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ENG2021-0439 ROW PERMIT REISSUED 12.20.2022RIGHT OF WAY EUC PERMIT PERMITNUMBER, City of Edmonds ...0i 1 1� www.cityofedmonds.gov Description: PSE-HYDROMAX CITY WIDE CROSS BORE STUDY FOR 2022 ISSUED: 12/15/2021 Address: 7110 210TH ST SW EDMONDS WA 98026-7219 EXPIRES: 12/31/2022 rmit Type: RIGHT OF WAY EUC Permit Subtype: STANDARD Parcel Number: 00566900600600 i NAME TYPE NAME ADDRESS PHONE APPLICANT PSE/INFRASOURCE 1660 PARK LANE, BURLINGTON WA 98233 (425)457-6353 CONTRACTOR HYDROMAX USA, LLC , SEATTLE WA 98108-2855 (812)746-0119 OWNER EDMONDS CITY OF 250 5TH AVENUE N, EDMONDS WA 98020 FEE INFORMATION DESCRIPTION AMOUNT PAID CITY TECHNOLOGY FEE CHARGED PER PERMIT $40.00 $40.00 RIGHT OF WAY STANDARD - EUC PERMIT FEE $330.00 $330.00 • REQUIREMENT TYPE NOTES TRAFFIC CONTROL Traffic control and public safety shall be in accordance with City regulations as required by the City Engineer. Every flagger must be trained as required by WAC 296-155-305 and must have certification verifying completion of the required training in their posession. RESTORATION Restoration is to be in accordance with City codes. All street -cut trench work shall be patched with asphalt or City approved material prior to the end of the workday - No Exceptions WARRANTY The contractor is responsible for workmanship and materials for a period of one year following the final inspection and acceptance of the work. INSPECTION SCHEDULING: WWW.MYBUILDING PERMIT.COM 24 HR NOTICE REQUIRED INDEMNITY The Applicant has signed an application which states he/she holds the City of Edmonds harmless from injuries, damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds or any of its departments or employees, including but not limited to the defense of any legal proceedings including defense costs and attorney fees by reason of granting this permit. THIS DOCUMENT IS NOT VALID UNTIL FEES ARE PAID AND THE CITY ENGINEER OR HIS/HER DEPUTY HAS SIGNED BELOW ENGINEERING DIVISION APPROVED AS NOTED RELEASED BY %�,atn�eP �r a 12115/2021 DATE Printed: Wednesday, December 15, 2021 9:53:58 AM 1 of 2 -KRWOF WAY EUC PERMIT PERMIT NUMBER City of Edmonds ..• • 1 14• www.cityofedmonds.gov• • CONDITIONS CONDITION TYPE Easement and/or permission from adjacent property owner is required prior to entry or work within ADJACENT PROPERTY an adjacent property. It is the owner's responsibility to repair/replace all damage of utilities or frontage improvements in DAMAGE TO FRONTAGE City right of Ways or Easements to City Standards caused by or occurring during the permitted IMPROVEMENTS project. Hydromax will annually provide the City with copies of the video. 2021 video shall be provided prior to March 2022. If additional review and/or inspection time is needed, the City may charge additional review fees and/or inspection fees. If any repairs need to be completed on the sewer lateral and/or main line, a separate permit will need to be obtained by the contractor completing the work. All repairs will need to be inspected by the City of Edmonds. If all repairs will be completed by 1 contractor, we can issue one permit for the life of the Hydromax permit. The City will add additional inspection fees as needed for each repair. A traffic control plan shall be required for review and approval for major arterials (e.g. Edmonds ENGINEERING OTHER Way/SR104, Highway 99, 196th St SW/SR524, 212th St SW, 220th St SW, Olympic View Drive, and 9th Ave /100th Ave W) or disruption of any intersections prior to work being completed. An inspection shall be required and an inspection fee shall be added to the permit. If a uniformed police officer is required, a City of Edmonds officer is required. Call the Edmonds Police Department. Alert affected residents and/or businesses prior to work start. Verify clear bore crossings. Restore landscape to like or better conditions. Call for required inspections as noted. ESC REQ Maintain erosion and sedimentation control per City and SWMMW standard requirements. Sound/Noise originating from temporary construction sites as a result of construction activity are exempt from the noise limits of ECC Chapter 5.30 only during the hours of 7:OOam to 6:OOpm on SOUND OR NOISE weekdays and 10:OOam and 6:OOpm on Saturdays, excluding Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities must comply with the noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120. TRAFFIC CONTROL Traffic Control per approved plan and MUTCD. All Flaggers shall be certified. All utilities shall be located prior to any excavation. New locates shall be called for if at time of UTILITY LOCATES excavation, original locates are no longer identifiable. INSPECTIONS INSPECTION TYPE DATE RESULT COMPLETE A-1 JOB START X-2 ENGINEERING FINAL" Printed: Wednesday, December 15, 2021 9:53:58 AM 2 of 2 ENG2021-0439 RIGHT OF WAY CONSTRUCTION PERMIT APPLICATION Complete and submit this Application in accordance with the Submittal Requirements outlined in Right -of -Way uermit Handout E611. RECEIVED Nov 15 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT If any field is not applicable to your project, write "N/A" instead of leaving blank. All fields regnired. Incomplete Applications will be denied. SECTION A Project Name PSE/Hydromax USA Site Address or if no site address use Property Address at NW corner of project area: Mulitple locations, please see list attached Associated Permits: I BLD PIN ENG Owner and Entity Holdingapplicable) Naine of Conipan} PSE Franchise Ordinance No: Point of Contact Allison Distefanis Title Supervisor Street Use Permitting/ Restoration Address 6905 S 228th St city Kent State WA Zip 98032 Phone 253-355-5128 Email Allison.Distefanis@pse.com • • • • • i r • i Name of Company Hydromax USA Agent Name i ITR m III M• • • 1 Primary Name Teagan Kuhns Title Municipal Liaison Manager Title Mobile 812-746-0119 Address 6500 Ursula PIS Email teagan.kuhns@hydromaxusa.com City Seattle State WA Zip 98108 Secondary Name Phone 812-746-0119 Title Email teagan.kuhns@hydromaxusa.com Mobile City of Edmonds Business License NO: NR-026397 Email State License No: HydroUL8701S Contractor verifies it is currently bonded Contractor verifies it currently has general liability insurance 1yv1 h: CCUc 16.00. 020 requires tnat the Application oe signea oy a ucensea ana oonaea contractor unless otnerwise approvea oy the city engineer. Multifamily residential ❑ Commercial ❑ City project ❑ Single family residential subdivision In Single family -other ❑ Industrial ❑ Demo and rebuild or from vacant land? ❑ Other, please specify: ❑ Utility Franchise Work associated with development (check one of the above boxes as weln ❑ Traffic Control Only (no associated development) '14Utility Franchise Work (no associated development) City of Edmonds ROW construction permit Application --Page 1 of 3 Updated 3/25/2021 ProjectDescription Include an overall narrative description of the proposed work. Be specific and detailed: Describe infrastructure to be impacted, such as, poles, wires, conduit, utility mains, etc. Include whether this is construction, maintenance, or repair. Include description of proposed construction methods, (e.g., bores, trenches, overhead wires proposed, depth for underground utilities, etc.) CCTV sewer inspections for Puget Sound Energy's Cross Bore Safety Program. Non-invasive, routine annual maintenance. 30-90 minutes per location. RIGHT-OF-WAY CLOSURE AREA TOTAL DURATION (Number of Months) Sidewalk'72 hours + LF x LF SF Alley 72 hours + LF x LF SF Parking 72 hours + LF x LF SF SECTION B - If you are not a utility company performing work in the City ROW, skip to SECTIONC. Type of Utility Facilities 1. The work in the Tight of way is on or for the following type of facilities: ❑ telecommunications ❑ cable ❑ power ❑ gas ` ❑ water s-ewer ❑ storm Details of e to be ConipletedNo 1. Does the utility owner have existing overhead infrastructure in the area of work? PSE's Gas Lines 2. Will any equipment be added underground or above ground (e.. pedestals, vaults etc.)? If yes, describe: 3. Does the proposed work connect a lot or commercial development with utilities that serve more than one lot or commercial development? 4. Does the work involve rebuilding or relocating an existing aboveground utility system which connects a lot or commercial development to an existing underground common utility stern? \' J� 5. Does the work involve proposed additions to an aboveground utility system? If es: Are the additions for the purpose of serving new commercial development? �( Are the additions for the purpose of serving a single-family residential subdivision? Details of Work. be 6. Does your project involve rebuilding or replacing utility equipment which currently serves more than one lot or commercial development? �( If yes, answer the following questions related to project area, i.e. the actual area in which the , \ project is proposed: 6a. Does your project involve wires/cables/lines? If yes: �( How many are existing? I I How many are to be added? City of Edmonds ROW construction permit Application --Page 2 of 3 Updated 3/25/2021 6b. Does your project involve poles? If yes: How many poles are existing in the project area? What is the height of the existing poles? How many poles are to be removed? Are additional poles to be placed? How many? I I What is the height of the additionalpoles? 6c. Are any poles to be modified/rebuilt/replaced? If yes: X How many? I What is the height of the poles after? Describe the modification/rebuild: SECTION C Traffic Control and Public Safety. Traffic control and public safety shall be in accordance with City regulations as required by the City Engineer. Every flagger must be trained as required by WAC 296-155-305 and must have certification verifying completion of the required training in their possession. Restoration. Restoration shall be in accordance with City codes and Standards. All street cut trench work shall be patched with asphalt or City approved material prior to the end of the workday -NO EXCEPTIONS. Insm-ance. The City may require the owner or contractor to provide proof of insurance acceptable to the City prior to any permit approval. Indemnification. The Applicant agrees to defend, indemnify, and hold harmless the City of Edmonds, its officials, officers, employees, and agents against any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, including defense costs and attorney fees, resulting directly or indirectly from any act or omission of the Applicant, its subcontractors, anyone directly or indirectly employed by them, and anyone for whose acts or omissions they may be liable, arising out of, related to, or by reason of the granting of this permit; and specifically including but not limited to all loss by the failure of the Applicant to fully or adequately perform, in any respect, all authorizations or obligations under the permit. These indemnification requirements shall survive the expiration, revocation, or termination of any resulting permit approval. Acceptance of terins, conditions, and requirements. Applicant accepts the terms, conditions, and requirements set forth in this Application and agrees they apply to any resulting permit and shall comply with them to the satisfaction of the City Engineer. Applicant further agrees to comply with the conditions listed on the Submittal Requirements; with all applicable city ordinances, including but not limited to ECDC Title 18- and with all applicable requirements of state and federal law. Statement of Applicant. I declare under penalty of perjury under the laws of the State of Washington that: I am a licensed and bonded contractor; the information provided herein is correct and complete; and I am authorized by owner to act on its behalf and have authority to bind the owner to this application. Fees. The Applicant is responsible for all permit fees. APPLICANT SIGNATURE: -7..g°" z f"° DATE: 11/22/2021 APPLICANT PRINTED NAME: Teagan Kuhns APPLICANT TITLE: Municipal Liaison Manager NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE City of Edmonds ROW construction permit Application --Page 3 of 3 Updated 3/25/2021 SCHEDULE ALL INSPECTIONS THROUGH MYBUILDINGPERMIT.COM RECEIVED Address City 1617 9TH AVE INEdmonds 19115 OCEAN AVE Edmonds 18910 94TH AVE W Edmonds 9133 183RD PL SW Edmonds 9135 184TH ST SW Edmonds NOV 12 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT TRAFFIC CONTROL INSPECTIONS NOT REQUIRED FOR THESE 5 SITES. IF ADDITIONAL SITES ARE ADDED AT THE FOLLOWING LOCATIONS, TRAFFIC CONTROL INSPECTION(S) AND ADDITIONAL FEES WILL BE REQUIRED: EDMONDS WAY/SR104 HIGHWAY 99 196TH ST SW 212TH ST SW 220TH ST SW OLYMPIC VIEW DRIVE 9TH AVE (SOUTH OF CASPERS) 100TH AVE W Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per city standards that is caused or occurs during the permitted project. ENGINEERING DIVISION APPROVED AS NOTED W 12/09/2021 OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE LEGENDS ................. memo CHANNELIZING DEVICE N ADVANCE WARNING SIGN LOCATION EM WORK VEHICLE CHANNELIZING DEVICES SPACING ( FEET ) MPH TAPER TANGENT 35/45 30 60 20/30 20 40 MINIMI-AM TAPER LENGTH z L LANE WIDTH (FEET) i 0 ii A POSTED SPEED (MPH) 25 30 35 40 i 05 i 50 205 2190 AA A65 225 295 125 180 245 320 T.39 L PARKING FROM TO 0 70W AWAY AREA TRAFFIC CONTROL SERVICES ACTIVITY AREA x V ROAD Applicant shall repair/replace all A WORK damage to utilities or frontage J®& AHEAD improvements in City right-of-way per city standards that is caused or occurs during the permitted project. 28" T RA F F I C W20.S CONES OWNER/CONTRACTOR IS RESPONSIBLE FOR NOTE! EROSION CONTROL AND DRAINAGE i . (NO PARKING) SIGNS IN PLACE AT LEAST 48 HOJRS IN ADVANCE WITH DATE & TIME CLEARLY POSTED AND NOT OBSTRUCTING PARKING ACCESS 1ANTIL THE SPECIFIED DATE & TIME. HYDROMAX IASA WORK ACTIVITY IN PARKING AREA RESIDENTIAL ENGINEERING DIVISION APPROVED AS NOTED 12/09/2021 112 L a RECEIVED NOV 12 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT WARNING SIGN SPACING 7- X W20►I ROAD WORK AHEAD 35,40 MPH 35U+/, 3501+/, 35U+/, 25.30 MPH 2OU+/, 2001`f/, 20U+/. WARNING SIGN SPACING 7 X 35.40 MPH 35&t/, 35Ut/, 35Ut/, 25.30 MPH 2OUt/. 20Ut/, 20&t/, CHANNELIZING DEVICES SPACING ( FEET ) MPH TAPER TANGENT 35/45 30 60 20/30 20 40 STOPPING/SIGHT DISTANCE BUFFER SPACE SPEED (MPH) DISTANCE (FT) 20 ii5 i55 200 35 250 40 305 LEGENDS ................. FLAGGER CHANNELIZING STATION DEVICE TRAFFIC ADVANCE WARNING N DIRECTION SIGN LOCATION -<= TEM .TRAFFIC EM WORK VEHICLE DIRECTION 100� ACTIVITY MAX. AREA HYDROMAX IASA LANE CLOSURE LOW SPEED WITH FLAGGERS RECEIVED NOV 12 2021 W3-4 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT W20.IFA W20.4 W20.1 5U MIN. \ i 00� MAX. ■� 6 DEVICE MIN. �--�—► . I B I X u ROAD <*> WORK AHEAD SIDEWALK X X X ; nn! gin! A ROAD OAHEEAD ■ -r WORK AHEAD W20.S W20.4 ' W20.FA W3-4 MAX. TO 30U 28° TRAFFIC CONES MAINTAIN ONE 11' TRAVEL LANE. OFFER PEDESTRIAN DETOUR AT NEAREST DESIGNATED CROSSWALKS IF CLOSING SIDEWALK. LEGENDS ................. FLAGGER CHANNELIZING STATION DEVICE TRAFFIC ADVANCE WARNING DIRECTION N SIGN LOCATION TEM .TRAFFIC WORK VEHICLE DIRECTION PCMS PORTABLE CHANGEABLE MESSAGE SIGN ( SAMPLE MESSAGE) PCMS LANE 1 CLOSED MILE AHEAD PCMS I~ X I ONE LANE I� ROAD ■ DAHEAD AHEAD gE PREPARED W20,4 TO STOP 20►IFA W20.S W20.FB X ADVANCE WARNING SIGN SPACING ( FEET ) SPEED (MPH) DISTANCE (FT) RURAL HIGHWAYS 60/65 MPH 80U RI_4RAL ROADS 45/55 MPH 50U X CO 0 100� ACTIVITY < MAX. AREA ° • 1014 i 00' 5U MAX. TO 30U STOPPING/SIGHT DISTANCE BI'FFER SPACE SPEED (MPH) DISTANCE (FT) 45 360 50 425 55 495 60 51P0 65 645 50' MIN. ■� i 001 MAX. HYDROMAX tASA LANE CLOSURE HIGH SPEED WITH FLAGGERS RECEIVED NOV 12 2021 CITY OF EDMONDS ^ DEVELOPMENT ONE LAN / \ SERVICES DEPARTMENT E\ ROAD i 6 DEVICE MIN. �REBE PARE�T�ROAD WORK SEPARATE REVIEW SHALL BE REQUIRED WITH SITE -SPECIFIC TRAFFIC CONTROL PLANS FOR ANY WORK ON THE FOLLOWING STREETS: SAFETY DRUM EDMONDS WAY/SR104 HIGHWAY 99 196TH ST SW 212TH ST SW 220TH ST SW OLYMPIC VIEW DRIVE 9TH AVE (SOUTH OF CASPERS) 100TH AVE W WARNING SIGN SPACING ;z X LEGENDS ................. FLAGGER S TAT I O N TRAFFIC DIRECTION TEM .TRAFFIC DIRECTION CHANNELIZING memo DEVICE N ADVANCE WARNING SIGN LOCATION EM WORK VEHICLE 35.40 MPH 350If/, 350If/, 350If/, 25.30 MPH 2O&t/. 20&t/, 200If/, CHANNELIZING DEVICES SPACING ( FEET ) MPH TAPER TANGENT 35/45 30 60 20/30 20 40 HYDROMAX IASA LANE CLOSURE ON RESIDENTIAL ROAD WITH FLAGGERS W3-z W20.FA 5U MIN. \ MAINTAIN ONE 11' TRAVEL LANE. ACTIVITY 1 OO MAX. ■ AREA 6 DEVICE MIN. OFFER PEDESTRIAN DETOUR AT NEAREST I _ X DESIGNATED CROSSWALKS IF CLOSING SIDEWALK. --)D- r-,q� -<== -i= ME x x x RO! D ONE L% NE ■ WORK RO! D 28'' T RA F F I C !HE!D !HEAD CONES W20.S W20.4 W20.FA W3-4 RECEIVED NOV 12 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT W20.4 W20.1 CRO<*> X LEGENDS ................. CHANNELIZINO DEVICE ADVANCE WARNING N SIGN LOCATION FM WORK VEHICLE ROAD CENTER CENTER WORK LANE LANE AHEAD CLOSED CLOSED AHEAD AHEAD W20.1 W9.3 W9.3 MINIMIAM TAPER LENGTH - L LANE WIDTH (FEET) 10 11 12 25 30 POSTED SPEED (MPH) 35 40 45 50 55 60 65 I10 i 05 150 205 2II0 450 500 550 115 165 225 295 295 550 605 660 i25 180 245 320 540 600 660 r20 r80 840 CHANNELIZING DEVICES SPACING ( FEET ) MPH TAPER TANGENT 50/I/O 40 80 35/45 30 80 20/30 1 20 1 40 HYDROMAX WSA CENTER LANE CLOSIARE NEAR INTERSECTION W9.3 W9.3 CP4-� CENTER LANE ACTIVITY C I/2 A CLOSED AHEAD L AREA , I L I XX X � N N ..&281' TRAFFIC CONES RECEIVED NOV 12 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT W20.1 ROAD WORK AHEAD N X;m DISTANCE BETWEEN SIGNS 45.55 MPH 5001t/, 5001t/, 5001t/, 5001t/, 35.40 MPH 3501t/,, 3501t/,, 3501t/. 3501t/. 25.30 MPH 2O01t/. 2001t/, 2001t/. 2001t/. LEGENDS ................. CHANNELIZING DEVICE ADVANCE WARNING N SIGN LOCATION EN WORK VEHICLE MINIMI-AM TAPER LENGTH - L LANE WIDTH (FEET) i 0 ii i2 25 30 POSTED SPEED (MPH) 35 40 45 50 55 60 65 FO i 05 i 50 205 2190 450 500 550 115 165 225 295 295 550 605 660 125 i80 245 320 540 600 660 F20 IF80 840 THIS TRAFFIC CONTROL PLAN NOT APPROVED. IF WORK IN CENTER OF INTERSECTION IS NEEDED, PLEASE SUBMIT SITE -SPECIFIC TRAFFIC CONTROL PLAN THROUGH WWW.MYBUILDINGPERMIT.COM ROAD WORK AHEAD X W., WS.4R < > x R3._ LEFT / *4 ROAD WORK AHEAD W20.1 SHALL OB N TRAFFIC ENGINES S PERMISSION 110. L R3.2 LEFT U LEFT L 1/2 / /2 L W20.S -� R3.2 L LEFT L i /2 Wi.4R TX Wi.4R � 28" TRAFFIC CONES ROAD WORK W20.1 \ AHEAD HYDROMAX LASA WORK IN CENTER OF INTERSECTION RECEIVED NOV 12 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT CHANNELIZING DEVICES SPACING ( FEET ) MPH TAPER TANGENT 5010 40 80 35/45 30 60 20/30 20 40 X7 DISTANCE BETWEEN SIGNS 45.55 MPH 500ft/, 500ft/, 500Pt/h, 5001t/, 35.40 MPH 350ft/, 350ft/, 35044 3501t/. 25.30 MPH 2O0ft/. 200ft/, 200Pt/. 2001t/. MINIMUM TAPER LENGTH -- L LANE WIDTH (FEET) 25 30 POSTED SPEED (MPH) 35 40 45 50 55 60 65 FO 10 ' 05 150 205 2FO 450 500 550 A 115 i65 225 295 295 550 605 660 A 125 180 245 320 540 600 660 F20 F80 840 OR DOWNSTREAM TAPER TO SHOW END OF WORK AREA G20.2A END RO@D WORK 50U MAX. 11OU MAX. NOTE ACTIVITY SEE AREA NOTE ADVANCE WARNING SIGN SPACING ( FEET ) FREE WAYS & EXPRESSWAYS 55/FO MPH f 50U +/, OR PER MI,6TCD RURAL HIGHWAYS 60/65 MPH 80U RIARAL ROADS 45/55 MPH 500! RURAL ROADS & IARBAN ARTERIAL 35/40 MPH 350! RURAL RD, URBAN ARTERIAL, RESIDENTIAL, BUSINESS DISTRICTS 25/30 MPH 2001 +4 URBAN ST 1 25 MPH S00'+/, W4.21- W20.5R W20.S I RIGHTL^NE <RO0 CLOSED WORK !HELD !HE!D B L X X X log a,Em fe -4&28"' TRAFFIC CONES A PROTECTIVE VEHICLE IS RECOMMENDED REGARDLESS IF A TMA IS AVAILABLE. IF NO TMA IS USED, THE PROTECTIVE VEHICLE SHALL BE STRATEGICALLY LOCATED IN THE FIELD TO SHIELD WORKERS AND NO ROLL AHEAD DISTANCE IS SPECIFIED. RECEIVED NOV 12 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT HYDROMAX tASA LANE CLOSI-ARE STOPPING/SIGHT DISTANCE BUFFER SPACE SPEED (MPH) DISTANCE (FT) 20 ii5 55 30 200 35 250 305 45 360 50 425 55 495 60 51FO 65 645 IPO IF30 F5 820 LEGENDS ................. TEM .TRAFFIC DIRECTION CHANNELIZING SEEN DEVICE N ADVANCE WARNING SIGN LOCATION FM WORK VEHICLE •'••'••'• SEQUENTIAL ARROW BOARD MINIMUM TAPER LENGTH -- L LANE WIDTH (FEET) 25 30 POSTED SPEED (MPH) 35 40 45 50 55 60 65 FO 10 ' 05 150 205 2FO 450 500 550 A 115 i65 225 295 295 550 605 660 A 125 180 245 320 540 600 660 F20 F80 840 OR DOWNSTREAM TAPER TO ADVANCE WARNING SIGN SPACING ( FEET ) FREE WAYS & EXPRESSWAYS 55/FO MPH i 50U +/, OR PER MI,6TCD RURAL HIGHWAYS 60/65 MPH 80U RIARAL ROADS 45/55 MPH 50U RURAL ROADS & IARBAN ARTERIAL 35/40 MPH 350! RURAL RD, URBAN ARTERIAL, RESIDENTIAL, BUSINESS DISTRICTS 25/30 MPH 2001 +4 IARBAN ST 25 MPH S00'+/, SHOW END OF WORK AREA W4.2R W20.51- W20.1 G20.2A ACTIVITY END SEE OAD AREA ORK NOTE EFD 500 MAX. i 00' MAX.B L X#t< XX 2 MIN. ------------- — — — — — — —— — — ---- ati ,% - - - - - - - - - - - - - - - - - - - - - - - - - - - - - �'`• ------------ ..4&28" TRAFFIC CONES NOTE A PROTECTIVE VEHICLE IS RECOMMENDED REGARDLESS IF A TMA IS AVAILABLE. IF NO TMA IS USED, THE PROTECTIVE VEHICLE SHALL BE STRATEGICALLY LOCATED IN THE FIELD TO SHIELD WORKERS AND NO ROLL AHEAD DISTANCE IS SPECIFIED. RECEIVED NOV 12 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT HYDROMAX tASA LEFT LANE CLOSURE ON ATWO LANE ROAD STOPPING/SIGHT DISTANCE BUFFER SPACE SPEED (MPH) DISTANCE (FT) 20 ii5 55 30 200 35 250 305 45 360 50 425 55 495 60 51FO 65 645 IPO IF30 F5 820 LEGENDS ................. TEM .TRAFFIC DIRECTION CHANNELIZING SEEN DEVICE N ADVANCE WARNING SIGN LOCATION FM WORK VEHICLE •'••'••'• SEQUENTIAL ARROW BOARD LEGENDS ►►►►►►►►►►►►►►►►► FLAGGER STATION TRAFFIC DIRECTION TEM .TRAFFIC DIRECTION CHANNELIZING DEVICE N ADVANCE WARNING SIGN LOCATION EM WORK VEHICLE ROAD WORK AHEAD ONE LANE V ROAD AL AHEAD W3-4 MAINTAIN 111 MIN. LANE WIDTH 2&' TRAFFIC CONES T0 P R� ►� S a X ROAD WORK AHEAD W20►1 W20►4 W20►IIA W3-4 t CHANNELIZING DEVICES SPACING ( FEET ) MPH TAPER TANGENT 35/45 30 60 20/30 20 40 HYDROMAX WSA LANE CLOSIARE MH NEAR STOP SIGN ON RESIDENTIAL STREET X� DISTANCE BETWEEN SIGNS 35►40 MPH 3501t/► 3501t/► 3501t/► 3501t/► 25.30 MPH 2O01t/► 2001t/► 2001t/,, 2001t/► W3-4 W20►FA I W20►4 W20.1 W ■ ONE LANE WORK ROAD AHEAD AHEAD X X X X ■7"� W20.FA X W3-4 =F ONE LANE W20►4 AL ROAD AHEAD X IF ROAD = WORK W20►/ AHEAD RECEIVED NOV 12 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT HYDRUS-P&C CSPURLOCK ACORO CERTIFICATE OF LIABILITY INSURANCE DATE( 11/2/20YYYY) 2/2020 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Cindy L Spurlock NAME: PHONE FAX (A/C, No, Ext): (A/C, No):(812) 424-9016 Torian Insurance 3000 E. Division St. Evansville, IN 47711 ADDRESS: cindy@torianinsurance.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Travelers Indemnity Company The 25658 INSURED INSURER B : Charter Oak Fire Insurance Company The 25615 INSURER C : Underwriters At Lloyd's Of London Hydromax USA LLC INSURER D : 2501 S Kentucky Ave Evansville, IN 47714 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM DD YYYY POLICY EXP MM DD Y LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR X C05GO68086 1/4/2020 1/4/2021 DAMAGE TO RENTED PREMISES Ea occurrence 300,000 $ X MED EXP (Any oneperson) $ 5,000 A/I per contract X WOS PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,600 POLICY 7 PE ❑ LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: Prim/Non-contributory A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 $ X BODILY INJURY Perperson) $ ANY AUTO X 81031-169830 1/4/2020 1/4/2021 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY(par. X All per contract X WOS-prim/non-cont A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 X AGGREGATE $ EXCESS LIAB CLAIMS -MADE X CUP9H555188 1/4/2020 1/4/2021 DED X RETENTION $ 10,000 $ 10,000,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY OFFICER/MEMBOER PROPRIETEXCLUDED? ECUTIVE (Mandatory in NH) N / A UB9J541419 1/4/2020 1/4/2021 X PER OTH- STATUTE ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1,000,000 $ C Prof/Pollution Liab B0621PHYDR000420 1/10/2020 1/10/2021 Claim/Aggregate 3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Edmonds to be listed as an additional insured in regards to the the general liability and work performed by the insured. NOV 12 2021 CITY OF EDMONDS DEVELOPMENT JCr[VII.CJ VCrh1R I MaIV I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Edmonds y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 121 5th Ave N Edmonds, WA 98020 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD