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CDOT UTILITY/RELOCATION /SPECIAL USE PERMIT STANDARD PROVISIONS
<br />The following Standard Provisions are terms and C. For any permanent Permittee-owned installations located
<br />conditions of this permit within the State Highway Right of Way, highway repairs, or
<br />site restoration, Completed Operations coverage shall be
<br />Effective March 1, 2006 provided for a minimum period of one year following final
<br />acceptance of work.
<br />Utility work authorized under this permit shall comply with the requirements of
<br />the State 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 features, shall comply with the provisions of the CDOT Standard
<br />Specifications for Road and Bridge Construction, and with the 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, or
<br />as applicab eir Contractor, shall immediately
<br />obtain a drtional t ance to restore the full
<br />aggreg a li rt u ' h to CDOT a certificate
<br />or oth o rent sat • ac to CDOT showing
<br />c mplia a ith this isi
<br />3) Auion obi Lia 'lit ura co en g any auto (including
<br />owned, 're end n -ow �> autos) vit ' a minimum limit as
<br />wS: $ 0 00 ach ccident co )bt ed single limit.
<br />Work on highway Right of Way (ROW') shall not commence prior to issuance
<br />of a fully endorsed and validated permit.
<br />Perntittee 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. n
<br />Work shalt 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) are subject to CDOT appr bat. nA copy
<br />the approved plans or sketch must be available on site f'�g w ' k. { tan
<br />revisions or altered work differm i scope or nature fr m at au zed
<br />under this permit, are subject D prior approval. tee shall
<br />promptly notify theCDOT' specto change . nnfore. ee condition .
<br />which may occur "'I" '
<br />3. INSURANCE
<br />Insurance Requirements d
<br />State Requirements) f Uu 'ty an
<br />A. The Permittee shall ab in,�iid m rain at all times duri th'
<br />performance of work aut rize y this Permit, insurance + m th
<br />following kinds and amount Permittee shall re e al.
<br />Contractor working for them ' hin he State High y Ri t of
<br />Way to obtain like coverage. The er 'ttee shal so re i re any
<br />Contractor or Consultantperformin wo d abed. ub-
<br />paragraph 4) below, to obtain Profess. al abilit surance.
<br />1) Workers' Compensation Insurance as rtq�rEd by state statute,
<br />and Employer's Liability Insurance covering all employees
<br />acting within the course and scope of their employment and
<br />work on the activities authorized by this Permit.
<br />2) Commercial General Liability Insurance written on ISO
<br />occurrence form CG 00 01 10193 or equivalent, covering
<br />premises operations, fire damage, independent Consultants,
<br />products and completed operations, blanket contractual liability,
<br />personal injury, and advertising liability with minimum limits
<br />as follows:
<br />a. $1,000,000 each occurrence;
<br />b. $2,000,000 general aggregate;
<br />engr er g dea -i ' n; b • dstru ion inspection; or, c)
<br />trafficc tro la ap oved Control Supervisor;
<br />done in ass in' rm ' h e operations or installations authorized
<br />this pe Pr essi al iability Insurance with minimum
<br />i ' s of liabilit of Ot th, $1,000,000 Each Claim and
<br />0 000 Antim l A' rega . If the policy is written on a
<br />Cla s tde form th Permittee, or, as applicable — their
<br />CS,o ant act ,shall renew and maintain Professional
<br />Lt ility su ce f- minimum of two years following final
<br />ce ance f t wor , or provide a project specific Policy with
<br />a tN yoQr ex t d reporting provision.
<br />5) Pollutio b at Lia 'Iii Insurance mvith minimum limits of
<br />'ability o $1,000,00 c Claim and $1,000,000 Annual
<br />A egate. CDOT shat named as an additionat insured to the
<br />Lion Legal Liability policy. If the Policy is a component of
<br />the Pro €essional Liability Policy, the Additional Insured
<br />requirement is waived, and the Policy shall be written on a
<br />Claims Made form, with an extended reporting period of at least
<br />two year following final acceptance of the work.
<br />6) Umbrella or Excess Liability Insurance with minimum limits of
<br />$1,000,000. This policy shall become primary (drop down) in
<br />the event (lie primary Liability Policy limits are impaired or
<br />exhausted. The Policy shall be written on an Occurrence form
<br />and shall be following form of the primary. The following form
<br />Excess Liability shalt include CDOT 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 insurance or self -
<br />insurance program 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 all insurance policies in any way related to the Permit
<br />and secured and maintained by the Permittee, Contractor or
<br />Consultant, to include clauses stating that each carrier will waiva all
<br />rights of recovery, under subrogation or 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 />shall be issued by insurance companies satisfactory to CDOT.
<br />C. $2,000,000 products and completed operations aggregate; F. The Permittee, or as applicable - their Contractor or Consultant,
<br />and
<br />shall provide certificates showing insurance coverage required by
<br />d. $50,000 any one fire. this Permit to CDOT prior to commencing work. No later than 15
<br />days prior to the expiration date of any such coverage, the
<br />Permittee, Contractor or Consultant, shall deliver CDOT certificates
<br />Rev. Feb. 2006
<br />CDOT Permit Form 333 and Standard Provisions Page 2 of 6
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