or its certain attorney, its successors, and assigns; for which payment well and truly to be made, we bind ourselves, our heirs, executors and administrators, successors or assigns, jointly and severally, firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH, that if the above bounden Principal, his or its heirs, executors, administrators, successors, or assigns, shall in all things stand to and abide by, and well and truly keep and perform the covenants, con- ditions, and agreements in the said contract and any alteration thereof made as therein provided on his or their part, to be kept and performed at the time and in the manner therein specified, and in all respects according to their true intent and meaning, and shall indemnify and save harmless the City of Newport Beach, its officers and agents, as therein stipulated, then this obligation shall become null and void; otherwise it shall remain in full force and virtue. And said Surety, for value received, hereby stipulates and agrees that no change, extension of time, alterations or additions to the terms of the contract or to the work to be performed thereunder or to the specifications accompanying the same shall . in any wise affect its obligations on this bond, and it does hereby waive notice t. ; �� , i Page lI Faithful Performance Bond (Continued) of any such change, extension of time, alterations or additions to the terms of the contract or to the work or to the specifications. In the event that any principal above named executed.this bond as an individual, it is agreed that the death of any such principal shall not exonerate the Surety from its obligations under this bond. IN WITNESS WHEREOF, this instrument has been duly executed by the Principal and Surety above named, on the 30th day of OCT. 19 85 HUSBY CONSTRUCTION (Seal) Name of Contractor Principal Z*tc,� Ae4e� �i'L�rz.. /Authorized Signaturb and TAtle Authorized Signature and Title AMERICAN MDTORISTS INSURANCE CCMPANY Seal) Name of Surety 4s, dl�d rem Surety Signature and Title of Authorized.Agent STEPHEN C. KOLB ATIORNE'Y IN FACT Address of Agent Dilwt AN Cptr@S dente To. AL BARKER BONDO 1701 So. E Telephone No. of Agent Anaheim, C4 92 802 (114) 635 -4250 ,.� a .. �., �, ` , t� i %� �. .. ., . . ,.� a .. �., �, ` , t� i ■ D t§ �& §i j§ -Z u.- co ± u 0 � c I�r 9 J_ ° �0am E `` E Z; c k ¢ \kIA 0 IL c6uE ��Z // \ � !Z -10 a �� - ■�a� )E- 0a §$) �� - -" 0X o| �3: ■|a } J ■: LK /| � § a: .o •CERTIFICATE OF INSURANCE 'Page 12 U�RILI•vn%c nvaw&n TYPES OF INSURANCE COVERAGE REQUIRED INSURANCE COMPANIES AFFORDING COVERAGES City of Newport Beach 3300 Newport Boulevard IN TH US Company A g: ro uc : Completed i. Newport Beach, CA 92663 Letter Occurrence Operations' Company Letter B ^rYwu� Diu$ Lw-& vie 4� NAME AND ADDRESS OF INSURED Bodily Injury Property Damage $ $ $ $ Bodily Injury and Property Damage Combined SBY CONSTRUCTION $ J—&V Company Letter C S•7�� �'�D �'4.�AN'c� P.O. Box 636 AUTOMOTIVE LIABILITY x❑ Comprehensive Form ❑ Owned ❑x Hired ❑x Non -owned Company Letter D Bodily Injury Each Person San Juan Capistrano, CA 92672 LettPry E This is to certify that policies of insurance listed below have been issued to the insured named above and are in force at this time, including attached endorsement(s). COMPANY LETTER TYPES OF INSURANCE COVERAGE REQUIRED Policy No. Policy Exp. Date LIMITS OF LIABILITY IN TH US DS 0 0 Each g: ro uc : Completed i. Occurrence Operations' GENERAL LIABILITY Premises- Operations Ix xComprehensive Form Explosion & Collapse Hazard Underground Hazard Products /Completed Operations Hazard x Contractual Insurance x Broad Form Property Damage x Independent.Contractors x Personal Injury Marine Aviation R 13 V J Bodily Injury Property Damage $ $ $ $ Bodily Injury and Property Damage Combined $ F-DO $ J—&V Personal Injury $ g AUTOMOTIVE LIABILITY x❑ Comprehensive Form ❑ Owned ❑x Hired ❑x Non -owned c I o o o 0 Bodily Injury Each Person $ U $ -Bodily njury Each Occurrence Proeerty Uama e Bodily Injury an Property Damage Combined $ EXCESS LIABILITY Umbrella Form ❑ Other than Umbrella Form N, J 4 `% V 4 a n 19 Bodily Injury and Property Damage Combined $ aa $ loo-o C WORKERS' COMPENSATION and EMPLOYER'S LIABILITY pi a 4? n 1 Statuto $.o o++ kEach Accident) . NOTE: The Comprehensive General Liability and Automotive Liability policies are endorsed with the attached City of Newport Beach Endorsements. CANCELLATION: Should any of the above described policies be cancelled or coverage. reduced before the expiration date thereof „the -Insurance Company affording coverage shall provide 30 days' advance notice to the City of Newport Beach by registered mail, attention: Public Works Department. 5t-'�s fI79'I}cffcrA C,csufrc�r7� o�c By: s�.xA��t� - - Agency:: �rs� u or zed presen9tive Date; Telephone: ? 3- go 9?, Description of operations /locations /vehicles: All operations performed for the City of Newport Beach by or on behalf of the named insured in connection with the following designated.contract: GAS LINE FROM OIL FIELD TO HOAG HOSPITAL C -2522 roject Title and Contract Number This certificate or verification of insurance is not an insurance policy ano noes not amend, extend or alter the coverage afforded by the policies listed herein. Notwith- standing any requirement, term, or condition of any contract or other document with respect to which this certificate or verification of insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to ail the terms, exclusions and conditions of such policies, including attached endorsements. i This is to certify that policies for the above nomed,insundare ia#orce. as,follows: . I:.. This Interim Certificate As To Evidence of Insurance'shall expire.thirty days from 12 n O 1 P M:, NOV- 1 19$5., unless cancelled prior to such date by written.notice to the named insured. OWNED AUTO - MOBILES, IF COVERED InCIUOes'VOQOs or Y /OOUCts.warronry, written Lease at i-remises,' tosemenT Agreement, - municipal Vramance Agreement,- Sidetrack Agreement, Elevator or Escalator 'Nbintenance Agreement only, unless accompanied by specific endorsement. providing additional Contractual Coverage. Described N.0pli.. ® below ❑ wdwd YEAR, MAKE, TYPE OF BODY, LOAD cAPACRY: IDENTIFICATION NUMBER 1978 CHEVY P/U 1/2 TON 2437, 1967 INTERNATIDIONAL TRACTOR � SB509882F LAST Liability $ ,GW retained limit POLICY NUMBER $ each occurrence $ awrephe If this Interim Certificate As To Evidence Of Insurance -is.to be cancelled prior to.the expiration date, we shall provide 10 days advance notice in writing to whom this certificate is issued. Certificate issued to: Nam _ CITY OF NEWPORT BEACH Address 3300 WEST NEWPORT BL. P.O. Box 1768 NEWPORT BEACH, CA. 92658 -8915 �p Countersigned ',l **Not Applicable in Texas.— AutIwrmd RepremMotive .. 'e ee In Texas the ._ . a{gragote also applies.ro owners and Corliractors protective, contractual Ord /o�txtnptetad otdagttons - _ _ - lNeB/aBer sent 2L0 /BfnBrreii•t¢4 ®r. '�`;> _-_; "' .•�"r COVERAGE COMBINED LIMITS OF UABILITY .. COVERED coma AUTO LIABILITY ® ❑ Owned Bodily Injury $ 100 OW eachpersan ❑- ® Hired $ 400 000 each occurrence ;Employer's Non - Ownership r r e Prop � ty . Damage 1 $ _ 00 . ,OOp eodt accurence .. Contingent Liability Single Limit Liability. for Coverages checked ® above .$ ,000 each otxwrence ... GENERAL LIABILITY M &C - OLT = Bodily Injury .. $ . 0W each persons Owners & Contractors . $ ,GOO each occurrence ❑ ❑ - Contractual ♦ - $ 0W onm l oggr•gole . Elevators Pr�� Damage $ products •.• 000 each occurrence ❑ ,:❑ Products and /or $. annual aggregate . Completed Operations Products ••• Single Limit Liability for Coverages checked ® above $ ,000 each occurrence " $000 annual aggregate products ❑ ❑ .. CARGO $ ,000 'each vehicle . $ ON each occurrence WORKMEN'S ❑ El COOIRILPFONSATION Statutory . InCIUOes'VOQOs or Y /OOUCts.warronry, written Lease at i-remises,' tosemenT Agreement, - municipal Vramance Agreement,- Sidetrack Agreement, Elevator or Escalator 'Nbintenance Agreement only, unless accompanied by specific endorsement. providing additional Contractual Coverage. Described N.0pli.. ® below ❑ wdwd YEAR, MAKE, TYPE OF BODY, LOAD cAPACRY: IDENTIFICATION NUMBER 1978 CHEVY P/U 1/2 TON 2437, 1967 INTERNATIDIONAL TRACTOR � SB509882F LAST Liability $ ,GW retained limit POLICY NUMBER $ each occurrence $ awrephe If this Interim Certificate As To Evidence Of Insurance -is.to be cancelled prior to.the expiration date, we shall provide 10 days advance notice in writing to whom this certificate is issued. Certificate issued to: Nam _ CITY OF NEWPORT BEACH Address 3300 WEST NEWPORT BL. P.O. Box 1768 NEWPORT BEACH, CA. 92658 -8915 �p Countersigned ',l **Not Applicable in Texas.— AutIwrmd RepremMotive .. 'e ee In Texas the ._ . a{gragote also applies.ro owners and Corliractors protective, contractual Ord /o�txtnptetad otdagttons - _ _ - lNeB/aBer sent 2L0 /BfnBrreii•t¢4 ®r. '�`;> _-_; "' .•�"r - t 7 � 1 ,..5,� •.mss _ :�... I Page 13 CITY OF NEWPORT BEACH AUTOMOTIVE LIABILITY INSURANCE ENDORSEMENT It is agreed that: �. With respect to such insurance as is afforded by the policy for Bodily Injury and Property Damage Liability, the City of Newport Beach, its officers and employees are additional insureds but only with respect to liability for damages arising out of the ownership, maintenance or use of automobiles (or autos) used by or on behalf of the named insured in connection with the contract designated below. The insurance extended by this endorsement to said additional insured does not apply to bodily injury or property damage arising out of automobiles (1) owned by or registered in the name of an additional insured, or (2) leased or rented by an additional insured; or (3) operated by an additional insured. The insurance afforded the additional named insured(s) shall apply as primary insurance and no other insurance maintained by the City of Newport Beach will be called upon to contribute with insurance provided by this policy. 2. The policy includes the following provision: "The insurance afforded by the policy applies separately to each insured who is seeking coverage or against whom a claim is made or suit is brought, except with respect to the limits of the Insurance Company's liability." 3. The limits of liability under this endorsement for the additional insureds narked in paragraph 1 of this endorsement shall be the limits indicated below for either Multi- ple Limits or Single Limit, whichever is indicated by the letter X in the appropriate box. ( ) Multiple Limits Bodily Injury Liability $ 300,000 each occurrence Property Damage Liability $ 100,000 each occurrence ( ) Single Limit Bodily Injury Liability $ each occurrence and Property Damage Liability Combined The limits of liability as stated in paragraph 3 of this endorsement shall not in- crease the total liability of the Insurance Company for all damages as the result of any one accident or occurrence in excess of the limits of Liability stated in the policy as applicable to Automobile Liability Insurance. 4. Should the policy be cancelled or coverage reduced before the expiration date thereof, the Insurance Company shall provide 30 days' advance notice to the City of Newport Beach by registered mail, Attention: Public.Works Department. 5. Designated Contract: GAS LINE FROM OIL FIELD TO HOAG HOSPITAL 02522 Project Title an ontract o. . This endorsement is effective Nov.1, 1985 at 12:01 A.M. and forms a part of Policy No.60009 -12 -01 . _ Named Insured Husby construction Endorsement No. Name of Insurance Companjrruck Insurance Exchange By Jerry L. Keenan Authorized Representative (see signature attached certificate) 10 -31 -85 rMAJURMIl TILE �- ... AS A MATTER OF I P01NATTON ONLY AM 001!1916 D COA$tif. TRANCE AGENCY Ia TE NOL06L THM cm.w;1CAT=DMNDTANEW 32861 ENO CAPIS.TRANO eo6eAGEAPPaRHO® BY THE PaMaes ow' N LI,STRANO, CA. 92675 AWAMM GE CcBrANY A SAFECO INSURANCE COMPANY "MPANY NiS1A�� - UT HUSBY LETTER Y HUSBY CONSTRUCTION 3457 PASEO FLAMENCO COMPANY SAN CLEMENTE, CA. 92672 LETTt .. 7i : � . COMP ' LETTER COVERAGES THIS W TO CERTIFY THAT POL LIES OF INSURANCE LISTED BELOWHAVE BEEN ISSUEDTO THE #=RED HALED ABOVE FOR THE POLICY PERIOD INDICATEM...- NOTWITHSTANDING ANY REOU1REMENT, TERM OR CONDITION OF ANY CONTRACT ORWHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES OESCMM HEREIN 18 SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI- TIONS OF SUCH POLICIES. CO LTFI TYPE OF INSURANCE POLICY -. � ,» POUVY�n , u�� LIMITS THOU8AND6. OCCUPAENCOE AOGRC•OiNE . A GENERAL LIABILITY MMPKHEHLSN MW CP8129101 5 -1 -85 5 -1 -86 � $ $ TOPLOSION i caLAeB.MVAPD i :,;;a'.. PRODW XOLPLM OPERATIONS -_ coNrRACnrAL INDEPENDENT CONTRACTORS Maw OOmw&D $ 500 $ 500 MgAD TORN PROFM DAMAGE PRSONAL glum PERSONAL INJURY a I AUTOMOBILE LIABILITY ANY AUTO ALL OYMED AUTOS MPRAI. PAW..)) ALL OWNED AUTOS PRN. PA55. "t ..:.,.: `� c .. MRY t18BNq MOLv (M AMM $ a HHED AUTOS NON O NM AUTOS a PFIOPEM D swALM LABILITY al & FO ® $ A EXCESS LIABILITY X uMMELUraM .._. .. . -. UL8129101 10 -30 -8 5 -1 -86 Mc'0'MBP ED $1,000 $ 1,000 OTHFA THAN UMMIFJ.LA I= WORIGM' COMPEMSATTON AND EMPLOYERS' LIABILITY STATUTORY s ACCDENT) (DBEASEp011CY LWIp a (DISEASE- FACHEIELOM, OTHER DESCRIPTION OF OPERATION SILOCATIONSNEHICLESSPECIAL ITEMS CERTIFICATE HOLDER IS NAMED ADDITIONAL INSURED CITY OF NEWPORT BEACH SHOULD ANY OF THE ADM OE9CRISED POLICES BE CANCELLED BEFORE THE EX PUBLIC WORKS DEPARTMENT NL PPIIRATION DATE THEREOF, THE ISSUING COMPANY WILL INIMMU010XXM�! 30 DAYS WRITTEN NOTICE To THE ceww: LATE HOLDER NAIAED TO THE P.O. BOX 1768 LEFT, JIM NEWPORT BEACH, CA. 92658 96xMMpfaNloL x _ ..__.. .. .. "I1 — i 1 a _ f L i r i i i ey. �y�_ ,�2��,T,.y > L � � °�..?_'�.., .:"�kF �..9G>'` i •m� ?A.,i. ,'�.�..:.s�LS�:;w. -� �. -. __...,�`Sw _. Y �:.- ��J _ •.S.", -!6t � Page 14 CITY OF NEWPORT BEACH. COMPREHENSIVE GENERAL LIABILITY INSURANCE ENDORSEMENT It is agreed that: 1. With respect to such insurance as is afforded by the policy for Comprehensive General Liability, the City of Newport Beach, its officers and employees are additional in- sureds but only with respect to liability arising out of operations performed by or on behalf of the named insured in connection with the contract designated below or acts and omissions of the City of Newport Beach in connection with its general supervision of such operations. The insurance afforded said additional insured shall apply as primary insurance and no other insurance maintained by the City of Newport Beach will be called upon to contribute with insurance provided by'this policy. 2. The policy includes the following provision: "The insurance afforded by the policy applies separately to each insured against whom claim is made or suit is brought, except with respect to the limits of the Insurance Company's liability." 3. The insurance afforded by the policy for Contractual Liability Insurance (subject to the terms, conditions and exclusions applicable to such insurance) includes liability assumed by the named insured under the indemnification or nold harmless provision con- tained in the written contract, designated below, between the named insured and the City of Newport Beach. 4. With respect to such insurance as is afforded by this policy, the exclusions, if any, pertaining to the explosion hazard, collapse hazard and underground property hazard (commonly referred to as "XCU "hazards) are deleted. 5. The limits of liability under this endorsement for the additional insured named in paragraph I of this endorsement shall be the limits indicated below for either Multiple Limits or Single Limit, whichever is indicated by the letter X in the appropriate box. ( ) Multiple Limits Bodily Injury Liability Property Damage Liability (X) Single Limit $ each occurrence $ each occurrence Bodily Injury Liability $ 1,000,000 each occurrence and Property Damage Liability Combined The applicable limit of the Insurance Company's liability for the insurance afforded for contractual liability shall be reduced by any amount paid as damages under this endorsement in behalf of the additional insureds. The limits of liability as stated in this endorsement shall not increase the total liability of the Insurance Company for all damages as the result of any one occurrence in excess of the limits of liability stated in the policy as applicable to Comprehen- sive General Liability Insurance. 6. Should the policy be cancelled or coverage reduced before the ;expiration date thereof, the Insurance Company shall provide 30_days' advance notice to the City of Newport Beach by registered mail, Attention: Public Works Department 7. Designated Contract: GAS LINE FROM OIL FIELD TO HOAG HOSPITAL C -2522 (Project Title and Contract No. This endorsement is effective 10 -31 -85 at 12:01 A.M. and forms a part of Policy No. CPUL8129101 Named Insured Name of Insura - - Page 15 CONTRACT THIS AGREEMENT, entered into this -day of �1 , 19 Kr, by and between the CITY OF NEWPORT BEACH, hereinafter "City, and HUSBY CONSTRUCTION hereinafter "Contractor, "i's made with reference to the fol owing facts: (a) City has heretofore advertised for bids for the following described public work: C -2522 Contract No. (b) Contractor has been determined by City to be the lowest responsi- ble bidder on said public work, and Contractor's bid, and the compensation set forth in this contract, is based upon a careful examination of all plans and specifications by Contractor, NOW, THEREFORE, the parties hereto agree as follows: 1. Contractor shall furnish all materials and perform all of the work for the construction of the following described public work: GAS LINE FROM OIL FIELD TO HOAG HOSPITAL C -2522 Title of Project ontract W. which project is more fully described in the contract documents. Contractor shall perform and complete this work in a good and workmanlike manner, and in accordance with all of the contract documents. 2. As full compensation for the performance and completion of this work as prescribed above, City shall pay to Contractor the sum of * * * * *** * * * ** Fi - ousand Seven Hundred Fift Dollars and 00 100 * **** * *($52.75D.DD** ** This compensation includes 1 any loss or damage arising from the nature of the work; (2) any loss or damage arising from any unforeseen difficulties or obstruc- tions in the performance of the work; (3) any expense incurred as a result of any suspension or discontinuance of the work; but excludes any loss resulting from earthquakes of a magnitude in excess.of 3.5 on the Richter Scale and tidal waves, and which loss or expense occurs prior to acceptance of the work by City. 3. All of the respective rights and obligations of City and Contractor are set forth in the contract documents. The contract documents are incorporated herein by reference as though set out in full and include the following: (a) Notice Inviting Bids (b) Instruction to Bidders and documents referenced therein (c) Payment Bond (d) Faithful Performance Bond (e) Certificate of Insurance and endorsement(s) • �:.f -.a.M v� Ay ,ski f � � Page 16 (f) Plans and Special Provisions for e oT Project Contract (g) This Contract. 4. Contractor shall assume the defense of, and indemnify and hold harmless, City and its officers, employees and representatives from all claims, loss or damage, except such loss or damage proximiately caused by the sole negligence of City or its officers, employees and representatives. IN WITNESS WHEREOF, the parties hereto have caused this contract to be executed the day and year first above written. ATTEST: City Clerk AS TO FORM: CITY Authorized Signature and Title 4 '. ...r t '.,:. f ,'. � .`� i "`\ ...r t '.,:. f ,'. � CITY OF NEWPORT BEACH PUBLIC WORKS DEPARTMENT SPECIAL PROVISIONS GAS LINE FROM OIL FIELD TO HOAG HOSPITAL CONTRACT NO. 2522 SCOPE OF WORK SP 1 of 7 The work to be done under this contract consists of (1) installing a 3" polyethylene gas pipe, (2) connecting to existing gas piping at the City oil field, (3) installing a gas odorizer, (4) installing condensate traps, (5) installing a 3" plug valve, and (6) performing other incidental items of work as necessary to complete the work in place. All work necessary for the completion.of this contract shall be done in accordance with (1) these Special Provisions, (2) the Plans entitled "Gas Line From Oil Field to Hoag Hospital Sheets 1 through 3, (3) the City's Standard Special Provisions and Standard Standard Specifications for Public works Construction (1985 Edition) Copies of the Standard Specifications may be purchased from Building News, Inc., 3055 Overland Avenue, Los Angeles, California 90034. A copy of the Standard Special Provisions and Standard Drawings may be purchased at the Engineer's office for $5. II. TIME OF COMPLETION AND SCHEDULE OF WORK The Contractor shall submit his proposed construction schedule per Standard Specifications Section 6 -1 and Standard Special Provisions Section 2 -1.4. No work shall begin until a schedule of work has been approved by the Engineer. The proposed construction schedule shall satisfy the following requirements: 1. All work shall be completed within 90 consecutive calendar days after the start of work, or by February 1, 1985, whichever comes first. 2. The two sections of bicycle trail easterly and westerly of Superior Avenue shall not be closed for more than 14 consecutive calendar days each. Trail shall not be opened until permanent pavement patching is completed in that section. SP 2 of 7 III. PAYMENT The unit or lump sum price bid for each item of work shown on the Proposal shall be considered as full compensation for all labor, equipment, materials and all other things necessary to complete the work in place, and no additional allowance will be made therefor. Payment for incidental items of a in the Proposal (i.e. excavation, ment, etc.) shall be included in of work. IV. WATER ork not separately provided for sawcutting, pavement replace - the unit price bid for each item If the Contractor elects to use the City's water, he shall arrange for a meter and tender a $500 meter deposit with the City. Upon return of the meter in good condition to the City, the deposit will be returned to the Contractor, less a quantity charge for water usage. V. PUBLIC CONVENIENCE AND TRAFFIC CONTROL A., Alternate Bicycle Routes When portions of the bicycle trail are closed, bicycle traffic shall be routed to the right -hand shoulder of north bound Pacific Coast Highway. The Contractor shall be responsible for placing signs, barricades, delineators, lights, warning devices, sweeping, and any other details required to detour.the bicycle traffic in a safe and efficient manner. B. Pacific Coast Highway Traffic control within Pacific Coast Highway shall be as directed by the State Permit Inspector. VI. CONSTRUCTION SURVEY Field surveys for control of construction shall be the responsibility of the Contractor.. All such surveys, including construction staking, shall be under the supervision of'a California Registered Civil Engineer or Licensed Surveyor. Staking shall be sufficient to insure that the pipeline is constructed to the alignment and to the depth of cover shown on the plans, and that the high and low points of the pipeline are at the locations indicated. Payment for construction survey staking shall be considered as included in the various items of work and no additional allowance will be made therefor. VII. STORAGE AREA The Contractor field area for this contract. be approved by SP 3 of 7 may utilize vacant area within the City's oil storage of equipment and materials needed for The exact location of the storage area shall the Engineer. VIII. PACIFIC COAST HIGHWAY IX. X. All work within Pacific Coast Highway shall conform to the requirements of the Caltrans Encroachment Permit dated July 31, 1985 which is included in these contract documents. The Contractor shall furnish the State with a signed application requesting a separate Caltrans Permit authorizing the Contractor to perform the work within the State Highway right -of -way for the City. The Contractor's cost to reimburse the State for the cost incurred for engineering inspection will be reimbursed by the City. Costs charged to the Contractor field work performed by Caltran reimbursed by the City. OIL FIELD AREA by the State for permit- related s Maintenance Forces will not be The oil field area where the gas line connection is to be made is a secured area. The Contractor shall make arrangements with the Engineer for entrance through the locked gates. Gates shall remain closed and locked at all times, except when entering or exiting. If it is necessary to remove a section of fence along Pacific Coast Highway to facilitate the construction of the gas line, it shall be restored the same day. CONSTRUCTION DETAILS A. Polyethylene Pipe 1. Requirements 1.1 General. All pipe must be polyethylene (PE) designated asasPE 7306 and formulated and processed to meet the requirements of thermo plastics material of ASTM D1248, Type II, Class B with antioxidants, Grade P23. The pipe shall conform to all applicable requirements of ASTM D2513 with the following additions: (a) Strength. Pipe shall have a minimum long term hydrostatic strength (ASTM D2837) and short term burst pressure (ASTM D1599) of at least: SP 4 of 7 Minimum Long Term Minimum Short Term Hydrostatic Strength (All Sizes) Burst Pressure Temp. Hoop Stress °F Psi Sizes SDR* Ps' 730 1250 3 ", 4" IPS 11.5 484 100° 1250 120° 1000 140° 800 * Standard thermoplastic pipe dimension ratio. (b) Roundness. The outside diameter tolerance and roundness of uncoiled and straight lengths of pipe as delivered shall be in accordance with Table II of ASTM D2513 except roundable pipe shall be measured after the recommended rounding device is used. (c) Weathering. The pipe shall resist weathering so that outdoor storage and exposure of two years will have minimal affect on the quality and the pressure rating is not to be decreased. (d) Control of Gas bX Pinching. All pipe must be ab a to withstand pinching sufficient to control a pressure of 60 psig and subsequent reopening without reducing the strength or decreasing the pressure rating of the pipe. When hydrostatically tested, the strength of the pinched pipe sample shall pass the requirement of Section X.A.1.1.1(a) of this specification. The Manufacturer shall specify the clearance, roundness and dimensions of equipment to be used for squeezing. (e) Com atibilit . Fittings made from plastic material having the same physical properties as the pipe material shall attach to the pipe by heat fusion. 1.2 Dimensions. The dimensions shall be those shown in Ta a I. 1. SP 5 of 7 TABLE 1 O.D: and Wall Thickness of Coded Pipe Nominal Size O.D. - Inches Wall Thickness -Inch Inches Average Tolerance Minimum Tolerance SDR 3 IPS 3.5000 ±.008 0.307 +0.037 11.5 1.3 Pipe�Len t�hs. Coils shall contain 700 feet, have a nomin O.D. of 8' -0 ", and a minimum I.D. of 5' -10 ". Straight lengths of pipe, without couplings, shall be 6' ±1 ". The individual pieces in each bulk pack shall be of the same length within the tolerances shown. 1.4 Pi a Cross Section - Roundness. Any cross section of uncoi a or straig t engt s of plastic pipe shall be sufficiently roundable so that the fittings can be completely heat fused to the pipe by the Manufacturer's recommended procedures without affecting the pressure rating of the pipe or assembly. 1.5 End Pre aration. The straight lengths of pipe shall En plain square cut unchamfered ends. 2. In -Plant Quality Control. The recommended in -plant quality control program in Appendix A -4 of ASTM D2513 shall be followed and, in addition, the wall thickness shall be monitored continuously and shall comply with requirements of this Specification. Certified copies of maximum and minimum data from diameter, wall thickness and burst pressure test results shall be furnished covering each lot of pipe in each shipment. 3. Certification. Manufacturer shall submit certification that pipe shipped on a specific purchase order is in compliance with this Specification and conforms to the requirements of General Order 112 of the State of California Public Utilities Commission and Part 192, Title 49 of the Code of Federal Regulations - Department of Transportation. a � i SP 6 of 7 B. Odorizer. The odorizer.shall be a Peerless Manufacturing Company, Product Line 42 -100, 9.4 gallon.capacity, by -pass type. The 1/4" and 1/2" valves shown on the Plan for the odorizer piping shall be ball type recommended for use with natural gas as manufactured by Worcester or approved equal. The piping for the odorizer installation shall be carbon steel. The pressure gauges shall be a dial type with a pressure range of 0 to 100 psi. The Contractor shall furnish all fittings, valves, and other appurtenances required for a complete and functioning installation. C. Plug Valves. 2" and 3" plug valves shall be iron body, lubricated, with screwed ends designed for natural gas service as manufactured by Rockwell or approved equal. D. Polyethylene Pipe Installation. Pipe shall be installed in a trench bottom that is smooth and free from sharp rocks. The pipe shall be installed so that high and low spots are at the locations shown on the Plans. The pipe shall be level, or sloped toward the low or high spots, so that condensate does not accumulate and block the flow of the gas. All joints shall be heat fused in accordance with the manufacturer's recommended procedures. The installed pipe shall be hand backfilled to a depth of 6" over the pipe with select trench excavation free of all rocks greater than 1" in diameter. If the selected trench excavation is not acceptable, the Contractor shall import sand as backfill. The cost for imported backfill will be reimbursed by the City. Pipe and fittings are to be installed in such a manner as to avoid lateral strain or tension. Pipe must not be kinked or installed with bends having a radius of less than 10 feet. E. Superior Avenue Sleeve The ends of the existing 8" sleeve under Superior Avenue will be exposed in advance by the City, and the excavations covered with steel plates. After completion of the pipe installation, the Contractor shall return the steel plates to the.City Yard at 949 W. 16th Street, backfill the excavation, and repair the pavement surface to match the existing surface. SP 7 of 7 F. Bike Path Repair. Wherever the pipe installation is located within the existing bike path, the A.C. paving shall be sawcut in advance of trench excavation in accordance with the Standard Specifications. Any remaining A.C. paving less than 12" in width shall also be removed. A tack coat shall be applied to.the sawcut edges of the A.C. paving prior to placement of the new paving. In addition, all temporary /permanent A.C. patching, sawcutting, and trench restoration shall be included in the respective bid items. The aggregate sizing of the new A.C. paving shall match the existing paving (Type III - C 3 --AR 4000). G. Testing. Upon completion of backfilling and compaction, all underground piping and appurtenances shall be pressure tested at 100 psi for 3 hours. If any loss of air occurs, the leak shall be located and repaired, and the test shall be repeated until there is no loss of air. ap TONWOMMU MALTWAM I POWT In comclfwfawNhYourspplf onof April 1 1085 Ma received any 12 19 85 Environmental document information his been reviewed arld considered prior to approval of this permit O NO 0 Yes In addition to any eat lase the permittes will be billed for any field work by Caltram forces and Review: O No 0 Yes Inepectlon O WE Yes No project work shall be commenced until an other necessary.pennits and environmental clearances have braes obtained. City of Newport Beach 3300 Newport Boulevard Newport Beach, CA'92663 -3884 T '785 NUL -1252 am. co• are, r.u. 07- ORA -00 -19.88 6.0 T * a amp ANOWT IlasOPHUNWIN "July 31, 1985 PERMITTEE: subject to tiff Gsmral Proviel m and the following. PERMISSION IS HEREBY GRANTED to: enter within the State right.of.way on Pacific Coast Highway from Newport Boulevard to 61st'.Street, in the City of.Newport Beach 07 -ORA- 001 - 19.88/21.0, for the purpose of installing a 3" natural gas pipeline to transport surplus gas, all in accordance with current State Specifications, the attached Special Provisions and the Permit Plans dated July 29, 1985. Pprmittes shall notify permit Inspeetor by calling Don Fairbanks ( 714) 639 -6851 between 0700 and 0900 a minimum of throe working days prior to the Initial start of work and one working day prior to closing traffic lanes. Permittee shall arrange s pro- eoneUvetion meeting with their contractors and the permit Inspector to insure a complete understanding of the work and the permit requirements. IT 15 UNDERSTOOD THAT THE ABOYS CHARGES ARE IN ADDITION TO ANY PERWT FEES AND THAT THE PERMITTSS W" BR BILLED FOR SAID CHARM AFTER SATISFACTORY COMPLETION OF ALL NNW WORK." Permittee, his agents or contractors are bound by and shell comply with all provisions of this permit and the instructions of the State representative while performing any work authorized by this permit The. following attachments are Am Included as pertof this permit a) Utility Maintenance Provide": a No 10 yw b)' Special Pnsvisiom: a No III Yes A,B,C,4 c), Cat -Oshs permit required prior to beginning work: XKNo a March Y 1 a 86 This permit is void unlass the work is complated before 19 This permit is to be strictly eombued and no other work other than specifically mentioned is hereby authorized. WORK SNALL BS SIMFYgtD IF PW MT COPY a NOT AT JOB SITE. Orange cc: San Juan Capistrano D. Fairbanks -Insp. B. Boettcher -Info AD /rem 8 i�lY►'M /fe M R/W Util. Reloc. HEINZ HECKEROTH Asst. City of Newport Beach 785 -NUL -1252 Page 2 1) Traffic control shall be as directed by the State Permit Inspector. 2) Work under this permit is a low risk facility. Installation of the conduit shall be 24" minimum horizontal clearance from Caltrans facility, if any, with a minimum 42" cover from the top of the conduit to the finish grade. 3) Care shall be exercised at all times to protect existing State facilities. Any damage resulting from work of this permit shall be repaired immediately by Permittee to the satisfaction of the State Permit Inspector at no cost to the State. 4) A minimum of two days prior to the start of any excavation authorized by this permit, Permittee shall notify UNDERGROUND SERVICE ALERT at 1 -800- 422 -4133. 5) If the work authorized by this permit is to be performed by contractors forces for a Public Agency, the Permittee's contractor shall furnish the State with a signed application requesting a separate Caltrans permit authorizing the contractor to perform the work within the State Highway right of way for the Permittee. The Permittee's contractor will be required to reimburse the State for the cost incurred for engineering inspection of the work within the State.right of way and all other permit related field work performed by Caltrans Maintenance Forces. The Permittee's contractor is required to have the signed original permit with all Special Provisions and plans stmaped CALTRANS PERMIT PLANS dated July 29, 1985 at the job -site at all times while work is being conducted. 0 DEPARTMENT OF TRANSPORTATION (CALTRANS) GENERAL PROVISIONS TO ENCRRACNNENT PERMIT DM -M -P -2028 (Rev. 2/82) 1. AUTN9RITT: This permit Is issued in accordance with Chapter 3 Division I, commencing with Section 660 of the Streets and Highways Code. 2. 2EVBCATIONs Except as otherwise provided for public corporations, franchise holders, and utilities, encroachment permits are revocable on five days notice. These General Provisions, Utility Maintenance Provi- sions, and this Encroachment Permit issued hereunder are revocable or subject to modification or abrogation at any time, without prejudice, however, to prior rights, including those evidenced by joint use agree- ments franchise rights or reserved right for operating purposes in a grant of highway easement. 3. PERMITS FOR RECORD ONLTs If occupation of highway right of way is under joint use agreement or under prior easement, encroachment permits will be issued to the permittes for the purpose of providing Coltrane with notice and record of work, and for the terms and conditions relating to public safety. No now or different rights or obligations are intended to be created by the permit in such cases and all such prior rights shall be fully protected. Encroachment Permits issued in such cases shall have designated across the face thereof •Notice and Record Purposes Only*. (District Office of Right of May must give approval -for this designation). 4. RESPONSIBLE PARTTo No party other than the named permittes or contractor of the permittee is authorized to work under this permit. S. ACCEPTANCE OF PROVISIOASs It is understood and agreed by the permittes that the doing of any work under this permit shall constitute an accept- ance of the provisions of this permit and all attachments. 6. NO PRECEDENT ESTA9LISNEDs This permit 1a issued with the understanding that any particular action is not to be considered as establishing any precedent (1) an the question of the expediency of permitting any certain kind of encroachment to be erected within right of way of state highways or (2) as to any utility of the acceptability of any such permits as to any other or future situation. 7. NOTICE PRIOR TO STANTING WGRKs Before starting work under the Encroach- ment Permit, the permitter shell notify the District Director or other designated employee three working days prior to initial start of work. When work has been interrupted, an additional 24 -hour notification is required before restarting work. Unless otherwise specified, all work hall ba porfarmed on weekdays and during normal working hours of the rentor'•.inspector. 8. KEEP PERMIT ON TOE NONKs The Encroachment Permit or a copy thereof shall be kept at the site of the work and must be shown to any represen- tative of Coltrane or any law enforcement officer on demand. WORK SHALL BE SUSPENDED IF PERMIT IS NOT AT 300 SITE AS PROVIDED. 9. C9MFLICTING PERNITSe If a prior encroachment conflicts with the pro- posed work, the now parmittea must arrange for any naesaaarY removal or relocation with the prior parmittes. Any such removal or relocation will be at no expense to the State. 10. PERMITS 1290 OTNEN AGENCIESr The party or parties to whom a permit is issued shall, whenever the same is required by low, secure the written order or.consent to any work under a permit from the Public Utilities Commission of the State of California. Cal -OSHA or any other public !O agency having jurisdiction and any permit shall not be valid until such order or consent is obtained. 11. PROTECTION OF TRAFFIC: Adequate provisions shall be made for the pro- tection of the traveling public. The warning signs, lights and other safety devices and other measures required for the public safety, shall conform to the requirements of the Manual of Traffic Controls or any sign manual issued or to be issued by Coltrane and /or the current Coltrane Standard Specifications. Traffic for day or nighttime lane closures will be in conformance with Coltrane standard plane for Traffic Control System. Nothing in the permit is intended as to third parties, to impose on permittee any duty, or standard of care, greater than or different than, the duty or standard of care imposed by law. 12. MINIMUM INTERFERENCE VITN TRAFFIC: All work shall be planned and carried out so that there will be the least.pooeible inconvenience to the traveling public. Permittee to authorized to place properly attired flagmen to atop and warn conventional highway traffic for necesssary protection to public safety, but traffic shall not be.unreaaonably delayed. Flagging procedures shall be in conformance with the instructions to Flogger* pamphlet and or Manual of Traffic Controls issued by Coltrane. 13. STORAGE OF MATERIALS: No construction materiel shall be stored, nor equipment parked, within ten (10) feet from the edge of pavement or traveled way. Utilities are subject to the provisions of Section 22512 of the Vehicle Code. 14. CLEAN UP RIGHT OF UAV: Upon completion of the work', all brush, timber, scrape, material, etc. shall be entirely removed and the right of way shell be left in as presentable a condition me existed before work started. 15. STANDARDS OF CONSTRUCTIONr All work performed within the highway shall conform to recognized standards of construction and current Coltrane Standard Specifications and any special provisions relating thereto. 16. INSPECTION AND APPROVAL OT�CALTRAMS: All work shall be subject to inspection and approval by Coltrane. The permittee shall notify Coltrane when the work has been completed. 17. ACTUAL COST Of OILLINGs When the permittee is to be billed actual coots (as indicated on the face of the permit) such coats will include salaries, traveling expenses, incidental expenses and overhead. 18. FUTURE MOVING OF IMSTALLATIOMs a) Installation Requested by Permitter. If the Encroachment Permit wee issued at request of the permittee, it is understood that whenever construction, reconstruction or maintenance work on the highway may require, the installation shall, upon request of the Department, be immediately moved by and at the sole expense of the permittee, except as otherwise provided by law, or by any applicable permit provieione. b) Utility Moves Ordered by Coltrane. If the installation made under a permit is being relocated in accordance with Coltrane "Notice to Relocate Utility Facility ", the permittee shall have the ease and no greater rights as relocated as it enjoyed prior to moving at Coltrane order. c) Utility in Freeway. This section and the other sections of these General Provisions are subject to Article 25 of Chapter 3 of Division 1 of the Streets and Highways Code and other applicable law and in the case of any inconsistency, the said Article 25 or other applicable law shell control the removal from or relocation of utility facilities in freeways. d) Future Moving of Installation. It is understood by the permittee that whenever construction, reconstruction or maintenance work on the highway may require, the installation provided for herein shall, upon request of Coltrane, be moved by the Permittee, the cost of the move to be borne by the party legally responsible therefor. 0 9 19. RESPONSIBILITY FOR OAMAGLr the State at Uslitornia and all atticers and employees thereof, including but not limited to the Director of Transpor- tation and the Deputy Director, shall not be answerable or accountable in any manner for injury to or death of any person, including but not limited to the permittee, persons employed by the permittee, persons acting in behalf of the permittea or for damage to property from any cause which might have been prevented by the permit tee, those persona employed by the permitter, or persons acting in behalf of the permittee. The permitee shall be responsible for any liability imposed by law and for injuries to or death of any person including but not limited to the permittee, person employed by the permitter, persona acting in behalf of the permittee, or damage to property arising out of work permitted and done by the permittee under a permit or arising out of the failure on the permittee's part to r_- perform his obligations under any permit in respect to maintenance or any other obligations or resulting from defects or obstructions or from any cause whatsoever during the progress at the work, or at any subsequent time MOCK is Doing perTormed under the abllgations provided Dy and contemplated oy the permit. the permittee snail indemnity and save harmless the State of California and all ottieers and employees thereof, including but not limited to the Director of Transportation and the Deputy Director, from all claims suits or actions of every name, kind and deecript.ion brought for or on account of injuries to or death of any person, including but not limited to the permittee, persona employed by the permittee, persons acting in behalf of the permittee and the'public or damage to property - resulting fro* the performance of work under the permit or arising out of the failure - on the permittee's part to perform his obligations under any permit in respect to maintenance or any other obligations Or resulting from defects or obstrue - "--- tions or from any cause whatsoever during the progress of the work or at any subsequent time work is being performed under the obligations provided by and contemplated by the permit, except as otherwise provided by statute. The duty of the permittee to indemnify and save harmless includes the duties to defend as set forth in Section 2778 of the Civil Code. The permittee waives any and all rights to any type of express or implied indemnity age inet the State, its off ice to or employees. It is the intent of the parties that the permit tee will indemnify and hold harmless the State; its officers and employees from any and all claims, suits or actions as set forth above regardless of the existence or degree of fault or negligence, whether active or passive, primary or secondary, an the part of the State, the permittee, persona employed by the permit tee or persona acting in behalf of the perm.ittee, 20. BONDINCs This permit shall not be effective for any purpose unless and until the permittee files with the Grantor, a surety bond in the form and amount required by said Grantor. A bond is not ordinarily required of any public corporation or publicity or pprivately owned utility, but will be required of any utility that fails to meet any obligation arising out of the work permitted or done under an Encroachment permit or fails to maintain its plant, work or facilities. 21. MAKING REPAIRSs In every case the permittee shall be responsible for restoring to its former condition as nearly as maybe possible, any portion of the highway which has been excavated or otherwise disturbed by permittee, except where Caltrana elects to make repairs to paving and except where provision to the contrary is made in the written portion of any pernit. Thy permittee shall maintain the surface over facilities placed under any permit for a,period of one (1) year after completion of work under the permit. If the highway is not restored ee herein provided for, or if Coltrane elects to make repairs, permitter agrees by acceptance of permit to bear the cost thereof. f,y. 0 0 222 CARE OF DRAINAGES If the work contemplated in any Encroachment Permit shall interfere with the established drainage, ample provision shall be made by the permittee to provide for it as may be directed by Coltrane. 232 SOOMIT PtANr For installation of all underground facilities and all surface work of consequence, the permittee shall furnish a plan showing location and constuction details with its application. Upon completion of the work as -built plans of sufficient accuracy shall be submitted to the District to determine location of the facility. 242 MAIMTEMANCEs The peraittss agrees, by acceptance of a permit, to maintain properly any encroachment placed by It in the highway and in inspecting for the preventing any injury to any portion of the highway resulting from the encroachment. 252 COST OF ROM Unless otherwise stated on the permit or separate written agreement, all costs incurred for work within the State right of way pursuant to this Encroachment Porart shall be borne by the permittee and permittee hereby waives all claims for indemnification or contribution from the State for such work. 26: FEDERAL CIVIL RIGHTS REODIRENENTS FOR POOLIC ACCOMMODATIONS (A) The permittee for himself, his personal representatives, successors in interest, and assigns as part of the consideration hereof, does hereby covenant and agree that (1) no parson on the ground of race, color or national origin shall be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination in the use of said facilities. (2) that in connection with the construction of any improvements on said lands and the furnishing of services thereon, no discrimination shall be practiced in the selection of employees and contractors by contractors In the selection and retention of first -tier subcontractors, in the selection of second -tier subcontractors, (3) that such discrimination shall not be practiced against the public in their access to and use of the facilities and services provided for public accommodations (such as eating, sleeping, root, recreation and vehicle servicing) constructed or operated on, over, or under the space of the right of way, and (4) that the permitter shall use the promisee in compliance with all other requirements imposed pursuant to Title 15, Code of federal Regulations, Commerce and foreign Trade, subtitle A, Office of the Secretary of Commerce, Part 8 (15 C.F.R. Part 8), and as said Regulations may be amended. (8) That in the event of breach of any of the above nondiscrimination covenants, the State shall have the right to terminate the permit and to re -enter and reposses said land and the facilities thereon, and hold the came as if said permit had never been ■ad.e or issued. 272 ARCOAEOLOGITAIe The permittee shall cease work in the vicinity of any archaeological resources that are revealed. The Permit Engineer shell be notified immediately. A qualified archaeologist retained by the permitter will evaluate the situation and make recommendations to the Permit Engineer concerning the continuation of the work. 13 Department of .Tr ortation(Caltrans) . UTILITY MAINTENA 4 PROVISIONS . TO ENCROACHMENT PERMIT DM -M -P -228 (Rev. 12/80) Any public utility or public corporation who lawfully maintains a utility encroachment say perform routine or emergency maintenance on ouch facility in accordance with the following provisions (unless updated at some future time, thence the future provisions shall govern): A. Exclusions: These provisions do not authorize tree trimming or routine maintenance work on freeways (expressways) , for which a special permit is required. B. Encroachment Permit For Maintenances The maintenance work must be In conformance with an encroachment permit (individual or annual blanket). The permit or a copy thereof shall be kept at the site of the work and must be shown to any representative of Caltrans or any law enforcement officer on demand. WORK SHALL BE SUSPENDED IF PERMIT IS NOT AT JOB SITE AS PROVIDED. C. Notice Required. (1) Routine maintenance and inspection -- Before proceeding, the Permitter shall notify the Coltrane representative in whose territory the work is to be done. (2) Emergencies -- The representative as possible. In addition, and provided herein, the Permittee a confirming letter to the Die permit shall be issued for the freeway or if not covered by a shall be notified as soon except as otherwise shall immediately address trict Permit Engineer. A emergency work on a maintenance permit. D. Standard of Work: All work performed within the highway shall conform to recognized standards of utility construction and Caltrans current Standard Specifications. E. Emergency Repalres The Permittea may make emergency repairs by excavating through improved surfaces, only when breaks In the conduit, cable, or pipeline under the pavement present a definite hazard to traffic or serious interruption of essential service. In such cases the Caltrans representative shall be notified immediately. Backfill and pavement replacement shall be performed in accordance with the applicable General Provisions (i.e., "Making Repairs," "Backfilling"). F. Open Excavations: No excavation shall be left open after daylight hours, unless specifically authorized and adequate protection for traffic Is provided in accordance with the General Provision 'Protection of Traffic." iy Department of Transpotation (Caltrane) Page 2' UTILITY MAINIENANCE PROVISIONS TO ENCROACHMENT PERMIT G. Service Connections: These provisions do not authorize installation o.f conduit, cable, gas or water service connections within State highway right of way, regardless of the location of the main, existing conduit or cable. All new underground or pipe services, conduit, cable or main extensions, or excavations to abandoned services must be covered by individual permits. See Section H(4) regarding service connections for wires. H. Routing Inspection and Maintenance: (1) Routine maintenance and inspection on the roadbed shall be conducted between 9:00 a.m. and 3:00 p.m, or as otherwise authorized in writing by the Caltrane repreaentative. (2) Manholes -- The.Permittes may open existing manholes to repair underground cables. Where the manhole ;lee within the improved surface of the highway, the Permittee will provide adequate protection for traffic in accordance with the General Provision "Protection of Traffic." (3) Excavations for routine inspection and repair of pipeline and cables ahalls a) not be made in improved surfaces, landscaped areas or closer than 101 to the edge of the pavement without a special permit; and b) not .uncover more then fifty (SO) feet of line at-any one time. (4) Pole lines -- Permittee is authorized to: a) Stub, or reset existing pole, provided no change in location of pole or anchor is made. Stubs and anchors must not be.plaeed between existing pole and traveled more b) Replace poles, guy . poles, and crossarma in exact location limited to two consecutive poles. No additional poles or guy poles are authorized under this routine maintenance provision. c) Replace broken pine-and insulators, repair broken wires, pull slack wires, and replace or pull broken or aleck guys. d) Rips ir and complete transfer work on existing aerial tablet. e) Install now and replace existing transformers on existing poles. )`J �6 Department of Transpla ation (Caltrans) . Page 3 UTILITY MAINTENANCE PROVISIONS TO ENCROACHMENT PERMIT H. Routine Inspection and Maintenances (continued) f) String aerial wire and place additional crossarms on existing poles except where wire crosses the highway. Unless otherwise specifically required by Caltrans, protected cable, tree wire or plastic tree wire guard used for telephone lines may be used through trees where necessary, provided the appearance of the tree or the tree Itself will not be damaged. This section (f) does not apply to adopted scenic highways. g) String service drop wires from facilities existing within the highway right of way except where wire crosses the highway. Service wires over highways are subject to Public Utilities Commission regulations and must cross as near right angles as practicable. h) NOTE - A separate permit shall be obtained for each installation at replacement of wire, drop wire, cable, or other encroachment which crosses the highway or which encroaches upon the highway right of way whether or not attached to or in contact with existing facilities within the right of way. 1) Clear grass around bass of poles and excavate around poles for inspection, including tamping and straightening. epartment of TranmportRi:inn'Caltrenss) SPCC I A L PROVISION "A" (Attached to all Permitm - 2 -82) 1. Permittee shall notify the Permit Inspector between 0700 and 0900 two (2) working days prior to starting any work authorized by this permit. See the face of the permit for Inspector's telephone number. 2. Permittee shall arrange for a pre - construction meeting at the job site with the Permit Inspector and all-other interested persons two (2) working days prior to starting work, to discuss the permit requirements. 3. In the event that all or a portion of this work is within the working area of a State highway construction project, not work shall be started until all arrangements have been made with the State Contractor and Resident Engineer to avoid any and all conflict or delay to the State Contractor. 4. Unless otherwise authorized by the Permit Inspector, all work within State right of way shall be in accordance with the current Caltrans Standard Specifications and Standard Plane. The Uniform Building Code may be used as the minimum specifications unless a more stringent specification is required by the local agency, permit or Permit Inspector. Improvements shell be constructed at the location shown on the Permittee's approved plane if they do not conflict with State requirements. 5. Should there be any discrepancy between the terms of this permit and the plane attached hereto, the terms of the permit will prevail. 6. All inspection costa incurred incidental to this work shall be borne by the Permittee. 7. All work shall be performed duffing the working hours regularly assigned to Department of Transportation employees unless otherwise authorized in writing. B. All costa incurred for work within State right of way pursuant to this encroachment permit shall be borne by the Permittee, and Permittee hereby waives all claims for indemnification or contribution from the State for such work. 9. Upon completion of work, Permittee shall clean the highway and the work area shall be left in a neat and presentable condition and to the satisfaction of the Permit Inspector. 10. A minimum walkway and /or bike path width of 30 inches must be maintained at all times for safe passage through the work area. 11. Any work authorized by this permit which requires traffic diversion and /or traffic interruption, including sidewalks and bike paths, shall be approved by the Permit Inspector. See the face of the permit for inspector's telephone number. 17 Department of Tranap ation (CALTRANS) Special Provision "A" (attached to all Permits - 2 -82) Page 2 12. Unless otherwise authorized by the Permit Inspector, the normal traffic control shall be limited to the hours of 0900 - 1500 and open for use by public traffic on Saturdays, Sundays, designated legal holidays and after 3 :00 P.M. on Friday* and the day preceding designated legal holidays, and when construction operations are nUt actively in progress on working days. 13. Designated legal holidays are: January lot, and third Monday in February, the last Monday in Key, July 4th, the first Monday in September, November 11, Thanksgiving Day, and December 25th. When a designated legal holiday fella on Saturday, the preceding Friday shall be a designated legal holiday. 14. The Permittee shell provide adequate protection of traffic in accordance with the current traffic control requirements of the Department of Transportation (Coltrane), the Standard Specifications Section 7 -1.08 (Public Convenience), Section 7 -1.09 (Public Safety) and Section 12, (Construcion Area Traffic Control Devices), and special provisions of the permit. The condition and location of other traffic control devices shall be approved by the Permit Inspector and installed and maintained by the Permittes in accordance with the permit. All cones shell be 28 inch minimum height. Portable delineators used in lieu of cones shalll be placed at one half the spacing for cones. All advance warning signs shall be 48 inch x 48 inch minimum for approach speeds of 45 MPH or more on two lane highways with traversable control and for approach speeds over 50 MPH on multiple lane directional half roadway and lane closures. At all other speeds all warning signs shell be 36 inch by 36 inch minimum except that "Road Work Ahead" (23) shall be 30 inch by 30 inch minimum. During the hours of darkness all necessary cones used for lane delineation shall be illuminated or reflectorized for approach speedo through 50 MPH. All flagpersons shall be trained and their sole duty will be to control traffic. They shall wear white hard hate, orange, vests or jackets,.and have an approved slow /atop padd.l e. They, shall be inter.visable or be in communication via 2 -way radio. ,During the hours of darkness the vest or jacket shall be reflectorized, flagman stations shall be illuminated such that the flagman will be clearly visible to approaching traffic and all necessa.ry,conas used for lane delineation. shall be. illuminated or reflectorized for approach speeds through 5n MPH. 15. The signs used for traffic r.ontrnl shall either be revered, removed from the right of way, or turned to face away from traffic when not actually in use. 16. All lane closures on multilane highways shall be made using an approved flashing arrow sign. The State Inspector shall close down any projecL found to have such a lane closure without the recijtr ' flashing arrow signs. 2 0 0 Department of Transportation (CALTRANS) Special Provision "A" (attached to all Permits - 2 -82) Page 3 17. The Peraittee shell notify the Division of Highways Signal Laboratory at 213- 620 -2030, at least 72 hours in advance of any excavation within 500' of the signalized intersection or in the vicinity of St'ste lighting facilities. The Peraittee and /or his contractor assume the responsibility for the payment of all costs Incurred by the State in repairing facilities damaged during construction. Requests for relocation of facilities for the contractor's convenience must be made in writing with the contractor assuming costs. 18. Existing utilities shall be protected from damage by Peraittee. 19. Existing highway facilities damaged by reason of the Permittee's operations shall b% repaired by the Peraittee at his expense. 20. Peraittee shall be responsible for notifying his contractor and all sub- contractors of the provisions of this permit. No work will be started until ■ copy of this permit is given to the contractor and each of his sub - contractors. 21. The Peraittee and /or the contractor shall submit a copy of ell required Cal-Osha permits to the Permit Inspector prior to starting work. 22. This permit shall be kept at the site of the work and must be shown to any representative of the grantor or law enforcement officer on demand. failure to comply may require stoppage of all work within State right of way for a minimum of the remainder of the working day. 23. All lane and pavement markings shall be removed by sandblasting or air blasting. 24. Placement of pavement and lane markings shell be done by the Peraittee under the direct supervision of the State representative in the field. 25. A survey net no cost to the State" of the Permittee's property may be required to verify compliance to approved plans. 26. Should work take place between October 15 and April 15, Peraittee shell obtain a long -range clear weeth,er forecast before breaking into a mein line storm drain. Construction of facilities connecting to the main line will be permitted only during s clear weather forecast that to acceptable to the Coltrane representative. Once operations under this permit are 'initiated, the work shall be conducted in a continuous manner until completed. Department of Transportation (CAtTRANS) Special Provision "A" (attached to all Permits - 2 -82) Page 4 27. Abandoned connector pipes shall be sealed at both ends with 8 -inch brick and mortar or six inches of concrete. When facilities are •Iloled to be abandoned in place, backfilling with sand, or other ■assures, may be required to protect the highway. This is mandatory for metal pipes 12" in diameter or larger and all other pipes 24" in diameter or larger. 28. All inlet openings shall be provided with protection bare spaced to provide an opening that does not exceed six inches. 29. Permittes shall not use Coltrane property for the temporary or permanent storage of excavated materials, rocky send, cement or other material or any equipment, except as specifically noted. ;2-O •Department of Transportatilp(Caltrans) • STANDARD SPECIAL PROVISION "B" - (STREET IMPRON04STTS) 7/84 I. This Special Provision sheet "B" and its attachments are to be used as mininun specifications for construction of sidewalk, curb and gutter, roof drains, and wheelchair ramps at the location shown on Permittee's approved plans. II. SIDEWALK 1) Sidewalk shall be constructed with Class "A" (6 sack) Portland Cement Concrete four (4) inches in depth except at commercial driveways where six (6) inch depths respectively, will be required. 2) The subbase under the sidewalk shall be 4" of pea gravel or sand subbase. The 4" of subbase may be waived provided the native soil has a said equiva- lent value of 208 as determined by California Test Method 217F or as deter- mined by the Permit Inspector. 3) A Caltrans approved soil sterilant shall be applied as directed by the State representative in the field. The sterilant shall be a borate chlorate sterilant containing not less than 25 percent sodium chlorate. The sterilant shall be applied at a rate such that not less than 2.5 pounds of sodium chlorate is applied per 100 square feet of area to be sterilized. Sterilant shall not be applied closer than 12 inches to plants and shall be applied by a device approved by the Engineer. 4) The finished grade of sidewalk shall have a crossfall of 4" per foot toward the curb. The surface of sidewalks shall be marked into rectangles of not less than 12 square feet nor more than 20 square feet with a scoring tool which will leave the edges rounded or scored to matching adjoining sidewalk. 5) Back edge of sidewalk shall be placed on the right of way line. Sidewalk width shall be a minimum of 5 feet. 6) Section of existing concrete sidewalks to be removed shall be.sawcut on the nearest score marks beyond the limits of removal unless it is within 5' of an expansion joint. This concrete shall be removed to the sawcut line or the expansion joint to full depth and disposed of outside the State right of way. III. CURB AND GUTTER 1) Unless otherwise authorized by the permit, curb and gutter shall be Caltrans Standard A2 -8. Curb and guttershall be constructed with class "A" (6 sack) Portland Cement Concrete over a minimum of 6" class II aggregate base. 2) Concrete curbs and gutters shall be constructed to plan grade or in confor- mance with alignment and grade of existing curb and gutter. 3) Prior to the removal of existing curbs or construction of new curbs, the Permittee shall relocate surface obstructions (such as utility poles, trees,' etc.) t> locations back of the proposed curb. Surface obstructions shall also be relocated fifty (50) feet before beginning of curb obstruction and one hundred fifty (150) feet beyond the end of curb construction for safe traffic movement. 4) Sections of existing concrete curbs and gutter to be removed shall be sawcut on the nearest score marks beyond the limits of removal unless it is within 5' of an expansion joint. This concrete shall be removed to the sawcut line or the expansion joint, to full depth and disposed of outside the State right of way. �1 -2- Department of Transportation (Caltrans) STANDARD SPECIAL PROVISION "B" - 6TREET IMPROV 4ENTS) 4/81 continued 5) A monolithic pour of sidewalk and curb and gutter shall not be permitted. 6) Asphalt, colored concrete, flagstone, brick, tile or gravel materials are unacceptable unless otherwise authorized by the permit. 7) In the event that the Permittee removes or damages a monolithic curb return and spandrel, the Permittee shall remove and replace the entire curb return and spandrel. IV. ROOF AND SURFACE DRAINS Drains must be restricted to the exclusive purpose of draining rain water from the roof of Permittee's building and /or paved parkign lot. Drains if used for any other purpose, such as draining waste water or domestic supply water onto the highway, will not be authorized. Drains shall be installed at right angles to the curb line unless otherwise authorized. No more than (2) pipe drains shall be installed at each location. If additional drains are necessary, the Permittee shall construct a box structure approved by the permit. V. WHEEI 1AIR RAMPS Wheelchair ramps shall be constructed in accordance with the attached detail sheet N8 -B "Wheelchair Ranps ". TYPICAL SECTION curb gutter and sidewalk I ro-"rer* MIN. e e �1 R/W lirw vARIAou 5' MIN. A Pcc sidewalk subbase. q" 1 e ;'Department of Transport on (Celtrans) Sf ANDARD SPECIAL PROMS "C" - (EXCAVATION AND B .FILL) 1 -82 I This Special Provision sheet "C" and its attachments are to be used as a minimum specification for excavating and backfilling within State right of way. I1 Excavation Crossing Roadway: 1. Pipes shall normally be jacked or otherwise forced underneath pavement without disturbing same. Pavement or roadway shall not be cut unless specifically allowed by the permit. Service pipes will not be permitted inside of culverts used as drainage structures. 2. Except for minimum dimension cut at tie -in to main, no open excavation shall be made within S' of the improved shoulder or between the curb lines. 3. Contractor shall comply with all State and local safety codes relative to safety measures for protection of workmen in trenches and excavations (State of California Administrative Code, Title 6). 4. All excavation shall be shored and /or tight sheeted in accordance with CAL OSHA requirements. S. Mork shall not be permitted in confined spaces until all possible hazardous geese and vapors have been purged. Workmen shall be equipped with adequate blowers, safety harnesses , hard hats, ropes, ladders and any other equipment necessary. When working in confined spaces, CAL OSHA requirements shall be adhered to. 6. Service connections must be installed at an angle of 90 degrees from the center line of the State highway which the main traverses. 7. When the permit authorizes installation by the open -cut method not more then one lane of the highway pavement shall be open -cut at any one time. Any exceptions shall be in writing by the State representative. After the pipe is placed in the open section, the trench is to be backfilled in accordance with specifications, temporary repairs made to the surfacing and that portion opened to traffic before the pavement is cut for the next section. S. Hazardous pipeline potholing clauses (petroleum distilates, gas, electricity, chlorine, stc.): The Peraittee shall furnish Caltrons with the results of this exploration, having the location and gradeshown to the nearest one -tenth foot tied to State's datum, and certified by s licensed surveyor or professional engineer (civil). 9. P.C.C. pavement shall be scored to a minimum depth of 1 -1/2 inches by means of s concrete saw to provide a nest and straight pavement break along both sides of trench{ also, provide an unfractured pavement joint and rigid bonding of pavement replacement patch. .23 r -2- • Department of Transportation (Coltrane) STANDARD SPECIAL PROVISIONS "C" - (EXCAVATION AND BACKFILL) 1 -82 IL Excavation Crossing Roadway (continued) 10. A.C. pavement shall be scored as requi. red above for P.C.C. pavement except where in the opinion of the State Inspector the pavement has been cut neat and straight along both aides of trench to provide an unfractured and level pavement joint for bonding 11. Where the edge of the trench is within 2 feet of existing curb and gutter, the asphalt concrete pavement between the trench and the curb shall be removed and replaced. 11. Where the edge of the trench in within 2 feet of existing curb and gutter, the asphalt concrete pavement between the trench and the curb shall be removed and replaced. 12. A minimum sidewalk and bikpath of 30 inches must be maintained at all times for safe passage through the work area. 13. A minimum lateral clearance of 5' shall be provided between the edge of excavation and adjacent traffic lanes. A minimum lateral clearance of 2' shall be provided between the edge of surface obstruction and the adjacent traffic lane. Where 5' of clearance is not provided, the excavation shall be shored and tight sheeted. In no case shall the clearance be lose than 2'. 14. Banks of open -cut trenches shall be kept as nearly vertical 99 possible. Trenches shall not be more then 24" wider than the outside diameter of the pipe to be laid therein, plus the neceseary width to accomodate sheeting. 15. All open trenches wit.hin.the traveled way shall be backfilled, compacted and temporary repairs made to the surfacing before leaving the job alto at the and of the working day. 16. Tight sheeting and properly placed and maintained steel plates may be substituted for backfilling as authorized by the Permit Inspector. 17. If no spoil bank Is placed between the open excavation and the traveled way, all open trench shall be backfilled and compacted prior to leaving the job site at the end of the working day. 18. The trench shall not be excavated more than 300' in advance of pipe laying and shall not be left open more then 200' in the rear thereof. Resurfacing of any given portion of the trench shall be completed within one week following laying of pipe in that section. 19. All vegetation shall be removed from the area of the trench before commencing with the excavation operations. 20. No tree roots. over 2" in diameter shall be cut. The roots over 2" in diameter shall be carefully tunneled under and wrapped In burlap and kept moist until the trench has been backfilled. Trenching machines shall not be used under the trees if the trunk or limbs will be damaged by their use. 0 -3- LJ Department of Transportation (Caltrans) STANDARD SPECIAL PROVISIONS "C" - (EXCAVATION AND BACXFILL) 1 -B2 II Excavation Crossing Roadway (continued) 21. if the trees involved are close together or of such it is impractical to protect all roots over 2 inches in further that cutting of roots under 2 inches in diameter permanently damage the trees, special arrangements shall the Permittee to prune the tree tops in order to balance This work shall be performed under the close supervision State Tree Maintenance Supervisor. size that diameter or may be made by root lose, of the 22. No manhole shall be constructed within 20' of any parkway tree. 23. Temporary pavement patches shall be placed and maintained in a smooth riding plane free of humps or depressions. III Backfill 1. Structural beckfill within the existing or proposed roadbed area shall be compacted in horizontal layers not exceeding B" in thickness using approved hand, pneumatic or mechanical type tampers to obtain a "relative compaction" of 95 percent using California Test Method 216F. Structural beckfill outside of slope lines and not beneath the roadbed shall be compacted to a relative compaction of 90%. Backfill material shall have a "Sand Equivalent" value of not leas then 20 as determined by the California Teat Method Z17F, if the excavation falls within the existing or proposed roadbed. Consolidation by ponding and jetting will be permitted when, as determined by the inspector, the beckfill material is of such character that it will be self - draining when compacted, and the foundation materials will not be softened or be otherwise damaged by the applied water and no damage from hydrostatic pressure will result. Pondinq_and_,iettinq._of_ tl uEPer_41 below finished grade_ fe_not_pernitted. when ponding and jetting Is permitted, material for use as structural beckfill shall be placed and compacted in layers not exceeding 4' in thickness. Ponding and jetting methods shall be supplemented by the use of vibratory or other compaction equipment when necessary to obtain the required compaction. 2. Backfill material may consist of send - cement slurry using 2 sacks of cement per cubic yard of send and water with 2% of calcium chloride as determined and authorized by the Permit Inspector. 3. Where it is necessary to tunnel under existing curb and gutter, sidewalk, or underground facilities, the void shall be backfilled with 2 sack sand- cement slurry. 4. By accepting this permit, the Permittee agrees to pay all laboratory coats in connection with the necessary testa which may be required by the Department of Transportation engineer to determine the sand equivalent value of the beckfill material or the trench beckfill compaction. It is further understood that the frequency of such teats shell be a minimum of one teats per maximum of 1500' of continuous trench at elevations of not less then every 2' of beckfill depth. as • -4 • Department of Transportation (Caltrans) STANDARD SPECIAL PROVISIONS "C" - (EXCAVATION AND BACKT1Li) 1 -02 5. Prior to starting the trench backfill, the Persittee shall wake the necessary arrangements with materials testing laboratory to conduct these tests with certification from a professional engineer (civ11). IV Pavement Repairs I. Repairs to P.C.C. pavement of completion of backfill and Concrete containing a minimum Replacement of P.C.C. pavement thickness. The concrete shall protected from disturbance for cement may be required at the shall be made within 5 working days shall be made of Portland Cement of 7 sacks of cement per cubic yard. shall equal existing pavement be satisfactorily cured and not lose than 48 hours. High early discretion of the Permit Inspector. 2. Concrete sidewalks or curbs shall be cut to the nearest score marks and replaced equal in dimensions to that removed with score marks matching existing adjacent sidewalk or curb. 3. Repairs to A.C. pavements shall be made within 5 working days of completion of backfill and shall be made with asphaltic concrete meeting State specifications, with every effort made to match the existing pavement as to color and surface texture. 4. Replacement of the roadway structural section (pavement, base, subbase, etc.) shell be equal or better in all respects to She thickness and materials in the beat portions of the existing structural.aection. Minimum thicknesses shall be 4" asphaltic concrete on 8" class II aggregate base. V REQUIRED MARKERS Except as hereinafter provided in paragraph 3 of this subsection, all underground installations of pipes, cables, and conduits in a highway right of way shall be marked and designated as follows: 1. All New Installations of Underground Crossovers, Except Service Laterals: A timer or other suitable marker shall be installed and maintained by Persittee outside the ditch line at locations suitable to the District Director where no curbs exist, which marker shall extend 30 inches above the roadway surface and have stenciled thereon the nature of the underground obstruction' and the name or identifying symbol of the Persittee. Where curbs exist, the crossover shell be Identified by description and name of owner's stenciled on curb in black letters on white background in a compact and legible manner. a6 Department.of Transportation (Coltrane) STANDARD SPECIAL PROVISIONS "C" - (EXCAVATION AND BACKFILL) 1 -82 V REQUIRED MARKERS 2 2. All New Logitudinal Installations of Underground Pipes, Cables or Conduits: Where no curbs exist, timber or other suitable markers shall be placed adjacent to the conduit or offset to such distance as may be specified and at intervals not in excess of 1,0110 feet, at each angle point, or where noconcentric with the. highway improvement, at least every 300 feet. Where the encroachment is located in the traveled way, timber or other suitable markers shall be placed at an offset outside the ditch line at locations suitable to the District Director with an offset distance given. Where curbs exist, the information shall be stenciled on the curb near each intersection. 3. Markers should be placed.so as not to interfere with vehicle recovery areas. 4. Exceptions: In counties and incorporated cities where the Permittes has filed a map or maps with the County Surveyor, City Engineer, District Director of Coltrane showing the ownership and description of the underground facilities mentioned in subsection# (1) and (2) above in accordance with ordinances, other regulations or established practice, it will not be necessary to mark or designate said facilities as required above. VI CATHODIC PROTECTION The Peraittee shall perform stray current interference tests on underground utilities under cathodic protection. The Permittes shall notify Coltrane prior to the tests and perform any necessary corrective aeasures recommended by Coltrane. VII HIGHWAY STRUCTURES The Permittis will pay for any damage to highway structures caused by gas mains or other pipe lines carrying flammable*. This includes, but is not limited to, explosion or fire resulting from such installations regardless of causation. If repair@ are not feasible, complete replacement of structure say be necessary. The Permittee will indentify and hold the State harmless from any and all claims for Injury to person or damage to property resulting from such installation. VIII LIMIT OF EXCAVATION No excavation is to be made closer than 10 feet from the edge of the pavement except as may be specifically set forth by the permit. a7 Department of Transportation (Caltrans) STANDARD SPECIAL PROVISIONS "CO - (EXCAVATION AND BACKFILL) 1 -82 IX TUNNELING Except in effecting emergency repairs on utilities no tunnelling will be permitted, except on major installations as may be speciFically set forth by the permit. X UNDERGROUND FACILITIES Shall be in accordance with Caltran's "Policy on high and low risk underground facilities within highway rights of way." Unless otherwise authorized, pipes and conduits shall be installed in a manner to provide a minimum clearance of 42 inches between the top of pipe and surface. The attached Form f7 Rev. 4 -81 is part of this permit. a8 p S � 's��yxR�s�'r °lrs��=�aa �`sc am :gala 3° Fb3Its Z1i'a !E E _ E s ati _ llo-� s ZI a � s f 21 'mw .9'wul Y !§ T 8 h� z t 6 1 I �u � $ „Ill=s I I$ t I I ; W M OC l r i N •._ I I s ati _ llo-� s ZI a � s f 21 'mw .9'wul Y !§ T 8 h� z t 6 • DEPARTMENT OF TRANSPORTATIOOALTRANS) STANDARD SPECIAL FROOON "Q" (Lane Closures) Rev. 3 -82 Thim Special Provision sheet "Q" and its-attachments are to be used as a minimum specific$• - tion for the lane closures with Caltrans right of way on conventional highways and .freeways. i I �I M >3 �I �! W8N 3 )a gat !t > j t t LU 0 J LL I I I I I I 1 I I I� a II i� I t i ir= S A I�I`I sit IH! H a' tEa! t 1 "a�f lEyi _ 2'� a (( 6 t' Il a� 11 ! RK as � dart a #� s pIM p{ I l.l.R{2� i i PAGE Z a I i 1 1 e I I G 61 �Qski; d mi oil D yyg,ajs[ p� -aPE$ #C��45Ea�s f e t P pie ➢ e � t�a�t� ��• a ��� yyp{¢�a 9Y "e nhg6 � j r AI W 11 1 Le 1} I l Z t 1 I + ail %_ I J pC W N � Tr T �$ - I jl+ I�j 1a O• 6 I I I I � titi 61 �Qski; d mi oil D yyg,ajs[ p� -aPE$ #C��45Ea�s f e t P pie ➢ e � t�a�t� ��• a ��� yyp{¢�a 9Y "e nhg6 � j r W �a £5al� W fA Z J J pC W N 61 �Qski; d mi oil D yyg,ajs[ p� -aPE$ #C��45Ea�s f e t P pie ➢ e � t�a�t� ��• a ��� yyp{¢�a 9Y "e nhg6 � j PAGE 3 • • 32— c B t o ZJZ A�� O : � }!Z! a$ oil, J1 I I visa Al 1` of #s6 {a s1alt jej�l�l�i [fit E �j A 'Islas iliai 1 f� la} i ;ill tali i i i t _ 0 1� It a jl ;r c B t o ZJZ A�� O : � }!Z! a$ oil, J1 I I visa Al 1` of #s6 {a s1alt jej�l�l�i [fit E �j A 'Islas iliai 1 f� la} i ;ill tali i PAGE 33 n n V ui o •1 IIr• y \ fltlti I �¢ R I of UK I ! } W l .414 j � I J fay I I F sF I � G I I i'" � C tltlt EIAd v a �o s; J_ B I� IN I� W I W J j_5 S� � yyg�� sy� se �Sg�g gait #en �Pe AP aai�� yra r. lih 17" r•¢ rt b C e i � iyg; kQ F I . 1't Y ITI c !11 � k 1 lil 1 ICI !I a �i tltl,l i III ITI s ds� i ? T I I e I .9 ; � lil I I I � III�I III , I 3 -Ir fIa -�o IT tlf $ i n V ui o •1 IIr• y \ fltlti I �¢ R I of UK I ! } W l .414 j � I J fay I I F sF I � G I I i'" � C tltlt EIAd v a �o s; J_ B I� IN I� W I W J j_5 S� � yyg�� sy� se �Sg�g gait #en �Pe AP aai�� yra r. lih 17" r•¢ rt b C e i � iyg; kQ F Collected By: mn No. 7EeARTMENT OF TRAN$PORTArtON C.ITF.NSI — 1^ STANDARD ENCROACHMENT PERMIT APPLICATION Fee / prnnPoN Dist/c./Rio/Pm L L ' 2°I' "" " "' ' °' ' SOW-H s Exempt I 0'7-09A-00i-19.%e/21.( Permission is reEVnted to encroach on the State Highway right of wary as follows: (Canpbro all ifems: NA if not appbcoblo.) Appikaffon is not complete unnl off repaired aftachrnemis ate inch ded. IQ 99 19 1 fl localwrn City I Co-MY 2 Route ] Po+E Mir 685+00 Daho S Newport Beach I Oran e 1 to 714 +78 April 1, 1985 Aoarns or Street Name 6 Not Applicable Saes((' d 4pd ditechbi) 7 8�6M [1 OJ �eeroiertAove. FOR GLTR UP j $ 5 2 b L Formon of Right of Way 8 Work To be Performed By 9 Northerly Portion C3 Chem Forte. El Cmer000, •gW 07 am N L 1 En Staring Dote 10 Est. Completion Date 11 1 Eslfn,ded Cost in State R/ W 12 6 -1 -85 7 -15 -85 s 60 000 Mm. Depth 13 Avnoge Dept. IA Averope VldM1S Ledge, 16 Surface Type 17 EXCAVATION ! 316" Ft. 316" F.. 12" N. 2979 h. A. C. Bike Trail or Dirt Type IB Dlo.twter 19 Vohope /PSIG 20 Product 21 PIPES Pol et ne 3' 25 PSIG Natural Gas FULLY DESCRIBE WORK WITHIN STATE R /W: ANRSrh EampLEa plans (5 seh /p/ded 8'h x 11), spas, calm, maps, efL, if app8rable. Install a 3" natural gas pipeline to transport surplus gas from City of Newport Beach West Newport oil field to Hoag Hospital. City will relocate at their expense if gas line interferes with future Pacific Coast Highway improvements. 0 YQYlge. Sall Juan Ca.pistran.o Fa.i rbanks -1 nsp e�oettchex- Info IS ANY WORK BEING DON! ON APPLICANT'S PROPERTY? IF "Yee" FeI doom" and eryaeh .ee and Reading plami.) 22 C7 Yet n No Point of connection of 3" line THE UNDERSIGNS® AGREES THAT THE WORK WILL BE DOES IN ACCORDANCE WIT1f CALTRANS RUNES AND REGULATIONS AND SUBJECT TO INsmcnON AND APPROVAL ppw.ication or Apph[o t Phone Ard~, Engkwn or Project Ayr. Phew City of Newport Beach '7141644 -3011 Donald C. Simpson 7141644 -4179 Aeere., iiNA,de c;w and an .odet Boulevard, Newport Beach, CA 92663 -3884 IMF Devlin i Utilities Director Cak By I y / FEE CALCULATION RT CALMANS ❑ So, F.. ❑ Aalml Ce.a WIET SOND REQUIRED? Cl No ❑ Ye. Amoenl $ CASILM INSURANCE REQUIRED? ❑ He ❑ Y., Ama,M S _EFCS•r I FEE DEPORT .. <- AePiaaan ICh.ck O..i ❑ Soft. f Q Ac+wK,Vo�q E"...Hr Nom I s 300 .. .a^ iC Fist Onej ❑ S.. f.. 5 CeAwl ., pn. . Nun J 0 _ _c...e.R.P,ecul,nyiw '(n�c• Mm S 3 S 3/5 e•c.e�•AI ❑ Ac.wl eon DlPeyl -_ - - =,•, ' ; 3(n 5 °= EXPmDt ! s S 1365 34 IS A CTEY /COUNTY /OT%B AGENCY tNViOLVEDT (Pem.in, Appwwl. Eic.R Yin Chock Environmental Documentation and attach copy so Application ❑ Exempt X N.D. 0 EIR ALSO ATTACH A COPT OF THE ENVIRONMENTAL APPROVAL. O No n ! c C uethe M Project LL)L ` (C FLAS.SIGNS. BANNERS C r MKIL RtCUtTVFAI PROA CH QRI PARADES. CELEBRATIONS pnTr�a' pAy j 3� sU +m ANTENNA TV y PHuCA IONS, EXTENSIONS. C EROSION CONTROL UPS ` MOVIE. TV FIU.IING C SID Y ALVGurrus C FENCE M Tf c: I. � SINGLE FAM4Y DELL A_ Y. W O REMOVALREPLACEMENT OF DISTINCTIVE ROADWAY MARXRNGS C DITCH PAVING C MODIFICATION OF TRAFFIC CONTROL SYSTEMS n M!�LN�I NANCE RECONSI➢UC. )I�nQFM1pR RE$ FACING OF A AY pF OAD APPROACH jy'- HR1RT[NI(NC OF EXISTING LANDSCAPING 1_ REGULATORY WARNING. INFORMAtION SIGNS 27 .. NONE OF THE ABOVE F.PRO)ECT CANNOT BE CESCRISED'N A80VE CATEGORIES. REQUEST PART B FROM THE PERMIT OFFICE December 2, 1985 TO: CITY CLERK FROM: Public Works Department SUBJECT: GAS LINE FROM OIL FIELD TO HOAG HOSPITAL (C-2522) Attached are four copies of the subject contract documents. Please have them executed on behalf of the City, return three copies to this office, and retain your copy. Gilbert Wong Project Engineer GW:jd 0 0 • • • i • October 28, 1985 CITY COUNCIL AGENDA ITEM NO. F-3(b) TO: CITY COUNCIL BY THE CITY COUNCIL FROM: Public Works Department CITY Of NEWPORT BEACH SUBJECT: 6AS'LINE FROM OIL FIELD TO HOAG HOSPITAL (C -2522) OCT 2 8 X9$5 RECOMMENDATION: APPROM) '--t jifiijo for the total price of $52,750, and authorize the Mayor and the Ci:ty,.- Cl.erk to execute the contract. DISCUSSION: At 11 :00 A.M. on October 17, 1985, the City Clerk opened and read the following bids for this project: Bidder Total Price Low Husby Construction, San Juan Capistrano $52,750 2. U. D. California Engineering, Inc., Sylmar 67,425 3. Macco Constructors, Inc., Paramount 92,200 The low bid is 24.6% below the Engineer's estimate of $70,000. Sufficient funds to award this amount are available in the current budget under Account No. 23- 5497 -020. The low bidder, Husby Construction, has not performed previous contract work for the City. However, a check with their referents and the State Contractor's License Board has indicated the Husby Construction (1) has success- fully completed other projects as a general contractor for other California agencies, and (2) has no legal action pending against their contractor's license, respectively. This project will provide for the construction of a three -inch gas line from the City -owned oil wells and tank farm to Hoag Hospital. This project will allow for surplus gas to be sold to Hoag Hospital. This project will generate approximately $65,000 of revenue per year for the City. The plans and specifications were prepared by Donald C. Simpson, Consulting Engineer. The estimated date of completion is February 1, 1985. a,;e, �- �• )! Benjamin B. Nolan Public Works Director GW:jd September 23, 1985 BY THE CITY COUNCIL CITY COUNCIL AGENDA CITY OF NEWPORT BEACH ITEM NO. F -16 • SEP 231985 TO: CITY COUNCIL APPROVED FROM: Public Works Department SUBJECT: GAS LINE FROM OIL FIELD TO HDAG HOSPITAL (C -2522) RECOMMENDATIONS: 1. Approve the plans and specifications. 2. Authorize the to be opened at 11:00 A.M. on October 17, 1985. DISCUSSION: This project will provide for the construction of a three- inch gas line from the City -owned oil wells and tank farm to Hoag Hospital. This project will allow for surplus gas to be sold to Hoag Hospital. This project will generate approximately $65,D00 of revenue per year for the City. The estimated cost of the work is $70,000. Sufficient funds to award this amount are available in the current budget, Account No. 23- 5497 -020. The plans and specifications were prepared by Donald C. Simpson, Consulting Engineer. The estimated date of completion is February 1, 1985. Benjamin B. Nolan / Public Works Director GW:jd • Authorized to publish Advertisements of alids including public notices by Decree of the Superior Court of Orange County, California. Number A -6214, dated 29 September, 1961, and A- 24831, dated 11 June, 1963. STATE OF CALIFORNIA County Of Orange P.m ma M m 10 ftil 00m .101h I yd� nl I am a Citizen of the United States and a resident of the County aforesaid; I am over the age of eighteen years, and not a party to or interested in the below entitled matter. I am a principal clerk of the Orange Coast DAILY PILOT, with which is combined the NEWS - PRESS, a newspaper of general circulation, printed and published in the City of Costa Mesa, County of Orange, State of California, and that a Notice of inviting Bids of which copy attached hereto is a true and complete copy, was printed and published in the Costa Mesa, Newport Beach, Huntington Beach, Fountain Valley, Irvine, the South Coast communities and Laguna Beach issues of said newspaper tar 1 time consecutive weeks to wit the issue(s) of September 27 198 5 198_ 198_ 198— 198_ I declare, under penalty of perjury, that the foregoing is true and correct. Executed on September so 198 s at Costa Mesa, California. / Signature /3, 3J 0