Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Spectrum-PT200214
RIGHT-OF-WAY USE PERMIT APPLICATION Permit valid for 90 calendar days from date of approval Submit permit application to the Engineering Dept., Town Center, 255 Parkway Blvd. or e-mail to engineer@coppelltx.gov (see button below) Date of Submittal: Applicant’s Job # / Work Order # PERMIT FEE:$100.00 (No charge to Utility Companies with approved Franchise/ROW Use Agreement) Refer to the City of Coppell Ordinance No. 2001-944. Certificated Telecom Provider? Utility Company Represented: Oncor Electric Delivery Atmos Energy Verizon SBC/ AT&T Time Warner Cable CoServ Electric/Gas Other Estimated Start Date Estimated Completion Date* * Completion requires submittal of Completion Verification Notice (see page 4) ØWas contact made with City and/or utility companies to locate existing utilities? if NO, Reason: Yes No ØIs removal of existing streets, alleys, or sidewalks necessary? Yes No if YES, project must have City inspection prior to concrete replacement CC: Applicant Public Works Permit File Orig. to Project File Page 1 of 4 Rev. 06/2012 A copy of the approved permit must be on the job site at all times. Yes No General Description of Work (In accordance with Ord. No. 2001-944): PLEASE ATTACH PLAN OF PROPOSED WORK Plans provided and approved (Erosion Control/Safety fences must be installed prior to beginning work) General Contractor Project Name/Location or address Contact # E-mail address to return permit E-mail address: Telephone #: Representative: Franchise Company: (for contact if needed/if e-mail of approved permit is desired/permit cannot be e-mailed unless complete) X 2/4/20 1883026 AT&T Wireline GW Communications 612-865-9897 tim.norman@glassandwire.com X Placement of new fiber-optic cable by way of 700' UG bore from 1600 block to 1980 block S, crossing under Belt Line Rd 415' W, turning S. on Private Property 422' to location address. 2/10/20 3/10/20 X XLocates will be called in advance. Ashley Singleton 214-320-5439 ashley.sinleton@charter.com Right-of-Way Use Permit Application Page 2 of 4 Representative(s) of the Contractor must adhere to all construction standards approved by the City of Coppell, which includes but is not limited to: Erosion Control Ordinance, compaction requirements (density tests may be required at applicant's expense) and barricading according to the Texas Manual on Uniform Traffic Control Devices. Area(s) affected must be restored to as good condition as before the commencement of work (grading, drainage, vegetation, and erosion control). To schedule Public Works final inspection (Page 4) call 972-462-5155. ØAny excavation requiring closing of a street/alley must be reported prior to closing to the following: Police Department @ 972-304-3600 Fire Department @ 972-304-3512 Street Department @ 972-462-5150 Engineering Department @ 972-304-3679 ØAttach barricade plan / trench safety plan if a lane or street closure is required. NOTE:Street closures are allowed from 9:00 a.m. until 3:30 p.m. ONLY unless otherwise approved by City Engineer. ØAttach Work Order (franchise only) and/or 1 set of prints showing proposed work. Locates for existing franchise utilities must be done 48 hours prior to beginning work. For City utility locates, call 972-462-5155 to schedule 48 hours prior to beginning work. The application with signatures of Franchise and Contractor representatives must be submitted to Engineering Dept. for approval prior to beginning work. Submittals by e-mail should go to engineer@coppelltx.gov. ØNOTE:Notify City Inspector at 972-304-3679 prior to beginning work and prior to backfill for concrete, trench, ditch and open pit inspections. Backfill must meet all construction standards approved by the City of Coppell. Applicant shall indemnify and forever hold harmless against the City of Coppell each and every claim, demand or cause of action that may be made or come against it by reason of or if any way arising out of the closure, blocking, excavating, cutting, tunneling, or other work by the applicant under permit from the City, if such permit is granted. Comments Printing your name indicates your acceptance of the terms and conditions of this form: (if you want the approved permit returned via e-mail, provide a valid e-mail address on Page 1.) DateSignature of City Representative DateSignature of Contractor Representative DateSignature of Utility Company Representative Ashley Singleton 2/4/20 2/4/20 14 February 2020 The contractor shall submit the Completion Verification Noticeform on page 4 upon completion of the work. UTILITY RELOCATION CHECKLIST FOR WORK WITHIN CITY OF COPPELL RIGHTS-OF-WAY OR EASEMENTS Listed below are minimum requirements for utility relocation projects: 1.A copy of the valid approved City of Coppell permit is required on the project at all times. 2.Notify adjacent property owners (commercial & residential) of project timeline; provide them with contact names and phone numbers. 3.Proper erosion control measures must be taken. 4.Follow Texas MUTCD standards for work in traffic zones. 5.Sod is to be replaced when necessary. 6.Irrigation repairs must be performed in a timely manner. 7.Follow OSHA recommended trench safety at all times. 8.Repair existing utilities that are damaged, including but not limited to clean-outs, water valves, and SS manholes. 9.Densities may be required in trench lines (ASTM). 10.Care and repair of street signage is the responsibility of the contractor. 11.No work is to be done in collector roadways before 9:00 a.m. or after 3:00 p.m. 12.Prior notice of work activity on weekends and holidays must be in writing. 13.Line locates must be performed in advance by contacting - 1 800 DIG TESS and/or the following: CITY OF COPPELL UTILITIES DIVISION coppelltx.gov/utility-operations-division 972/ 462-5155 CITY OF COPPELL ENGINEERING DEPT. 972/ 304-3679 HOMEOWNER ASSOCIATIONS 972/ 304-3678 (Planning Department) TIME WARNER CABLE FEDERAL EMERGENCY MGMT. ADMIN. 214/ 320-5455 (Mike Rasmussen)940/ 898-5138 AT&T LOCAL NETWORK TEXAS COMM. on ENVIRONMENTAL QUALITY 214/ 215-3031 (Rich Millenman)817/ 588-5800 COSERV Gas & Electric DENTON CO. LEVEE DISTRICT 940/ 321-7800 x 7624 (Greg Ward)214/ 352-5118 (Richard Hightower) EXPLORER PIPELINE Atmos Energy 918/ 493-5100 (Patrick Nwakoby)972/360-4428 (Gary Dickinson) ONCOR Electric Delivery 972/ 323-8917 (Larry Redick) VERIZON COMMUNICATIONS 1 800 DIG TESS for line locates 972/ 318-5277 (344 - 8377) 14.Contaminants must be removed from work area daily and disposed of properly outside the City. 15.Streets, sidewalks and alleys must be kept clean of construction material and debris. 16.“Clean-up” requires returning work area to pre-project condition or better. 17.Contractor is required to contact Public Works Division for Completion Verification Notice. (see pg. 4) Page 3 of 4 Page 4 of 4 UTILITY RELOCATION IN RIGHT-OF-WAY OR EASEMENT COMPLETION VERIFICATION NOTICE Contact City of Coppell Public Works Division at 972-462-5155 to schedule an inspection with Utility & Streets personnel to verify that your project has been completed to City of Coppell specifications. Failure to schedule verification inspection may delay future projects. Franchise Utility Name Project Location / Applicant's Work Order # (if applicable) Sub-contractor Company Name 24 hr.Contact Number Date of Verification Appointment Time of Verification Appointment INFORMATION BELOW TO BE COMPLETED BY CITY OF COPPELL PUBLIC WORKS PERSONNEL A copy of this completed notice can be provided to the address below or e-mailed by using the button below: City of Coppell Engineering Dept. 255 Parkway Blvd., Coppell TX 75019 Office: 972-304-3679 Fax: 972-304-3570 Follow-up needed? Follow-up scheduled for Yes No and found to be acceptable / not acceptable because of Streets Maintenance Division on vInspected by and found to be acceptable / not acceptable because of Utilities Maintenance Division on vInspected by Follow-up needed? Follow-up scheduled for Yes No Submit by E-mail Print Form Spectrum 1883026 1405 S. Belt Line Rd. - ATT Wireline GW Communications 612-865-9897 C1461-500 C1461-200 C1405-300 C1461-400 C1461-350 C1405-200 C1461-300 C1405-100 C1461-100 C1333 C1350-160 C1350-100 C1315-200 C1315-100 1221 C1221-750 C1221-725 1220 C1221-600 C1221-500 C1221-700 C1201-150 C1201-100 C101-102 C101-101 VL C1110 C162 C1199*3 C1199*3 C1110-100 C1110-300 C1110-500 C117-100 C117-175 C117-150 265'145'1089'85'15'60'8'221'224'198'165'185'1000 '1027'199'440'90'154'30'121'205' 10'53'152'41'57' 131'140'62'69'140'62'156'129'50'236'141'13'75'65' 5 0 0 '24'238'328'15'20' 1'56'47'45'83'47'40'50'198'368' 1232' 265' 169' 169'20'6'58'264' 240' 165' 40'380'165'920'161'50'156'160'160'158'153'178'145'203'197'203'9'201'200'204'531'1120'70'50'202'197'40'194'295'58'920'192'161'208'236'429'161'201'253'160'238'230'57'80'2'40'90'125'65'232'238'170'233' 01-41-3046-3321 03-41-3046-3318 03-41-3048-3321 610364 01-41-3048-3321 05-41-3048-3318 02-41-3048-3321 01-L2-3048-3321PANEL1199SBELTLINERD COMM ROOM PANEL1350LAKESHOREDR COMM ROOM PANEL1315LAKESHORE PANEL 1221SBELTLINERD RISER RMPANEL117WRANGLERDR SERVER RM PANEL 1201SBELTLINE PANEL 1110EXECUTIVEDR COMM ROOM PANEL 1333CRESTSIDEDR FBTPBC-1350LAKESHOR 1350 LAKESHORE DR COGENT COMM / MITCHEFBTP BC-1350LAKESHORE2 1350 LAKESHORE DR AGG SWITCH FBTPBC-1315LAKSHORE CGNTCOM 1315LAKESHORE DR FBTP BC-1221SBELTLIN 1221 S BELT LINE RD ST 500FBTPBC-117WRANGLER 117 WRANGLER DR GEMMY FBTP BC-1201SBELT STONE CHANNEL 1201 S BELT LINE RDFBTPBC-1199SBELTLIN 1199 S BELT LINE RD AGG SWITCH FBTP BC-1333CRESTSIDEDR INTERACTIVE DATA REAL TIME ELP 1333 CRESTSIDE DR FBTP BC-1110EXECUTIVEDR VERIZON BUSINESS 1110 EXECUTIVE DR 1709000079 SEG: LEN:'13117 144 CT TO:01-L2-3048-3321 01-L2-3052-3315FR: TICK 1:TICK 2: L2-03-083-144 1746855927 SEG: LEN:'2100 48 CT TO:01-41-3048-3321 02-41-3046-3321FR: TICK 1:TICK 2: 41-04-497-048 1708370014 SEG: LEN:'5370 288 CT TO:01-41-3044-3321 01-41-3048-3321FR: TICK 1:TICK 2: 41-04-091-288 1743956764 SEG: LEN:'620 48 CT TO:01-41-3048-3321 02-41-3048-3321FR: TICK 1:TICK 2:6441263062 41-04-397-048 1738303859 SEG: LEN:'3333 24 CT TO:01-41-3048-3318 01-41-3048-3321FR: TICK 1:TICK 2: 41-04-142-024 1708370015 SEG: LEN:'3461.6 288 CT TO:01-41-3048-3321 02-41-3050-3321FR: TICK 1:TICK 2: 41-04-086-288 1743978072 SEG: LEN:'9230 36 CT TO:DEAD_CABLE 03-41-3048-3321FR: TICK 1:TICK 2: L2-03-088-036 1743956763 SEG: LEN:'1745 48 CT TO:02-41-3048-3321 04-41-3048-3318FR: TICK 1:TICK 2: 41-04-147-048 1744627916 SEG: LEN:'990 48 CT TO:05-41-3048-3318 1110EXECUTIVEDRFR: TICK 1:TICK 2:50546328 41-04-433-048 1738800334 SEG: LEN:'1589 48 CT TO:04-41-3048-3318 05-41-3048-3318FR: TICK 1:TICK 2: 41-04-179-048 1743956763 SEG: LEN:'1745 48 CT TO:02-41-3048-3321 04-41-3048-3318FR: TICK 1:TICK 2: 41-04-147-048 1743956911 SEG: LEN:'156 48 CT TO:05-41-3048-3318 02-41-3048-3321FR: TICK 1:TICK 2: 41-04-398-048 1741674700 SEG: LEN:'640 12 CT TO:05-41-3048-3318 1199SBELTLINERDFR: TICK 1:TICK 2: 41-04-214-012 1743977883 SEG: LEN:'620 48 CT TO:02-41-3048-3321 01-41-3048-3321FR: TICK 1:TICK 2:6441263062 41-04-299-048 1708370014 SEG: LEN:'5370 288 CT TO:01-41-3044-3321 01-41-3048-3321FR: TICK 1:TICK 2: 41-04-091-288 1743978073 SEG: LEN:'4663 36 CT TO:03-41-3048-3321 01-L2-3044-3321FR: TICK 1:TICK 2: L2-03-065-036 1743977884 SEG: LEN:'1337 48 CT TO:01-41-3048-3321 01-41-3046-3321FR: TICK 1:TICK 2: 41-04-399-048 1740670576 SEG: LEN:'684 24 CT TO:01-41-3046-3321 1350LAKESHOREDRFR: TICK 1:TICK 2:4042639420 41-04-301-024 1740670529 SEG: LEN:'344 24 CT TO:01-41-3046-3321 1315LAKESHOREFR: TICK 1:TICK 2:3941638744 41-04-300-024 1738255146 SEG: LEN:'6915 24 CT TO:01-L2-3048-3321 01-41-3048-3318FR: TICK 1:TICK 2: L2-03-081-024 1709000101 SEG: LEN:'10127 288 CT TO:01-L2-3040-3321 01-L2-3048-3321FR: TICK 1:TICK 2: L2-03-063-288 1743977884 SEG: LEN:'1337 48 CT TO:01-41-3048-3321 01-41-3046-3321FR: TICK 1:TICK 2: 41-04-399-048 1742675193 SEG: LEN:'921 48 CT TO:01-41-3046-3321 1221SBELTLINERDFR: TICK 1:TICK 2:1988630 41-04-403-048 1748030291 SEG: LEN:'3172 48 CT TO:01-41-3046-3321 1333CRESTSIDEDRFR: TICK 1:TICK 2:3083433800 41-04-531-048 1744627916 LEN:'990 48 CT 05-41-3048-3318 1110EXECUTIVEDR TICK 1:TICK 2:50546328 41-04-433-048 1746947949 SEG: LEN:'307 48 CT TO:03-41-3046-3318 1322CRESTSIDE3FR: TICK 1:TICK 2:3126030798 41-04-521-048 1741936061 SEG: LEN:'112 12 CT TO:03-41-3046-3318 1322CRESTSIDE1FR: TICK 1:TICK 2:56145402 41-04-335-012 1741935471 SEG: LEN:'1455 48 CT TO:04-41-3048-3318 03-41-3046-3318FR: TICK 1:TICK 2:65488770 41-04-334-048 1738800336 SEG: LEN:'609 12 CT TO:05-41-3048-3318 1201SBELTLINEFR: TICK 1:TICK 2: 41-04-213-012 1745759369 SEG: LEN:'5121 48 CT TO:01-41-3046-3318 41-04-481-048 1738255146 SEG: LEN:'6915 24 CT TO:01-L2-3048-3321 07-41-3048-3318FR: TICK 1:TICK 2: L2-03-081-024 1709000101 SEG: LEN:'10127 288 CT TO:01-L2-3040-3321 01-L2-3048-3321FR: TICK 1:TICK 2: L2-03-063-288 0 10 0 0 0 0 1 0 2 0 0 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 3 0 0 3 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 20 00 000000200 0 0 0 0 4 0 0 0 0 0 0 1 2 0 0 0 0 2 0 0 1 0 2 0 0 0 1 0 0 0 R 25 V R 25 R 25 V MHR 25VR 25 VV R 25 V MHMHV V V MH MTU ON-NET 1199 S BELT LINE RD AGG SWITCH (TEL RM) NO CURRENT CUSTOMERS 1421 S BELT LINE RD MTU ON NET 1) RUMBLE ON (STE 160) AGG SWITCH (COMM TELCO RM) 1350 LAKESHORE DR MTU ON-NET PROVIDED NO SPLICE DATA VERIFY SPLICING PER ASBUILTS TELCO RM RM RM TELCO SERVER 100-160 WRANGLER DR S BELT LINE RDS BELT LINE RDS BELT LINE RDLAKESHORE DR L A KES H O RE D RLAKESHORE DRRSR 3048-3318 DESIGN VERIFY Route Fiber VERIFY Route Fiber VERIFY NTS NTS CONDUIT " ? CONDUIT" 2 CONDUIT" ? C ONDUIT " CONDUIT" 4 EST 2801 3046-3321 415'250'500'689'20 0 0 R 25 TELCO RM BC-1405SBELTLINERD 1405SBELTLINERD 1405 S BELT LINE RD ATT WIRELINE PANEL FBTP 1748814843 SEG: LEN:'1879 48 CT TO:01-41-3046-3321 1405SBELTLINERDFR: TICK 1:TICK 2: 41-04-576-048 1883026 NAME: ATT WIRELINE ADDRESS: 1405 S BELT LINE RD RM100 COPPELL TX 75019 LOB: ENTERPRISE TYPE: FIBER - DESIGN - COMMERCIAL NEWBUILD - AUTOBUILD PRISM# 1883026 CJ# 1009571 SITE SURVEY# NA POC: A MITCHELL, am4178@att.com, (404) 365-6030 NODE:/HUB: 41 NORTH IRVING : 3046-3321 DATE: 12/27/2019 SPLICE #1 NEW SPLICE LOCATION 1405SBELTLINERD PLACE 1,879' 48 CNT FIBER USE FIBERS 1-2 SPLICE #2 EXISTING ENCLOSURE 01-41-3046-3321 EXISTING 48 CNT FIBER USE FIBERS 9-10 CONNECT TO FREQ: 1470 SPLICE #3 EXISTING ENCLOSURE 01-41-3048-3321 ADD 1470 MUXES CONNECT TO 1570 UPGRADE PORT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2016 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY A 2,000,000 04/01/2020 6076199870 Manashi Mukherjee CLE-005797530-23 1,000,000 25,000,000 6076242457 (CA) X 20508 25,000,000 DEDUCTIBLE of Marsh USA Inc. N 04/01/2019 15 12/30/2020 07/01/2018 19445 12/30/2019 6076199836 CYBER C 2,000,000 20494 Valley Forge Insurance Co 1,000,000 X D X 04/01/2019 150,000 04/01/2019 5,000,000 AT&T and its Affiliates, their directors, officers, and employees are included as additional insured (except workers’ compensation) where required by written contract. Waiver of subrogation is applicable where required by written contract. This insurance is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by written X 04/01/2019 6500 West Loop S Zone 3.7 Bellaire, TX 77401 AT&T Services, Inc National Union Fire Ins Co of Pittsburgh PA-#002351 contract. A Transportation Insurance Co CN101734549-GWC-Casua-19-20 LIMIT 15,000 04/01/2020 2,000,000 AUC 9310673-08 C 4,000,000 20427 100,000 1,000,000 07/01/2019 6076199853 (AOS) 1717 Arch Street Marsh USA Inc. X Philadelphia, PA 19103-2797 2010 Renaissance Blvd. GW Communications Solutions, LLC. King of Prussia, PA 19406 X 15902032 04/01/2019 Attn: Contract Administration 12/30/2018 B 12/30/2020 American Casualty Company Of Reading, Pa ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: $10,000,000 AGGREGATE 22 $5,000,000 AGGREGATE $5,000,000 LIMIT Philadelphia POLICY DATES: 07/01/2018 - 07/01/2019 POLICY NO. CEO744698202 PROFESSIONAL LIABILITY: LIMITS: CARRIER: INDIAN HARBOR INSURANCE COMPANY POLLUTION / PROFESSIONAL Certificate of Liability Insurance CN101734549 $5,000,000 LIMIT Marsh USA Inc. 2010 Renaissance Blvd. GW Communications Solutions, LLC. King of Prussia, PA 19406 25 CONTRACTOR’S POLLUTION LEGAL LIABILITY: 2011 Edition - Revision 13DJH December 20116HFW+ See Note 2 for flagger information Note: See Tables 6H-2 and 6H-3 for the meaning of the symbols and/or letter codes used in this figure. Typical Application 27 50 to 100 ft 50 to 100 ft 50 to 100 ft (optional) (optional) X X X X X X X X X X X X Figure 6H-27. Closure at the Side of an Intersection (TA-27) Shoulder taper (see Note 3) Note: See Tables 6H-2 and 6H-3 for the meaning of the symbols and/or letter codes used in this figure. Typical Application 33 A Buffer space (optional)Buffer space (optional) L B C Shoulder taper (see Note 3)A L B C A - LONG-TERM AND INTERMEDIATE B - SHORT-TERM Temporary white edge line 100 ft (optional) 500 ft 500 ft Work vehicle Truck-mounted attenuator (optional) Figure 6H-33. Stationary Lane Closure on a Divided Highway (TA-33) 'HFHPEHU 6HFW+ (GLWLRQ3DJH Table 6H-2. Meaning of Symbols on Typical Application Diagrams Type 3 barricade Truck-mounted attenuator Traffic or pedestrian signal Surveyor Temporary barrier with warning light Temporary barrier Sign (shown facing left) Warning light Work space Shadow vehicle Work vehicle Luminaire Pavement markings that should be removed for a long-term project Changeable message sign or support trailer Arrow board Channelizing device Arrow board support or trailer (shown facing down) Direction of temporary traffic detour Crash cushion Direction of traffic High-level warning device (Flag tree) Flagger Longitudinal channelizing device Table 6H-3. Meaning of Letter Codes on Typical Application Diagrams Road Type Distance Between Signs** A B C Urban (low speed)*100 feet 100 feet 100 feet Urban (high speed)*350 feet 350 feet 350 feet Rural 500 feet 500 feet 500 feet Expressway / Freeway 1,000 feet 1,500 feet 2,640 feet * Speed category to be determined by highway agency ** The column headings A, B, and C are the dimensions shown in Figures 6H-1 through 6H-46. The A dimension is the distance from the transition or point of restriction to the first sign. The B dimension is the distance between the first and second signs. The C dimension is the distance between the second and third signs. (The “first sign” is the sign in a three-sign series that is closest to the TTC zone. The “third sign” is the sign that is furthest upstream from the TTC zone.) Table 6H-4. Formulas for Determining Taper Length Speed (S) Taper Length (L) in feet 40 mph or less L = WS2 60 45 mph or more L = WS Where: L = taper length in feet W = width of offset in feet S = posted speed limit, or off-peak 85th-percentile speed prior to work starting, or the anticipated operating speed in mph 'HFHPEHU 6HFW+