HomeMy WebLinkAbout8 Brockway Road Transmission Agenda Item #
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r,-' U'� TRU&EE
. District
Memorandum
To: Board of Directors
From: Neil Kaufman
Date: December 26, 2005
Subject: Brockway Road Transmission Pipeline Crossing of The Union Pacific RR
1. Why this matter is before the board:
Board authorization is required for expenditures in excess of$15,000.
2. History:
Jessica Kosfiszer and I have been working on the design of the Brockway Road Transmission
Pipeline with the project planned for construction during the Summer of 2006.
3. New information:
One component of the Brockway Road Transmission project involves crossing railroad tracks from
East River Street to Donner Pass Road. A 36-inch diameter casing would be installed by bore &jack
methods and the new 24-inch water pipeline would then be installed inside the casing. This crossing
requires permission from the Union Pacific Railroad (UPRR) to install the pipeline on railroad
property. The planned location of this pipeline crossing is shown on Figure 1.
In the Spring of 2005, 1 submitted an application to the UPRR to cover this pipeline crossing.
Normally, UPRR takes about six months to process an application so it was necessary to submit the
application at that time. UPRR approved the application in a timely manner with minor modifications,
and return the attached Pipeline Crossing Agreement to be completed by the District. A fee of
$15,420.00 is also due to UPRR associated with the pipeline crossing.
4. Recommendation:
I recommend that the Board:
a) Approve the Pipeline Crossing Agreement with the Union Pacific Railroad.
b) Authorize a payment of$15,420.00 to the Union Pacific railroad with the funding source
to be Facility Fees.
Attachments:
UPRR Pipeline Crossing Agreement
PL X 940206
Form Approved,AVP-Law
Folder No. 02328-03
PIPELINE CROSSING
AGREEMENT
Mile Post: 208.15, Roseville Subdivision/Branch
Location: Truckee,Nevada County, California
THIS AGREEMENT is made and entered into as of June 22, 2005, by and between UNION
PACIFIC RAILROAD COMPANY, a Delaware corporation, (hereinafter the "Licensor") and
TRUCKEE DONNER PUBLIC UTILITY DISTRICT, a California municipal corporation to be
addressed at Po Box 309,Truckee,California 96160(hereinafter the"Licensee").
IT IS MUTUALLY AGREED BY AND BETWEEN THE PARTIES HERETO AS FOLLOWS:
Article 1. LICENSE FEE
Upon execution of this Agreement,the Licensee shall pay to the Licensor a one-rime License Fee
of Fifteen Thousand Four Hundred Twenty Dollars($15,420.00).
Article H. LICENSOR GRANTS RIGHT.
In consideration of the License Fee to be paid by the Licensee and in further consideration of the
covenants and agreements herein contained to be by the Licensee kept, observed and performed, the
Licensor hereby grants to the Licensee the right to construct and thereafter, during the term hereof, to
maintain and operate only a
24 inch water pipeline crossing(hereinafter the"Pipeline')
in the location shown and in conformity with the dimensions and specifications indicated on the attached
print dated June 10, 2005, marked Exhibit A. Under no circumstances shall Licensee modify the use of
the Pipeline for a purpose other than the above-mentioned, and said Pipeline shall not be used for any
other use, whether such use is currently technologically possible, or whether such use may come into
existence during the life of this Agreement.
Article III. CONSTRUCTION,MAINTENANCE AND OPERATION.
The grant of right herein made to the Licensee is subject to each and all of the terms, provisions,
conditions,limitations and covenants set forth herein and in Exhibit B,hereto attached.
Article IV. IF WORK IS TO BE PERFORMED BY CONTRACTOR.
If a contractor is to do any of the work performed on the Pipeline (including initial construction
and subsequent relocation or substantial maintenance and repair work), then the Licensee shall require its
contractor to execute the Railroad's form Contractor's Right of Entry Agreement. Licensee acknowledges
receipt of a copy of the Contractor's Right of Entry Agreement and understanding of its terms,provisions,
and requirements, and will inform its contractor of the need to execute the Agreement. Under no
circumstances will Licensee's contractor be allowed onto Licensor's premises without first executing the
Contractor's Right of Entry Agreement.
Article V. INSURANCE
A. The Licensee, at its expense, shall obtain the insurance described in Exhibit B-1, hereto
attached. The Licensee will also provide to the Licensor a Certificate of Insurance, identifying Folder
No. 02328-03, issued by its insurance carrier confirming the existence of such insurance and that the
policy or policies contain the following endorsement:
UNION PACIFIC RAILROAD COMPANY is named as an additional insured with respect
to all liabilities arising out of the existence,use or any work performed on or associated
with the Pipeline' located on Railroad right-of-way at Mile Post 208.15, on the Roseville
Subdivision/Branch,at or near Truckee,Nevada County,California.
B. If the Licensee named in this Agreement is a public entity subject to any applicable statutory
tort laws, the limits of insurance described in Exhibit B-1 shall be the limits the Licensee then has in
effect or which is required by applicable current or subsequent law, whichever is greater, a portion of
which may be self-insured with the consent and approval of the Licensor
C. All insurance correspondence shall be directed to:
Jon E. Devish
Folder No. 02328-03
Union Pacific Railroad Company
Real Estate Department
1400 Douglas Street STOP 1690
Omaha,NE 68179-1690
Article VL TERM.
This Agreement shall take effect as of the date first herein written and shall continue in full force
and effect until terminated as herein provided.
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed as of
the date first herein written.
UNION PACIFIC RAILROAD COMPANY TRUCKEE DONNER PUBLIC
UTILITY DISTRICT
By: By:
Manager-Contracts Title:
PLACE ARROW INDICATING NORTH
DIRECTION RELATIVE TO CROSSING FORM OR-0404-B
REV. 5-15-98
;•�o ENCASED NON-FLAMMABLE WWW'Up".GOTn
PIPELINE CROSSING
NOTE: ALL AVAILABLE DIMENSIONS MUST BE
NO SCALE FILLED IN TO PROCESS THIS APPLICATION.
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FDIC SMOOTH STEEL GASIK
PIPES RITH MINIMRI YIELD
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FT. ---� 7.01! �_ 0 I FORMAA TO FIDERE CASING
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11 CASING TO ELICp BEYOND RAI SHE'Im t IG TUCK It RIGHT ANGLES LNC WIK Of NI• 30 Fl.. pR Sp fT.r /A 51N�
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SI YINIYY Oi SY iRW THE fR9 OF ANY RAI UMO SRlp C Oi ARM CLLVtPT. M FRW YR WITCHING AP[A. `,1 MIN.015T.
41 SIGtYL REPgESENTAT EVE MOST WL HEALTHY qp TM IMTULATIOM If RA0.RDAp SICLYLS YW IN TN[VICINITY M CRpSSING.
51 µLOGAIRA AIMED OBJECTS IMLIIOCI MCSRLLLS OF MIOE[SL (Of ROAp CROSS IMGS S T MIN.
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FI CASINO AND CYMIER PIPE WST BE PLACED A WEE pi Z FF[O KLEIN FNL CxTSYIa OOVRHE D 11ADOCTS'GIVE YAAO NY(i, OR CLLVEWTS
S FEET OF tM ExI i1Nq 11111 pPTit CABLEWST BL NMO GOO, IC ANY [xCAv1Z1OX R[WIRED WITx ION
PIPINKi
81 IIF YESEL INE AAECOFSSTREEwITHIN DEDICATED STREET ?_,_YESi.—X_N0; EXHIBIT "A"
DI DISTRIBUTION LINE OR TRANSM(SS ION LINE _ `F0'"'1L"°10AN,PA"
CI CARRIER PIPE
COMMODITY TO BE CONVEYED POT-A R/�s' L.Aara2 UNION PACIFIC RAILROAD CO.
OPERATING PRESSURE_1.7,5`_PSI
WALL THICKNESS e," ;DIAMETER ]NII MATERIAL `uzS 1\0 c
_) CASING PIPE : 1 YiWx
WALL THICKNESS DIAMETER, 3E" ;MATERIAL DEL- 1"1' P �-0�'15 E, $, 171+cs5t
OUTSIDE DIAMETERNOTE AOFNCA RIER AVE PIPE ZANDLINTERIOR DIAM BETWEETERROF
CASING PIPE. WHEN FURNISHING DIMENSIONS, GIVE OUTSIDE OF
TEST� ENCASED Frtl.,<
w..LkLc CROSSING AT
CARRIER PIPE AND INSIDE OF CASING PIPE. - �a CA
-) METHOD OF INSTALLING CASING PIPE UNDER TRACK(S):
YL DRY BORE AND JACK (WET BORE NOT PERMITTED) — I ru LIE[2 Q P LI
_TUNNEL ; OTHER Lmm.nl
0 WILL CONSTRUCTION BE BY AN OUTSIDE CONTRACTOR? ' YES;__NO; RR FiLE NO. 2379'-03 DATE 6 l0 us
1) DISTANCE FROM CENTER LINE OF TRACK TO NEAR FACE OF BO$$I�yG ANI JACKING PIT$ WHEN MEASURED AT RIGHT ANGLES TO TRACK—_ WARN I N G
I APPLICANT HAS CONTACTED 1-800-336-9193, (r^' Am) IN ALL OCCASIONS, IL P C IIAII3
U. P. COMMUNICATION DEPARTMENT, AND HAS DETERMINED FIBER DEPARTMENT VENT BE CONTACTED IN EOVANCE
OPTIC CABLE A DOES ; DOES NOT • EXIST IN VICINITY OF OF ANY YDWt ro OETEIYIM fxIsrENCE AND
WORK 70 BE PERFORMED TICKET NO. as03 C'A-C fG? LOCATION OF FIBER WE,CARL,
PHONE 1 I-ADG-3wvm
PL X 980112
Ponu Apptovtd,AVP-Lae
EXHIBIT B
Section 1. LIMMATION AND S IBORDINATION OF RIGHTS GRAN ED.
(a) The foregoing grant of right is subject and subordinate to the prior and continuing right and obligation of the Licensor to
use and maintain its entire property including the right and power of the licensor to construct, maintain, repair, renew, use,
operate, change, modify or relocate railroad tracks, signal,communication,fiber optics,or other wirelines,pipelines and other
facilities upon,along or across any or all parts of its property. all or any of which may be freely done at any time or times by the
Licensor without liability to the Licensee or to any other party for compensation or damages.
(b) The foregoing grant is also subject to all outstanding superior rights(including those in favor of licensees and lessees of
the Licensor's property,and others)and the right of the Licensor to renew and extend the same, and is made without covenant of
title or for quiet enjoyment.
Section 2. CONSTRUCTION MAINTENANCE MAIWENANCE AND OPERATION.
(a) The Pipeline shall be constructed, operated, maintained, repaired, renewed. modified and/or reconstructed by the
Licensee in strict conformity with Union Pacific Railroad Co.Common Standard Specification 1029 adopted November 1949,and
all amendments thereof and supplements thereto,which by this reference is hereby made a part hereof,except as may be modified
and approved by the l icensor's Vice President-Engineering Services. In the event such Specification conflicts in any respect with
the requirements of any federal,state or municipal law or regulation,such requirements shall govern on all points of conflict, but
in all other respects the Specification shall apply.
(b) All work performed on property of the Licensor in connection with the construction, maintenance, repair, renewal,
modification or reconstruction of the Pipeline shall be done to the satisfaction of the Licensor-
(C) Prior to the commencement of any work in connection with the construction,maintenance,repair,renewal modification,
relocation, reconstruction or removed of the Pipeline where it passes underneath the roadbed and track or tracks of the licensor,
the licensee shall submit to the Licensor plans setting out the method and manner of handling the work including the shoring and
cribbing, if any, required to protect the Licensor's operations, and shall not proceed with the wok until such plans have been
approved by the Vice President-Engineering Services of the Licensor and then the work shall be done to the satisfaction of the Vice
President-Engineering Services or his authorized representative.The Licensor shall have the right, if it so elects, to provide such
support as it may deem necessary for the safety of its track or tracks during the time of construction,maintenance,repair,renewal,
modification, relocation, reconstruction or removed of the Pipeline, and, in the,event the Licensor provides such support. the
Licensee shall pay to the Licensor,within fifteen(15)days after bills shalt have been rendered therefor,all expense incurred by the
Licensor in connection therewith,which expense shall include aft assignable costs.
(d) The Licensee shall keep and maintain the soil over the Pipeline thoroughly compacted and the grade even with the
adjacent surface of the ground.
Section 3. NOTICE OF CO PN EMENp OF WORK.
If an emergency should arise requiring immediate attention,the Licensee shall provide as much notice as practicable
to Licensor before commencing any work. In all other situations,the Licensee shall notify the Licensor at least ten(10)days(or
such other time as the Licensor may allow) in advance of the commencement of any work upon property of the Licensor in
connection with the construction,maintenance,repair,renewal modification.reconstruction,relocation or removal o[the pipeline.
All such work shall be prosecuted diligently to completion
Section 4. LICENSEE TO BEAR ENME EKpENSE.
The licensee shall bear the entire cost and expense incurred in connection with the construction, maintenance, repair
and renewal and any and all modification, revision,relocation,removed or reconstruction of the Pipeline, including any and all
expense which may be incurred by the Licensor in connection therewith for supervision,inspection, flagging,or otherwise.
pix.exb Past t o1'4
Exhibit 8
PL X 990112
Porm Approved,AVP-Law
Section 5. REINFORCEMENT R 1 O ATION OR_FlEMOVAL OF PIPELINE,
(a) The license herein granted is subject to the needs and requirements of the Licensor in the operation of its railroad and
in the improvement and use of its property,and the Licensee shall,at the sole expense of the Licensee, reinforce the Pipeline, or
move all or any portion of the Pipeline to such new location as the Licensor may designate, whenever, in the furtherance of its
needs and requirements, the licensor shall find such action necessary or desirable.
(b) All the terms,conditions and stipulations herein expressed with reference to the Pipeline on property of the licensor in
the location hereinbefore described shall, so far as the Pipeline remains on the property, apply to the Pipeline as modified,
changed or relocated within the contemplation of this section.
Section 6. NO INTERFERENCE WITH IC NSOR OPERATION.
The Pipeline and all parts thereof within and outside of the limits of the property of the Licensor shall be constructed and
at all times,maintained,repaired renewed and operated in such manner as to cause no interference whatsoever with the constant,
continuous and uninterrupted use of the tracks,property and facilities of the Licensor,and nothing shall be done or suffered to be
done by the licensee at any time that would in any manner impair the safety thereof,
Section 7. PROTECTION OF FIBER OPTIC CABI F gy [S.
(a) Fiber optic cable systems may be buried on the Licensor's property. Protection of the fiber optic cable systems is of
extreme importance since any break could disrupt service to users resulting in business interruption and loss of revenue and
profits. Licensee shall telephone the Licensor at 1.BW-336-9193(a 24-hour number) to determine if fiber optic cable is buried
anywhere on the Licensor's premises to be used by the Licensee. If it is, Licensee will telephone the telecommunications
companyGes)involved,arrange for a cable locator,make arrangements for relocation or other protection of the fiber optic cable,
all at Licensee's expense, and will commence no work on the right of way until all such protection or relocation has been
accomplished. licensee shall indemnify and hold the Licensor harmless from and against all costs. liability and expense
whatsoever (including, without limitation, attorneys' fees, court costs and expenses) arising out of or caused in any way by
licensee's failure to comply with the provisions of this paragraph.
(b) In addition to other indemnity provisions in this Agreement, the licensee shall indemnify and hold the licensor harmless
from and against all costs,liability and expense whatsoever(including,without fimftatiat,attorneys'tees,court costs a
caused by the negligence of the Licensee,its contractor,agents an nd expenses)
arid/or employees,resulting in(1)any damage to destruction
Of any telecommunications system on Licensor's property,and/or(2)any injury to or death of any person employed by or on behalf
of any telecommunications company,and/or its contractor,agents and/or employees,on licensors property, except if such costs,
liability or expenses are caused solely by the direct active negligence of the Licensor. licensee further agrees that it shall not have
or seek recourse against licensor for any claim or cause of action for alleged loss of profits or revenue or loss of service or other
consequential damage to a telecommunication company using Licensor's property or a customer or user of services of the fiber
optic cable on Licensors property.
Section 8. CLAIMS AND t IEN$M r❑ OR AND MAIEBIAL-TAXES.
(a) The licensee shall fully pay for all materials joined or affixed to and labor performed upon property of the licensor in
connection with the construction,maintenance,repair,renewal,modification or reconstruction of the Pipeline,and shall not permit
or suffer any mechanic's or maleriaiman's lien of any kind or nature to be enforced against the property for any work done or
materials furnished thereon at the instance or request or on behalf of the Licensee. The Licensee shall indemnify and hold
harmless the Licensor against and from any and all liens,claims,demands,costs and expenses of whatsoever nature in any way
connected with or growing out of such work done,labor performed,or materials furnished.
(b) The Licensee shall promptly pay or discharge a8 tames,charges and assessments levied upon,in respect to,or on account
of the Pipeline, to prevent the same from becoming a charge or lien upon property of the Licensor,and so that the taxes.charges
and assessments levied upon or in respect to such property shall not be increased because of the location, construction or
maintenance of the Pipeline or any improvement,appliance or fixture connected therewith placed upon such property, or on
account of the Licensee's interest therein Where such tax,charge or assessment may not be separately made or assessed to the
Licensee but shall be included in the assessment of the property of the Licensor, then the Licensee shall pay to the licensor an
equitable proportion of such taxes determined by the value of the Licensee's property upon property of the Licensor as compared
plx.exb Page 2 of 4
Exhibit 8
PL x 980t 12
Porn Approved.AVP-Law
with the entire value of such property.
Section 9. RESTORATION OF LICENSORS PROPERTY.
In the event the Licensor authorizes the Licensee to take down any fence of the Licensor or in any manner move or disturb
any of the other property of the Licensor in connection with the construction, maintenance, repair, renewal, modification,
reconstruction, relocation or removal of the Pipeline,then in that event the Licensee shall, as soon as possible and at Licensee's
sole expense, restore such fence and other property to the some condition as the same were in before such fence was taken down
or such other property was moved or disturbed, and the Licensee shall indemnify and hold harmless the Licensor, its officers,
agents and employees,against and from any and all liability,loss,damages,claims,demands,costs and expenses of whatsoever
nature, including court costs and attorneys'fees,which may result from injury to or death of persons whomsoever,or damage to
or loss or destruction of property whatsoever,when such injury,death,damage,loss or destruction grows out of or crises from the
taking down of any fence or the moving or disturbance of any other property of the Licensor.
Section 10. INDEMNITY.
(a) As used in this Section."Licensor"includes other railroad companies using the Licensors property at or near the location
of the Licensee's installation and their officers,agents,and employees;"Loss`includes loss,damage,claims,demands,actions,
causes of action,penalties,costs,and expenses of whatsoever nature, including court costs and attorneys'fees,which may result
from: (a)injury to or death of persons whomsoever(including the Licensors officers, agents, and employees, the Licensee's
officers,agents,and employees,as well as any other person);and/or(b)damage to or loss or destruction of property whatsoever
(including Licensee's property,damage to the roadbed,tracks,equipment,or other property of the Licensor,or property in its care
or custody).
(b) As a major inducement and in consideration of the license and permission herein granted, the Licensee agrees to
indemnify and hold harmless the Licensor from any Loss which is due to or arises from:
1. The prosecution of any work contemplated by this Agreement including the installation, construction,
maintenance, repair, renewal, modification, reconstruction, relocation, or removal of the Pipeline or any part
thereof;or
2. The presence,operation,or use of the Pipeline or contents escaping therefrom,
except to the extent that the Loss is caused by the sole and direct negligence of the Licensor.
Section 11. REMOVAL OF PIPELINE UPON TERMINATION OF AGREEMENT.
Prior to the termination of this Agreement howsoever, the Licensee shall,at Licensee's sole expense, remove the
Pipeline from those portions of the property not occupied by the roadbed and track or tracks of the Licensor and shall restore, to
the satisfaction of the Licensor,such portions of such property to as good a condition as they were in at the time of the construction
of the Pipeline. If the Licensee fails to do the foregoing,the Licensor may do such work of removal and restoration at the cost and
expense of the Licensee. The Licensor may,at its option,upon such termination,at the entire cost and expense of the Licensee,
remove the portions of the Pipeline located underneath its roadbed and track or tracks and restore such roadbed to as good a
condition as it was in at the time of the construction of the Pipeline,or it may permit the Licensee to do such work of removal and
restoration to the satisfaction of the Licensor. In the event of the removal by the Licensor of the property of the Licensee and of the
restoration of the roadbed and property as herein provided the Licensor shall in no manner be liable to the Licensee for any
damage sustained by the Licensee for or on account thereof,and such removal and restoration shall in no manner prejudice or
impair any right of action for damages,or otherwise,that the Licensor may have against the Licensee.
Section 12. WAIVER OF BREACH.
The waiver by the licensor of the breach of any condition,covenant or agreement herein contained to be kept,observed
and performed by the Licensee shall in no way impair the right of the Licensor to avail itself of any remedy for any subsequent
breach thereof.
ptx.ezb Page 3 of A
Exhibit B
PL X 980112
Fonn Approved.AVP-Law
Section 13. TERMINATION.
(a) If the Licensee does not use the right herein granted or the Pipeline for one(1)year,or if the Licensee continues in default
in the performance of any covenant or agreement herein contained for a period of thirty(30)days after written notice from the
Licensor to the Licensee specifying such default, the Licensor may, at its option, forthwith immediately terminate this Agreement
by written notice-
(b) In addition to the provisions of subparagraph(a)above,this Agreement may be terminated by written notice given by either
party hereto to the other on any date in such notice stated, not less. however, than thirty(30)days subsequent to the date upon
which such notice shall be given-
(c) Notice of default and notice of termination may be served personally upon the Licensee or by mailing to the last known
address of the Licensee. Termination of this Agreement for any reason shall not affect any of the rights or obligations of the parties
hereto which may have accrued, or liabilities,accrued or otherwise,which may have arisen prior thereto.
Section 14. AGREEMENT NOT TO BE ASSIGNEO.
The Licensee shall not assign this Agreement,in whole or in part,or any rights herein granted without the written consent
of the Licensor,and it is agreed that any transfer or assignment or attempted transfer or assignment of this Agreement or any of
the rights herein granted,whether voluntary,by operation of law,or otherwise,without such consent in writing,shall be absolutely
void and,at the option of the Licensor,shall terminate this Agreement.
Section 15. SUCCESSORS AND ASSIGNS.
Subject to the provisions of Section 14 hereof,this Agreement shall be binding upon and inure to the benefit of the parties
hereto, their heirs,executors,administrators,successors and assigns.
plx.exb Page 4 of 4 Exhibit 8
PLAVUDRAINAGE INS.
Form Approved,AVP-law Updated 03/01/2003
5
EXHIBIT B-1
Union Pacific Railroad Company
Insurance Provisions For
Pipeline/Wireline I Drainage License Agreements
Licensee shall,at its sole cost and expense,procure and maintain during the We of this Agreement the following insurance coverage:
A. Commercial General Liability insurance.This insurance shall contain broad form contractual liability with a single limit of at least
$2,000,000 each occurrence or claim and an aggregate limit of at least$4,000,000. Coverage must be purchased on a post 1999 ISO
or equivalent form,including but not limited to coverage for the following:
• Bodily injury including death and personal injury
• Property damage
• Fire legal liability(Not less than the replacement value of the portion of the premises occupied)
• Products and completed operations
The policy shall also contain the following endorsements which shall be indicated on the certificate of insurance:
• The employee and worker's compensation related exclusions in the above policy apply only to Licensee's employees
• The exclusions for railroads (except where the Job site is more than fifty feet (5M from any railroad including but not
limited to tracks, bridges, trestles, roadbeds, terminals, underpasses or crossings), and explosion, collapse and underground
hazard shall be removed
• Waiver of subrogation
B. Business Automobile Coverage insurance. This insurance shall contain a combined single limit of at least $2,000.000 per
occurrence or claim,including but not limited to coverage for the following:
• Bodily injury and property damage
• Any and all motor vehicles including owned, Fred and non-owned
The policy shall also contain the following endorsements which shall be indicated on the certificate of insurance:
• The employee and worker's compensation related exclusions in the above policy apply only to Licensee's employees
• The exclusions for railroads (except where the Job site is more than fifty feet (501 from any railroad including but not
limited to tracks, bridges, trestles, roadbeds, terminals, underpasses or crossings), and explosion, collapse and underground
hazard shall be removed
• Motor Carrier Ad Endorsement-Hazardous materials dean W(MCS-90)if required by law.
C. Workers Compensation and Employers Liability insurance including but not limited to:
• Licensee's statutory liability under the workers'compensation laws of the state(s)affected by this Agreement
• Employers'Liability(Part B)with limits of at least
$500,000 each accident,$5W,000 disease policy limit
$600,000 each employee
If Workers Compensation insurance will not cover the liability of Licensee in states that require participation in state workers'
compensation fund,Licensee shall comply with the tam of such states. If Licensee is self-insured,evidence of state approval must be
provided along with evidence of excess workers compensation coverage. Coverage shall include liability arising out of the U. S.
Longshoremen's and Harbor Workers'Act,the Jones Act,and the Outer Continental Shelf Land Act.if applicable.
The policy shall also contain the following endorsement which shall be indicated on the certificate of insurance:
+ Alternate Employer Endorsement
D. Umbrella or Excess Policies In the event Licensee utilizes Umbrella or excess polices, these policies shall "follow form' and
afford no less coverage than the primary policy.
Page 1 of 2
PLANUDRAINAGE INS.
Form Approved,AVP-Law Updated 03/01/2003
Other Requirements
E. Punitive damage exclusion must be deleted,which deletion shall be indicated on the certificate of insurance.
F. Licensee agrees to waive its right of recovery, and its insurers, through policy endorsement, agree to waive their right of
subrogation against Licensor. Licensee further waives its right of recovery,and its insurers also waive their right of subrogation against
Licensor for loss of its owned or leased property or property under its care,custody and control. Licensee's insurance shag be primary
with respect to any insurance carried by Licensor.All waivers of subrogation shall be indicated on the certificate of insurance.
G. All pogcy(ies)required above (excluding Workers Compensation)shall provide severabgity of interests and shall name Licensor as
an additional insured. Severability of interest and naming Licensor as additional insured shall be indicated on the certificate of
insurance.
H. Prior to commencing the Work, Licensee shall furnish to Licensor original certificate(s) of insurance evidencing the required
coverage, endorsements, and amendments. The cerfificate(s) shall contain a provision that obligates the insurance company(es)
issuing such policy(ies)to notify,Licensor in writing of any cancellation or material alteration. Upon request from Licensor,a certified
duplicate original of any required policy shall be furnished.
1. Any insurance policy shall be written by a reputable insurance company acceptable to Licensor or with a current Best's Insurance
Guide Rating of A-and Class Vtl or better,and authorized to do business in the state(s)in which the service is to be provided.
J. Licensee WARRANTS that this Agreement has been thoroughly reviewed by Licensee's insurance agent(s)/broker(s), who have
been instructed by Licensee to procure the insurance coverage required by this Agreement and acknowledges that Licensee's
insurance coverage will be primary.
K. The fad that insurance is obtained by licensee or Licensor on behalf of Licensee shall not be deemed to release or diminish the
liability of Licensee, including,without limitation, liability under the indemnity provisions of this Agreement. Damages recoverable by
Licensor shall not be limited by the amount of the required insurance coverage.
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SA
TRUCKEE DONNER Figure 1
Public Utility District Brockway Road Transmission Pipeline
Planned Crossing of UPRR