Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutC15-117 Ewing Trucking and Construction, LLC Agreement AGREEMENT FOR SERVICES
BETWEEN EAGLE COUNTY, COLORADO
AND
EWING TRUCKING AND CONSTRUCTON, LLC
THIS AGREEMENT("Agreement") is effective as of the �r�
� day of vi garn ,2015 by and
between Ewing Trucking and Construction, LLC, a Colorado Limited Liability Company(hereinafter
"Contractor")and Eagle County, Colorado, a body corporate and politic(hereinafter"County").
RECITALS
WHEREAS,Eagle County requires services to repair and stabilize riverbank erosion at the Eagle Valley
Trail (the"Project") approximately three (3)miles west of Gypsum, Colorado(the"Property"); and
WHEREAS,Contractor is authorized to do business in the State of Colorado and has the time, skill,
expertise, and experience necessary to provide the Services as defined below in paragraph 1 hereof; and
WHEREAS,this Agreement shall govern the relationship between Contractor and County in connection with
the Services.
AGREEMENT
NOW, THEREFORE, in consideration of the foregoing and the following promises Contractor and County
agree as follows:
1. Services or Work. Contractor agrees to diligently provide all services, labor,personnel and
materials necessary to perform and complete the services or work described in Exhibits A and B("Services"
or"Work")which are attached hereto and incorporated herein by reference. The Services shall be performed
in accordance with the provisions and conditions of this Agreement.
a. Contractor agrees to furnish the Services no later than April 15th,2015 and in accordance
with the schedule established in Exhibit A . If no completion date is specified in Exhibit A ,then Contractor
agrees to furnish the Services in a timely and expeditious manner consistent with the applicable standard of
care. By signing below Contractor represents that it has the expertise and personnel necessary to properly
and timely perform the Services.
b. In the event of any conflict or inconsistency between the terms and conditions set forth in
Exhibit A and the terms and conditions set forth in this Agreement, the terms and conditions set forth in this
Agreement shall prevail.
2. County's Representative. The Engineering Department's designee shall be Contractor's contact with
respect to this Agreement and performance of the Services.
3. Term of the Agreement. This Agreement shall commence upon the date first written above, and
subject to the provisions of paragraph 11 hereof, shall continue in full force and effect through the 15th day
of April,2015.
114-
4. Extension or Modification. This Agreement may be extended for up to three additional one year
terms upon written agreement of the parties. Any amendments or modifications shall be in writing signed by
both parties.No additional services or work performed by Contractor shall be the basis for additional
compensation unless and until Contractor has obtained written authorization and acknowledgement by
County for such additional services in accordance with County's internal policies. Accordingly,no course of
conduct or dealings between the parties,nor verbal change orders, express or implied acceptance of
alterations or additions to the Services, and no claim that County has been unjustly enriched by any
additional services, whether or not there is in fact any such unjust enrichment, shall be the basis of any
increase in the compensation payable hereunder. In the event that written authorization and acknowledgment
by County for such additional services is not timely executed and issued in strict accordance with this
Agreement, Contractor's rights with respect to such additional services shall be deemed waived and such
failure shall result in non-payment for such additional services or work performed.
5. Compensation. County shall compensate Contractor for the performance of the Services in a sum
computed and payable as set forth in Exhibit A. The performance of the Services under this Agreement shall
not exceed$6,000.00. Contractor shall not be entitled to bill at overtime and/or double time rates for work
done outside of normal business hours unless specifically authorized in writing by County.
a. Payment will be made for Services satisfactorily performed within thirty(30)days of receipt
of a proper and accurate invoice from Contractor. All invoices shall include detail regarding the hours spent,
tasks performed, who performed each task and such other detail as County may request.
b. If, at any time during the term or after termination or expiration of this Agreement, County
reasonably determines that any payment made by County to Contractor was improper because the Services
for which payment was made were not performed as set forth in this Agreement,then upon written notice of
such determination and request for reimbursement from County, Contractor shall forthwith return such
payment(s)to County. Upon termination or expiration of this Agreement, unexpended funds advanced by
County, if any, shall forthwith be returned to County.
c. County will not withhold any taxes from monies paid to the Contractor hereunder and
Contractor agrees to be solely responsible for the accurate reporting and payment of any taxes related to
payments made pursuant to the terms of this Agreement.
d. Notwithstanding anything to the contrary contained in this Agreement, County shall have no
obligations under this Agreement after,nor shall any payments be made to Contractor in respect of any
period after December 31 of any year,without an appropriation therefor by County in accordance with a
budget adopted by the Board of County Commissioners in compliance with Article 25,title 30 of the
Colorado Revised Statutes,the Local Government Budget Law(C.R.S.29-1-101 et. seq.) and the TABOR
Amendment(Colorado Constitution, Article X, Sec. 20).
6. Subcontractors. Contractor acknowledges that County has entered into this Agreement in reliance
upon the particular reputation and expertise of Contractor. Contractor shall not enter into any subcontractor
agreements for the performance of any of the Services or additional services without County's prior written
consent,which may be withheld in County's sole discretion. County shall have the right in its reasonable
discretion to approve all personnel assigned to the subject Project during the performance of this Agreement
2
Eagle County General Services Final 5/14
and no personnel to whom County has an objection,in its reasonable discretion, shall be assigned to the
Project. Contractor shall require each subcontractor, as approved by County and to the extent of the Services
to be performed by the subcontractor, to be bound to Contractor by the terms of this Agreement, and to
assume toward Contractor all the obligations and responsibilities which Contractor, by this Agreement,
assumes toward County. County shall have the right(but not the obligation)to enforce the provisions of this
Agreement against any subcontractor hired by Contractor and Contractor shall cooperate in such process.
The Contractor shall be responsible for the acts and omissions of its agents, employees and subcontractors.
7. Insurance. Contractor agrees to provide and maintain at Contractor's sole cost and expense,the
following insurance coverage with limits of liability not less than those stated below:
a. Types of Insurance.
i. Workers' Compensation insurance as required by law.
ii. Auto coverage with limits of liability not less than$1,000,000 each accident
combined bodily injury and property damage liability insurance, including coverage for owned,hired,and
non-owned vehicles.
iii. Commercial General Liability coverage to include premises and operations,
personal/advertising injury, products/completed operations, broad form property damage with limits of
liability not less than$1,000,000 per occurrence and$1,000,000 aggregate limits.
b. Other Requirements.
i. The automobile and commercial general liability coverage shall be endorsed to
include Eagle County, its associated or affiliated entities, its successors and assigns, elected officials,
employees, agents and volunteers as additional insureds. A certificate of insurance consistent with the
foregoing requirements is attached hereto as Exhibit C.
ii. Contractor's certificates of insurance shall include subcontractors, if any as
additional insureds under its policies or Contractor shall furnish to County separate certificates and
endorsements for each subcontractor.
iii. The insurance provisions of this Agreement shall survive expiration or
termination hereof.
iv. The parties hereto understand and agree that the County is relying on, and does
not waive or intend to waive by any provision of this Agreement,the monetary limitations or rights,
immunities and protections provided by the Colorado Governmental Immunity Act, as from time to time
amended, or otherwise available to County, its affiliated entities, successors or assigns, its elected officials,
employees, agents and volunteers.
v. Contractor is not entitled to workers' compensation benefits except as
3
Eagle County General Services Final 5/14
CONTRACTOR:
Ewing Construction and Trucking,LLC
Attention: Bart Ewing
PO Box 2303
Edwards, CO 81632
Telephone: 970-926-4735
Facsimile: 970-926-4736
E-Mail: bart@ewingtrucking.com
11. Termination. County may terminate this Agreement, in whole or in part, at any time and for any
reason,with or without cause, and without penalty therefor with seven(7)calendar days' prior written notice
to the Contractor. Upon termination of this Agreement, Contractor shall immediately provide County with
all documents as defined in paragraph 9 hereof, in such format as County shall direct and shall return all
County owned materials and documents. County shall pay Contractor for Services satisfactorily performed to
the date of termination.
12. Venue,Jurisdiction and Applicable Law. Any and all claims, disputes or controversies related to this
Agreement, or breach thereof, shall be litigated in the District Court for Eagle County, Colorado, which shall
be the sole and exclusive forum for such litigation. This Agreement shall be construed and interpreted under
and shall be governed by the laws of the State of Colorado.
13. Execution by Counterparts; Electronic Signatures. This Agreement may be executed in two or more
counterparts, each of which shall be deemed an original,but all of which shall constitute one and the same
instrument. The parties approve the use of electronic signatures for execution of this Agreement. Only the
following two forms of electronic signatures shall be permitted to bind the parties to this Agreement: (i)
Electronic or facsimile delivery of a fully executed copy of the signature page; (ii) the image of the signature
of an authorized signer inserted onto PDF format documents. All documents must be properly notarized, if
applicable. All use of electronic signatures shall be governed by the Uniform Electronic Transactions Act,
C.R.S. 24-71.3-101 to 121.
14. Other Contract Requirements and Contractor Representations.
a. Contractor has familiarized itself with the nature and extent of the Services to be provided
hereunder and the Property, and with all local conditions, federal, state and local laws, ordinances, rules and
regulations that in any manner affect cost,progress, or performance of the Services.
b. Contractor will make, or cause to be made, examinations, investigations, and tests as he
deems necessary for the performance of the Services.
c. To the extent possible, Contractor has correlated the results of such observations,
examinations, investigations,tests,reports,and data with the terms and conditions of this Agreement.
d. To the extent possible, Contractor has given County written notice of all conflicts, errors,or
discrepancies.
5
Eagle County General Services Final 5/14
e. Contractor shall be responsible for the completeness and accuracy of the Services and shall
correct, at its sole expense, all significant errors and omissions in performance of the Services. The fact that
the County has accepted or approved the Services shall not relieve Contractor of any of its responsibilities.
Contractor shall perform the Services in a skillful,professional and competent manner and in accordance
with the standard of care, skill and diligence applicable to contractors performing similar services.
Contractor represents and warrants that it has the expertise and personnel necessary to properly perform the
Services and shall comply with the highest standards of customer service to the public. Contractor shall
provide appropriate supervision to its employees to ensure the Services are performed in accordance with this
Agreement. This paragraph shall survive termination of this Agreement.
f Contractor agrees to work in an expeditious manner,within the sound exercise of its
judgment and professional standards, in the performance of this Agreement. Time is of the essence with
respect to this Agreement.
g. This Agreement constitutes an agreement for performance of the Services by Contractor as
an independent contractor and not as an employee of County. Nothing contained in this Agreement shall be
deemed to create a relationship of employer-employee,master-servant,partnership,joint venture or any other
relationship between County and Contractor except that of independent contractor. Contractor shall have no
authority to bind County.
h. Contractor represents and warrants that at all times in the performance of the Services,
Contractor shall comply with any and all applicable laws, codes,rules and regulations.
i. This Agreement contains the entire agreement between the parties with respect to the subject
matter hereof and supersedes all other agreements or understanding between the parties with respect thereto.
j. Contractor shall not assign any portion of this Agreement without the prior written consent
of the County. Any attempt to assign this Agreement without such consent shall be void.
k. This Agreement shall be binding upon and shall inure to the benefit of the parties hereto and
their respective permitted assigns and successors in interest. Enforcement of this Agreement and all rights
and obligations hereunder are reserved solely for the parties, and not to any third party.
1. No failure or delay by either party in the exercise of any right hereunder shall constitute a
waiver thereof. No waiver of any breach shall be deemed a waiver of any preceding or succeeding breach.
m. The invalidity, illegality or unenforceability of any provision of this Agreement shall not
affect the validity or enforceability of any other provision hereof.
n. The signatories to this Agreement aver to their knowledge no employee of the County has
any personal or beneficial interest whatsoever in the Services or Property described in this Agreement. The
Contractor has no beneficial interest, direct or indirect,that would conflict in any manner or degree with the
performance of the Services and Contractor shall not employ any person having such known interests.
6
Eagle County General Services Final 5/14
o. The Contractor, if a natural person eighteen(18)years of age or older, hereby swears and
affirms under penalty of perjury that he or she (i)is a citizen or otherwise lawfully present in the United
States pursuant to federal law, (ii)to the extent applicable shall comply with C.R.S. 24-76.5-103 prior to the
effective date of this Agreement.
15. Prohibitions on Government Contracts.
As used in this Section 15,the term undocumented individual will refer to those individuals from foreign
countries not legally within the United States as set forth in C.R.S. 8-17.5-101, et. seq. If Contractor has any
employees or subcontractors, Contractor shall comply with C.R.S. 8-17.5-101, et. seq., and this Agreement.
By execution of this Agreement, Contractor certifies that it does not knowingly employ or contract with an
undocumented individual who will perform under this Agreement and that Contractor will participate in the
E-verify Program or other Department of Labor and Employment program("Department Program") in order
to confirm the eligibility of all employees who are newly hired for employment to perform Services under
this Agreement.
a. Contractor shall not:
i. Knowingly employ or contract with an undocumented individual to perform
Services under this Agreement; or
ii. Enter into a subcontract that fails to certify to Contractor that the subcontractor shall
not knowingly employ or contract with an undocumented individual to perform work under the public
contract for services.
b. Contractor has confirmed the employment eligibility of all employees who are newly hired
for employment to perform Services under this Agreement through participation in the E-Verify Program or
Department Program, as administered by the United States Department of Homeland Security. Information
on applying for the E-verify program can be found at:
http://www.dhs.gov/xprevprot/programs/gc 1185221678150.shtm
c. Contractor shall not use either the E-verify program or other Department Program
procedures to undertake pre-employment screening of job applicants while the public contract for services is
being performed.
d. If Contractor obtains actual knowledge that a subcontractor performing work under the
public contract for services knowingly employs or contracts with an undocumented individual, Contractor
shall be required to:
i. Notify the subcontractor and County within three (3) days that Contractor has actual
knowledge that the subcontractor is employing or contracting with an undocumented individual; and
ii. Terminate the subcontract with the subcontractor if within three days of receiving
the notice required pursuant to subparagraph (i) of the paragraph (d) the subcontractor does not stop
employing or contracting with the undocumented individual; except that Contractor shall not terminate the
contract with the subcontractor if during such three (3) days the subcontractor provides information to
establish that the subcontractor has not knowingly employed or contracted with an undocumented individual.
7
Eagle County General Services Final 5/14
e. Contractor shall comply with any reasonable request by the Department of Labor and
Employment made in the course of an investigation that the department is undertaking pursuant to its
authority established in C.R.S. 8-17.5-102(5).
f. If Contractor violates these prohibitions, County may terminate the Agreement for breach of
contract. If the Agreement is so terminated specifically for breach of this provision of this Agreement,
Contractor shall be liable for actual and consequential damages to County as required by law.
g. County will notify the Colorado Secretary of State if Contractor violates this provision of
this Agreement and County terminates the Agreement for such breach.
[REST OF PAGE INTENTIONALLY LEFT BLANK]
8
Eagle County General Services Final 5/14
IN WITNESS WHEREOF,the parties have executed this Agreement the day and year first set forth above.
COUNTY OF EAGLE, STATE OF COLORADO, By and
Through Its COUNTY MANAGER
By:
Brent McFall, ounty Manager
CONTRACTOR:
EWING TRUCKING AND CONSTRUCTION, LLC
BY: 9 AL___ ` A
Print Name: / Z7 I Il '61
Title: 01. 6
9
Eagle County General Services Final 5/14
EXHIBIT A
SCOPE OF WORK AND SCHEDULE OF FEES
Scope of Work:
1. Description of the Work and General Requirements:
a. Place boulders per design plans to repair eroded river bank below Eagle Valley Trail
retaining wall, located approximately 3 miles west of Gypsum,Colorado.
b. Boulders to be provided by Eagle County within 500 feet of work area and one week prior to
start of work by Contractor.
c. Contractor to excavate,seat and stabilize boulders as detailed in USACE Nationwide Permit
Pre-Construction Form(see#3 below).
d. Estimated work quantity is 55 linear feet using 80 cubic yards of material, in two courses or
as determined in field. 3 to 5 foot boulders will be placed at base and smaller boulders and
rocks keyed in to support the paved trail above.
2. Contractor will comply with all conditions associated to the CDOT Special Use Permit issued to the Eagle
County issued for the Gypsum to Dotsero trail, attached as Exhibit D.
3. Contractor will comply with all conditions associated to the USACE Nationwide Permit Pre-Construction
Notification attached as Exhibit E and the final permit conditions, upon issuance(pending)
4. Contractor to procure permissions for any access or work zones outside of the CDOT permit area
(Highway 6 right of way)that Contractor believes are necessary for the work method proposed. Any
additional permits, costs, liabilities and restoration associated with the use of areas outside of the CDOT
permit area are solely the Contractor's responsibility. Contractor to provide information about additional
work zones,methods, permits and other pertinent information to Eagle County prior to commencement of the
work.
5. Contractor hereby assumes all responsibility for any damage to utilities and shall promptly repair and
restore any damaged utilities at its sole cost and expense.
6. Contractor to coordinate with Eagle County and provide a minimum of 48 hours' notice.
7. Contractor shall provide necessary traffic control when accessing off/on US6.
8. Construction safety is sole responsibility of Contractor which shall include,but not be limited to,
compliance with safety laws,regulations and standard practices. County is not responsible for monitoring or
assuring Contractor's compliance with safety laws,regulations and standard practices.
EXHIBIT
10
Eagle County General Services Final 5/14
9. Work will occur Monday through Friday only,between hours of 7:00 a.m. and 4:00 p.m. and will not
occur if weather is rainy, snowy, ice or slippery on any work surfaces or adjacent trail or roadway.
Cost of Work:
1. Cost of all work described herein, inclusive of labor, equipment, $6,000.00
materials other than that provided by County.
Total Cost $6,000.00
11
Eagle County General Services Final 5/14
4)
a
0 0
U
0
z
a
U E
d
1 oa ,
N d n 9
E -q
Z w z I
N
N
z(„-6,
J 1
d
_ U § 1
N x N O
O NJz
w¢¢
4.
w >w Z
Z OOo
UO� o �
0 0 -
O
z
w o0o a
w
Z
=
N `
C N
F" a U
P4 UW� C7 ¢" s
W a H
OS
�m�W ,>,'�o�
W U �O�c�v
O U M
F-I FW-� � y; w O O
Ln w d i
o
t' cp
w i. O i 0:Ott: 1 #
W
_` ty 4 o(vim � WLJ U
y1i t N
aw
r
`°:' ''F 0000
ay� ` a o
`11.•
¢
I iet. ' ,
*' "* x(771 ° a m
't ..''''''°'#ai'.
o
3 P 2
J''''
�° 1( c s
oy<®o
3,
F i'
to $41 O
/ 12Ji
0
E
0
z
II,. //7ft l/ i
/ / / I
I:1
o E ,
C{ WX� i!I f w �y j I O
0,11VAtoittli ' 5—4,4111444514 7 i, N o ( �Z 1 f Z
1 1 3 CC 0 Z a
',Yen Ittrok,- \ �J s' � w0 0 s ce
m
it4A4VIA ' \ %Ill
oo+o 1 � ��� . 2
III,. ,. � � 04+0 m ix J 2
ostoopelt m c
4.44,,,,44,40 ,
1 ct
4111/fW fait"
�.�/ (..> >
���
v J
.1c, IStiltiftir j l t �i t �r • , O a
■
l �
I ' �4 3���
's , ��� 0< U N N
titAistzt\, ' /,,i Is�110 J:
�� O m 0aa
a figl 4.01
' I ki O+QZ �� w 2iw3a._
., f f ,,, 1. 11 do 0
F J
L f rs\ f I 1I Z� C
as st- f II t
r
to
41L �;�o o
La 00
� ' 4 o' } a 1;, 7
°'' � p Luo
Z W z FC J W p f i
` \ t
1 \'1,_= i
as �` o m
u v
1,t
Np
r i \ :\\
\\ ;V _
z
u
N
)-:\
<� V o# o
v \
J
t �t e° ' s
t t
t t \ v
N
0
0 g,
4a
°w ii �a
0
N z v
0
In re
0w Lo o O CJ a O CJ O o
�3\ + s9 �} I I I I 0< I I I, I LO a
u7ioo i� 04- a - O
m 2'2 -4.
aQ
0) I ;,
J i,
il
zm
41.48'
►�I .�rl;
4,57 A u
L vvv <
Irtr
oa
0_ 8 - 3 �i`
� J I _
0 � N�j X m o m
■
ce
X 6WJ��
'JU . LLY'�K 3 7W6" O
3
I
r
Migrpt,u11. AV,
z a, >
0 I'sf I I I I I I I NO F8 J O O O 7 o < O O° r N a n l I N CO O� I CO WU
" Elevation 3
am0N,a
W S g'a
.n w d
N o
6c
OQ
Ja wO O 6< 00
o
�rcv °o N �z N a.
X90 I I I I umiE I I I, `�'
'. 3m0 r7n 3 O �o
�I/ ' i, of �,'
c < W
F< U 'te Z
Z
FFZ D .,,1 <F< = W Q
(AP 1 Z3� l �\ O
XQ K I/
©\ I z o
0 rc
re W
in g
Y
O i t
o O '1 I I I I I I II
C
Zo < O O O lV c
F' , O O o
R U CO N `� E a
CO CO z m E
En Z
0 2 o
0
o t N
Elevation •k g _ _
,>‘''' ft
m o
1J
A`°R°® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)
3/16/2015
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 ACT Tonya Raymond
Moody-Valley Insurance Agency, Inc. PHONE (970)248-8300
WC.No.Ext): A/C.No): (970)242-1894
760 Horizon Dr, Suite 302 EMAIL trayrnond@moodyins.com
ADDRESS: I'm ins.com y
INSURER(S)AFFORDING COVERAGE NAIC#
Grand Junction CO 81506 INSURERA:Cincinnati Insurance Companies
INSURED INSURERS:Pinnacol Assurance 41190
Ewing Trucking and Construction, LLC. INSURER C:
PO Box 2303 INSURERD:
INSURER E:
Edwards CO 81632 INSURER F:
COVERAGES CERTIFICATE NUMBER:15/16 with forms 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
LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
GENERAL LIABILITY EACH OCCURRENCE _ $ 1,000,000
X COMMERCIAL GENERAL LIABILITY PREMISES(Ea oN urrence) $ 100,000
A CLAIMS-MADE X OCCUR X EPP0171971 1/1/2015 1/1/2016 MEDEXP(Anyoneperson) _ $ 5,000
Additional Insured PERSONAL BADV INJURY $ 1,000,000
Endorsement per GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: Form GA233C00511 PRODUCTS-COMP/OP AGG $ 2,000,000
POLICY PRO-
JECT LOC attached $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
(Ea accident) $ 1,000,000
A X ANY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED EBA0171971 1/1/2015 1/1/2016
AUTOS AUTOS X 1/2015 1
/ BODILY INJURY(Per accident) $
X HIRED AUTOS X NERTY DAMAGE
_ AUTON O-S OWNED
PROPERTY
(Per accident) $
Medical payments $ 5,000
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000
A EXCESS LIAB CLAIMS-MADE
AGGREGATE $ 2,000,000
DED X RETENTION$ 10,000 EPP0171971 1/1/2015 1/1/2016 $
B WORKERS COMPENSATION WC STATU- OTH-
AND EMPLOYERS'LIABILITY Y/N X TORY LIMITS ER
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ 1,000,000
(Mandatory in NH) 1856142 1/1/2015 1/1/2016 E.L.DISEASE-EA EMPLOYEE $ 1,000,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000
A Cargo EPP0171971 1/1/2015 1/1/2016
$ 500,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required)
Eagle County, its associated or affiliated entities, its successors and assigns, elected officials,
employees, agents and volunteers are Additional Insureds under the commercial general liability and
automobile liability policies of insurance.
limmoin Jill,
a
CERTIFICATE HOLDER CANCELLATION
eva.wilson@eaglecounty.us SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Eagle County ACCORDANCE WITH THE POLICY PROVISIONS.
500 Broadway
Eagle, CO 81631 AUTHORIZED REPRESENTATIVE
Tonya Raymond/TONRAY
I
ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved.
INS025 r?rnnnnt nt The scrum Hama mnri Inns arc ronicfororl mmrlrc of ArflPll
__`
COLORADO DEPARThtETDFTRA !PORTATION N N
SPECIAL USE PERMIT s # '
[TYPE: Constar i p,RO i
xam EAGLE COUNTY ECO l RA1LS DEPARTMENT DEPARTMENT• %MY
®Ba Ctiryl 1 lamed 11/n2012'' Address:PO Box 1070 Pamitit 3120353-s Mile**
Gypsum,CO 81837 070 FR 13525
Rego 0$ 131.55
Telepbooe:(970)0Zt1.?1023 Section 02
Petrol i7ZTaimyr/Laver
myna TO PERbUTTEE:Far patiergrond faeltfy baba iafarscttloa,costae!the Maly Noti ldtfoa Cater mtCofarsda(IW Cq.Panaaat to 9.1.5403
CRS toe shall sat mane or begis abrades wigwag Mt uiiKjtag tie UNCC bad V ameasut,the
Wiles lo the arts end neshadea.Nathigtt(sa shall sib be given to the CDOT regiead ao `tier a �°� aSpeeis
Amid=Nuke of the amatescement,=feat sad dint*otthees aradeo week sheebegh�att least tt Mike, `d �to6Permlt►aapeeiy
•lacteal aaHee.TbaUNCC ahay be Bated•t 1400932 7•MOT may be caTIcd at(970)633.4271. prr� amt lethal;fheRay
AC1I1'11YDESCRIPTION(Fnrolabed*rermittee)
PURPOSE Qlastaitatiaa Q Adjustment (]Renton,! Q Milatcaanoe ofesistl°g Facility
FAOLI Y(Type,size,data oftrsrtsminaar,design pressure or etc.)
DESCRIPTION OF WORK Construct paved multi-use trail for public use(Gypsum to Dotsoro Trail Sectlonl
NATURE OF INSTALLATION Q LAafifodinel Imo) 0 Transverse(Crensini)
0 Balled C AerleyOmbad-mounted QAtt cb.To Hwy.Str.No.
LOCATION: $auttt&Id9 of 1-70 FR
Cutudr-Mak Cltyfrowa .Project Info: phi
ADDTIIOAIALREMARKS PLEASE REVIEW&COMPLY WITH THE ATTACHED"LATE FALL.WINTER a SPRING SPECIAL
PROVISIONS FQR WORK IN COOT RIGHT OF WAY"
SPECIAL PROVISIONS(compieted by the Department) The Spy Previsions us terms and eoadid iris of Ibis
permit.. _
Any work she only be in acoordaneb with the approved plan and special provisions is set forth' In fhb permit and its attachments,
The COOT fe.pectaris Cary Gtille 2M2 Telephone: 0701384-3388
Wodclstobecompicledemorttefoee� Jul 15.2015 or within Pax:(97016?dfi6 6
Weals tetcdatcdoos:. ,(n applicable) ceri.arifFnesiata.co.us
±, DAYLIGHT HOURS ONLY.NO WENDS DR HOLIDAYS
Designated minimum cover is WA Designated orerbead ciaaynrs Is„N/A
(ALSO 8FE ATTACHEDSTANDARD PROYSIONST ANpwpp(nONAL SPECIAL PROVISIONS),(TRAFFIC CONTROL MUSTCONFEEM TO THE MIT CT1)
Other:FIELD INSPECTOR SHALL BE NOTIFIED 48 HOURS PRIOR TO BEGINNING WORT(OR PERMIT IS VOID
UNLESS PRIOR APPROVAL IS OBTAINED
Penalise Is prohibited from commencing say work within
plan exhibit,insurance eertIRcate(s),sad hallo control n Most b ROW prior o m issuance da work.rk.filth risibility and validated ared permit.at sit
Hines durlsg world boars, �°seas ire available on slue s=hi=t work. rblbilily rest,are required at ail
L Year mend es use sad*seamy state highway system*di or way is described stare b granted subject to the ter=n sad eoaditlon or this pawdt,
badoelleg the Stsadard and lipoid?whim a shows on tie permit and di atbehmeeis her*.
L Ts the e,ing mdbodsed by low,PemUtee hereby amines,rdases and far ts Jade=
and=pint.ay tau asdlar damages to the pro of de Stab ercaloeie third mor die=d' sad we a=State ergo harmless oc
elid=e,d sr death W person umaocp recd et soy dad,a used I or or t e as dillies,Cd�duo St infer may ai ems i
Peratiliee►s(lades or pre{ notarise
6eiita,°boat sack Ism and/or ►ad a irate ormy hiulsteaaeee t�perstln,�or rowel or Wahl;
dosage Mims bum the sole aegtbgmee or wind tardaetdthe tldfe efCeloesde=rile er
3.Islam by the Perwtltee to amply with say elk!ad=ded trams or amebas ay nJe Mb
permit to mpadga or nmedlsfea,at the dstretfoa of te DeparmntorTraa portatee
4 THIS PERkUT LS NOT VALID UNTIL FULLY ENDOUSED BY ALL P Wrflb DAZE OF ISSUE AFFDCED ley AN AUK
REPRESENTATiVE OF THE DDART Pyr. A FULLY i I CUrED COPY OF THIS PERMIT MUST BE ON FILE AT THE TRANSPORTATION
REGION DEPICT.
a she b this Pam the'ad` s`d►repr ales Permitia,mipa that be sr lie has the aotheri d
atdastsads sad accepts all the bathed madanc h dp tartisd cod the Pen3ttee,sod li=lac or
.Attested t
Date l S Date
Title
Ngdrt@ --------------------�.... ..._�_.__.. 1 TIUs — �5 i e— Cv4�C 7/2,:7:147 lPrint Name: EiL.E J c'_;.c�
COLORADO DEPARTMENT TRANSPORTATION 1 Reow i0/� Data
Chief Engleissr 1 {
: Mk lOoe al Transportation DlretaoTarDe,I neel'7-Zz iy
.., PenNtlrerAppikwrt inspector
Ms Pater Soper. 17.2 Tammy teaper CDOTFoon#120.9 01A79
Prsblom versions we obsolete sod should not he Nat!
ECHIBIT
`D
+ •
STATE OF COLORADO
DEPARTMENT OF TRANSPORTATION
Region 3 Traffic&Safety
Utility Pernik Se
2
r4--
22 South 6"'Street,Room 140 ction
OT
Grand Junction,Colorado 81501
(570)683.6271 . °�
LATE FALL, WINTER AND SPRING SPECIAL
PROVISIONS FOR WORK WITHIN CDOT ROW
It's that time of year again when work within the Right of Way (ROW)
becomes a special concern. Due to Northwest Colorado's unpredictable
weather, work in the ROW can create several types of hazards for the traveling
public, contractors, and their personnel. The condition of the highway c
change quickly. Mud tracked onto the highway by g Y an
snowpack are just a few of the conditions that make the roadway m e and
hazardous for all concerned. The terrain within the ROW must be kept clear of
hazards as well. Holes, trenches, equipment and materials can make
"`unrecoverable" for a driver should his/her vehicle leave the hi the terrain
Activities must be shut down %%h( n the road %ay is other than dry.a . The use
of frozen materials for backfilling will only lead to settlement. The contractor
must make extra effort to compact the excavation. In the spring, any settlement
of backfill shall be repaired. The re-vegetation shall take place yet this fall or
early next spring.
try y 1 � _
i/
r�
tlr� ��,
STATE OF COLORADO
DEPARTMENT OF TRANSPORTATION
Region 3 Traffic and Safety girt
U ty permIt Section
222 South 6°1 Street,Room 100
Grand Junction,Colorado 81501
(970)6836288 FAX (970)683-629(} .`
120353-S Permit No
070 FR Highway No
135.25-137 55mm Mile Marker
2WIARY2 Patrol No
S_ PECIAL PROVISIQNS FOR UTILITY INSTALLATIONS PEDESTRIAN&BIKE PAT
TUE SPECIAL PROYSIONS ARE TERMS AND CONDfOta OF MIS PERMIT
CDOT IS NOT A UNCC MEMBER AND UNCC WILL NOT LOCATE CDOT
FACILITIES.
PERMITTED WORK REQUIRES PERMITTEE OR CONTRACTORS TO CONTACT CDOT(970)24 -
7230, FOR LOCATES IF ANY CDOT SIGNALS, FLASHING BEACONS, ELECTICAL SIGNS,
LUMINARIES, AND WEATHER STATIONS ARE LOCATED WITHIN 3000 FEET OF
CONSTRUCTION AREA
NOTICE- NO UNDERGROUND INSTALLATIONS SHALL BE
PERM FROM 15 NOVEMBER CDOT INSPECTOR ON THE PE IT HAS APPROVED OF THE
TO P
INSTALLATION DURING THIS S T. .
FRAME
REPAIRS ARE EXEMPT. REVIEW & COIVIPLY WITH E
ATTACHED"SPECIAL PROVISIONS
SPRING". WINTER
TRAFFIC CONTROL
1. The complete permit for this work,including
approved Colorado Department of Transportation safety ty ofntrac CDOT is employees,isk. or integrity of the
be know as CDOT or the Department) t,tiara(to property of CDOT is at risk,
construction and traffic control plans,will be kept at 4 All work shall cease when weather creates a safety
the work site at all times.The permlttee is responsible hazard for the traveling for providing traffic control plans that conforms to wet enough to leave or public eat marks, ditch is
and meets the requirements ofthe Manna]MI
Uniform 11TIftc petrol Devices fief TCD)and the 5. Advanced warning gm,
Calorafdn srmnle�nrtntc g�d construction signs,
barricades and flag people must conform to the
2. To meet conditions encountered in the field,minor Manual on Uniform Traffic Control Devices,
changes or additions may be ordered and wokrsdo Supplements,and must be in place before
the CDOT Field Inspector. approved b y work starts each day.
3. All CDOT employees shall be considered as 6. Any advance signs not in use for a particular
inspectors COOT when the s she of the ns de r n activity shall be removed,placed outside of the clear
g Pubes zone,or laid flat at kart 4'from the edge ofthe
cluvr lands
shoulder and not on landscaped areas or sidewalks. Where any of the above-reference ANSI
This applies to both signs and structures.
standards have been revised,the most recent
7. All flagging personnel must be certified and have version of the standard shall apply.
their certification cards available for inspection at any
time. Ctl.,— UCTjON
8. Lane closures must be as short as passible and as per I I. The permiuee must notify the CDOT inspector no
the MUTCD. Flaggers are required for each lane Dell than two C days spec to any me or al highway
closure. Advance warning signs must be placed as contact andy, one number mber Is name r alternate
per MUTCD. Ad temporary traffic control signs contact and phone number Is on the permit
shall be removed,covered or laid on the ground
during non-working hours. 12. No work shall proceed beyond the expiration date
specified on the permit without written approval of
9. Two-way traffic shall be maintained at all times in the the Department
construction area in accordance with the M.U.T.C.D.and Colorado Supplements, 13. Na work shall be permitted at night or on Saturday,
Sunday,or holidays without prior authorization or
WORKER SAFETY 4ND HEALTH unless otherwise specified in this permit.CDOT
observed holidays remaining;Thursday,November
10. All workers within the State I4i tva right t of way 22,2012(Thanksgiving Day),Tuesday,December
Y 5,2012(Christmas Day observed),Tuesday,
shall comply with their employer's safety and health January 1,2013(New Year's
policies/procedures,and all applicable U.S. Monday,January 16 2013 observed),
King,,
Occupadanai Safety and Health Administration ny � (Mar,2 Luther se is Jr.
(OSHA)regulations-including,but not limited to the Birthday),Monday,February 20,zp[2(Presidents
applicable sections of 29 CFR Part[910-Occupation Day),Monday,May 18.20[3(Memorial Day),
Safety and Health Standards and 29 CFR Part t 926-n rn�ay'July 4,2013(Independence Day),
Monday,September 2,2013(Labor Day),Monday,
Safety and Health Regulations for Construction.
October 14,2013(Columbus Day),Monday,
Personal protective equipment(e,g,head protectia November 11,2013(Veteran's Day observed),
Personal protective
visibility e p apparel, n, Thursday,November 28,2013(Thanksgiving Day),
ty pF ,safety glasses, Wednesday, (Christmas Da
bearing protection,respirators, y,December 25,2013 C yj
gloves,etc.)shall be
worn as appropriate for the work being performed, 14. On three(3)as specified in regulation. At a minimum,all ( )day weekend holidays,the project shall
workers in the State Highway be shut down by 12:00 Noon on Friday,and not
when in their vehicles,shall wear chef o o,except • resume prior to the following Tuesday momitr
following
'd°Y 8-
personal protective equipment: 15. Work hours for this permit are from one hour after
• Head protection.that complies with the sunrise to one hour before sunset,unless otherwise
P stated in the permit.
ANSI Z89.11997 standard;
At all construction sites or whenever there is 06, P public at all times when work is being donee traveling® danger of injury to feet,workers shall
comply with OSHA's PPE requirements for 17. Forty-eight(48)hour notification must be given for
foot protection per 29 CFR 1910.136, the underground location of CDOT owned facilities.
1926.95,and 1926.96. ifrequired,such Phone(970)683-6271.
footwear shall meet the requirements of
ANSIZ41-1999; 13. Any damage to highway facilities.such as traffic
• Hi visibility a lights,streetlights,concrete walkways,bake paths,
tY pparel as specified in the asphalt,signing,etc,shall be repaired and reported
Traffic Control provisions of this permit(at immediately and notification must be given to the
a minimum,ANSUISEA 107-1999,Class 2). CDOT Inspector or contact CSP Dispatch-970-824-
6501 Craig&970-2494392 Montrose.
rrtrrr7.:14, C...ww n-..4aiIna
19. Should any excavation encounter plant or animal 24. No highway,roadway,
fossils,the remains of historic or prehistoric ,unless bike specified path(asphalt)n the p (concrete)will be cut unless cified on the pettnit.
structures,historic or prehistoric artifacts(bottle �
dumps,charcoal from subsurface hearths.pottery, 25. AU backfill is subject to AASHTO standard
potsherds,stone tools,arrowheads,etc.),the compaction T-99 or T-180 as appropriate.
operation shall cease at once and the permittee shall Compaction and materials testing may be required at
contact the CDOT Environmental Office (970)683- the discretion of the De
6250 for guidance. Department of Transportation.
Flow dill shall be used for all parallel installations
20. Pemuittea assumes all within 6 feet of the asphalt.
responsibility for any and all
land survey monuments within the permitted area of 26. Material removed from any the right-of-way.If disturbed or destroyed,the must be replaced in like kind withegouaiborb�way
peratittee beats full cost for replacement. compaction.No segregation of materials will be
Construction may need to be re-muted to avoid permitted.
disturbing High Accuracy Reference Network Survey
Land Markers Direct any questions within five(5) 27. All pavement markings removed or damaged during
days prior to construction to:Region Survey the utility installation will be replaced.
Coordinator,222 South 6i°St.,Room 317,Grand
Junction,CO 81501 at 970-683-6230. 28. Areas ofroadway and right-of-way disturbed during
21. if this installation will be restored to the original
petroleum or other potentially hazardous material is contour and condition by grading to drain,top soiled.
encountered during excavation,work shall cease fertilized,mulched and reseeded with approved
immediately.The proper disposal of any soils or material at specified
other material determined to be hazardous and/or "certified tfiied w ed Mulch, a fertilizer
iner
contaminated by fugitive and seed shall be certified weed free". Refer to
excavated during the petroleum uncovered or Section 212&2I3 of the"Colorado Department of
g performance of utility Transportation Standard Specifications for Road
construction shall be the sole responsibility nd Bridge Coustrucdan". Copies of weed free
Utility and shall be accomplished In accordance the
all applicable Federal,State and Local laws and certification may be required by CDOT Regina 3
regulations.Such clean up and permit section.
p disposal shall be at no
cost to CDOT. 29. No equipment or materials will be allowed on the
22. All construction vehicles,delivery main lanes or the roadway during const uction.
es, very vehicles and traffic
control vehicles shall be equipped with flashing 30. MI work and materials to meet or exceed the most
directionsamber/yellow w beacons,which are visible from all current issue of the"Colorado DeparAnerrt of
Only construction vehicles involved in Transportation Standard SpecJZcations for Road
the construction are to be at the work site. It is and Bridge Construction"&Colorado Department
important to limit the number of extraneous vehicles of at each work site Staging areas shall be pre- Standards".Transportation Standard Pieria-M S
approved.
3 I. All drainage facilities shall be constructed in such a
23. Staging and material storage areas,within the right of fashion not allow water to stand on any portion
Ey must be pre-approved and beyond the clear zone. of highway right of way.
Employee parking within the right of way shall be
restricted and shall not be allowed,except in pre- 32. No landscape hems such as railroad ties,large rocks,
approved contractor staging areas and beyond the timber,eta shall be placed within 30 feet of edge of
clear zone. The only vehicles allowed within the the asphalt.
highway clear zone are the construction vehicles
necessary for the operation,such as the Inspector, 33. No signs or structures of any kind shall be erected on
Superintendent,Mechanic and Supervisor. Parking highway right of way without CDOT approval.
along the shoulder of the highway is not allowed.
Contractor utilizing private property for material 34. It is understood that the Colorado Department of
storage and staging areas shall fiuntish CDOT with Transportation reserves the right to enter the
documentation that permission has been obtained
from the property owner.
('f AT 111414.0.s...,.,.,,r, ,,...
' b e/pedestrian area to perform maintenance activities the right
f at
any time and without prior communication, of way if CDOT has to have It removed for
any reason,but not limited to:safety,maintenance,
promptly and construction.
35. Unacceptable work shall be
p ptly remaved end
replaced in an acceptable manner.Final acceptance 41. In the event an changes
does not relieve pennittee of maintenance obligations Y gas are maee to this highway for
toward those elements of the highway facility transportation purpose in the future that
toward those
under this of the[. ty necessitate removal,adjushnent,or relocation of this
installation,permittee will do so promptly at no cost
36. All procedures and work are subject to CDOT to CDOT except as provide by law,upon written
approval. notice from CDOT.
37. All work to be as 42. The permittee is responsible to ensure no damage
per permit and submitted plans. occurs to existing utility and other installations that
MISCELLANEOUS may be present on the State Highway right of way
during landscaping activities. COOT reserves the
38. The omitted hereby right to issue utility permits allowing installation of
pe ereby assumes,releases and agrees to utilities in the State Highway right of way.The
indemnify,defend,protect and save the State of permittee shall not interfere with these installations
Colorado harmless from and against any loss of which will take precedence over any landscaping
and/or damage to the property of the State of activity.if any utility installation destroys a
Colorado,third parties or the permiuec's facilities significant portion of the permitted
including loss of services,loss and/or damage on neither CDOT nor the utility company shall hav
account of injury to or death of an liability to the permittee for such damage. have any
whosoever,arising at any time,caused by or
out of the occupation Y growing
t�aation of Colorado State 43. If any element of the highway facility,constructed or
Transportation rights-of-way the pemtittee's Facilities replaced as a condition of this permit fails within two
or any part thereof,taxless such loss and/or damage is years due to improper construction,installation or
the direct result ofany willful and wanton act of the materials,permitter will be
State of Colorado or its employees. iesponsble for making all
repairs immediately as notified.
39. Permittee is prohibited from any illicit or non-storm 44. Should any permuted facilities be abandoned,
water discharges that are prohibited by State Water permittee agrees to notify the CDOT Region office
Quality laws. If further information is necessary, and remove any or all portions of such installation,as
CDOT shall provide a copy of the Environmental may be designated by CDOT.
Clearances Summary. Peimittee agrees that it shall
be responsible for obtaining all necessary 45. The expiration date ofthis permit is noted on the
environmental clearances and permits from all permit. Any request to extend the time one of this
agencies(U.S.Army Corps of Engineers,Colorado permit shall be made in writing. Submittal of an
Divisions of Wildlife,U.S.Forrest Service,U.S. additional permit application may be required.
Bureau of Land Management,Colorado Department
of Health&Environment,county health department, 46. Use of the trail shall be limited to bicycles,
etc.)before commencing any work under this permit pedestrians,wheelchairs,and other non-motorized
Without these clearances&permits,this permit users.No motorized vehicle use will be permitted,
shall be spot in effget.Perroittee also agrees to with the Use of the Trail shall be limited to bicycles,
assume all responsibility and liability in connection pedestrians,wheelchairs,and other non-motorized
with potential environmental hazards encountered in users.No motorized vehicle use will be permitted,
connection with its work under this perntit.The with the exception of motorized vehicles necessary
pennittee must show all environmental permits and for maintenance of the trail,motorized wheelchairs,
clearances to CDOT(Utility inspector or motorized bicycles,self-balancin
Environmental Officer)on request and prior to g personal
construction. transportation devices(Segways)and
and emergency
vehicles and emergency access.
40. CDOT Need for Right of Way:The Department will 47. The Local Agency has determined that the entire
not replace or relocate any landscaping placed within bicycle/pedestrian trail is not a significant publicly
owned park,recreation area or refuge and therefore, completed to the satisfaction of the State's
Section 4(f)of the U.S.Department of Transportation Inspector,that inspection shall constitute the
Act does not apply. final Inspection and the State's Inspector will
n notify the Local Agency in writing of the State's
48. The Local Agency cy is solely responsible for all acceptance of the Project as of the date of the
maintenance of the trail. The Local Agency shall be final inspection.
solely responsible and liable for any and all claims,
damages,liability and court awards including costs, C. If the inspection discloses any work,in whole or
expenses and attorney fees,which arise as a result of in part as being unsatisfactory,the State's
the acts of its employees or agents or their acts of Inspector will give the Local Agency directions
omission,if any,in designing,constructing, for correction of same,and the Local Agency
operating,or maintenance of the Project within the shall direct its contractor to implement the State's
State's Right of Way.Nothing in this contract shall be directions subject to the provisions of paragraph
construed as a waiver by the State or the Local 211.of this contract.
Agency of the provisions and protections of the
Colorado Governmental Immunity Act,Section D. Upon correction of the work,another inspection
24-10-101,et seq.,C.R.S.,as now enacted or will be made which shall constitute the final
bereafier amended. inspection provided the work has been
satisfactorily completed. In such event,the
49. The Local Agency recognizes that the State must State's Inspector will notify the Local Agency In
retain the superior right to use the State's Right of writing of tbe State's acceptance of the Project as
Way for highway purposes and that the Local of the date of the final inspection.
Agency's use of the State Right of Way,is at all times
subordinate to and subject to any and all current and E. Final acceptance by the State under this
future roadway operations,maintenance and State paragraph does not waive any State legal rights
highway needs and purposes,as determined by the contained herein.
State in its sole discretion. The State may revoke this
license,and the Local Agency shall relinquish all use S I. Within 120 days after Local Agency issuance and
of the State Right of Way without any cost or liability State acceptance of the Certificate of Final
to the State whenever the State,in its sole discretion, Completion,the Local Agency shall prepare and
determines that the State Right of Way is required for deliver to the State the final sets of plans and
any state highway purpose. Such revocation shall specifications(the"As-built"plans)for the Project,
occur automatically within 180 days after receipt of based upon surveyor's data maintained by the Local
written notice from the State that such Right of Way Agency. A copy ofsaid plans shall be made a part of
is needed for current or future roadway operations, this contract by returnee.
maintenance,or other State highway needs and
purposes. 52. if for any transportation purpose it becomes necessary
to remove,adjust,or relocate the facility authorized
50. Upon satisfactory completion of construction of the pursuant to this Special Use Permit,Petmittee will do
Project,the Local Agency will Issue to the State a so promptly,at no cost to CDOT,upon written notice
Certificate of Fmal Completion showing the date of from CDOT. The Permittee shall perform the
final completion and certifj+ing dint the Project has relocation/removal work at or within a time
been constructed according to the approved plans and convenient to and in proper coordination with the
specifications.Determination of satisfactory project or transportation related activity,to minimize
completion of the Project shall be made by the State public inconvenience and cost,as directed CDOT.
in accordance with the following procedures: The Permittee shall pay for damages caused by the
Permittee's delay in the performance of the facility
A. Upon due notice from the Local Agency's project relocation/removal work or interference with the
representative of presumptive completion of the performance of transpo tation work performed by
Trail Project,the State's Inspector will participate others. Such
in an inspection of the Trail Project with the C include,a,but are not limited to,
Local Agency and the Contactor. payments made by CDOT to any third party based on ..�
a claim that performance of the transportation project
work was delayed or interfered with as a direct result
B. If construction of those portions of the Project, of the Permktee's failure to timely perform the
within or affecting State Right of Way is found relocation/removal work. Damages resulting from
r nrrr T 1411 4.,C.......n ,a.
delays in the performance of the facility
relocation/removal work or interference with the
transportation work that are caused by events beyond
the Permittee's ability to reasonably foresee or
control(a force majeure)shall not be charged to the
Pennittee.
petrel.r taus.,c....., n.= x eft*
, .
I" ,r k in
4
.c 411 V'
12 1 g $15 ir5;24 t "IZI
g 0 i4 0 0 X i 01
1.
a
1 1 '12 Tol .- 0
2 1 214
...a .=
.s 8 ii
] f.
0 I sg. sE5 a 0 i .c1
4 — i o
v
0
a a <
a a
1 ahl6 I 0) 0
f, 3.
1 4-1.. =
1. — p 0 . 14
a4
.0 E 43 1.46 4 IC' 4-1 4/ tor
US 0 lid
0 ..0
liA a gIll
a iel pa 01:
. Eg „ le .
i rz, 2 X a ,:,
z
ta cl
o
gt8 al 1 43 B gr 1 It'grnscr 0 0 .
0 s ,fi.
14,41)
,-4
ua
t)
raic&V
0 P,
E.1„z5R
4, Na 0
Ci ff. .E a tr.? I M. 4. p 1 -a
1 iihe .E° `.1
i 1 0. fee A 4 • a.
1,z, = .2 agio -6
S 'a f..3
co
.F. 41%-gitu ib ic.4
1- 41 t 4. A n ' 1 ;7)
i .e. .t 4 eggir, gig
.al ill Nrileviegg a 1
0 , pi, a .d ,,g m ,, ......, it .... E
a g t. 1 gli .ti gel L. 6." g t sq
IN
N
4 Z 0
ri.
Z
4
ff
6 Cn e h—E ; E A i 'E.I mr s $ g
cIPH g •- - 1/ v r„
eR .SaS. . ; • .,
il il
13
CI el Ct
Z 1 t 11 ' .13 i E i 8 ta
,40 & 1 •C
v I gU 1 4I ..= .8 w.•
i Ta—b I ,
sra u gqi 1 = .6igl 18 I ig a
Ad
WI 4 II " 4 At tir 101
Q a 11 ,.. l• VEI
Vi.lbil4 11 °1 '4'
1 = 01
1 t'
l'app, 1 illvIC 1
g
ed .a
E 2/ 1 11111P91511 . l
`') 1 lb ° gagil
U •Isi E.1 .§ r,] eta
1 44
o o .8 up z go -- 30./A Ursq ev 2 {j I R
j ri,d la E il eg toe 11,4 g„,.›,.10 g t
i ININ1012 :7111111IP A 1 1 1
a 0 a4 2 114 tx ... x b 1,4 I
al At
CDOT UTILITY/RELOCATION/SPECIAL USE PERMIT STANDARD PROVISIONS
The following Standard Provisions are terms and she restoration,Com
«conditions of this permit: PI eted Operations coverage shall be
t provided for a minimum period of one year following final
acceptance of work.
oQective January 1,2008
If any agpegale Emit is reduced below 1.000.000
Utility work authadred under this permit shall comply with the m)uirements of because ofcU�ims made orpald the Pemniaee,or
the State Highway Utility Accommodation Code,and applicable federal,state, as applicable-their Contactor,shall the full Immediately
focal.and industry codes and regulations. obtain additional insurance to restore the full
Construction of any pinion of the highway facility,including the pavement aggregate limit and furnish to CDOTa certificate
strnctute,subsurface su or other document satisfactory to COOT showing
pptirt,drainage,landscaping elements and all
compliance with this provision,
appurtenant features,shall comply with the provisions of the COOT Standard
Specifications for Road and Bridge Construction,and with the Colorado 3) owned.hired liability no non-owned Ot covering any solo(including a,
Standard Pleas(M&S Standards). owned,hired and non-owned autos)with a minimum limit a%
follows 51,000,000 each accident combined single limb,
L CONIMENCEMENT AND COMPLEfION
4) For any a)engineering design,b)construction inspection:or,c)
Work on highway Right of Way(ROW)shall not commence prior to issuance traffic control plans approved by a Traffic Control Supervisor:
of a fully endorsed and validated permit, done in association with the operations or installations authorized
by this permit,Professional Liability Woman with minimum
Pctminee shall notify the CDOT inspector limits of liability of not less than$1,000,000 Each Claim and
a. Al least 2 working days prior to commencing work.or resuming SI,1100 Made Annual the egata e,or,policy i written on a
operations which have been suspended for fist or mare consecutive Claims Made form,the ,shall renew or,as applicable,.their
working days Consultant or Contractor,shall renew and maintain Professional
b When suspending operations fa S or more working drys Liability Insurance fora minimum of two years following final
c Upon completion of work. acceptance of the work,or provide a project specific Policy with
a two year cascaded reporting provision.
Work shall not proceed beyond a completion dote specified in the Special
Provisions without wrier approval of the completion arament. 5) Pollution Legal Liability insurance with minimum limits of
2. PLANS,PLAN REVISIONS,ALTERED WORK liability of S1.000,000 Each Claim and 51.000,000 Annual
Aggregate CDOT shall be named as an additional insured to the
Pollution Legal Liability policy. !Me Palley Is a component of
Plans or work sketch(EXHIBIT Alm subject to COOT approval.A copy of the Professional Liability Policy,the Addit(onal Insured
the approved plans or sketch must be available on site during work Plan
Claims is waived,and the Policy than be written on a
revisions or altered work differing in scope or nature from that authorized
Claims Made form with an extended ma
"der this permit.are subject to COOT prior approval. g period of at least
j Mi Pproval.Permitter shall two year following final acceptance of the work,
imply notify the COOT inspector of changed or unforeseen conditions,
thich may occur on the jab. 6) Umbrella or Excess Liability Insurance with minimum limits of
3. INSURANCE 51,000,000. This policy shall become primary(drop down)in
the event the primary Liability Policy limits are impaired or
Insurance Requirements for Utility and Special Use Permits(Revised 7-05 per exhausted. Thc Policy shall be written on an Occurrence form
State Requitement%) and shall be following form of the primary.The following form
Excess Liability shaft Include CDOT as an additional insured
A. The Permitter shall obtain,and maintain at all times daring the 13 COOT shall be named as additional insured on the Commercial
performance of work authorized by this Permit,insurance In the
following kinds and amounts The Permitter shall General Liability o era and Automobile ia insured Li eic a rash ll bean
Contactor working for them within the State Highway Right of Comptetcd is CG 201 11/85.C 207,coverage shall Coverage vn
Way to obtain like coverage.The rennin=shall also require any requ, meynth 20101 IBe,CG any 2037,over anyhn sera e o se self
-
Contractor or Consultant performing work described In sub iusur ed by the m ca Permit will be a Stet oe any insurance or self-
paragraph 4)below,to obtain Professional Liability Insurance: insurance program �by the State of Colorado.
statute, C The insurance shall include provisions presenting cancellation or
I) Workers'Compensation Insurance as required by state
and Employer's Liability Insurance covering all employees ce certified mat without least 30 days prior notice to COOT by
acting within the course and scope of their employmeui and ccrt#Ged°tail`
work on the activities authorized by this Permit.
D, The Permitter,or,as applicable their Contractor or Consultant,
2) CommercialCenerat Liability Insurance withers on ISO will require all insurance policies In any way related to the Permit
occurrence form CG 00 01 14'93 or equivalent,covering and secured muds clued by the Permitter,Contractor to
premises operations,lire damage,independent Consultants, Consultant;to indrde clauses stating that nth carrier will waive all
products and completed operations,blanket contractual liability, rights agencies,of recovery,under subrogation or otherwise.tsa against employees Injury,and advertising liability with minimum limits y its avolu te.institudias,organizations,oRictsx,agcnu,employees
as follows and volunteers.
a 51,000,000 each occurrence, E AU policies evidencing the insurance coverages required hereunder
b, 52,000.000 general aggregate,
be issued by insurance companies satisfactory to COOT,
8 ggregate,
c. 53.000.000 ptodutts and completed operations aggregate; F The Permitter,or as applicable-their Contractor or Consultant.
i and shall provide certificates showing insurance coverage required by
this Permit to COOT prior to canonizing wont No late than 15
d 550,000 anyone tore. days prior to the expiation demo!'arty such coverage,the
e. Farah
Pennine,Contractor or Consultant,shall deliver COOT certificates
y permanent Permitter installations located of insurance evidencing renewals thereof. At any time dining the
within the State Highway Right of Way;highway repairs,or term of this contract,COOT may request in writing,and the
02106
COOT Permit Form 333 and Standard Provisions Page 2 of 6 • .
CDOT UTILITY/RELOCATION/SPECIAL USE PERMIT STANDARD PROVISIONS
Pcnninee,Contractor or Consultant,shall thereupon within 10 days vehicles through the work zone,and shall conform to the
supply to COOT,evidence satisfactory to COOT of compliance requirements of the Americans with Disabilitmr Act The TCP and
with the provisions of this section. MHVs shall contain sufficient detail to demonstrate confomit�
G Notwithstanding subsection A of this section,if the Famines is a with all applicable requirements.
"public entity"within the meaning at the Colorado Oavcrme»al
immunity Act CRS 24-1 0-1 01. the e. The Acnttrttee shall have a compctem person at the work she m all
Pcrmincc shall a all times during term aft permit% air times in responsible charge of temporary ironic control,l App to
situations where the TCP goes beyond any Typical Application
only such liability insurance,by commercial policy at self« shown in the MUTCD.or
insurance,as is necessary to mist its liabilities under the Acs Upon conditions exist,the Department malt'dq uire the roadway or traffic
request by COOT.the Penninee shall show moot of such insurance may reAoirc r a pose Permitter he to have
satisfactory to COOT. Public entity Paulin= are not iced to to have Traffic Control she dusiig week.The or hall be the TCP or
Warns COOT as an Additional insured. � to have a TCS on she during work.TTme TCS shall be ccrtilicd as o
wnrksitc traffic supervisor rvisor by either the American Traffic Safety
Services Association(ATSSA)or the Colorado Contractors
H: It the Permhtce engages a Conttaclar amVar Consultant to act Association(CCA),and shall have a current COOT naggers'
independently from the Pcradttnx an the permitted work,That certification card, The TCS shall be sespansible fax the planning,
Cantassex and/ar Consultant doll be required to provide an
preparation.cuanhiraiion,Implemcmmion.and inspection of the
endorsement naming COOT as an Additional Insured do their
Commercial Geacml Liability,Auto liability.Pollution Legal
liability and Umbrella or Excess Liability policies, d The Pcrmincc shall not Stan the permitted work before the
Department accepts lire TCP.
4. WORK WHERE DEPARTMENT LACKS AUTHORITY
Utility work within municipal boundaries 2 e' Department may review and order changes to the TCP and
certain public lands,or Oft private (pursuant 43•_ 135 CRS),on g performance of the work,as requited.
ix°paty,may require separate approval or
the atmprorxiatc jurisdGctioma!agency or pmpaty owrcr. f The Permitter shall comply with the TCPat an times during
S. INSTALLATIONS ON FREEWAYS performance of the wall.
;- The Permute shall keep a copy of the TCP at the work site at all
CDLI i may permit minty accommodations on freeways,including but not
times during performance of the work for inspection.
Limited to the intestate System,only in accordance with Utility
Accommodation Code provisions.Special ease exceptions as defined therein I> The TCP shall ensure that clown of isterscct ing amass,road!
Y be permitted d Daly is accordance with flf WA•approved Oepannmenat
approaches and other access points is minimized. On heavily
fey trisected highways,the Deportment will not permit(mentions that
interfere with traffic during periods of peak traffic now
6. JOINT USE ALTERNATIVES
I. When Permitiee operations coincide with highway coruruclioa
As directed or approved by COOT.if accessary for the safe and efficient use or
maintenance operations.the Fermium shall develop and impkm **
the ROW.Permitter isba11 utilize joint use facilities such as the placement W the TCP in cooperation and c therdateon with the highway agency
two or roc separate lines in a commas trench,or allaehmcnt to the same and/or its contractors and as otherwise directed by the time/Mad
overhead support.The Pennittce will be not ponsibte for proper coordination in the psxnttt.
ver
with other arrears!utilities_
J. All Baggers shall have a current LOOT flogger certification card,
T. ATTACHMENT HIGHWAY Si(tltC?URES and shall be capable ofcommunicating with the traveling publicand
others of the work site.
Perminee is responsible for designing stn turc atmchmcns,subject to the
approval of the COOT Shalt Bridge Design Engineer. 10. NCHRP 350 CRASHWORTI11NFSL REQUIREMENTS FOR
WORK ZONE TRAFFIC CONTROL DEVICES
B. ORAiNAGEWAYS AND WATERCOURSES
Work zone devices designated by FHWA as Category I,including but not
The Row of water shall not ever be Impaired or imcrtnpted Where possible, limited to singlsplece desert,tube,,coca awl delineators,Category 11.
crossings of ditches,annals or water-carrying structures shall be bared a including but not limited to Miricade;vertical panels With tight,drums or
jacked beneath Irrigation ditch or rand erdtssings require approval of the ditch cants with light,portable sign supports,imrosias*teams turd type III
pony or owndrz.Paminee shoo repair damage to any drainage facility to the
barrkadex;or as Category IR,including but not limited to concrete beldam,
satisfaction of the awncr, filed sign supports,crab cushions,and other work zone devices not meeting
the definitions of Category 1 or N;shall meet NCHRP 350 wadi test
4, TRAFFIC CONTROL PLAN rnqu teaents. The Permitter,or their contractor shall obtain and make
available upon request,the manufacturer's written NCHRP 350 certification,or
a Pricer to catamarans wait.three Panda=shall develop and salrmit es applicable,the FHWA Acceptance Letter,for each type of device. FHWA
to the Depanmem for acceptance,a Traffic Coated Plan RCP/far A mica Letters far Category I!a Category III Work Zone Devices may be
any accommodation wink that will affect traffic movement or
accessed through time FHWA webslk at
safety, The Pantittec shall implement the TCP and anite trarnc AIL 1 !? z ,lt,i aa�n z„t t au gam#a�f t¢ axI ,ti tat( agi
control devices as necessary to ensure the safe and expeditions
movement of nraffc around and through the wink site. 11. WORKER SAFETY AND HEALTH
b. The Permitter develop the TCP,and bletdmods of Handling a. All woken within the State Highway right of way shall comply with
Traffic(AtFi1's)included*min,in conformance with the Manuel their employer'.safety NW heSal p artd cal ocedure s and all
sat Unitirm Traffic Gsmrd Devices(AriJTCD),doe Colorado applicable U.S.Occupational Safety and Health Ada agtail=
Supplesrncnn titcrcto adopted by the Commission pursuant to scctiorn (OSHA)teguladems,including,but not limited to the applied*
42 4.104 and 42.4.105 CRS,the Department's standard sections of 29 CFR Pan 1410 Occupational Safety put Finish
standard leas for temporary traffic control and the Depdutnnem'c Standards and 29 CFR Pan 1926.Safety and Health It egulatitm,,,
pleas for signing-Standard Plans S 63xI and S 630.2. for Construction
The TCP shall include provisions for the passage of emergency
COOT Permit Form 333 and Standard Provisions Page 3 of 6 02/06
CUOT UTILI'I'YIRELOCATION/SPECLIL USE PERMIT STANDARD PROVISIONS
b. Personal protective equipment(PPE)Mg,head protection.
footwear,high visibility sl,safety glasses hearing etc.)aj el vvott as a g protection, e. Thrust blocks are
being performed,and not specified in regulation ppatmpaA to for the work pressure Pte• required on all venictd and horizontal bends in
workers in the SR ROW.except when in their vehicles shall wear f,
the following personal protective equipment' t Meters shall not be on highway ROW except within
corporate limits whets re municipal regulations allow such use
I) Head protection that complies with the ANSI 289.I standard,
13. ALIGNMENT.COVER,CLEARANCE
21 At all construction sltec or whenever there is danger of injury a
to fret,.workers shall comply with OSHA's PPE requirements Location and is pe it of Perm tea's facilities shall only bras
for foot protection per 9 CFR 1910136,1936.95,and specified In this sketch I or I ahtawise indicated in the approved
1926.96. If required,such footwear shall mat the plans or work setth JEJClfiH1T AI
requirements of ANSI 241,.
b. Parallel installations will not be permitted under roadways
3) High vixibiHty�petted,which shall,at a minimum comply (including curbing andfor shoulders)or median areas,except u ithin
with the Class 2 specifications of the ANS1/ISEA l D7standard. corporate boundaries subject to municipal mulattos.
Class 3 apparel shall be considered for use at night or in c Parallel installations should be located as nem as practicable to the
pan{culady hazardous situations.
ROW line. Crossings Khali be as nearly perpendicular to the
d I The mast recent version of the ANSI standards listed above hlghwvY as feasible.
shall apply.
d Where no feasible alternate locations exist,the Department may
12. ADA REQUIREMENTS
permit parallel installations along roadside areas within 15 felt from
The Permits shall comply with the applicable provisions of the Americans edge of shoulder or back emits In these taws,the facility must be
so located and safegudsded as to avoid potential conflict with
Thew enance sh shall c with with the e both Able prove ions of the Americans an and necessary highway ap pwtrnar ces(s{
temporary work zones.
cur.. Specific safeguards such as increasing depth rail.of
rover 6
1 P cgs g depth of cave m
inches,capping,or encasement.shall be specified in this permit's
13. CLEAR ROADSIDE CONSIDERATIONS Special Provisions
a. COOT is committed to provide a roadside area that is as free as C Parallel installations shall fallow a uniform alignmat,wherever
practical from rawtravetseablelds and fixed objects t`dear practical.Due consideration must be given to conserving space
zone l.New above ground installations may be permitted within the deviation for future approved d horizontal The mandate'inches
clear zone only upon a showing that no feasible alternate locationx deviation from the approved horizoata!alignment'tile inches.
exist.Frrirtinee must utilize appropriate eacmteritxasuta to
minimize hazards. f Minimum rover swath conform to the Special Provisions Normal
b specified cover will be 48 inches or greater,trdoced cover may be
Pemattee shalt tsmove materials and equipment from the highway approved where site conditions warrant,subject to other safeguards
ROW at the close or daily operations. The(milk come{ as mane shall�ied oratothe Special i permii, ,cansmm overhead
include prttective mcasums where materials and ui t> mast Utlit y A comp conform to due
stared on ROW pnoxct ati be 111ifity Acronmodation Code aril Provisions,consistent with
.: Protection of open trenches and other excavations
within highway ROW shall be addressed In the Fermium's tragic
control plan. All excavations shall be closed at the end of daily 16. PAVEMENT CuTS AND REPAIRS
operations,and no open excavation will be allowed in the clear zone
after dark.The Pexmittee ageees to promptly undertake mitigating mom than'redacts n battik nor wibe dth of the pied x specified bo opened this
or corrective actions acccptdble to the De Ong more itnan one half the width of the roasRied may tea permit.No
or COOT thin the s acep i Department upon notification otherwise permitted.Pavement shall be sawed or wheel.cut to a neat fine
by thin the installation for highway permitted herein has resulted in a Pavement shall be replaced to a design
surrounding undisturbed pavement structure,Pavement repair shall conform to
14, GENERAL CONS 1 RIICIlON REQUIREMENTS the Speciai Provisions or the approved plans.
a Work shall not be performed at night or on Saturdays.Sunday(,or ]T. BORING,JACKING,ENCASEItt #
holidays without prior authorization or unless otherwise specified in
this permit COOT orb uthort work oil ROW during a see a Unless otherwise specified.buried crossings shall be bored=jacked beneath
weather it COOT may or yanirt g the roadway,at least from toe of slope to toe of
during periods of high traffic volume entrenchedaossings more than 5 fee in opposite bee ulkpe, Portals for
b Thor areas wilh#n ROW,which must be disturbed by conformance with OSHA construction arid safety standards.us.Portal limits of
otiose stns,shall in ROW,
ton y permit entrenched crossings shall be established safely beyond the surface
spray,cut, s trim eee�a other minimum Prank=
within not and clear zone and In no case shall the lateral distance fmm the surfaced area of
highwhighway c ROW.unless such he rl n seapinim the highway to the boring ardecking pit be less than the ventral difference in
ayr clearly unless sec on the a specifies in this elevation between such surface and the bottom of the pit Water jening or
tracked apposed plans.Cleated or tunneling ix not permitted.Water assisted boring shall not work on or move over paved surfaces rig maybe{ermined to
without mats,or pads on tracks determined by the COOT'respecter Boring hole shall be ovenizrs!to the
minimum amount required to allow puHawrough of the conduit being instated.
c Material removed from any portion of the roadway Resultant voids shall bestowed or otherwise beckfiticd.subject to COOT
Material re In like kind with equal or better y lxtsm must be approval Ends of bored sections shall not be covered before bring
of re material is no acdon.Segregation Facasenat shall be consistent with utility Aewmmodaiion Code ptavisions,
ofrnbte ta!is not in;mortified permutedmffa ilityshall be of CDOT may require
accepted practice or industry conduit protective ssIn for shallow installations or certain
sl
standards designed ter long service lift.and relatively free from tnateriats. Encased t between shall s cons at least from toe ayslope to
routine servicing or maintenance. toe of the or the fail width betwwn accrss•rortrol lino on freeways,
{nclading the Intestate System.
d Construction or compaction by means of Jeeting,puddling,or water
flooding Is prohibited within all highway ROW 18; INSPECTION AND ACCEPTANCE
D'
COOT Permit Form 333 and Standard Provisions Page 4 of
CDOT UTILITY/RELOCATION/SPECIAL USE PERMIT STANDARD PROVISIONS
a. COOT will determine the extent of inspection serssiccs necessary for
a given installation.Pemilnec shall attend final inspociims as may g. If pre.existmag solid waste or hazardous materials contamination
be requital. Mite initial performance orpennirted work was ',
unacceptable,as determined the Ile mine ai li oil or.)gasoline rc contaminated fawn during ngit.asbestos,c nce or
by partnumt.the Pentpirla shall mine taitiagls,etc,)are ereohntetcd during the performance or w
perform any reconstrectltm or impmscmcnt of that work as ordered the Pcnninee shall halt work in the a(feecd area and immediately.,
by the Department,in a timely manner and prior to any timber contact the COOT regional permitting office for direction as to lrow
camtrunion. If permitted operations are not being carried out in to proceed
compliance with the terms and conditions of this permit.the
Department may order the Pantiitec to perform whatever comcth c h Spills shall be reported immediately using the CDOT illicit
measure(are necessary to attain compliance with the permit. If Discharge Hotline(303)512.4.46.Spills on the highway,into
there is an inunctgaie danger to the public's health,safety or waterways,or that may otherwise
welfare,the Department may ardor the Permittec to cease all the lic,shall be present an the Colorado longest to
operations and if necessary,to remove all equipment aid betties Patin at(303)339•�I and the Colorado or me��Public
fruit the SHROW. Health and Envimnment at 1•(877)510460ff
b. Final acceptance does not relieve Pcnm)itce of maintenance 20. RESTORATION OF RIGHT OF WAY
obligations toward those elements of the highway facility
consructcd under this permit. Final acceptance begins the two year Prior to final acceptance,all disturbed pions of highway way
`minty period tsee tequuenieni under"Operation and be cleaned up and restored to their final condition..sY of O shall
Maintenance"below). approval. Seedi sodding.and subject to CDhe
Seeding. 8• Pi�tiigsiwilbeasxprcificd,orothcawisc
19. ENVIRONMENTAL CLEARANCES/PERMITS aqp raved by COOL Construction.main emance and watering requirements
shall conform to the COOT Standard Specifications.Where landscape
a It h the y
restoration nwtu he delayed due to seasonal requhements,such work may be
responsibilll of the Permitter to determine which authorized by separate permit,it, Penninm shall use only certified wed free
tmvironmeatal clearances amUor regulations apply to their Whit seed and mulch.Perm uec shall clean no F ent before tramporting and to obtain any clearances that are required directly from the out of the state to prevent the migration of noxious weeds, f1 into at
appropriate regulatory agency prior to commencing work. Phrase
refer to or request a copy of the"COOT Environmental Clearance 21, OPERATION AND MALN EPiANCE
(nfonnsian Summary"(ECM)for details The ECIS may be
obtained from COOT Permitting Officers or may be accessed via the a. Permitter agree.(to own and maintain the lrruallatian permitted
COOT webpage a herein The facility shall be
lsset+,liwww,ttnt.piste.cnudlleiletkl'nicruull9KuIIre la. Failure to Y in anadegleaniteofrepairant
comply with re maintained in such a amnner as to cause the least interference with
regulatory requirements may result in suspension or the normal operation and maintenance of the hi hwa
revocation of your COOT permit,or enforcement actions by other g y'
agencies. h if any element of the transportation facility,constructed or replaced
b. The Special Provisions of this permit shall list an specific as a condition of this permit,foils within 24 months due tot .�,
environmental e Spes l Provisions of permit sh the y nstruction or materials,Permitter shall make all repairs
notified by the Permitter or by ad minlme i regulatory has yasg agency
immediately as notified in writing by COOT
apply to the operations authorized by this permit.The Speciall c. Routine,periodic maintenance and emergency mpairs may of be Provisions shall'quire the Permitter obtain the listed performed under the gen terms and conditions this se
lf.environmental clearances/permits rmits rior to beginning went. CDOT shall be given proper advance notice whenever maintenance
cc
c. The Pamittex shall comply work will affect the movement or safety of traffic In an eminency.
exrhply with all requirements described in the the COOT Region office and the State Patrol shall immediately be
CDOT Environmental Clearance;Information Summary,including notified of passible traffic hazards.Emergency procedures shall he
those pertaining to coordinated beforehand,where possible.
I) Ecological Rcsoluta
2) Cahural Resources d. Maintenance activities regedratg new excavation or other
3) Cultu l R of Starmwaler ar Process Water dlstu bemcc within highway ROW may require separate permit.
4) H Materials Where highway construction or maimenanca operations so require,
5) Hazardous azer rgeas of Dredged or till Material Penrditae will shut off lines,remove all combustible materials from
6) Erosion and Sediment Control oh=highway right of way,or provide other temporary safeguards,
7) Disposal of Drilling Fluids 22. MARKERS,LOCATION AIDS,LOCATION ASSISTANCE
8) Concrete Washout '
9) Spill Reporting a. The utility shall take all
I0) Transportation of Hazardous Materials Y practical ab a by st to and ge that buried
ent
utility facilities are smfaceddectable by stutrhelmd geophysical
d. Disturbance of any wildlife shall be avoided to the maximum extend Methods. Where the utility facilities,by the nature of their material
Daiwbanc If any wi dli or properties.burial depth or other factor may by td rmelves not be
endangered species or or surfacc.dctectable,the utility shall,when feasible,incorporate
historical artifacts arc encountered during the proems of a project, detection wire oralber detection aids in the installation of those
work in the subject area shall be halted and the CDOT regional facilities, In instances whine detection aids we not feasible or
permitting office shall be contacted immediately for direction as to would be ineffective and deface-delectability cannot be ensured,
how to proceed. surface maraca shall be installed as directed by the Department and
e. All dkse of slormwater err as constructed plaits and showing the accurate barirantat and
barges peaces%water are subject to the vertical location of the hurled facititier shall be provided to the
applicable provisions of the Colorado Water Quality Cannel Act Department
and the Colorado Discharge Permit Regulations.
f. There shall be no eles b. MI plowed or trenched installations must input color.coded ,
posal of hazardous materials to the slate (using the American Public Works Association color coding
highway tight td way. Solid waste shall be removed from the state system)wanting tape placed not less than 12 inches vertically rub
highway right of way and disposed of at a pennined facility or the top of the line.The waning tape collection point(such as the Pumitrcr's own dmn . ) $ shall be snrlaez daecra6le if
Drilling fluids must be disposed P+ needed rat facilitate detection Odic fide.
ng posed of as ticutFbal in the ECIS.
• CDOT Permit Farm 333 and Standard Provisions Page 5 of 6
CDOT UTILITY/RELOCATION/SPECIAL USE PERhiITSCANDARD PROVISIONS
c. The utility shall place readily identifiable matters at die right of a. The
way lute where it is crossed by pipelines carrying transminants Prruuee shall promptly remove all abandoned facilities from
which are flammable,corrosive,expansive,energized. the SH ROW and promptly restore by e the SH cm unless le care exiuing or
pan al.e except orunstre a other conditions y pattment umlesa the
vent serve if carried at high pressure or potential,ucept where a prescribe!b the foe
vent will servo as a marker. Department in writing twenty allows the facility to remain in
d. The utility l s shall place markers for longitudinal underground place. Written notice Porn the Depannnent,allowing an abandoned
facilities vertically above the faculties orate known horizontal tacpGty to re main In puree,may include spneNal catsdRthons
offset,antes(otherwise approved in writing by the Department. d. If utility facilities are retired or abandoned in place,the utility shall
Each marker shall provide a fare-and backlight to succeeding and comply with that decision if directed b the
preceding matters. Markers shall be installed at suitable intervals Y Department
along tangent sections,at angle points or points of curvature and at I) cap,plug or fill lines,
reasonable intervals along curves 7) furnish suitable location reconls for any such buried facilities,
a The utility.shatl maintain arty markers required by this Code for the 3) maintain its own records of such(palm and respond to
life of the installation. locate naticesfrequests from the UNCC and/or excavators. In
providing such locates,the utility will indicate to the
f Department may require tit utility to submit"as comsttucted. requesting entity whether or not the subject facilities are
plant The Department retired or abandoned,
wins. the ment may enter into an agreement with the utility 4) perform any other actions an deemed necessary y the
whereby Department can rely on those plans for the exact Department to protect the transportation facility and/or the
location alike utility for any future excavations,and need not give
notice to the utility under Article 1.5 of Title 9.C.R.S. traveling public.
g. The utility will comply with the applicable c. [(the ownership of utility facilities is transferred,both the original
IS of Title 4l comply y including t t as requirements of Article Permittee and the new owner shall notify the
any requitement to participate in the Y Department in the
State'a Notification Association pursuant to 9,:1.5.105 C R.S.. All prior planned the change of change n e i ownership,and such notice shall Mate the
owners of underground utilities within the SHROW,with the otsn rs dale dodo a:do o sthtem.The notice arom the and
exception of the Depanmem itself,must become members of the owner ons f the ex a existing it.e f ect v accepting the terms and
UNCC Notification Assoclatlon. conditions of the existing permit.effective upon the planned dart of
h In addition to complying the change in ownership.
p ying with the provisions of Miele 1.5 of Tito
9 CR-S(One-Call Statute)in response to the Deponmcnt's 1. Utility facilities containing asbestos may not be abandoned in-place.
notification of planned excavations.utility owners shall surface. Online*,such facilities must be removed from the SHROW when
nark their buried utility facilities that are located within the take out of service. On a case-by-case basis,the Department may
SHROW In order to facilitate Departmental engineering and design allow such facilities to be retired in-place,upon reasonable requesr fro ns the Department,and at no with the owner retaining
cost to the Department,The Penninee shall respond to such full legal ownership and responnbility far rime iaciritiex.
within a reasonable timettamt acceptable to theme request
longer than 14 calendar days from he date of Pan .but Z-'r SUSPENSION AND CANCELLATION •
fe4tre.st,and the
accuracy of the surface matting shall be within 18 inches or either
side of die actual location of the buried facility, a- Tbc CDOT inspector may suspend operation due to
23. ADJUS1I1tFIV T 5 DUE TO HIGHWAY CONSTRUCTION 2) Non compliance with the provisions of this permit
�) Adverse weather or traffic conditions
If for any transpmaratiom purpose it bceomes racier 3) Concurrent transportation construeton or maintenance
Iflocate this tispoz a on Permitter p o will a so necessary to remove,adjust,or operations in conflict with the permitted work.
except as provided b law,upon promptly,at no cat to the COOT 4) Any condition deemed unwire for winters ar for the general
y pon written notice from COOT and in accordance public.
with the utility relocation permit issued to cover the necessary work, The
utility shall perform the relocation at or within a time eonvenlem to and In
proper coodination wish the project or trans b Wool,fray resume when mounds for zuspetuion no longer exist,podtation•telated activity,to
minimize public inconvenience and cost,as directed by the Department in the
permit authorizing the relocation The utility company shall pay for dama e s This permit to Persistent noec[na fiance with due to:
caused by the company's delay in die performance or utility relocation wro c or 2) baan noncompliance with iprmt(tons
interference with die performance of transportation project wank done by 2) Abwtdeded bt new transfer penu t cownership
covering
others. Such damages include,but ore not limited to, 3) Conflict by env ary p ndrtra the same installation
Department to any thud party based on a claim that payments made by the 4) Convict with necessary planned
performance of the
transportation construction..
transportation project work was delayed or interfered with as a direct rerun of c. Fermium must
the utility company's failure to timely perform the utility relocation work. promptly u le s one occupancy pplie notice of
Damages resulting from delays in the performance of the utility relocation granted ion of permit,taint a new penilt is applied for and
work or interference with the transportation project work that are caused by granted
events beyond the utility company's ability to reasonably foresee or control(a
force majeure)shall not be charged to the utility company d any Pennines does not fulfill an or control rind to safely or maintain
wry portion oldie highway facility,or coetrot safely maintain
Zt. ABANDONMENT,RETlRE14SFNT.CHANGE IN OWNERSHIP the now of traffic thereon,COOT reserves the right,in lieu of
canceling this pout,to accomplish the required work by any other
a. fide Pentium shall notify the Department in writing of the planned rr n1e means.and Puree shall!c liable for the actual sera
teti emend or aba don:n em of its facility or any portion thereof.
The Department will ratify the Permitter in writing if it determines
that the facilities may be retired or abandoned in place,along with
,, any special conditions that may apply.
A
b Retired facilities shall remain the Permittee's sole responsibility.
"=a subject to all provisions of the Utility Accommodation m Cade and all
of the terms and conditions of the permit issued for that facility,
including maintenance and relocation requitements,
�" '
CDOTPennit Fonts 333 and Standard Provisions Page 6 of 6 • •
COLORADO DEPARTMENT OF TRANSPORTATION
Environmental Clearances information Summary
PURPOSE-This summary is intended to inform entities external to CDOT that may be entering the slate
perform work related to their own facilities(such as Utility,Special Use or Access Pemdttees),about some ofthhe�more�commonly
encountered environmental parmitsldearances that may apply to their activities, This listing is not all4ncl usive-additional
environmental or cultural resource permits/clearances may be required in certain instances. Appropriate local,state and federal '+
agencies should be contacted for additional information if there is any uncertainty about what permits/clearances are required for a
specific activity. IMPORTANT—Please Review The Following information Carefully--Failure to Comply With Regulatory
Requirements May Result In Suspension or Revocation of Your COOT Permit,Or Enforcement Actions By Other Agencies
CLEARANCE CONTACTS-As indicated in the permiUclearance descriptions listed beiow,the following Individuals or agencies
may be contacted for additional information:
• Colorado Department of Pubic Health and Environment(CDPHE):General Information—(303)892-2035
Wafer Quality Control Division(WQCD):(303)892-3500
Environmental Permitting Websile ills:/ .cd.he.slate. .aaat. !isms*
• COOT Water Quality Program Manager.Rick Willard(303)757.9343 h ti.°I . .tcred*A#oilfired f,r.ramstenvironz errk»i&water
.1
• COOT Asbestos Project Manager:Theresa Santangelapreiing,(303)512-5524
• Colorado Office of Archaeology and Historic Preservation:(303)886-3395
• U.S.Army Corps of Engineers,District Regulatory Offices:
Omaha District(NE Colorado),Denver Office(303)979-4120 hi . tip %lam •c .a mt cd„i(,ri-lak- ,1 het
Sacramento Dist.(Western CO),Grand Junction Office(970)243-1199 ttpil ; . .k e ace. rc. ktl e .k- 1 e#(Alai* /
Albuquerque District(SE Colorado),Pueblo Reg.Office(719)-543-8915 hi .= s,a,u .ce.arrn iUr
• COOT Utilities,Special Use and Access Permitting:(303)757-9654 iiin;lt .dat.slal .cc.usiPerrr„1s1
Eeolonkal Resources--Dish/Wince of wildife shall be avoided to the maximum extent practicable.
suspected threatened or endangered species habitat will require special authorization from the COOT into areas of known or
threatened or endangered species are encountered during the progress of the permitting subject area shall ll b
and the COOT Regional PermNting Office and Region Planning and Environmental permitted work, be contacte immediaately be hailed
Authorization must be provided by COOT prior to the continuation of work. Information about threatened or ends
be obtained from the COOT webske,httP;Cl al t.lnfot ram terwironmenta tdlifetrnuidelines,or the Colorado Division of y
Wildlife weblike hthrilwildlite.statexo.usinidlifeSpeciesiSpeciesOrConcernii. Additional guidance may be provided by the appropriate
Region Planning and Environmental Manager(RPEM).
Cultural Resources—The applicant must request a file search of the permit area through the Colorado Office of Archaeology and
Historic Preservation(OAHP),Denver,to ascertain If historic or archaeological permit area by a qualified cultural resources aealo�c, resources have previously o or been CDOT. If archaeological ar
sites/artifacts or historic resources are known to exist prior to may intention the per the
work encountered as the project
progresses,all work In the subject area shall be haited and the COOT Regional Permitting Office and Region Planning and
Environmental Manager shall be contacted immediately. Authorization must be provided by COOT prior to the continuation of work.
Additional guidance may be provided by the Regional Permitting Office and RPEM. Contact Information: Contact the OAHP for file
search at(303)8819.3395.
Paleontolooica R eo r-The applicant must request a fossil locality file search through the University of Colorado Museum,
Boulder,and the Denver Museum of Nature and Science to ascertain if paleontological resources have been previously identified,
inventory of the permit area bye qualified paleontologist may be necessary,per the recommendation of CDOT if fossils are
encountered during the permitted work,all work in the subject area shall be halted and the COOT Regional Permitting Office and
Region Planning and Environmental Manager shall be contacted immediately. Authorization must be provided by COOT prior to the
continuation of work. Additional guidance may be provided by the Regional Permitting Office In the Permit Special Provisions.
Contact infommation:Contact the COOT Peleontololtist at(303)757.9032.
Hazardous Materials.Solid Waft-The Solid Wastes Disposal Sites and Facilities Act C.R.S.30.20100,at al,and Regulations
Pertaining to Sold Waste Disposal Sites and Facilities(8 CCR 1007-2),prohibit solid waste d 9
of Designation(a landfill permit). The Colorado Hazardous Waste Act C.R.S.25.15.301 et al,and the Colorado Hazardous Waste
Regulations(6 CCR 1007-3)prohibit the transfer,storage or disposal(TSD)of hazardous waste except at permitted TSD sites. There
are no permitted landfills or TSD sites within the Stale Highway Right of Way. Therefore,all sold or hazardous wastes that might be
generated by the activities of entities entering the State Highway Right of Way must be removed from the ROW and disposed of at a
permitted facility or designated collection point(e.g.,for sold waste,a utility or construdlon company's own dumpster). If pre-existing
solid waste or hazardous materials contamination(Including oil or petroleum contaminated sal,asbestos,chemicals,mine Wings,
etc.)Is encountered during the performance of work,the permittee shall hall work in the affected area and immediately contact the
CDOT Regional Permitting Office for direction as to how to proceed. Contactlnfo:Andy Flurkey.COOT Hazardous Materials Project
Manager,(303)512-5520.
the appl cable requirements of the CDPHE Air Pollution Control Division's(APCD)D)Regulation asbestos of(ACM)and work comply donly tt
asbestos-contaminated soil,must U°►�D)Regste 8. ge pent ivACM,and work data h^4 .,
WaWaste Regulations. The comply with the CDPHE Hazardous Materials and Waste Management Division's(HMWMD)Sofid
s a Regul ti being requested a ton fora ny CDOT permit must specifically identify any ACM Involved in the work for which
9 guidance or requirements may be specified In the permit special provisions. Contact
Info:CDPHE APCD and HMWMD Regulations can be accessed via the CDPHE Environmental Permitting Websile listed above.
Additional information n is available from the COOT Asbestos Project Manager(303)512- ,_.µ
5519 or Theresa San .ekr-Drell •-.,, • - ,_ nt S sor ,K 512-5524.
Environmental Clearances Infomhallon Summary Page 1 of 3 Colorado Department of Transportation December 10
Transportation of Hazardous Materials-No person may offer or accept a hazardous material for transportation In commerce unless '
that person is registered in conformance with the United States Department of Transportation regulations at 49 CFR,Pad 171. The
hazardous material must be properly classed,described,packaged,raked,labeled,and in condition for shipment as required or
authorized by applicable requirements,or an exemption,approval or registration has been Issued. Vehicles requiring a placard,must
obtain authorization and a State HAZMAT Permit from the Colorado Public Utilities Commission. Contact Information: For
R authorization and more info call the Federal Motor Safety Carrier Administration,US DOT for inter-and intro-state HAZMAT
Registration(303)989-6748. Colorado Public Utilities Commission:(303)894-2865.
Discharge of Dredged or Fill Material-404 Permits Administered By the U.S.Armv Corns of Engineers and Section 401.
Water Quality Certifications Issued by the CDPHE WQCD-Corps or Engineers 404 Permits are required for the discharge of
dredged or ON materials into waters of the United Slates,Including wetlands. Them are various types of 404 Permits,Including
Nationwide Permits,which are Issued for activities with relatively minor impacts. For example,there is a Nationwide Permit for Utility
Line Activities(NWP#12). However,depending upon the specific circumstances,it is possible that either a`General or'Individual"
404 permit would be required. !fan Individual 404 Permit is required,Section 401 water quality certification from the CDPHE WQCD
Is also required. Contact the appropriate Caps District Regulatory Office for information about what type of 404 permit may be
required(contact information above). Contact the CDPHE Water Quality Control Division at(303)692-3500.
Working on or In amr abeam or ttp bank-In order to protect and preserve the state's fish and wildlife resources from actions that
may obstruct,diminish,destroy,change,modify,or vary a natural existing stream or its banks or tributaries,it may be necessary to
obtain a Senate BU!40 certification from the Colorado Department al Natural Resources, A stream is defined as 1)represented by a
solid blue line on USGS 7.5'quadrangle maps;and/or 2)intermittent streams providing live water beneficial to fish and wildlife,and/or
3)segments of streams supporting 25%or more cover within 100 yards upstream or downstream of the project;and/or 4)having wetlands present within 200 yards upstream or downstream of the }segments of
project. The Colorado Division of Wildlife(CDOW)
application,as per guidelines agreed upon by CDOT and CDOW,can be accessed at
hltp;&mow,totora dodalinfotoraqranistenvironmentatiwileiliretattidelines.
Stormwater Construction Permit MCP)and Stormwater Discharge From lnd}gjrlail Facilities-Discharges of stormwater runoff
from construction sites disturbing one acre or more-or certain types of industrial facilities,such as concrete batch plants-requires a
COPS Stormwater Construction Permit. Contact Information:For Utilty/Special Use activities being performed in conjunction and
coordination with a CDOT highway construction contract,please contact the CDOT Wader Quality Program Manager at(303)757-
9343. Otherwise,contact the CDPHE Water Quality Control Division at(303)692-3500. Website:
jttio:/ .cdphe.state,co.usiwgtpen iicunkaigtex.htmi.
Construction Dewaterinq(Discharge or infiltration)—Discharges of water encountered during excavation or work In wet areas
may require a Construction Dewatering Discharge Permit. Contact Information: For Construction Dewatering Discharge Permits,
contact the CDPHE WQCD at(303)692-3500. For Dewatering Application and Instructions,see Section 3 at the CDPHE wabsite:
I ttpllww .cdphe.slate.CO.uslwq/PerxnitsUnilWFORMSa pptications/Appsandforrnsnewpage.Mrhi
Municipal Separate Storm Sewer System IMS4}Discharge Permit—Discharges from the storm sewer systems of larger
munIcipalUios,and from the COOT highway drainage system that lies within those municlpalties,are subject to MS4 Permits Issued
by the CDPHE WQCD. For facilities that lie within the boundaries of a municipality that is subject to an MS4 permit,the owner of such
facility should contact the municipality regarding stormy/titer related clearances that may have been established under that
municipality's MS4 permit. AU discharges to the CDOT highway drainage system or within the Right of Way(ROW)must comply with
the app applicable provisions of the Colorado Water Quality Control Act and the Colorado Discharge Permit Regulations Permit#COS-
000005
COR-030000 ww cdohe st CDHPE ieennr UnItaitvraier-s :t'tyl a urnen(t$WC Z coon rnd ). Discharges esd
to;tt .roIoraciadat,infoI.ro. .msfen
COR-030000(l1ft�r;t cope fefq,Cdr.UStw�Ii�ern�atst.lrrftPRt,A(TsIL�+fperrnlraisftrt�Canstrds�iitr
Contact the CDPHE Water Quality Control Division at 692 p5 . D�anarges era
municipalities required to obtain MS4 Permits,or go to tato:t .ccrplre.siate.ca.0 t3 )692-3500 for a listing of
Gengral Prohibitipn—Dlec sAvglperrrriisunittA�S4tf�.i; errnitler�s.rizi�
heroes-AU discharges are subject to the provisions of the Colorado Water Quality Control Act and the
Colorado Discharge Permit Regulations. Prohibited discharges Include,but are not limited to,substances such as wash water,paint,
automotive fluids,solvents,oils or soaps and sediment. Allowable non-stomrwater discharges can be found at
the Qadot.info/programs/envl ronmentaUwater-quahlylgiossary.h tmlf/AUowableDlscharge. Contact Information: Contact
Quality Control Division Quality al(3003)692-35�00.r at(303)757-0343,or the Colorado Department of Public Health and Ermvironmenf.Water
general Authorization-Allowable Non-Stormwater Discharges-Unless otherwise Identified by COOT or the WQCD as significant
' sources of pollutants to the waters of the Stale,the Wowing discharges to sfarmwaier systems are allowed without a Colorado
Discharge Permit System perm!: landscape irrigation,diverted stream flows,uncontaminated ground water Infiltration to separate
storm sewers,discharges from potable water sources,foundation drains,air conditioning condensation,irrigation water,
uncontaminated springs,fooling drains;water fine flushing,flows from riparian habitats and wetlands,and flow front fire fighting
activities. Contact Information: The COOT Water Quality Program Manager or the CDPHE Water Quality Control Division
(telephone#'s fisted above).
Erosion and Sediment Cordrot Practices-For activities requiring a Stormwater Construction Permit,erosion control requirements
will be spedfied through that permit. In those situations where a storm water permit is not required,all reasonable measures should be
taken in order to minimize erosion and sedimentation according to COOT 208 specifications. In either case,the CDOT Erosion
Control and Stormwater Quality Guide(most recent version)should be used=to design erosion controls and to restore disturbed
vegetation.Contact Information:The COOT Erosion Control and Stormwater Quality Guide may be obtained from the Bid Plans
Office at(303)757-9313 or from ; .;.Ariz,. ;,do.17t 6 1 .env'on r ail-nyWaterquattworns4.,asp Error!Hyperliak
reference not valid.
Disposal of Drilling Heide-Drilling fluids used in operations such as Horizontal Directional Drilling may be classified as"discharges"
or'solid wastes",and In general,should be pumped or vacuumed from the construction area,removed from the State Highway Right
of Way,and disposed of at permitted facilities that specificalkaccept such wastes. Disposal of drilling fluids into storm drains,storm
Environmeajat Clearances Inronnalfon Summary Page 2 at Colorado Department of Transportation Decembbr'10
sewers,roadside ditches or any other type of man-made or natural waterway is prohloited by Water Quality Control annifor Solid
Waste regulations. Small quantities of drilling fluid solds(less than 1 cubic yard of solids)may be left on-site after either being
separated from fluids or after infiltration of the water,provided:1)the drilling fluid consists of only water and bentonNe day,or,if
required for proper drilling properties,small quantities of polymer additives that are approved for use M drinking water well drilling;
the solids are fully contained In a pit,and are not nicely to pose a nuisance to future work In the area,3)the solids are covered and
area restored as required by COOT permit requirements(Utility.Special Use,or Access Permits,etc.). Contactlnformatfon:
Contact the COOT 1 CDPHE Liaison or COOT Water Quality Program Manager.
Concrete Washout-Waste generated from concrete activities shall NOT be allowed to flow into the drainage ways,Wets,receiving ., .
waters,or in the COOT ROW. Concrete waste shall be placed in a temporary concrete washout facility and must be located a
minimum of 50 feet from state waters,dralnageways.and Inlets. Concrete washout shall only be performed as specified by the COOT
Environmental Program and shall be in accordance to CDOT specifications and guidelines.Contact Information: Contact the CDOT
Water Quality Program Manager at(303)757-9343. Website:hit;*JANwtiv cot=.r:dodot.inI I=r,*r msf:nuiron entaliw r.
ar lilVfrevised-m-slandards:refer lo the link Revision of :Won 1.1 117 20: 213 Web r alarm Can . rr - or More
Acres of pislurb_a�for additional guidance.
SPli,Rena-Spits shall be contained and cleaned up as soon as possible. Spills shall NOT be washed down into the storm
drain or buried. AN spills shall be reported to the COOT Mat Discharge Hotline at(303)512.4446(4H2O),as well as the Regional
Permitting Office and Regional Maintenance Supervisor. Spills on highways,into waterways,any spill in the highway right-of-way
exceeding 25 gallons,or that may otherwise present an Immediate danger to the public shall be reported by caning 911,and shall also
be reported to the CDPHE at 1-877-51 8-5608.
About, t P -Question or comments about this Information Summary may be directed to Alex Kerami,COOT Safety&Traffic
Engineerinot Utilities Unit,at(303)757-98410vilio,alex.karamedotstate.co.us.
}
Environmental Clearances Infonnalion Summary ary Page 3 of 3 Colorado Department of Transportation nhrporlation decernbar'10
ti"..T O
,'..f.‘'
.., 0
Q-'.. DEPARTMENT OF THE ARMY
-, _ A ,. 2-I U.S.ARMY CORPS OF ENGINEERS,SACRAMENTO DISTRICT
II
tiliv..4sj
n 1325 J STREET
SACRAMENTO CA 95814-2922
+pis ice E LYT �i E D
AP O
RECEIVED
ATTENTION OF ,�.�-----�""""I
March 12, 2015 MAR 13 2015 1
Regulatory Division (SPK-2015-00215) ENGINEERING
Eagle County Engineering
Attn: Ms. Eva Wilson, P.E., CFM
PO Box 850
Eagle, Colorado 81631-0850
Dear Ms. Wilson:
We are responding to your 03/03/2015 request for a Department of the Army permit for
the Eagle River Embankment Stabilization project. This project involves the discharge of
dredged or fill material in waters of the United States to construct a bank stabilization
project along the Eagle River. Approximately 80 cubic yards of boulders will be used to
stabilize 55 linear feet of eroding stream bank immediately adjacent to US Highway 6.
The site is located in Section 2, Township 5 South, Range 86 West, Sixth Principal
Meridian, Latitude 39.647948°, Longitude -107.011465°, Dotsero, Eagle County,
Colorado.
Based on the information you provided, the proposed activity, which will result in
permanent impact to approximately 55 linear feet of Eagle River stream bank, is .
authorized by Nationwide Permit Number (NWP) NWP 13 Bank Stabilization. You must
comply with the general terms and conditions listed on the NWP information sheet and
applicable regional conditions. Information on the NWP and regional conditions are
available on our website at
http://www.spk.usace.army.mil/Missions/Regulatory/Permitting/NationwidePermits.aspx.
In addition, you work must comply with the following special conditions:
Within 30 days after completion of the authorized work, you must sign the
enclosed Compliance Certification and return it to this office.
This verification is valid until March 18, 2017, when the existing NWP's are scheduled
to be modified, reissued, or revoked. Furthermore, if you commence or are under contract
to commence this activity before the date the NWP is modified, reissued, or revoked, you
will have 12 months from the date of the modification, reissuance or revocation of the
NWP to complete the activity under the present terms and conditions. Failure to comply
with the general and regional conditions of this NWP, or the project-specific special
conditions of this authorization, may result in the suspension or revocation of your
authorization.
EXINSIT
e
-2-
We would appreciate your feedback. At your earliest convenience, please tell us
how we are doing by completing the customer survey from the link on our website, listed
below.
Please refer to identification number SPK-2015-00215 in any correspondence
concerning this project. If you have any questions, please contact Matthew
Montgomery at our Grand Junction Regulatory Office, 400 Rood Avenue, Room 224,
Grand Junction, Colorado 81501, by email at
Matthew.R.Montgomery @usace.army.mil, or telephone at 970-243-1199 17. For more
information regarding our program, please visit our website at
www.spk.usace.army.miUMissions/RegulatoTaspx.
Sincerely,
Matthew Montgomery
Senior Project Manager, CO West Branch
Regulatory Division
Enclosures
1. Compliance Certification
cc: (w/o ends)
Mr. Bob Narracci, Planning Director, Eagle County Planning Department, Post Office
Box 850, Eagle, Colorado 81631
•
' r 1
COMPLIANCE CERTIFICATION
Permit File Name: Eagle River Embankment Stabilization
Permit File Number: SPK-2015-00215
Nationwide Permit Number:
Permittee: Eagle County Engineering
Attn: Ms. Eva Wilson, P.E., CFM
PO Box 850
Eagle, Colorado 81631-0850
County: Eagle
Date of Verification: March 12, 2015
Within 30 days after completion of the activity authorized by this permit, sign this
certification and return it to the following address:
U.S. Army Corps of Engineers
Sacramento District
400 Rood Avenue, Room 224
Grand Junction, Colorado 81501
DLL-CESPK-RD-Compliance@usace.army.mil
Please note that your permitted activity is subject to a compliance inspection by a U.S.
Army Corps of Engineers representative. If you fail to comply with the terms and
conditions of the permit your authorization may be suspended, modified, or revoked. If
you have any questions about this certification, please contact the U.S. Army Corps of
Engineers.
I hereby certify that the work authorized by the above-referenced permit,
including all the required mitigation, was completed in accordance with the terms
and conditions of the permit verification.
Signature of Permittee Date
x.