Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
ENC2014-00102
Prim Form CITY OF CAMPBELL ENCROACHMENT PERMIT Permit No EN C ()-4)11-f--OO (O2 DEPT.OF PUBLIC WORKS (for working within the public X-Ref.File 70 North First Street right-of-way) Application Date 576 71 Campbell,CA 95008 Issued 3 Application Expiration Date f( C / Ph. (408)866-2150 APN Fx. (408)376-0958 �i I 3 j S Permit Expiration Date APPLICATION-Application is hereby made for a Public Works Permit in accordance with Campbell Municipal Code,Section 11.04. (Application expires in six (6) months if the permit is not issued. Application Fee is non-refundable.) A. Work Address or Tract No.: 1v„ 3 0 J . Cu,n- e_ `` P'v L — W I itS)0 1..•) 7 1/0k,fl,-)661( Utility Trench Location: � B. Nature of Work: '96✓L �N L✓ ( e-, C'‘d CIA)o-t K /n frt. U -'l 1-,C r C. Attach four(4)copies of an engineered plan showing the location and extent of the work,and four(4)copies of the preliminary Engineer's Estimate of work. The plans shall show the relation of the proposed work to existing surface and underground improvements. When approved by the City Engineer,said plan becomes a part of this permit. D. All work shall conform to the City of Campbell Standard Specifications and Details for Public Works Construction;the General Permit Conditions listed on the reverse side;and the Special Provisions for this permit,listed below. Failure to abide.by these conditions and provisions may result in job shutdown and/or forfeiture of Faithful Performance Sureties and cash deposits. (See General Permit Conditions 1 and 2.) E. The Contractor must have this permit and approved plans at the site and must notify the Public Works Department at least two days before starting work. Notice must be given to Public Works at least 24 hours before restarting any work. Name of Applicant: t/' , Telephone: I 14 5-3 S L1 -7 Address: �1 Q Lt ��� W(JJ ll I k• . C Y C e r U C r c\ H C i 117 4-6M E-Mail Address: .4 In s bLt r� VV1 044s a s -() '21-HOUR EMERGENCY PHONE NUMBER: Is this work being done by tree property owners at their own residence? r YES NO The Applicant/Permittee hereby agrees by affixing their signature to this permit to hold the City of Campbell,its officers,agents,and employees free,safe and harmless from any claim or demand for damages resulting from the work covered by this permit. The Applicant/Permittee hereby acknowledges that they have read and understand both the front and back of this permit,and they will inform their contractor(s) of the information. Applicant is advised that upon issuance of this permit, property owner, or property owner's successors, shall be responsible for any all damages arising out the condition of any private improvements in the public right-of-way. Accepted: (Applicant Permittee) (sign) Date 52kA wee_de. Ni3o/1 V\ (Contractor) (Prin me) ate SPECIAL PROVISIONS: 1. Street shall not be open cut for underground installations. Minimum cuts may be allowed for connections or exploration holes. Such cuts may be specifically approved by the Inspector prior to cutting. 2. Pavement may be cut for underground installations and must be restored in accordance with the Standard Details Trench Restoration Method "A",unless otherwise approved by the Engineer. 3. Work to be staked by a licensed Land Surveyor or Civil Engineer and two(2)copies of the cut sheets sent to the Public Works Department before starting work. 4. Per Section 4216 of the Government Code this permit is not valid for excavations until Underground Service Alert(USA)has been notified and the inquiry identification number has been entered hereon. USA Phone: 1-800-227-2600. USA TICKET NO. 5. Prior to any work,the property owner shall execute an Agreement for Private Improvements in the Public Right-of-Way,which shall be recorded. 6. Public Notification Requirements: 7. SEE PUBLIC WORKS FEE SCHEDULE FOR CURRENT FEES AMOUNT RECEIPLNO. PERMIT APPLICATION FEE $ 377 z5 s3 2 I PLAN CHECK DEPOSIT $ SECURITY FOR FAITHFUL PERFORMANCE/LABOR&MATERIALS $ CONSTRUCTION CASH DEPOSIT $ PLAN CHECK&INSPECTION FEE $ 3 7 7 2-53-32 r EMERGENCY PERMIT FEE $ j APPROVED FOR ISSUANCE SIf 1 3 I Hi— For City Engineer Date Permit Expires 12 Months After Date of Issuance GENERAL PERMIT CONDITIONS 1. A Construction Cash Deposit is required. Charges will be made against this deposit if there is an emergency call-out,overtime inspection or when City ordered barricading is required. Any such costs in excess of the deposit will be billed to the Permittee. 2. A one-year maintenance period and surety are required. Such period will begin on date of written acceptance by the City. 3. Refund or the cash deposit balance and refund or cancellation of the Faithful Performance Surety will be initiated by the written acceptance of the work by the City. 4. Submit project schedule 10(ten)days prior to proposed start of work.Special provisions may be required for work within City facilities and downtown Campbell. 5. The Permittee must request in writing a final inspection and acceptance of the work upon completion. Acceptance by the City will be made in writing to the Permittee. 6. Maintain safe pedestrian and vehicular crossings and free access to private driveways,bus stops,fire hydrants,and water valves. 7. A Construction Traffic Control Plan and a Construction Schedule are required for all lane closures,detours,and street closures.This plan must be reviewed and approved prior to any lane closures. 8. A Construction Traffic Control Plan shall conform to the Caltrans Manual of Traffic Controls for Construction and Maintenance Work Zones,dated 1990,available at Caltrans. Traffic control equipment shall include Type II flashing arrow signs if required. 9. Replace as directed by the City Engineer any damaged or removed improvements in accordance with City Standards and Specifications at the sole expense of the Permittee. 10. Sawcut for all PCC or AC removals. All PCC removals shall be to the nearest scoremark and shall be doweled to existing improvements. 11. Prior approval of inspector is required for any work done after normal working hours,on weekends or holidays and may require reimbursement of inspection costs at the current overtime rate. 12. Adequate signing and barricading is required on the job site. Failure to provide such signing and barricading may result in the City's providing signing and barricades and charging the cost(including all labor and materials)against the cash deposit. 13. Compaction testing of subgrade,base rock,and asphalt concrete by Permittee is required unless otherwise stated by the City Engineer. 14. The Contractor or Permittee will have a supervisory representative available for contact on the project at all times during construction. Contractor or Permittee shall provide a phone number at which they can be contacted outside the hours of 8:00 a.m.to 4:00 p.m. 15. No storage of materials or equipment will be allowed near the edge of pavement,the traveled way,or within the shoulderline which would create a hazardous condition to the public. 16. This permit shall not be construed as authorization for excavation and grading on private property adjacent to the work or any other work for which a separate permit may be required,nor does it relieve the Permittee of any obligation to obtain any other permit required by law. 17. This permit does not release the Permittee from any liabilities contained in other agreements or contracts with the City and any other public agency. 18. This permit is not transferable. Work must be performed by the Permittee or his designated agent or contractor as specified thereon. 19. Call back(call out)due to emeregencies regarding this permit shall be at the current overtime rate with a three(3)hour minimum charge per occurrence. 20. Pursuant to Chapter 14.02 of the Campbell Municipal Code,applicant shall not cause to be discharged any material into the municipal storm drain system other than storm water. Applicant shall adhere to the BEST MANAGEMENT PRACTICES established by the Santa Clara Valley Urban Runoff Pollution Prevention Program. 21. If the public interest requires a modification of,or a departure from the plans and specifications,the City shall have the authority to require or approve any modification or departure and to specify the manner in which the same is to be made for City-owned or maintained facilities. 22. Permimee must provide advance notification to all parties that may be affected by the permit activities. Notification shall be reviewed by the City prior to distribution and include dates of work and a contact name and phone number. Applicant shall be responsible for ensuring that all those providing services under the applicant are aware and understand all of the above conditions. (!,"/ Applicant Date: d52tkA ?),(M4)0..) W ettAt 4-3o -(�{ Contractor (Print NaiWef Date: J:\FORMS\Templates\Encroachment Permits\Encroachment Permit STATIC form2.pdf Rev.02/14 PUBLIC WORKS DEPARTMENT UTILITY ENCROACHMENT,TRAFFIC & MISCELLANEOUS RECEIPT Effective July 1, 2013 TO: City Clerk �►C `�a I - OCI 62 PUBLIC WORKS FILE NO. PROPERTY ADDRESS Please collect & receipt for the following moniesr AMOt]NT { ITEM s , -ACCT.' � h- bS � �" z � �' <,st�'h�Kr� ��.��c 3s ENCROACHMENT PERMIT., �. s:. _ 7'7 4722 Utility Encroachment Permit Application Fee $377.00 R-1 Encroachment Permit N/C Emergency Permits $107.00 Plan Check& Inspection Fee 3 �7 Minimum Charge Per Location $377.00 Conduits/Pipelines up to 500 Feet $2.50/ft Above 500 Linear Feet $1.55/ft • ManholesNaults/Etc. $165.00/ea Pole Set/Removal $165.00/ea 4760 Storage Container Permit $153.00 4760 Project Plans&Specifications Project No 4760 Standard Specifications & Details $1/Pg $15 50/Bk 4760 Engineering Maps&Plans Aerial Plot 24"x 36" $60.00 Aerial Print 8 1/2"x 11" $28.00 Map Research(includes max of two 24"x36"copies) $28.00 Maps and Plans 24"x 36" $14.00 4722 Penalties: Failure to restore public improvements $100/Calendar Day(Muni Code Sec.11.34.010) 4722 Penalties: Failure to correct unsafe conditions $100/Calendar Day 4 Times A hcQp able Fee 4722 Work Without Permits � �,�� � ,�,��� � '� ����� � � 4728 Traffic Flow Map (Daily Traffic Volumes $35.00 4728 Signal Timing Information 73 4271 Truck o PPermits $1 each or$25/100$16.00 per trip rr .< ,., k x F " 4728 No Parking Signs k , ,X, y .. _.roe ���', � � ��'�. „<,�.����,�,l , ,u n _ n 511.7424 Postage Other(Please Specify) 7 �'Tl TOTAL NAME OF APPLICANT ICU l .Ile GinSbc r a r� 2�/� 7� PHONE I �C� - J•.�V �(D32 NAME OF PAYOR �j rn(� j U� (fl( . (l ADDRESS L'"t Uy a ry a St . �Ykl_LILr��L I Tide / (ft ZIP 9q/0. - FOR gip, �1� r _ RECEIVED BY x rev # mi �� r "�y z4 ; a � 00 ,,> CITY CLERK • ' ONLY Date Recef t#ti � �a MAY 06 2014 CITY OF CAMwibr u.F at � / / / / / / / / j // / Sprint •GPSPOANTEE NMFRIM /r././ all" -- • T T •CPBINOETE(PHASEM)NNBS-BBU • O. NOTES................. , s I. ILL ELECTRICAL EQUIPMENT AND CONTROLLING DEVICES SHALL BE BLACK&VEATCH NAMEPLATES, ITN LAMA COLD •BATTEERYPO NET M ORCURST OR ADON AND A CIRCUITS ORIGINATION AND ALL ... ...-.. • EQUIPMENT TERMINATIONS VI. . 2. CONTRACTOR SHALL SUPPLY �� B M.CONDUITS D CIRCUIT 0 • • CONDUCTORS.AS REQUIRED FORA Lccn Q Ii COMPLETED SYSTEM AND SHALL BE IN COMPWNCE W.MANUFACTURER X PAcnc rzI[caK Mm as uc � SPECIFICATIONS. Ix xazaxA zTRm zro nooN • auI ra.xc zco a coos 0 J. FOR TYPICAL TRENCH DETAIL SEE SHEET 1-3,DETAIL 2. PROJECTINFCRMATION 040 PROPOSED SPRINT(250/I9001612)was .. I u NETWORK VISION MMBTS LAUNCH MONIED AT PROPOSED H—FRAME(2 PEN SECTOR, TOTAL) T" KIRKWOOD SHOPPING CENTER II ,. FSO4XC156/877190 1630 W.CAMPBELL AVE CAMPBELL.CA 95008 SANTA CLARA COUNTY SPRINTl- .......... nory x6Ns PROPOSED AIM.-OU POWER CONDUIT FROM REVISIONS PROPOSED MMBS-BBU CABINET TO PROPOSED MVIll (RID)FIBER CABINET(APPRO%15'-0.) " �, ONE ��I I OQ 3 01/1{/I3 ROASED FOR 100X ZONING SS PROPOSED SPRINT M FIBER (OW ♦ 01/24/1) REMSED;OR IOOI 20NING CBK MMW.W SC CONNECTORS E Ca1NEmORs R PROPOSED I. CONDUIT FROM PROPOSED MV(BID)FIBER CABINET TO PROPOSED MYBS-BBU CABINET(MPROX 15'-01 - LL PROPOSED 03/15/13 REVISED FOR BOX CDS Rill a G O♦/0♦/13 ISSUED FOR 100X CONSTRUCTION CRY/ X 01/30/13 ISSUED FOR.SED 100X CONAMEnom RLD J I I 6 10/02/13 ISSUED FOR REVISED 100Z[ONSIXUCIpN U3 9 10/16/13..FOR REVISED IRO%CONSTRUCINN AM J rvm FaR mNSr6ucnory urvLLss _ ! /0 PROPOSED 200AYP PAL CABINET LABELED AS corvsT6ucnoN SET • • . O fLIOMURE REM AND TRENCH FOR♦ CORDOT.f f fp 0 4 I . F5rR U0RE IX NEEDED. CONDUIT.I NEW CONDUIT IS fEOED.BORE \ f / -- EXISTING TELCO CABINET APPRO%.200 FROM YEEi Pair TO�¢ �.. � Mroc RaoMmrousrTc PRo%toa•ROY ... J .. / PROPOSED HILR SUPPORT 1-1-FRAME J 4 PROPOSED SPRINT PENH MOUNTED TO / PROPOSED H.SUPPORT BARS J ATTACHED TO COSTING CONCRETE PAD \ -'4 PROPOSED LC FIBER COMXNT FROM PEXISIINGROPOSED lELCO CABINET TO PROPOSED FTP ENCLOSURE PROPOSED SPRINT)CONDUIT FROM PROPOSED MV(NM)FIBER CARNET TO — PROPOSED PULL BOX _ PROPOSED 1/2-CONDUIT W.(1) 9�FTmE e AWG GROUND WIRf WADE FROM PROPOSEDPULL BOX AWAITED tIE TELCO CARNET i0 THE NID PROPOSED HILO.PPORT FIBER PLAN BARS ON EXISTING CONCRETE P. - .. 9BET NUMBER: REVISION TRUE NORTH 2Pa36'SCALE:3/♦•_1-0• FIBER PLAN I 1 -� 9 11.07-SCALE 3/B'-Y-0 I . DIE INFORMATION CONTAINED IN THIS SET OF commun.DOCUMENTS IS PROPRIETARY BY NATURE. ANY U..DISCLOSURE Oh.THAN THAT WHICH RELATES TO CARRIER SERVICES IS STnICTLY PROHIBITED. Sprint> TYPICAL AAV (NID) POWER SOURCE INSTALLATION Ai'- -`s FOR INDOOR AAV (No) Efaigarp X / PROPOSED IAMBS-BBL S ALTERNATE POWER CABINET I SOURCE INSTALLATION — - I I FROM E%ISRNG ``S I a� =__ I AI 1 '' DE11MC POWER A I I REFER TO SHEET F-3 ��..� . 1 DSTPoBLRION 1 FOR MOUMING DETNL$ : IE■ IIEE'It 1 I NEW CIE. D _ r �` PROPOSED 120V,200 I 1 BLACK op y T({J X` . oeo ; SA-48VDC BREAKER BREWER L Jb EXISTING TELCO BLACK(JZ VL+�1 L�11 CONDUCTORS CHAMBER f (I)I12 AWG EQUIPMENT Ir --_- ,) r 1 GROUNDING CONDUCTOR IN II NEW UM 11 r� 0 , 3/4'CONDUIT II II 1 8 O IL JI ... ,...,....... 3•-D•IRA% 5-'"--r= '7' I'LLTUTO 'srlcan"''.8 146% 8 I PROPOSED 120V,20A (moon 510E) I O NE.IS-20R TWIST 1 RR Fv�ixnxR,Rums x2 R� yy LOCI(RECEPTACLE © I °xij}p�Rl$iiR,-'..iR:13#;•`S i 'O' I I PROPOSED FTP 8,,,,,,,,,o,,,,; �..-.r-9 . A WITHIN O6W SR I'ROJER INFDIlAMT10N ��^.4"'�' ENCLOSURE I Q I NETWORK Vl510N MMBTS LAUNCH EMUDROOM 3 `, ICI A "O CONVERTOR KIRKWOOD SHOPPING CENTER II E ] CONN£RTOR PROPOSED 1'MIN FIBER ' E 3 PROPOSED LC CONNECTORS TORS TO 18VDC NIPPLE FROM iTP FSO4XC156/877190 f 3 (OM2 MMFy LC CONNECTORS (_ , JUNCTION BO%PROPOSED `35" ""'`•' (ii WITH ORANGE JACKETED(0112 I I . TYPE)JUMPERS I PROPOSED VW.. 1630 W.CAMPBELL AVE P UNCTION BO%(TYP) W I I (2)/1z ARC CIRCUIT 1•CONDUIT-23 J I I CAMPBELL,CA 95008 —4BVDC SOW CONDUCTORS PROPOSED 15A DC I UPS SYSTEM I (1)/12 AWG EQUIPMENT BREAKER DISCONNECT L _ 7 SANTA CLARA COUNTY GROUNDING CONDUCTOR IN ENCLOSURE -- I I (WIRE TYPE RHH/RHO) PROPOSED MULRMODE F. Wrtlus I I I J SCEWNNELTORB)IN ITH 1A L——J PROPOSED.CONDUIT I I REVISIONS PROPOSED CIRCUIT CONDUCTORS IN 1 `��- �i ` CASE / 3 01/14/13 REVISED FOR 100%ZONING SS CONDUIT FROM CND(TOR WIRE 1YPE 4 01/24/13 REVISER FOR 100%ZONING 080 RHH/RHW AND CE,FOR WI SIZING GRADE GRADE TABLE,1H15 PAGE,FOR WIRE AND `I CONDUIT SIZES) 5 03/15/13 REVISED FOR BOX CDS RLD POWER SOURCE FROM MMBS l PROPOSED MULTIMODE(ONO MM.WITH I 8 04/04/ll ISSUED FOR IGOX CON4RUCITON CRw SC CONNECTORS IN PROPOSED I- CONDUIT WITI1 PULL ROPE OR %CELL Z 04/30/13 5Rm REV®FOR IOV1[WNSIRLC110N RLD FROM E W FROM EXISTING TELCO CHAMBER TO PROPOSED NEM4 3R ENCLOSURE II AM / 8 o®i 1551X0 FOR.BED 10 DX OONSTEX110N LB l 1 //g AC SE 1( j B 10/I8/1J ISSUED FOR REVISED IOOX COXSIROCRDIR PROPOSED MULTIMODE FIBER(OM2 ``SEE SHEET F-1 FOR EXISTING ROT FOR CONSTRUCTION UNLESS IN PROPOSED 1•CONDUIT. BURIED CONDUIT REQUIREMENTS LABELED AS CONSTRUCTION SET AND CONTINUATION.PULL ROPE OR MAXCELL FROM EXISTING LKFP5URE FIBER RING SHALL BF REWIRED. PROPOSED MULTIMODE FIBER l CASE 2 (0112 MME)WITH SC CONNECTORS PROPOSED BURIED♦'CONDUIT REQUIREMENTS AND CONTINUATION.PULL ROPE OR MAXCELL FROM EXISTING FIBER RING SHALL BE REQUIRED.PROPOSED MULTIMODE FIBER(OM2 MME)WITH SC CONNECTORS NOTES 1. CONTRACTOR SHALL FOLLOW ALL LOCAL MUNICIPAL CODES FOR CONDUIT SPECIFICATION AND INSTALLATION. WIRE TYPE RHH/RHW AND CONDUCTOR SIZING TABLE(4BVDC 0 96W/2.0 AMPS) 2. ALL UNISTRUT ENDS SHALL BE COLD-GALONIZED AND CAPPED. DISTANCE(FT) 0•-LBO• 180,280, 280,-4W 480•-720• 3. ALL INTERIOR CONDUITS SHALL 8E EMT. SHEET TIRE CIRCUIT CONDUCTOR SIZE (2)/12 AWG (2)/10 AWG (2)#8 AWG (2)#8 AWG 4. ALL ABOVE GROUND CONDUIT SHALL BE RIGID. 5. CASE I-FIBER PATH TO BE USED IF EXISTING CONDUIT FROM'MEET-ME POINT-TO EXISTING TELCO CABINET EXIST. CND CONDUCTOR SIZE (1)/12 ARC (1)/12 AWG (I)/12 AWG (I)#10 AWG FIBER ONE-LINE DIAGRAM 6. CASE 2-AMER PATH TO BE USED IF EXISTING CONDUIT FROM'MEET-ME POINT-TO EXISTING TELCO CNLNET IS NOT AVAILABLE OR IF EXISTING CONDUIT DOES NOT HAVE ENOUGH CAPACITY FOR PROPOSED FIBER RUN. CONDUIT SIZE 0. 1' 1' 1' WEFT NUMBER. REVISION FIBER ONE 1.LINE DIAGRAMI F-2 9 THE INFORMATION COMNHFD IN THIS BET OF CONSTRUCTION DOCUMENTS IS PROPRIETARY BY NATURE. ANY USE OR DISCLOSURE OTHER T.M WH AT ICH RELATES TO CARRIER SERVICES IS STRICTLY PROHIBITED. IT sca i N°oi'r°D srwiF_ • • Sprint> 5' AISOM TYP RIO 6'46'x3/6' MOUNTING PLATE l• 1-O r MAX µp ]'O.D.PIPE(I 1/2'STD PIPE) 3 PATE CAP ®a F (TYP OF ALL) /{� PLASTIC UNF RUTALL END BLACK&VEATCH GP(TYP OF AL) __________ 'rte 1 5/e'CAL;/.STEEL VV�� 3/16- PROPOSED MV(NIO) , r- _l� /-14C. ORo�R ///%I.♦ INSTALLED BY OTHERS 1.. 1 42), .[Le r ♦♦♦ 1 5/e-GALVANIZED I l NEW CIENA B -r- STEEL ♦♦� PPESTRUT TO I APR.251B5 I "' In U-BATS,WASHERS,& I •<M' NUTS 0 EACH POST L ____ J PROPOSED RIP WITHIN y�T� NEYA SR CABINET.HEMS / 3/B-DM HILT HOR BOLT] (TYP OF ALL) 'rya---- -I Z CABINET MWMED I'ATION:'ossc,w aslm E%PANSpN ANCHORS WITH II �+ ♦ TO PROPOSED H-FRAME— PROJECT INFgLMATION IAi ♦♦ / C'MINIMUM EMBEDMENT IN II NEW ONE II ♦1♦."/ CONCRETE(TYP OF 4) GROUND PORT 1 I II II �1 -<MI �- NETWORK VISION MMBTS LAUNCH TTT lyl.` PROPOSED''/.'DR 2- KIRKWOOD SHOPPING CENTER II METAL STRAIGHT NON-METAIC I �Y SEAL PGHT CONNECTOR(TYP) I Ill ��OSED MA NEj ry (16'418'48') <P PROPOSED ROP SEDIAX6(11P, „g FSO4XC156/877190 PROPOSED/e A. 1630 W.CAMPBELL AVE GROUND FOR AT&T,IN 1 "' 1 <� 3/1'NON—METALLIC FIE( ' 12 CAMPBELL,CA 95008 1 4 0 •k� SANTA CLARA COUNTY H-FRAME BASE PLATEI 3 FIXED(TYP) 7 PROPOSED 1-MIN FIBER 21"436'NOSE;NOT TO SCALE NIPPLE FROM FTP 11'41)'$AI.F;NOT TO SCALE PROPOSED Of GROUND ENCLOSURE TO PROPOSED BAR WITH PAR OF INSULATORS JUNCTION BOX 3'O.D.PIPE REVISIONS P/N INS38—K OR EQUIVALENT. / REV. DATE CESCWPEON )2.2 PROVIDE Y2 MG TO EXISTING GROUND.(SEE NOTE 2) / EXISTING J 01/11/1) TENSED FOR 1000 ZONING SB 3/B'OIA HILT PAX BOLT 3 CONCRETE SLAB 1 01/21/13 REVISED FOR 1000 ZONING CBK •EXPANSION ANCHORS WITH AGGREGATE 2'MINIMUM!EMBEDMENT IN SURFACING 5 03/15/13 REVISED FOR SOX COS RID CONCRETE(TYP) CONDUIT SPACING SCHEDULE / GRADE 8 01/01/13 ISSUED FOR 1005 CONSTRUCTION CRW dl MINIMUM CONDUrr CONDUIT/2 NOTES Do • - < > 01/]0/1)BNEO FOR TENSED 1W0 CDHSIRIMTDN RID CONDUIT SEPARATION 1.DETAIL.OWN IS FOR ONE CONDUIT. MULTIPLE V CONDUIT CAN BE PUCE!)IN THE SAME TRENCH AS \'/ 1'VI\VI� �Il�il�iN4 /.,) B 10/08/13 ISSUED FOR ROPED 1W0 CONSTRUCIKKI lB POWER •=6 INCHES POWER LONG AS A MINIMUM SEPARAPON PER THE LOCAL %\ \/ ,\ ,y/\//���/ ��/V/V/?�\�%\���/ g 10/16/13 1591E0 FOR Rt\Lff0 1000 fAN51RUCfOH AM UTILITY COMPANIES IS MAINTAINED. IN ALL CASES THE TELCO, MINIMUM CENTER TO CENTER SPACING BETWEEN 1 + NOT FORED CONSTRUCTIONCONSTRUCTION POWER •=12 INCHES COMMUNICATIONS& CONDUITS IS i'-0'(NOT REQUIRED FOR COAX). \ r LABELED AS CONSTRUCT. UNLESS SET CONTROL CIRCUITS TELCO, TELCO, 2.CONTRACTOR SHALL RESTORE ME TRENCH TO ITS COMMUNICATIONS& •=6 INCHES COMMUNICATIONS& O.CINAL CONDITIONS BY EITHER SEEDING OR SODDING + IY CONTROL CIRCUITS CONTROL CIRCUITS GRASS ARLAS,OR REPLACING ASPHALT OR CONCRETE AREAS TO ITS ORIGINAL CROSS SECTION. ...ID—.5,,,,.s, EE NOTE 1 3.DEPTH PER LOCAL UTILITY OR CROWN CASTLE EXISTING GROUND SEE NOTE 2 STANDARDS;WHICHEVER REQUIREMENT IS DEEPER. \\\\\\999 -- RING H-FRAME MOUNT • 'ONE CALL' SERVICERUOO SHALLPRIOR BE TO EMAVATION ,. • Y SLOPE TO SUIT SOIL W, &4� CONDITION IN ACCORDANCE NOTES �qL 3 • WITH LOCAL REGUUTNNNs gA-"•0 4 A � &ACNFILL I. REFER TO SHEET F-2 FOR CONDUIT ROUTING DETAIL. IF S 3 h 2. WIN UR TO SUPPLY GROUND TO NEAREST ACCESSIBLE MASTER GROUND OR SSS `��•_ •• V, U11LDY WINNING TAPE AWN GROUNDING SYSTEM. SI IEET TT ME •A'y'e SAND REDOING POWER,TFLCO.FIBER FIBER INSTALLATION DETAILS e'MIN OR COAX CONDUIT(TM) ALDES SEE cNDw>; SHEET'NUMBER: RIV61gN ABOVE) TYPICAL TRENCHI 2 AAV (AID) ENCLOSURE INSTALLATION_ F-3 9 24.436.SCALE NOT TO SCALE 8. E srm,NOT TO SON SCREE O T.N.F'NOT TO SON i THE INFORMATION CONTAINED IN MIS SET OF CONSTRUCRON DOCUMENTS IS PROPRIETARY BY NANRE. ANY USE OR DISCLOSURE OTHER TEM TINT WHICH RELATES TO CARRIER SERVICES Is STRICTLY PROHIBITED. 1 .1Z PROPOSED 200A Sprint)' METER/DISCONNECT SWITCH 2 TO IXI$TING UTLITT • �gERCOE PROPOSED 200AGENERATOR POWER SOURCEdalMIIP O M / PROPOSED 2IXOA SPRINT PPE l I I CABINET WITH 24-CIRCUIT l PANEL W/ SAME N 10100A(--) A TOPOSE CIRCUIT G CABINET 12I i EXISTING SERVICE BLACK&VEATCH GROUND 2WA� 20DA1 • PROPOSED PROPOSED MMES-BBU MMBS-LIATTERY CABINET CABINET CIRCUIT SCHEDULE o 0 NO FROM TO CONFIGURATIONIZ�d.`T,m` FOR EXISTING LOADS o O __ Ww HIM it ry 4 m OSOURCE METER CENTER PER UTILITY - o p10OA. TRANSFORMER (2)3/0 ANC 0 /„--,N r PKO)ECTINfORAMIIOtk OMETER/OSL SWITCH 4 LOAD (1)1/0 A J CENTER x's��NAND o o'yT NETWORK VISION MMBTS LAUNCH GENERATOR (1) /D, 1 _I_ KIRKWOOD SHOPPING CENTER iI O -LOAD CENTFACN W GENERATOR (1)1/O AWG o O 1)/6 CARD • 0 0 0 CENTER L� MMBS BBR CBNEL 1(2)02GTO IN �, Q S FSO4XC156/877190 O TRAFISPET•LDAD PROPOSED (Z)/12 AWG. �1 7----N 1630 W.CAMPBELL AVE CENTER MI BATTFAY (2)i2 CND IN o--O CABINET3/4'CONDUIT �\ �\ CAMPBELL,CA 95008 o 0—B /\ /1 SANTA CLARA COUNTY • o--0 0 • o--o 0 REVISIONS R0. 00 DESCRIPP0N Kim. 3 01/14/13 REVISED FOR TOTS ZONING S5 ELECTRICAL NOTES ELECTRICAL NOTES (CONTT) 4 01/24/13 RENSEO FOR 1005 ZONING CBK 1. ALL ELECTRICAL WORK SHALL BE DONE IN ACCORDANCE WITH CURRENT NATIONAL ELECTRICAL CODES AND ALL LOCAL AND STATE COOS.LAWS,AND ORDINANCES. 18 E SHALL BE TYPE TH.,SOLID.ANNEALED COPPER UP TO SIZE/10 AWG(#8 AND LARGER SHALL BE CONCENTRIC STRANDED)75 DEGREE C,(167 5 03/15/13 RENSEU FOR 90X CDS RLD PROTDE ALL COMPONENTS AND WIRING NOES AS REQUIRED TONEC STANDARDS. DEGREES F),9BS CONOlO1Mtt,MINIMUM/12. 2. CONTRACTOR SHALL COORDINATE WITH LOCAL POWER COMPANY FOR REQUIREMENTS OF POWER SERVICE UNE TO THE METER BASE POWER SERVICE REQUIREMENT 19 PARES SHALL BE TAGGED AT ALL PULL BOXES,J-BOXES,EQUIPMENT BOXES AND CABINETS WITH APPROVED PLASTIC TAW.T1041.T1041CRAFT,BRADY,OR 8 04/04/13 ISSUED FCC 1005 C.STRUCTIO4 CLLR IS COMMERCIAL AC NOMINAL 120/208 VOLT OR 120/240 VOLT,SINGLE PRASE WITH 200 AMP RATING. - APPROVED EQUAL. 3. CONT.CTOR 7 04/30/13 ISSUED FGR RM.10ON 00NATRUCIIR RID SHALL COORDINATE WITH LOCAL TELEPHONE COMPANY FOR REQUIREMENTS OF T1'SERVICE UNE TO TERMINATE AT THE PPC CABINET. 2D ALL NEW MATERIAL SHALL HAVE A U.L LABEL. 4 CONTRACTOR SHALL FU ,AND INSTALL ELECTRIC METER BASE AND 200A DISCONNECT SWITCH PER SITE 0 31CONDUIT 01 AND DETAIL DRAWINGS.THE METER BASE SHOULD R BE COORDINATED WITH 1HE MECHAFNCK EQUIPMENT TO AVOID LOCATION TO CONFUCTS.VERIFY WIRY MECHANICAL CONTRACTOR AND CB 10/O9/1J ISSUED FOR RLNSHI LOOS CONSTRUCTION LB LOCATED S MANNER WHERE ACCESSIBLE BY THE LOCAL POWER COMPANY. COMPLY AS REQUIRED. 5. LOCAL POWER 9 10/18/13 ISSUED FOR REVISED 1001 CONSTRUCTOL AM COMPANY SHALL PROVIDE 200 AMP ELECTRIC METER.CONTRACTOR SHALL COO....INSTALLATION OF METER WITH LOCH.POWER COMPANY. 22.ALL PANEL ONFCTORIFS SHALL BE I PLWRITTEN NOT HAD WRITTEN. 8 UNDERGROUND POWER AND TELCO SERVICE CANES SHALL BE ROUTED IN A COMM.CONM TRENCH.Al CONDUIT AND UNDERGROUND CON SHALL BE PVC SCHEDULE O CONSTRUCTOR UNLESS SED ABOVE GROUND SHALL BE ROAD ALVNIIZEO STEEL UNLESS OTHERWISE ACATED. 23.INSTALL AN EQUIPMENT GROUNDINGCONDUCTOR IN ALL CONDORS PER THE SPECIFICATIONS AND NEC.THE EQUIPMENT GROUNDING CONDUCTORS SHALLBE LABELED AS CONSTRUCTION SET CONDUIT EXPO BONDED AT ALL JUNCTION BOXES.PULL BOXES,AND A.DISCONNECT SWITCHES,STARTERS,AND EQUIPMENT CABINETS. 2. ALL TELCO CONDUIT USES SHALL BE 4'SCH.40 PVC CONDUIT UNLESS OTHERWISE INDICATED.THE TELCO CONDUIT FROM THE PPC SR.BE ROUTED AND 24.THE CONTRACTOML R SHALL NY AND PREPARE AS-BUILT DRAWINGS,DOCUMENT AD ALL WIRING AND EQUIPMENT CONDITIONS AND CHANGES WHILE COMPLETING TAPS LORE THD AT DESIGNATED TELCO DEMARCATION OR 2-FEEL OUTSIDE FENCED AREA NEAR UTILITY POLE(IN FENCED AREA).OR END CAP OFF AND PROVIDE CONTRACT. IT AT SUBSTAN COMPLETION. MARKER STAKE PANTED man'ORANGE PATH DESIGNATION FOR TELCO SERVICE. 25.ALL DISCONNECT SWITCHES AND OTHER CONT.WNG DEVICES SHALL BE PROVIDED WITH ENGRAVED PHENOLIC NAMEPLATES INDICATING EQUIPMENT CONTROLIEO, 8. CONDUITS INSTALLED AT PCS EQUIPMENT ENOS PRIOR TO THE EQUIPMENT INSTAUATION SHALL BE STUBBED AND CAPPED AT 8'ABOVE GRADE OR PUTFORM.IF BRANCH CIRCUITS INSTALLED DIN,AND PANEL FIELD LOCATIONS FED FROM(NO EXCEPTIONS.) SERVICE ONES CHIT BE INSTALLED INITIALLY.PROVIDE NYLON PULL CORD IN CONDUITS. 26.ALL ELECTRICAL DEVICES AND INSTKUTIONS OF THE DEVICES SHALL COMPLY WIM(MAN AMERICANS WITH DISABILIT.ACT AS ADOPTED BY THE APPLICABLE 9. THE SPRINT CABINET,INCLUDING ZOO A2AP LOAD PANEL AND TELCO RAVEL,SINLL BE PRONGED BY OWNFA VINO INSTALLED BY THE CONTRACTOR.CONTRACTOR 5 STALE. TO INSTAL BREN(EA(5)NOT FRONDED NT MANUFACNRER.SEE PANEL SCHEDULE 01A MI5 SHEET FOR BREVNER REQUIREMENTS. 10.LOCATION OF ELECTRIC METER AND DISCONNECT SWITCH TO BE CODRDAATED BY ELECTRICAL CONTRACTOR AND FIELD CONSTRUCTION MANGER 27.PROVIDE CORE OVAL.DRILL SLEEVES AP NECES FOR PENETRATIONS OR ATED THROUGH BU LONG.BO NOT PENETRATE SIR MEMBERS WITHOUT CO INTAIN 1THE . FARE DRAIN ERSCOE THEDRWALL OR STRUCCTURE.FILL FORS IN PENETRATDNSSSTALLTI PREVEENOR NTT PASSAGE BE KOE WATED ER,FIRE RATED IRETAND FUHES.ALL MATER.STALL 11./2 WIRE TO BE UTUIE0 IN ELECTRIC SERVICE RUNS EXCEEDING 100'. BE UL APPROVED FOR IS PURPOSE. A M 12.CONTRACTOR`HALL INSPECT THE EXISTING CONDITIONS PRIOR TO SUBM0000 NO,ANY QUESTIONS ARISING DUPING THE BID PERIOD IN REGN SR TO THE 28.ELECTRICAL C00000WBISTICS OF i ALL EQUIPMENT(NEW AND EXISTING)SHALL BE FIELD VERIFIED WITH THE OWNER'SREEPPAEuENTATNE AND EQUIPMENT SUPPUER ONTRACTORS UNCTIONS,THE SCOPE OF WORK,OR ANY OTHER ISSUE RELATED TO THIS PROJECT SHALL BE BROUGHT UP DURING THE MD WITH THE PRIOR TO ROUGH-IN OF CONDUIT 0 WIRE.ALL EQUIPMENT SHALL BE PROPERLY CONNECTED ACCORDING TO THE DATA FURNISHED ON THE PROJECT MANAGER FOR CLARIFICATION.NOT AFTER THE CONTRACT HAS BEEN AWARDED. EQUIPMENT(THE DESGN OF THESE PLANS ARE BASED UPON BEST AVAILABLE INFORMATION AT THE TIME OF DESIGN AND SOME EQUIPMENT CH.UHTFRSTICS MAY 13.LOIHROUCH-IION OF EQUIPMENT,CONDUIT AND DEVICES SHOWN ON THE DRAWINGS ARE APPROXIMATE AND SHALL BE COORDINATED W.FELD CONDITIONS PRIOR TO VARY FROM DESIGN AS SHOWN ON THESE OUWINGS). CA 29.LOCATION OF ALL OUTLET.BOXES.ETC.,AND THE TYPE OF CONNECTION(PLUG OR DIRECT)SHALL BE CONFIRMED WITH THE OWNER'S REPRESENTATIVE PRIOR TO 14.THE CONDUIT RUNS AS SHOWN ON THE PLANS ARE APPROXIMATE.EXACT LOCATION AND POUTING SHALL BE PER EIUSRNG FIELD CONDITIONS. ROUGH-IN. 15.PROVIDE PULL BOXES AND JUNCTION BOXES WHERE SHOWN OR REWIRED BY NEC. 18.ALL CONDUITS SHALL BE MET WITH BENDS MADE IN ACCORCANCE WITH NEC TABLE 346-10.NO RIGHT ANGLE DEVICE OTHER TUN STANDARD CONDUIT ELBOWS SHUT-IMF: WITH 12'MINIMUM INSIDE SWEEPS F.ALL CONDUITS 2'OR LARGER. 19.ALL CONDUIT TERMINATORS SHALL BE PROVIDED WITH PLASTC THROAT INSULATING ABOUNDING BUSHINGS. ELECTRICAL SINGLE-LINE DIAGRAM&NOTES SHLEI NUMMER: REVISOR! ELECTRICAL SINGLE-LINE DIAGRAM E-1 9 11'wle'SN FOOT THE INFORMATION COMNNEO IN THIS SET Of CONSTRUCTION DOCUMENTS IS PROPRIETARY BY MAITRE. ANY USE OR gSCLO5URE OTTER THAN THAT WHICH REUlE5 TO CARRIER SERVICES IS STRINGY PROHIBITED. • EXIS1I00 METER A� AND DISCONNECT ■ ' EATING H-FRAME Sprint' 2 SEAL TOE 9O CONDUIT CONNECTOR P/N:500W . . OR EOUMNEM U-BOLTS(TIP) '. • ., CAL ;PIPE 0 O PROPOSED / PROPOSED EQUIPMENT MMCAB5„BBUBIET SPRINT DISCONNECT O PROPOSED SPRINT METEROA RATED 200 NAP UPGRADE 100 AMP TO W SERARCE UPGRADEO F'--- ---' SEAL ME CONNECTION BLACK&VEATCH SEE THIS SHEET-DETAIL 4 l I 0 I• FINISHED CROON J��fr--� ENE EQUIPTIT.SEAL T(8.-TE 0. .)To � '—" I EQUIPMENT(8'-0'MA%.) O"//\/'��j\ 1 O\ O\\ '\\ O.1 \•\ / D • O L 2'HEAVY WALL COUPLING i •I / \\ L___ ___J = 2'SEAL TITS SOWCHT fN u. u.am CONNECTOR PROJECTINFORMATION NOTES \ \\/ /\\/ LJ /\ 2 SEAL TITE FLEXI0E CONDUR NETWORK VISION MMBTS LAUNCH /� i�/> /A /,V//\ /� EQUIPMENT PLATFORM KI LKWOOD SHOPPING CENTER II 1. CONTRACTOR TO COORDINATE WITH LOCAL TELEPHONE ARO POWER PROVIDERS FOR REQUIREMENTS PRIOR TO INSTALLATION. FSO4XC156/877190 2. EXISTING UNDERGROUND UTILITIES ARE NOT SHOWN. CONDUIT GALVANIZED P AT 1630 W.CAMPBELL AVE CONTRACTOR SHALL HAVE LOCATOR SERNCE LOCATE AND MARK UNDERGROUND UTILITIES PRIOR TO CONSTRUCTION. E.DAMEM LOCATION CAMPBELL,CA 95008 3. CONDUCTOR RESPONSIBLE FOR ALL CONDOR RUN5 FROM UTILITY RUNS FROM SERVICES TO PPG,FROM PPC M SANTA CIARA COUNTY ALL EQUIPMENT INDICATED IN THESE PLANS. POWER METER UPGRADE DETAIL—SEAL TITE POWER CONDUIT CONNECTION TO PROPOSED EQUIPMENT DETAIL 4 EQUIPMENT POWER CONDUIT CONNECTIONS'2 11'et)'5s'i 21.TO 11:m:SCNE:INi 6CAFE 11" OT ESCNE 1i:tii-ME'48T To scar REVISIONS RDA WE DESCRPRON pg., 3 01/14/13 REMSED FOR ICON ZONING 55 A 01/24/13 ZONING REVISED FOR 1008 ZONING 000 L 5 03/15/13 REVISED FOR 906 CDS RID PROPOSED PROPOSED DAD CENTER MMES—BATTERY MAIBS-BBU 8 04/04/13 ISSUED FOR 1008 CONSTRUCTION CRW CABINET CABINET 7 04/30/13 ISSUED FOR REVISED 1008 COISTMICTII OLD • 8 10/09/13 ISA10 FOR REDS.1008 WNSTINCTIOI LB 5 4 3 2 I 0 9 RAND 10/16/13 FOR RPARD008 1 CONSTRUCTION AM TYPE 1 TYPE 2 TYPE 3 TYPE 4 TYPE 5 �� /2 AWG CND TO Mce RUT Pm cgNSTRucnON UNLESS TOTAL LENGTH -U5m("-I 14.8') +55m 0180.4') —05m 0213.3') +BOm(+265.5') --mom(324') OML CIRCUIT LABELED AS CONSTRUCTION SET FROM BRANCH AD CI CENTER FIRE HYBRID POWER CABLE AWC 10,1 PNR AWG 8.1 PAIR AWG 6,1 PAIR AWC 8,1 PNR AWG 4,I PAIR /2 AWG GNU TO MOO (REFER TO E-1) .I CONFIGURATION AWG 12,J PNR AWG 10,J PNR AWG 8,1 PAIR AWG B 1 PAIR AWG 10,2 PAIR AWC 8.3 PNR AWG 8,2 PAIR CABLE DIAMETER 25mm(0.98') 27mm(1.08') 30mm(1.181 30/32,861(1.267 32mm(1.261 BENDING RADIUS 300mr0(11.131') 330mm(12.991 3904881(15.35') 450mm(17.72) 45q,m(17.77) SECTOR I OPTIC CABLE LC/PC-TO-LC/PC.SINGLE MODE SECTOR 2 4 SEE On.3 1 REFER TO HYBRID CABLE SPECS AM65-BRU CABINET (POWER CABLE TERMINAL 2 PAIR POWER AND OPTIC CABLE WRH PE PIPE CONDUIT SECTOR 3 M.SIZE AWG N NO USAGE DC A.RRU POWER CABLE SPEC MG 10,112 tmm CABLING((0181 0 BATTERY MANUFACNRED HYBRID ECABLES (SEE DETAIL 3) NON USE POWER AND OPOC 2 PAIR POWER AND OPTIC I 2 PAIR POWER AND OPTIC 2 PAIR POWER AND OPTIC 2 PAIR POWER AND OPTIC DC POWER ELECTRICAL NOTES CABLE PROTECTION CABLE WITH PE PIPE CABLE WITH PE PIPE I CABLE WITH PE PIPE I CABLE WIN PE PIPE I 1 AC/GROUND 1. MINIMUM CABLE LENGTH BETWEEN THE W AND BATTERY IS 70MM(2.75 in). 2 RRU SECTOR 1 SHEETTR1E 2. MAXIMUM CABLE LENGTH DISTANCE IS 900mm(35.43'10. 3 RRU SECTOR 2 3. ROUTE DC CONDUCTORS IN CONDUITS TO PROPOSED MMES-BBU CABINET 48VDC DC POWER DIAGRAM& POWER DISTRIBUTION PANEL TO AND FROM PROPOSED MMES-BATTERY CABINET. POWER CONDUIT DETAILS 4 RRU SECTOR 3 4. -46 VOC CABLES BETWEEN PROPOSED MM85-BBU CABINET A RRU'S ARE FACTORY ASSEMBLED AND EQUIPPED WITH ONE PRE-TERMINATED END. SHEET NUMBER. REVISIONS 5 BATTERY 5. ALL HELD INSTALLED DC CABLING SHALL BE TYPE RHH/RHW AND SHALL BE ILL THERMOSET INSULATED. HYBRID CABLE TYPE'3 POWER DIAGRAM' E2'r1Y r12(4VA,' l0 RRCN F TO SW E THE INFORMATION CONTAINED IN THIS SET OF CONSTRUCTION DOCUMENTS IS PROPRIETARY BY NATURE. ANY USE OR DISCLOSURE OTHER THAN THAT WHICH RELATES TO CARRIER SERVICES IS STRICTLY PROHIBITED. 11 M7 SCAIF NOT • • 66 BLOCK Sprint GROUNDING BAR NOTES J0- - - -. _ _ I. CONTRACTOR TO INSTALL NEW 66 BLOCK I I • I4„.I III O II EXISTING HOFFMAN BO%AT SRES MAIN TELCO EXISTING II III PUNCH-OUT O MARC. �- Y66 PROPOSED TELAO PPM C TELCO TIN C _ BLOCK GROUND TS CABLE HOLE 2. CONTRACTOR(6)RN SHALL INSTALL RJAMB ENDS ON uYB5BBU All(6)RUNS OF Gibe INTO IAMBS—MU [ % I ��1 NUOROOM. MUDP0011 (SEE NOTE}) _ 3. CONTRACTOR TO INSTALL NEW 66 BLOCK IN (SEE NOTE 2) Aginr 40— ® III.I �) � � = POLY PHASER AND (SEE NOTE 1) POUMING BRACKET EXISTING TELCO BOX NEXT TO EXISTING PPC }p— CABNET. '�I �1� Y• H ��20— 10— 'I ' IT ''� �■ OII El _ — =" BLACK&VEATCH POLYPI-USER CAD CABLE —PROPOSED 2•TELCO CONDUIT WID1(2) —(3)BLACK SHIELDED 24 A.QUI CAT6e IN BRACKET O uOR LINK N CABLE CATS T—SCREEN GABLES.P/N:21614 EXISTING CONDUIT(AS REQUIRED) pOLYPNASER OR APPROVED EOUNAIEM SURGE PROTECTOR AC POWER CABLE -r- TELCO GROUND � RISER' MUDROOM ELECTRICAL 2 4 T.•.36 6F.,F 1;;'v6•S. I NOT 10 SCALE 1-XIT'SCALE:NO!10 •.)•YALE'NOT 10 SCALE :1,Fxuak u»:m aseess. IIMANAINA lams AM nu PROTECT INFORMATION sum ASICASAL IA 4•000200 rn+Fl...! inOMM 1•° N[7WORK VISION MMBTSIAUMCF( AN .aw .ea ham r—.m-,a11._w w ram.aov_,y=�«w u NANGtogai+rna •n _ la 2 d • . ,.,,..,, I KIRKWOOD SHOPPING CENTER II • Ai .. NO ••• I. „I •w , • Ip,,,, FSO4XC156/877190 • GA CAMPBELL CA 95008 own•oum —..._.—.-- MAN SA waF SANTA CURS COUNTY SWAIM 'pp LEFT INN RAIL sans ANNA P.m s sc.Aussost SAS monssa son cm No » •...... m SErmCE uGHr RLX REVISIONS x1Hns SST .,..vA O FOR IODX 20MNG 55 •—� 4Y - � DETECTOR J O1/14/1J REN6E —NS •EWx. _Asa masa SAM_ m (aR•o•sls 1oAm0 ta.• oa sr Minn '1U SMOKE RIGHT DIN RAIL O 4 01/24/13 PISSED He 100K 20111. GEN - 14 _ : I a r — r •.. a �1 ! ..... ';i("' �I�i)Oi 1.I•)i.lt�,• •�IU mmmm aaaaaaaga s 03/15/u REVISED FOR 90%COS RID ul WHIM 32u i • T I ' 9 M/a/13 ISSUED f01R 1001E CONSTRUCTION ORW + ' ! 2eV ' SUPPORT PLATE _ 0 D BREAKERS O D FI,f B O T 00/JO/1J 64[0 FOR REVISED IAOX cosmos HOD N•• • F r ! u a A» Nn 28U F DC L1 l2 I U l2 L]L2 FR i w • N i in i i _ _ _ — R i.. II.,-,..- 2•U 1ST G UP O CEIFER. EN.ER 'ECPFI a 10/00/13 ISSUED FOR REVISED IWX CON6TPIICIpK LW • e � SPI• • +� ! - _ _ ...... ... ■ OOP OF OC 1 L2 I E LCTIFlEP 1 L2I CUE ECTIFl LI L2 � • l+ - 22U 2ND GP •. 0 10/16/13 W.FOR REVISES IWX CONSTRUCTON AM - - ! • F. . 2OOSP0s - ! • F+ • N • ! - [ - gg ORE HOT FOR C sTRUCT CONSTRUCTION SST U��I IiiTi::i ..._ .4 • OM .+ • ! _ _ IOU • POWER C EL D M li N UNLESS •• _ _ - - SUPPORT FOR°SOU LAB .. • .. . ,. . .. A ,��'Fi,::�•.,Iyu:f:INI(ii�tiip(„fI tau i us NIA w 'III RII191 a if,lIPAI 14. t 3RD GROUP OF DC IJCFN5URF.' R ». SPEW IOU MOMS 1800•B23x7OOMM w.•. •.um .w. _.. SAIH:.11IW:1..r.:ii:Nr.m:n BO / MONITOR 1800.823009 MA SW..R ...L Mi rsE' ......,F.. N ..•eKRe Roll W+- -,.,...,_ - ------ -... _ _ Ii�11rHHiii��Ns I;I��l_ 2U b59tlLlill CAR SKI HEIGHT ' .I�g� AU WO-EMU MANAMA 4N I • • ism II ON II • AINFINAMPAsBOOR WRH 2%FAN Sp FII TER ....pg. • H f i ! i F. i r • M . . ....i - - I AO i if i 1. • ! - _., • LAM N ! IA FR•r ..NA ! M 4 • NAISMIMIPTACIa AA F. R! ..R I 1 f�.. BM • a• VI - -_.._...............— ! Si IEEE TIRE I - I ATeN F! _ _ -..._..—_..____....._�....__.._'!�_ _......_._.__...,....__. • y—_ _ _ 4 POWER B TELC0 DETAILS _ - MA CO ill Cm • mac w —n an �...... SHLE)NUMBER: REVISION..R...Fwm __....WAN• AAA ... NOTE. MMBS-88U ELECTRICALI E_J 9 IXISONO CIRCUITS SHALL BE R LOGTEOGTOO PROPOSED LOCO NEW SINGLE PHASE 200A PANEL SCHEDULE' i CENTER UPON COMPLETION W MI - 3 II'el T'6rNF NOT TOO YME DIE INFORMATION CONTAINED IN THIS SET OF CONSTRUCT.DOCUMENTS IS PROPRIETARY BY NATURE. AMY USE OR DISCLOSUPE OTHER Tn..THAT WHICH RELATES 10 CARRIER SERVICES 6 STRICTLY PROHIBITED. ANTENNA SECTOR I ANTENNA SECTOR 2 ANTENNA SECTOR 3 Spri nth► BOO/1900 000/1900 600/1900 MHz MHz SPRINT SPRINT MHz SPR ANTENNA ANTENNA ANTENNA alai!' 1. F- I1 I , i I BLACK&VEATCH C, , I p IpT i F< i i I , iI i i V V I-75657.-EBB W I -- -- __� rfkliT_�G -- ry� -- 1 W o.w..Im T QQ Is_LGB�__ _—J PROJECT INFORMATION 51�r ,2 5 Imo I I i I NETWORK VISION MASTS IAIINCJi a KIRKWOOD SHOPPING CENTER II °�/FIBER ; /FIBER FSO4XCl56/877190 EXISTING GROUND PATH _ xI 1630 W.CAMPBELL AVE EGEND CAMPBELL,CA 95008 SANTA CLARA COUNTY • CADWELD CONNECTION = MECHANICAL CONNECTION e COMPRESSION CONNECTION REVISIONS CGB COLLECTOR GROUND B Art ASCF>nax NM. NCB EXTERNAL GROUND BAR 3 01/14/13 REVISED FOR LOOS ZONING A I 4 01/24/13 REVISED FOR TOOX ZOMNG CMK 5 03/15/1) TENSED FOR BOX COS RLO GROUNDING NOTES a 04/04/13 ISSUED FOR 100X CONSTRUCTION CRW 7 04/30/13 ISSUED FOR REVISED IOU CONSTR.. RID iI 1. CONNECTIONS AU_GROUNDING CONNECTIONS SHALL BE MACE BY THE CADWELD PROCESS 0 10/09/13 ISSUED FOR REVISED IRAN CONSIRLW'IDI LBCONNECTIONS SHALL INCLUDE ALL CABLE TO CABLE,SAUCES.ETC.ALL PROPOSED CPS EXISTING DEI EXISTING EXISTING CABLE TO GROUND RODS.GROUND RODS SPLICES AND UGHTINC PROTECTION 10/16 ANTENNA MOUNT TO CABINET CABINET CABINET SYSTEM AS INDICATED.GROUND FOUNDATION ONLY AS INDICATED BY PM. 9 /1J Ks=FOR RINSED 100X CONSTRUCTION AM PROPOSES MMES-BBU MATERIALS USED(MOLDS,WELDING.METAL,TOOLS.ETC.)SHALL BE NOT FOR CONSTRUCTOR UNLESS CABINET11 u CADWELD PROCESS MID INSTALLED PER MANUFACTURERS RECOMMENDATIONS UBENFO AS CONSTRUCTION SET �I AND PROCEDURES.GROUND CONDUCTOR SHALL HAVE A MINIMUM 24' PROPOSED BENDING RADIUS. LJCFT SURE 8MMBS-BBU 2. ALL CADWELD CONNECTIONS ON GALVANIZED SURFACES SHALL BE CLEANED -- �2 AWG CABINET THOROUGHLY AID COLORED TO MATCH SURFACE WITH(2)TWO COATS OF GALMTE(min)PANT.OR SILVERBRITE(ALUMINUM). I I3. AU_ELECTRICAL h MECHANICAL GROUND CONNECTIONS SHAT.HAVE ANTIOXIDANT COMPOUND APPLIED TO CONNECTION. 02 AWG GROUNDING I WADS CND BAR I 4. GROUND TESTS: GROUND TESTS SHALL BE PERFORMED AS REQUIRED BY SPRINT STANDARD JUMPER 92 MG MCBF I ICGf I PROCEDURES.GROUND GRID RESISTANCE SHALL NOT EXCEED S-OHMS. 5. CONTRACTOR SHALL SUBMIT THE GROUND RESISTANCE TEST REPORT AS FOLLOWS: I.ONE(I)COPY TO OWNER REPRESENTATIVE 1 1 1„1 2.ONE(1)COPY TO ENGINEER 111111 3.ONE(1)COPY TO KEEP INSIDE EQUIPMENT ENCLOSURE I IIIIII 6. ALL RADIO EQUIPMENT AND UTILITY CABINETS GROUNDS LEADS TO BE/2 PROPOSED ANC STRANDED GREEN JACKETED FROM BUSS TERMINAL. MMBS-BATTERY 92 AWG CABINET T. FOR ADDBIONAL GROUNDING NOTES SEE SHEET GN-1 OR CN-2. B. ALL ANTENNA MOUNT GROUNDS SHALL BE 92 AWG STRANDED GREEN SHEET TITLE JACKETED CABLE GROUNDS SHALL BE BUCK FROM MFR. 9. ALL GROUND WIRES FROM GROUND BARS TO GROUND SHALL BE 92 AWN GROUNDING ANTENNA ONE-LINE /2 ANC SOLID BARE AS REQUIRED. I 10. P JACKETED. WI ABOVE GROUND WIRES SHALL BE GREEN ALL GROUND RES PENETRATING INTO GROUND AND BELOW SHALL BE SOLID BARE. SHUT NUMBER: REVNON 1 EXISTING GROUND TO GROUND RING GROUNDING ANTENNA ONE-LINNEEI C-i 9' THE INFORMATION CONTANED IN THIS SET OF CONSTRUCTION DOCUMENTS IS PROPRIETAR]BY NANRE. ANY USE OR DISCLOSURE OTHER THAN THAT WHICH REUTES TO CARRIER SERVICES IS STRICTLY PROHIBITED. 11.I]BCNF NOT ro • G60UNOING NFYFO COTES Qt EINS.G MNTEN.GROUND BUS BNR(FIELD VERIFY) o1A ,0000 /G,NNEN.GRWNDBS Sprint' O SIEE WN GROUND IR011 RRU TO GROUNDING SYSTEM.(TYP OF 9) I ©TO C.....n O(BUS.A,;.-OF ICHL POLL C°""UNG 11 PROPOSED 0 JUUST PaGE000N11MUUiNc TO CRMA0un0R ALLAN[.Ws BON LO BASE oc AlgariP SECTOR A ©0401990 GROUND DONE awD.sce ocwL z/GN-i r0 nE I010 AZIMUTH 0° ®♦))SITE[GROUND BUS Bµ.SEE DETAIL f/J_ -- -_ - _ T z)�z Awc cxouNO FROM BArrERr cAaNEr To TIE INTO• _ Q CAD WELD(TIP).SEE DETAIL 1/G-3. ®. O/fi ANA CPS MOUNT TO AN AR IENN0 GROUND BUS B . ' gf SENVELPAL FrM0g)IgI AL aus5F5?o CULT'fD EAT' BLACK&VEATCH • © ON CRE MAIN M.AN fDRrNER SG M ROUTED TO MIT POLE •• G OUNDI.SYSTEM(FINAL DE NATED Pq OF GROUNDING TO • AOe]9 I B BF COORDINATED WITH MONOPq.E OWNER). \ I ALL MONOPOLE CRWNO LEADS SHALL BE MERMOPIAS1IC HIGH 111111 107 �(001-RE95iAHi NYLON-COATED(THMN). `/� U3,. @*01000 0INIE CM AIISO CTRON. UDC)00 TYIXGSEO41 P.M lobar sow.A. r..xx ....,.. �\ PROPOSED PROPOSED EWISTwG LIGHT PO. �rCRIMI°io SYSTEN Ns OR NEc ELECTRICAL SECTOR C SECTOR B i IFLCO SEAMLESS SAME A.F ���m AZIMUTH 240° . AZIMUTH 105° @ Iz AWA GROUND FROM POWER MEIER TO ISOLATED GROUND ROD PROJECTDOFORMATION SEE DEINL 1/G-3. ,1 ©IXISING EOOPMENT GROUND BUS BAR(FIELD VEPoHI) \ Tom �GOuxs Duo BAR, N x-FRAME SUPPORT POSTS TO EXISTINGNLIWORK VWON MA1BT5 LAUNCH KIRKWOOD SHOPPING CENTER II FSO4XC156/877190 1630 W.CAMPBELL AVE CAMPBELL,CA 95008 \ SANTA CLARA COUNTY / Nv. TATE REVISION ANAL, • 3 01/IN/I] REVISED FOR 100%00MNG SS 9 4 01/9N/1] REVISED FOR loon 201.G CON ` ED R O]/IS/1] REVISED FOR BOW COS R GROUNDING NOTES & LEGEND fi 09/95/1] ISSUE()FOR IOA5 CONSTRICTION CRW ■ T GENERA.GROUNDING MOWS S 95/]0/I]ISSUD)FOR REVISED IOU.R CNSTACININ RLD SSI.ALL DEIN.ARE SHOWN N GENERAL TERMS.ACTUAL.INSTNMAIWN SIRUCDON MAT VARY DUE TO SITE SPECIFIC CONDITIONS. B 10/09/I]ISSUED FOR ROARED 100X CONSMg1pN LB I W)` 9.GROUND NJ.ANTENNA BASES FRAMES CABLE RUNS AND OTHER I�•� METALLIC COMPONENTS USING GROUND WIRES AND CONNECT TO 9 10/19/1]ISSUED FOR BUSED M.CdSIRULng1 AM •IIyE� SURFACE MOUNTED BUS REDS FOLLOEDOu ANTENNA AND INS NOT FOR CONSTRUCTION UNLESS vA/ ` wAUFNTURCRS PRACTICES FOR NO REQUIREMENTS.GROUND AT BOTH ENDS LINO EXR FROM TOWER OR POLE USING LABELED A5 CON51A11CIDN SET IC af'i,;W'�\ MFR•5 PRACTICES. ALL[ROUND TKAe ,, 6 OPPFR MHN/LHwNC ALL GROUNDWIRES SIMLLLD. GREEN . wAE(DOVE CPOWD. .4, I x I TRACAND E PERAi200 TESTING GROUND BE 10 DOLOOL GROUNDING CONTRACTOR HY SPRINT WAFTERS,RLTC.REPRESENTAINE W. y • • REFER5iOU µ001B GENERIC ELECTRIC;GENERA EIECTR CN R PROM PLY WITH ALL REQUIREMENTS OF GROUNDING STANDARDS.ELECM CIL CONTRACTOR SHALL OBTAN REVIEW.PROVIDE ■ �� N AND FULLY IMPIEMENi ALL GU DEUNES!REOU RENEMS W LED WBH SPRM STANDARD CROuxpnC MEM005 FOR RWF ^�P TOP INSTALLATIONS.INCLUDING RMETHW FOR CONNECTIVITY FROM R LOP Mrs r0 eu LEON c oux0 snrEM(sPR Nr s NDNG METHODS MOSTGRECENT REASONS SHILL BETµ RFFE#LACED) .�I • fi.ELECMCIL CONMACT i0 PROMOS OETNLEO aSCN OF ARWNOIZE SYSTEM. BRITY RECE p AP1TR ATIvE.PRIOR TO DESIGN BY L i I' ASIKUTION OF GRo NONG D0 SYSTEM. PHOTO CUMENT ALI CADWELDS AND GROUND RING TRUE NORTH snILE LI o E ODE No 1 015 L11E5 SHEET COLE. ..w Lv v..w.U. Ym 0t00050DIOSOGROUNDING ROD NOTES DESCRIPTION Rea DESCRIPTION (WHERE APPUCAOLE) SCHEMATIC GROUNDING PLAN SYMBOL1.ELECTRICAL CONTRACTOR SMALL 00000 GROUND RESISTANCE TESTING ONCE ME GROUND SYSTEM HAS BEEN INSTALLED;A)UNIFIED ® COPPED GROUND ROD ® TEST wt.,. INDIVIDUAL,OE TEST. THE FALL OF 05.0.SHOW METHOD,SHOULD UM SHELF NUMBER, REVISION: E TEST. THE REPORT T SHOW THE LOCATION OF THE • .W/E D COME.. NM GROUND BAR MT MO CONTAIN NO LESS THOU 9 TEST POINTS NONG THE TESTING E,GRAPHED C.TO SNOW THE PLATEAU. ■ SIDE SPLICE CAME. • .POINT GROUND TESL OR]PONL MOREi 4515 RILL NOT BE .SIC•,°. I ACCEPTED A5 ILTERMAINE5 TO THE NNONEO GRouND TESTS. 9 II-5,17-SCALE)i •_ra' z' �. I SCHEMATIC GROUNDING PLAN' 1 FIELD LSAT TEST SHALL BE PERFORMED WARE THE COUNTERPOISEIS FILIUNY.FY!nE IMO ERISRNG GROUNDING SY51EM FROM THE A/C SYSTEM GRIDS AND FASTING COMMUNICATORSIR THE INFORMATION COMTNNED N THIS SET OF C.W.O..DOCUMENTS IS PROPRIETARY BY NATURE ANY USE CR DISCLOSURE OMER MALI THAT WHICH FEWER To CANNER SERVICES IS STRICTLY PROHIBITED. • Sprint> of 0 T/1r �, h,/ o� ®. 0-7 G. To o ° °1° ° BLACK&VEATCH I. GALVANIZED STEEL GROUND BAR.HOLE CENTERS TO MATCH HEW DOUBLE LUG CONFIGURATION.(ACTUAL GNOME,BAN SIZE WILL VARY B•SEB on NUMBER OF GROUND CONNECTIONS) 2. INSULATORS.NEWTON INSTRUMENT CAT.NO.3081-1 0R APPROVED FOUAL vA FAAAcuo.u R.Jm 3. 5/ST LED FOWLERS.NEWTON INSTRUMENT CO.,CAT.NO.3015-8 OR PROJECT INFCRAUTION I. WALL MOUNTING BRACKET.NEWTON WSSTROBNT CO..CAT NO.0-8050 OR APPROVED EQUAL NETWORK VISION MASTS LAUNCH 5. S/8-11 X 1CS BOLTS.NEWTON INSTROIENT CO.,OAT NO.3013-1 OR APPROVED EQUAL MMESUU KIRKWOOD SHOPPING CENTER II 8. INSU RS SHALL BE ELIMINATED WHEN BONDING DIRECTLY TO TOWER/MONOPOLE STRUCNRE.CONNECDON TO rOWER/MONOPOLE STRUCTURE SHALL BE POTS MNUFA[NRERS"FOOT"`NW°°NB. FSO4XC156/877190 1630 W.CAMPBELL AVE CAMPBELL.CA 95008 SANTA CLARA COUNTY NOT USED GROUND BAR (IF REQUIRED) 41•.]8•SCALE:NOT TO SCU 10 411 5•SCALE:NOT TO SCALE 9 11%17.cr.r.NOT TO er.F •it suDE T o s ALE REVISIONS 83 01/14/TM REVISED FOR 100..ZONING Ss a 01/44/13 REVISED FOR 1006 ZONING WOK 5 03/18/13 REVISED FOR NON COS RID 04/08/13 ISSUED FOR ION CONSTRUCTION CRW 7 04/30/13 WED ION RIMED TOWN ammo. RID 8 10/x6/I3 ISSUED TOR REMO TOOL N6TRUCTSN 2n 9 10/18/13 ISSUED TOR REVISED 1005 CONSTRUCTER AM NOT FOR CONSTRUCTION UNLESS LABELED AS CONSTRUCTON SET IKPNVM NOT USED NOT USED— NOT USED— NOT USED 11':M'SCOT:NOT TO SGILE IT,TO SCALE. NOT TO SCAN, TT TO SCOT N10t 4.NUDE 6 11T17.Was'SCALE NOT TO SW 3/1•CRUSXEO STONE, 18•DIAMETER`RECAST CABLE GROUND NRENW FILL TESTWELL i0 WELL SLUNG WITHINr OF TOP. STEELSHUD.SU FOR BMIT SHOP COPPER GROUND V ON WALL ICE BAN "ANTENNA TOWER , 12_IA ffi S MEAL D21-55 EXISTING GRADE _WA 4 0O00 11r/0 O \\ TE8 LOOP-/4 00 o o /O 11H, I '�J. a5, s°uD nNNED wwE , GROUND/4 AWG .. ..ILJ�RJ .. �../AJ `/ SHEETTIIIE @ W SOLO.TINNED ylMEIN12.-111 ZONE EI 0002200 SHORTEST _ FR .TWO MHHOOLE LUG.OR GROUNDING DETAILS CROUNOING SYSTEM D TO BE N USED WRN E/4 AWG BON TO �M� `\ \I T�OiAEI OF RIFY WELL PER WELD BU GROUND CONDUCTOR SMALL ��� _ 8E ELIMINATED WHEN �R I SHE LDCATNNR GROUND ROD OR GROUND RING G GRWNO BAR IS SHEET NIIMBIR: REVISION WITH PROJECT MANAGER. COPPER CIAO STEEL ELECTRICAL,ONSR BONDED TO T9F CT I1EE.GY 126_98 DEEM. 5/8-0.10'-0'LONG 51916: ETU TONER/LIGHT POE //��BARS AT BOTTOM OF TOWERS/UOIT POLES STRUCTURE �_2 g SHALL ONLY USE EXDTH J NOT USED— CADWELD GROUNDING CONNECTIONS— bfl b WIRE INSTALLATION— CADWELD GROUNDING CONNECTIONS FT SCNE:VI T SCALE 4 411X•SCALE:NOT TO SCALE 3 ;211:SCALE MIT SCALE 2, ,MDT TO SCALE 1 nil:NsTF NOi TO S 1JF A r T WHICH MT TO vNF .T'v'4 F'NOT i0 SCAIF Ilil)'vJAE:MI TO vuY PE INFORMATION CONTAINED IN THIS SET Of CONSTRUCTION DOCUMENTS is PROPRIETARY or WORE. ANY USE OR OSCLOSURE OTHER 1101N TINT WHOM RELATES TO VARIER.RACES 6 STRICTLY PROHI9TED. 1��•�� INSURANCE REQUIREMENTS CHECKLIST Permit# O1O l 4 - 1)0t CIP Project# Consultant/Contractor: ti\C7\clne\iv\o,r.rN ( ~QS CocP) The following insurance is required of all consultants/contractors working in the City of Campbell public right-of-way. Insurance certificates must be accepted by City staff before work can begin. These insurance requirements apply to work being performed under an Encroachment Permit and work being performed under contract for Capital Improvement Projects. Limits Commercial General Liability for bodily, personal injury and property damage: $1,000,000 per occurrence, and ❑ $1,000,000 general aggregate limit applying separately to the project, or $2,000,000 general aggregate limit. Policy expiration date 'A-zl`� Automotive Liability: "Any Auto" checked on certificate A. $1,000,000 per accident for bodily injury and property damage ❑ Policy expiration date `6I u\lt-k Workers' Compensation and Employer's Liability Waiver of Subrogation clause . $1,000,000 per accident for bodily injury or disease Policy expiration date Course of Construction (if required in Special Provisions) ❑ Completed value of the project ❑ Policy expiration date Required Endorsements to General Liability and Automobile Liability Policies Additional Insured Endorsement: The City, its officers, employees and volunteers are named as additional insured. (Reference Project Location/Permit Number) The insurance coverage afforded to the Additional Insured is primary insurance. Cancellation area: ❑ Cancellation area of certificate edited to delete "endeavor to" and "but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives". OR should say: )(Should any of the above described policies be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy provisions. ❑ Workers' Compensation Insurance Sheet Submitted . For General Contractor ❑ For Developer or Owner J:\FORMS\Templates\Insurance Requirements\Insurance Requirements Cklist.doc (Rev 02 14) Page 1 Acceptability of Insurer(s) Insurer(s) has current A.M. Best Rating of A:VII and is authorized to transact business in the State of California. Name: Cc.\ e-- e1e.3-si\S`‹ • NAIC# '5°cAating:Ihd Authorized in CA: Name: C.- `cxr5S v\c,( • ii). NAIC# 10(6S-5-Rating: *1 \.� Authorized in CA: Name: cj. ,\?4),„ f« \� V&S • NAIC# `Q3"1S Rating: R/x./ Authorized in CA: Name: NAIC# Rating: Authorized in CA: ❑ Campbell Business License# Expiration: Insurance Certificate Reviewed Initials Date ❑ Copy of Insurance Certificate placed in tickler file one month prior to expiration. J:\FORMS\Templates\Insurance Requirements\Insurance Requirements Cklist.doc (Rev 02 14) Page 2 ® DATE(MMIDD/YYYY) ACOR0 CERTIFIU TE OF LIABILITY INSU \NCE 5/7/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Cynthia Sauceda Arthur J. Gallagher&Co. PHONE .Ext):559-436-0833 I FAAXC,No):559 256-6590 Insurance Brokers of CA, Inc. LIC#0726293 MAIL 45 E. River Park Place West, Ste. 605 ADDREss:cynthia_sauceda@ajg.com Fresno CA 93720 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Valley Forge Insurance Company 20508 INSURED INSURER B Momentum Services Corporation INSURER C: 8839 N Cedar Ave, Suite 1 INSURER D: Fresno, CA 93720 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1319781503 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A GENERAL LIABILITY Y 5088776540 1/21/2014 1/21/2015 EACH OCCURRENCE $1,000,000 X DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $100,000 ICLAIMS-MADE X OCCUR MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 —1 POLICY X jE LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS _ AUTOS (Per accident) A X UMBRELLA LIAB X OCCUR 5088776554 1/21/2014 1/21/2015 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION I WC STATU- I 0TH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Blanket additional insured applies as respects the GL per form G-140331-D when required by written contract or agreement. Primary wording is included. Blanket waiver of subrogation applies as respects the GL per form CG2404 0509. RE: Sprint fiber sites FSO4XC156P. The City, its officers,employees and volunteers are included as additional insured as per the addendum attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Campbell I Public Works ACCORDANCE WITH THE POLICY PROVISIONS. 70 North First Street City Hall-Upper Level AUTHORIZED REPRESENTATIVE Campbell CA 95008 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD CNA (E1 031-D (Ed. 01/13) BLANKET ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - WITH PRODUCTS-COMPLETED OPERATIONS COVERAGE It is understood and agreed that this endorsement amends the COMMERCIAL GENERAL LIABILITY COVERAGE PART as follows: SCHEDULE (OPTIONAL) Name of Additional Insured Persons Or Organizations (As required by"written contract" per Paragraph A. below.) Locations of Covered Operations (As per the"written contract," provided the location is within the "coverage territory"of this Coverage Part.) A. Section II -Who Is An Insured is amended to include as an additional insured: 1. Any person or organization whom you are required by "written contract" to add as an additional insured on this Coverage Part; and 2. The particular person or organization, if any, scheduled above. B. The insurance provided to the additional insured is limited as follows: 1. The person or organization is an additional insured only with respect to liability for "bodily injury," "property damage,"or"personal and advertising injury"caused in whole or in part by: a. Your acts or omissions, or the acts or omissions of those acting on your behalf, in the performance of your ongoing operations specified in the"written contract"; or b. "Your work" that is specified in the "written contract" but only for "bodily injury" or "property damage" included in the "products-completed operations hazard,"and only if: (1) The "written contract"requires you to provide the additional insured such coverage; and (2) This Coverage Part provides such coverage. 2. If the "written contract" specifically requires you to provide additional insurance coverage via the 10/01 edition of CG2010 (aka CG 20 10 10 01), or via the 10/01 edition of CG2037 (aka CG 20 37 10 01), or via the 11/85 edition of CG2010 (aka CG 20 10 11 85), then in paragraph B.1. above, the words 'caused in whole or in part by' are replaced by the words 'arising out of'. 3. We will not provide the additional insured any broader coverage or any higher limit of insurance than: a. The maximum permitted by law; b. That required by the "written contract"; c. That described in B.1. above; or d. That afforded to you under this policy, whichever is less. 4. Notwithstanding anything to the contrary in Condition 4. Other Insurance (Section IV), this insurance is excess of all other insurance available to the additional insured whether on a primary, excess, contingent or G-140331-D (Ed. 01/13) Page 1 of 2 Copyright, CNA All Rights Reserved. G-140331-D CNA (Ed. 01/13) any other basis. But if required by the "written contract" to be primary and non-contributory, this insurance will be primary and non-contributory relative to insurance on which the additional insured is a Named Insured. 5. The insurance provided to the additional insured does not apply to "bodily injury," "property damage," or "personal and advertising injury"arising out of: a. The rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: (1) The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and (2) Supervisory, inspection, architectural or engineering activities; or b. Any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this Coverage Part. C. SECTION IV-COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: 1. The Duties In The Event of Occurrence, Offense, Claim or Suit condition is amended to add the following additional conditions applicable to the additional insured: An additional insured under this endorsement will as soon as practicable: (1) Give us written notice of an "occurrence" or an offense which may result in a claim or "suit" under this insurance, and of any claim or"suit"that does result; (2) Except as provided in Paragraph B.4. of this endorsement, agree to make available any other insurance the additional insured has for a loss we cover under this Coverage Part; (3) Send us copies of all legal papers received, and otherwise cooperate with us in the investigation, defense, or settlement of the claim or"suit"; and (4) Tender the defense and indemnity of any claim or"suit" to any other insurer or self insurer whose policy or program applies to a loss we cover under this Coverage Part. But if the "written contract"requires this insurance to be primary and non-contributory, this provision (4) does not apply to insurance on which the additional insured is a Named Insured. We have no duty to defend or indemnify an additional insured under this endorsement until we receive from the additional insured written notice of a claim or"suit." D. Only for the purpose of the insurance provided by this endorsement, SECTION V- DEFINITIONS is amended to add the following definition: "Written contract" means a written contract or written agreement that requires you to make a person or organization an additional insured on this Coverage Part, provided the contract or agreement: 1. Is currently in effect or becomes effective during the term of this policy; and 2. Was executed prior to: a. The"bodily injury" or "property damage"; or b. The offense that caused the"personal and advertising injury," for which the additional insured seeks coverage under this Coverage Part. All other terms and conditions of the Policy remain unchanged. Material used with permission of ISO Properties, Inc. G-140331-D (Ed. 01/13) Page 2 of 2 Copyright,CNA All Rights Reserved. POLICY NUMBER: 5088776540 COMMERCIAL GENERAL UABIUTY CG 2404 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROfLJCTS/COMPI FTFI)OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization that you have agreed in writing in a contract or agreement to waive any right of recovery against such person or organization, but only if the contract or agreement: 1. Is in effect or becomes effective during the term of this policy: and 2. Was executed prior to loss Information required to complete this Schedule,ii not shown above,will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or g damage arising out of your ongoing operations or'your work' done under a contract with that person or organization and included in the 'products-completed operations hazard.' This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 Copyright, Insurance Services Office, Inc.,2008 Page 1 of 1 DATE(MM/DD/YYYY) ACORD CERTIFII TE OF LIABILITY INSU kNCE 5/7/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: Cynthia Sauceda Arthur J.Gallagher&Co. c00.."N.Ext):559-436-0833 FA/C.Ne):559-256-6590 Insurance Brokers of CA, Inc. LIC#0726293 E DR E-MAIL nthi sauceda 45 E. River Park Place West, Ste. 605 Y a19•Com Fresno CA 93720 INSURER(S)AFFORDING COVERAGE NAIL# INSURERA:GOLDEN EAGLE INS CO 10375 INSURED INSURER B: Momentum Services Corporation INSURER C: 8839 N Cedar Ave,Suite 1 INSURER D: Fresno, CA 93720 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:257762688 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP W LIMITS LTRINSR VD POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ n POLICY PRO n LOC $ JECT A AUTOMOBILE LIABILITY Y BA7179333 8/4/2013 3/4/2014 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION I WC TORY U- I OTH- ER AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) When required by written contract or agreement, auto additional insured form applies per GECA701 1/07 RE: Sprint fiber sites FSO4XC156P. The City, its officers,employees and volunteers are included as additional insured as per the addendum attached. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Campbell I Public Works ACCORDANCE WITH THE POLICY PROVISIONS. 70 North First Street City Hall-Upper Level AUTHORIZED REPRESENTATIVE Campbell CA 95008 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD COMMERCIAL AUTO GOLD ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SECTION II-LIABILITY COVERAGE A. COVERAGE 1. WHO IS AN INSURED The following is added: d. Any organization,other than a partnership or Joint venture, over which you maintain ownership or a majority interest on the effective date of this Coverage Form, if there is no similar insurance available to that organization. e. Any organization you newly acquire or form other than a partnership or joint venture, and over which you maintain ownership of a majority interest. However, coverage under this provision does not apply: (1) If there is similar insurance or a self-insured retention plan available to that organization,or (2) To "bodily injury' or "property damage" that occurred before you acquired or formed the organization. f. Any volunteer or employee of yours while using a covered"auto"you do not own, hire or borrow in your business or your personal affairs. Insurance provided by this endorsement is excess over any other insurance available to any volunteer or employee. g. Any person, organization, trustee, estate or governmental entity with respect to the operation, maintenance or use of a covered"auto"by an insured,if: (1) You are obligated to add that person, organization, trustee, estate or governmental entity as an additional insured to this policy by: (a)an expressed provision of an"insured contract",or written agreement;or (b)an expressed condition of a written permit issued to you by a governmental or public authority. (2) The"bodily injury"or"property damage"is caused by an"accident"which takes place after: (a)You executed the"insured contract"or written agreement;or (b)the permit has been issued to you. GEC&701(01/07) Includes copyrighted material of Iaturante Services Offices,toe.with its permiscinn Page 1 of 4 2. COVERAGE EXTENSIONS a. Supplementary Payments. Subparagraphs(2)and (4)are amended as follows. (2)Up to $2500 for cost of bail bonds (including bonds for related traffic law violations) required because of an"accident"we cover. We do not have to furnish these bonds. (4)All reasonable expenses incurred by the"Insured"at our request,including actual foss of earning up to$500 a day because of time off from work. SECTION III-PHYSICAL DAMAGE COVERAGE A. COVERAGE The following is added; 5. Hired Auto Physical Damage a. Any "auto"you lease, hire, rent or borrow from someone other than your employees or partners or members of their household is a covered"auto"for each of your physical damage coverages. b. The most we will pay for"loss"in any one"accident"is the Smallest of; (1) $50,000 (2) The actual cash value of the damaged or stolen property as of the time of the loss";or (3) The cost of repairing or replacing the damaged or stolen property with other pi upeity of like kind and quality. If yov are liable for the"accident",we will also pay up to$500 per"accident"for the actual loss of use to the owner of the covered"auto". c. Our obligation to pay for,repair,return or replace damaged or stolen property will be reduced by an amount that is equal to the amount of the largest deductible shown for any owned "auto"for that coverage. However, any Comprehensive Coverage deductible shown in the Declarations does not apply to"loss"caused by the or lightning d. For this coverage, the insurance provided is primary for any covorcd "auto" you hire without a driver and excess over any other collectible insurance for any covered "auto"that you hire with a driver. 6. Rental Reimbursement Coverage We will pay up to$75 per day for up to 30 days, for rental reimbursement expenses incurred by you for the rental of an "auto" because of "loss" to a covered "auto". Renta! Reimbursement will be based on the rental of a comparable vehicle, which in many cases may be substantially less than $75 per day: and will only be allowed for a period of time it should take to repair or replace the vehicle with reasonable speed and similar quality, up to a maximum of 30 days. We will also pay up to$500 for reasonable and necessary expenses incurred by you to remove and replace your materials and equipment from the covered"auto". GECA 701(01/07) includes copyrighted m*ierial AA-Insurance Services Oitices,Inc.with its permission Page 2 of 4 If "loss" results from the total theft of a covered "auto" of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided under paragraph 4.Coverage Extension. 7. Lease Gap Coverage If a long-term leased "auto" is a covered "auto" and the lessor is named as an Additional Insured - Lessor, In the event of a total loss, we will pay your additional legal obligation to the lessor for any difference between the actual cash value of the "auto" at the time of the foss and the "outstanding balance"of the lease. "Outstanding balance"means the amount you owe on the lease at the time of loss less any amounts representing taxes;overdue payments;penalties, interest or charges resulting from overdue payments;additional mileage charges;excess wear and tear charges:and lease termination fees. B. EXCLUSIONS The following is added to Paragraph 3 The exclusion for "loss" caused by or resulting from mechanical or electrical breakdown does not apply to the accidental discharge of an airbag. Paragraph 4 is replaced with the following: 4. We will not pay for"loss"to any of the following: a. Tapes, records, disks or other similar audio, visual or data electronic devices designed for use with audio,visual or data electronic equipment. b. Equipment designed or used for the detection or location of radar. c.Any electronic equipment that receives or transmits audio,visual or data signals. Exclusion 4.c does not apply to: (1) Electronic equipment that receives or transmits audio, visual or data signals, whether or not designed solely for the reproduction of sound, if the equipment is permanently installed in the covered "auto"at the time of the "loss"and such equipment is designed to be solely operated by use of the power from the'auto's"electrical system,in or upon the covered"auto";or (2)Any other electronic equipment that is: (a)Necessary for the normal operation of the covered"auto"or the monitoring of the covered"auto's"operating system;or (b)An integral part of the same unit housing any sound reproducing equipment described in (1) above and permanently installed in the opening of the dash or console of the covered"auto" normally used by the manufacturer for installation of a radio. 0. DEDUCTIBLE The following is added: No deductible applies to glass darnage if the glass Is repaired rather than replaced. C:ECA 70](01/07) Includes copyrighted material of Insurance Services Offices,Inc.with its permission Page 3 of 4 SECTION IV.BUSINESS AUTO CONDITIONS A. LOSS CONDITIONS Item 2.a.and b.are replaced with: 2 Duties in The Event of Accident,Claim,Sult,or Loss a. You must promptly notify us. Your duty to promptly notify us is effective when any of your executive officers, partners, members, or legal representatives is aware of the accident, daim, "suit", or loss. Knowledge of an accident, claim, "suit", or loss, by other employee(s) does not imply you also have such knowledge. b To the extent possible,notice to us should include: (1) How,when and where the accident or loss took place; (2) The names and addresses of any Injured persons and witnesses; and (3) The nature and location of any injury or damage arising out of the accident or loss. The following is added to 5. We waive any right of recovery we may have against any additional insured under Coverage A. 1. Who is Art Insured g.,but only as respects loss arising out of the operation,maintenance or use of a covered"auto"pursuant to the provisions of the"insured contract",written agreement,or permit. B. GENERAL CONDITIONS 9. is added 9. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Your unintentional failure to disclose any hazards existing at the effective date of your policy will not prejudice the coverage afforded. However, we have the right to collect additional premium for any such hazard. COMMON POLICY CONDITIONS 2.b.is replaced by the following: b. 60 days before the effective date of cancellation if we cancel for any other reason. GECA 701(DI V7) Includes copyrighted material of lnsursnce Services Offices.Inc.with its perrnlrslon Page 4 of 4 ' 1 ® DATE(MM/DD/YYYY) ACORO CERTIFIC- _ fE OF LIABILITY INSU ►NCE 5/7/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME Cynthia Sauceda Arthur J. Gallagher&Co. NE (_A/C.No.Ext):559 436-0833 I FAX ac,No):559-256-6590 Insurance Brokers of CA, Inc. LIC#0726293 E-MAIL 45 E. River Park Place West, Ste.605 ADDREss:cynthia_sauceda©ajg.com Fresno CA 93720 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Cypress Insurance Company(CA) 10855 INSURED INSURER B: Momentum Services Corporation INSURER C: 8839 N Cedar Ave, Suite 1 INSURER D: Fresno, CA 93720 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:898535040 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE LTRINSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 7 POLICY PF� LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per person) $ _ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ^ AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED J I RETENTION$ $ A WORKERS COMPENSATION Y 3300066039-141 1/1/2014 1/1/2015 I WC STATU- I OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N �. E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) When required by written contract or agreement, blanket waiver of subrogation applies per form WC04 03 06. RE: Sprint fiber sites FSO4XC156P. Waiver of Subrogation Applies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Campbell I Public Works ACCORDANCE WITH THE POLICY PROVISIONS. 70 North First Street City Hall-Upper Level AUTHORIZED REPRESENTATIVE Campbell CA 95008 I ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 04 10A(Ed 07-07) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA BLANKET BASIS We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) The additional premium for this endorsement shall be 2.00 %of the total policy premium otherwise due on such remuneration. The minimum premium for this endorsement is$ '-F0 00 Schedule Person or Organization Job Description ALL ORGANIZATIONS FOR WHOM THE WAIVER OF SUBROGATION IS ALL CALIFORNIA OPERATIONS ISSUED This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The Information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 01/01/2014 Policy No. 3300066039-141 Endorsement No. 1 Insured MOMENTUM SERVICES CORPORATION Premium $ Insurance Company Countersigned by Cypress Insurance Company WC 99 04 10A (Ed 07-07)