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CDOT UTILITY/ItELOCATION/SPECIAL USE PERMIT STANDARD PROVISIONS
<br />The following Standard Provisions are terms and e. For any permanent Permittee-owned installations located
<br />eoaditions of this permit: within the State Highway Right of Way, highway repairs, or •
<br />site restoration, Completed Operations coverage shall be
<br />E/fective January 1, 2008 provided far a minimum period of one year following Final
<br />acceptance of work.
<br />Utility work authorized under ibis permit shall comply with the requirements of
<br />the Slate Highway Utility Accommodation Code, and applicable federal, state,
<br />local, and industry codes and regulations.
<br />Construction of any portion of the highway facility, including the pavement
<br />structure, subsurface support, drainage, landscaping elements and all
<br />appurtenant feawres, shell comply with the provisions of the CDOT Standard
<br />Specifications for Road and Bridge Constructien, and with U-e Colorado
<br />Standard Plans (M & S Standards).
<br />1. COMMENCEMENT AND COMPLETION
<br />If any aggregate limit is reduced below 1,000,000
<br />because of claims made or paid, the Permittee, of
<br />as applicable - Uteir Contractor, shall immediately
<br />obtain additional insurance to restore the full
<br />aggregate limit and famish to CDOT a certificate
<br />or other document satisfactory to CDOT showing
<br />compliance with Ibis prov'ssion.
<br />3) Automobile Liability Insurance covering any auto (including
<br />owned, hired and non-owned autos) with a minimum limit as
<br />Follows: 51,000,000 each accident combined single limit.
<br />Work on highway Right of Way {ROW} shall not commence prior to issuance
<br />of a fully endorsed and validated pemtit.
<br />Permittee shall notify the CDOT inspector.
<br />a. At least 2 working days prior to commencing work, or resuming
<br />operations which have been suspended for five or more consecutive
<br />working days
<br />b. When suspending Operations for 5 or more working days
<br />c. Upon completion of work.
<br />Work shall not proceed beyond a completion date specified in the Special
<br />Provisions without written approval of the Department.
<br />2. PLANS, PLAN REVISIONS, ALTERED WORK
<br />Plans or work sketch {EXHIBIT A) ere subject to CDOT approval. A copy of
<br />the approved plans or sketch must be available on site during work. Plan
<br />revisions ar altered work differing in soope or nature from that authorized
<br />under this permit, are subject to CDOT prior approval. Permittce shall
<br />promptly notify the CDOT inspector of changed ar unforescen conditions,
<br />which may occur on the job.
<br />3. INSURANCE
<br />Insurance Requirements for Utility end Special-Use Permits (Revised 7-05 per
<br />State Requirements)
<br />A. The Pemniltce shell obtain, and maintain at all times during the
<br />performance ofwork authorized by Ibis Pemtit, insurance in the
<br />following kinds and amounts. The Permittee shall require any
<br />Contractor working far them within the State Highway Right of
<br />Way to obtain like coverage. The Permittee shall also require any
<br />Contractor or Consultant performing work described in sub-
<br />paragraph 4} below, to obtain Professional Liability Insurance.
<br />1) Workers' Compensation Insurance as required by state statute,
<br />and E'mployer's Liability Insurance covering all employees
<br />acting within Ute course and scope of their employment and
<br />work on the activities authorized by this Pemtit.
<br />2} Commercial General Liability Insurance written on ISO
<br />occurrence form CG DO Ol 10193 or equivalent, eovcring
<br />premises operations, fire damage, independent Consultants,
<br />products and completed operations, blanket contractual liability,
<br />personal injury, and advesising liability with minimum limits
<br />as follows:
<br />a. $1,000,000 each accurnnce;
<br />b. 52,000,000 general aggregate;
<br />For any: a) engineering design; b) eor-struction inspection; or, c)
<br />traffic control plans approved by a Traffic Control Supervisor;
<br />done in association with the operations or installations authorized
<br />by this permit, Professional Liability Insurance with minimum
<br />limits of Liability of not less than 51,000,000 Each Claim and
<br />51,000,000 Annual Aggregate. If the policy is written on e
<br />Claims Made form, the Permitter, or, as applicable-their
<br />Consultant or Contractor, shall renew and maintain Professional
<br />Liability Insurance For a minimum of two years following final
<br />acceptance of the work, or provide a project specific Policy with
<br />a two year extended reporting provision.
<br />Pollution Legal Liability Insurance with minimum limits of
<br />liability of51,000,000 Each Claim and 51,000,000 Annual
<br />Aggregate. CDOT shall be named as an additional insured to the
<br />Pollution Legal Liability policy. If the Policy is a component of
<br />the Professional Liability Policy, the Additional Insured
<br />requirerttent is waived, and the Policy shall be written on a
<br />Claims Made form, with an extended reposing period of at least
<br />two year following final acceptance of the work.
<br />6) Umbrella or Excess Liability Insurance wish minimum limits of
<br />51,000,000. This policy shall become primary (drop down} in
<br />the event the primary liability Policy limits ere impaired or
<br />exhausted. The Policy Shall be written on an Occurrence form
<br />and shall be folbwing form of the primary. The following form
<br />Excess Liability shall it-clude CDnT as an additional insured.
<br />B. CDOT shall be named as additional insured on the Commercial
<br />General Liability and Automobile Liability insurance policies.
<br />Completed operations additional insured coverage shall be on
<br />endorsements CG 201011/85, CG 2037, or equivalent Coverage
<br />required by the Permit will be primary over any insurmtce or self-
<br />insuranceprogram carried by the State of Colorado.
<br />C. The Insurance shall include provisions preventing cancellation or
<br />non-renewal without at least 30 days prior notice to CDOT by
<br />certified mail.
<br />D. The Permittee, or, as applicable -their Contractor or Consultant'
<br />will require al! insurance policies in arty way related to the Permit
<br />and secured and maintained by the Prrmiltee, Contractor or
<br />Consultant, to include clauses staling that each carrier will waive all
<br />rights of recovery, under subrogalian ar otherwise, against CDOT,
<br />its agencies, institutions, organizations, officers, agents, employees
<br />and volunteers.
<br />E. All policies evidencing the insurance coverages required hereunder
<br />shell be issued by insurance companies satisfactory to CDOT.
<br />c. ~Z,000,000 products and completed operations aggregate; F. The Permittee, or as applicable -their Contractor or Consultant,
<br />shall provide certificates showing insurance coverage required by
<br />d. 550,000 any one fire, this Permit to CDOT prior to commencing work. No later than 15
<br />days prior to the expiration date of eery such coverage, the
<br />Permitter, Contractor or Consultant, shall deliver CDOT certificates
<br />02/06
<br />CDOT Permit Farm 333 and Standard Provisions Page 2 oft
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