Attachment 0001_SOW APPENDIX 2.7.8 MYER DPW Excavation Permit.pdf

This is a DPW Excavation Permit form for a New York City project. The permit authorizes any work that may disrupt underground utilities, telecommunications, right-of-way or private activities. The form requires identification of the proposed excavation location, with flags or markings to be white in color for proposed excavation areas. All utilities must be determined prior to excavation; if damages are sustained by the requestor, an extension may be given to the expiration date if disclosed. The requestor must notify all affected utility companies and provide a list of all utilities affected; the requestor is liable for damages to persons or property where services are severed in the Requestor's field or negligence.

The permit requires utility companies to be notified at least 48 hours prior to digging, and completion requirements regarding the permit must be declared to DPW O & M. Additional requirements specify that the requestor must submit the original permit with attachments to DPW O & M at completion of work. The form includes signature blocks for the Requestor/POC and representatives from various utility companies including Plumbing Shop, Sewer Shop, Water M/C Shop, and NPC Representative. The form is dated April 13, 2011 and references Permit number JBM-BM (GPP) 1224.