Attachment_8_-_BLM_Canal_Water_Permit.pdf
PDF 7 MB Posted
- Attached to
- D-B GAOA CAHUILLA RANGER STATION REPLACEMENT Federal contract opportunity
- Solicitation number
- 140L0625R0007
About this file
This document is a Temporary Encroachment Permit issued by the Coachella Valley Water District (CVWD) to the Bureau of Land Management (BLM) for accessing the Coachella Branch of the All-American Canal. The permit allows BLM to draw water from two specific locations to fill water trucks for ongoing construction and maintenance activities over a two-year period, ending September 1, 2025. The permit covers two parcels: one at the Coachella turnout (APN 039-160-009) and another at the intersection of Highway 78 and the Canal (APN 056-220-003). BLM will pay $1,227.60 for 10 acre-feet of water, with specific provisions including using an air gap between the fill pipe and water tank, maintaining a log of water usage, and preventing the spread of invasive quagga mussels. The permit includes detailed requirements for equipment inspection, decontamination, and water truck usage to minimize environmental risks.
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Text version
COACHELLA VALLEY WATER DISTRICT ROUTING
FW 1. Project Coordinator
TRANSMITTAL OF DOCUMENT
FOR APPROVAL, EXECUTION AND/OR ACCEPTANCE ____2. Department Director
BY THE GENERAL MANAGER/CHIEF ENGINEER ____3. Right of Way
____4. General Manager or
Assistant General Mgr
____5. Clerk of the Board
__Copy to GM Report
__Copy to Finance
__Copy to Project Coord.
__Scan
TO: Clerk of the Board DATE: 9/22/23
FROM: Frances Woelke FILE: 0652.32, 0084., Project Coordinator 0021.445
R/W Doc. No. 162031-4-TEM, 131735-3-XXX, 131735-4-XXX
Inspection No. (s):
PZ No.:
Agreement Date:
Date of Final Inspection Report:
In accordance with Resolution No. 2011-55, please have the attached document approved, executed and/or accepted by the
General Manager-Chief Engineer:
____ Commercial Agreement and Bill of Sale for: __________________________________
____ Standard Agreement and Bill of Sale for: (Tract or Project name)
____ Stormwater Facilities __________________________________
____ Irrigation Facilities (Tract or Project name)
____ Domestic Water Distribution System __________________________________
____ Sanitation Collection System (Developer)
____ Agreement for Supplemental Imported Water Supply Charges
____ Commercial Sewer Lateral Agreement
____ Agreement for District Facilities in a Sidewalk or Driveway
____ Encroachment Permit Agreement
____ Hold Harmless Agreements
____ Domestic Water Low Pressure Agreements
____ Promissory Note and Agreement
NE___NW___SW___SE___1/4 Sec.____, T____S, R____E, SBBM
____ Acceptance of: __________________________________
(Tract or Project name)
____ Stormwater Facilities
____ Irrigation Facilities __________________________________
____ Domestic Water Distribution System (Developer)
____ Sanitation Collection System
____ Lower Pressure Agreement
NE___NW___SW___SE___1/4 Sec.____, T____S, R____E, SBBM
____ Release _______________________________ in the amount of $_______________
____ Replenishment Assessment Well Metering Agreement
X Encroachment Permit – Temporary Extension
Quitclaim Deed with no monetary consideration involved
Easement Acquisition
____ Indenture from public utilities and railroads
____ Agreement with USBR Conveyance
____ Right-of-Way Agreement with Bureau of Indian Affairs
____ Right-of-Way Agreement with Bureau of Land Management
____ Right-of-Way Agreement with ___________________________
Issued or Conveyed to: Bureau of Land Management
Location: APN 039-160-009 and intersection of Hwy 78 and Canal, within APN 056-220-003
NE ☐ NW ☐ SW ☐ SE ☒ 1/4 Sec. 31, T16S, R20E, and NE ☐ NW ☐ SW ☒ SE ☒ 1/4 Sec. 35, T13S, R17E, SBBM
Purpose: DW ☐ Remarks:
SA ☐
SW ☐
IRR ☒
DR ☐
Other ☐
ATTACHED IS A LOCATION MAP CVWD-638 (Rev. 7/21)
Extension of temporary encroachment permit to access the Coachella Branch of the
All-American Canal right-of-way to draw water at two locations to fill their water trucks for ongoing construction and maintenance activities. The first location is at the Coachella turnout, within APN 039-160-009; the second is at the intersection of
Highway 78 and the Canal, within APN 056-220-003
DocuSign Envelope ID: 08EDC1B4-498B-4484-808A-BC345220F134
9/25/2023
CVWD-523A
(Rev. 6/22)
COACHELLA VALLEY WATER DISTRICT
Right-of-Way Insurance Verification
Company Name: Date: ____________________
Project:
Contact Name:
Mailing Address:
Telephone No.: Email Address:
Permit No(s).:
Lease No(s).: Lease Amount:
APN(s):
Nearest Cross Streets: City: ____________________
Drawing No(s).:
Tract/Parcel No(s).: Lot No(s).:
☐Aerial attached ☐ Permit/Lease/Document provided
Contract Requirements Expiration Date Minimum Required Limits
General Liability
Auto Liability
Workers’ Compensation
Submitted By:
Right of Way
Risk Management Use Only
The certificates of insurance and endorsement meet the requirements of the contract except as noted in remarks.
Remarks
Risk Management
CC: Records Management
File: 0084.
By:
Bureau of Land Management 9/11/23
Extension of temporary encroachment permit for use of canal water for ongoing construction and maintenance
* Letter of self insurance - this permit will be valid for 2 years
Neil Hamada
1661 S. 4th Street, El Centro, CA 92243
(760) 337-4460 nhamada@blm.gov
162031-4-TEM, 131735-3-XXX, 131735-4-XXX
039-160-009, 056220-003
Frances Woelke
Clear Form DocuSign Envelope ID: 0DE9F712-A1A6-49B5-82D7-E237FF99CF67
BUREAU OF LAND MANAGEMENT
El Centro Field Office
1661 S. 4th Street El Centro CA 92243 www.blm.gov/office/el-centro-field-office
September 8, 2023
In Reply Refer To:
1386(P)
CA670.40
Coachella Valley Water District 51501 Tyler Street Coachella, CA 92236
To whom it may concern, The following information serves to notify all interested parties that the United States Department of Interior, Bureau of Land Management (BLM) is its own insurer for all employee related activities in the State of California:
employees resulting in damage, loss of property, injury or death. This is know as the rule of self-insurance, a rule founded in that it does not make economical sense to expend appropriated funds for the purpose of insurance to cover loss or damage to Government owned property for the liability of resources is generally sufficient to absorb such a loss or liability should the contingency actually occur. See B-158766, February 3rd, 1977; 19 Comp. Gen 798- (1983).
If you have any questions or require additional information, please contact Neil Hamada, Assistant Field Manager, at 760-337-4460 or by e-mail at nhamada @blm.gov.
Sincerely, Jennifer Whyte Field Manager (Detailed)
DocuSign Envelope ID: 0DE9F712-A1A6-49B5-82D7-E237FF99CF67DocuSign Envelope ID: 08EDC1B4-498B-4484-808A-BC345220F134
Frances Woelke
From: Samantha Rodriguez Sent: Thursday, September 21, 2023 9:44 AM To: Frances Woelke Cc: Customer Billing Subject: Encroachment Permit payment 1232-4471
Hello, Processed payment for EP customer 1232-4471 Bureau of Land Management receipt below.
Samantha Rodriguez Customer Service Representative II Service and Communication Department
Coachella Valley Water District
(760) 398-2661 ext. 2161 www.cvwd.org
����������������������������DocuSign Envelope ID: 08EDC1B4-498B-4484-808A-BC345220F134
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Certificate Of Completion Envelope Id: 08EDC1B4498B4484808ABC345220F134 Status: Completed
Subject: Please DocuSign: 162031-4-TEM Ext / Addm BLM Water from Canal
Source Envelope:
Document Pages: 52 Signatures: 1 Envelope Originator:
Certificate Pages: 6 Initials: 5 Frances Woelke
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
85995 Avenue 52
Coachella, CA 92236
FWoelke@cvwd.org
IP Address: 98.153.147.194
Record Tracking Status: Original
9/22/2023 1:58:39 PM
Holder: Frances Woelke
FWoelke@cvwd.org
Location: DocuSign
Signer Events Signature Timestamp Chris Bogan cbogan@cvwd.org
Right-of-Way Supervisor
Coachella Valley Water District
Security Level: Email, Account Authentication (None)
Signature Adoption: Pre-selected Style
Using IP Address: 98.153.147.194
Sent: 9/22/2023 2:01:20 PM
Viewed: 9/22/2023 2:12:55 PM
Signed: 9/22/2023 2:13:17 PM
Electronic Record and Signature Disclosure:
Accepted: 12/28/2020 12:25:16 PM ID: 3fe8ce3e-f924-405b-83f2-5e3e54b7d77c
Elmer Alex ealex@cvwd.org
Asst Director of Eng Services & Planning
Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style
Using IP Address: 98.153.147.194
Sent: 9/22/2023 2:13:19 PM
Viewed: 9/25/2023 6:11:41 AM
Signed: 9/25/2023 6:11:53 AM
Electronic Record and Signature Disclosure:
Accepted: 9/25/2023 6:11:41 AM ID: b009a483-a1ef-48a3-a559-ab7ab709a0be
Carrie Oliphant
COliphant@cvwd.org
Director of Engineering
Coachella Valley Water District
Security Level: Email, Account Authentication (None)
Signature Adoption: Pre-selected Style
Using IP Address: 98.153.147.194
Sent: 9/25/2023 6:11:55 AM
Viewed: 9/25/2023 9:39:45 AM
Signed: 9/25/2023 9:39:45 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Jim Barrett jbarrett@cvwd.org
General Manager
Coachella Valley Water District
Security Level: Email, Account Authentication (None)
Signature Adoption: Uploaded Signature Image
Using IP Address: 98.153.147.194
Sent: 9/25/2023 9:39:47 AM
Viewed: 9/25/2023 9:40:28 AM
Signed: 9/25/2023 9:40:36 AM
Electronic Record and Signature Disclosure:
Accepted: 8/3/2020 10:07:45 AM ID: f03ea44b-faed-4944-a504-767683f6e404
Signer Events Signature Timestamp Sylvia Bermudez sbermudez@cvwd.org
Security Level: Email, Account Authentication (None)
Signature Adoption: Drawn on Device
Using IP Address: 98.153.147.194
Sent: 9/25/2023 9:40:39 AM
Viewed: 9/25/2023 10:01:59 AM
Signed: 9/25/2023 10:02:55 AM
Electronic Record and Signature Disclosure:
Accepted: 2/2/2021 4:23:33 PM ID: a5f226a7-8650-43f6-b051-db12919e0864
Julia Breyer jbreyer@cvwd.org
Security Level: Email, Account Authentication (None)
Completed
Using IP Address: 98.153.147.194
Sent: 9/25/2023 10:02:57 AM
Viewed: 9/25/2023 10:12:03 AM
Signed: 9/25/2023 10:12:05 AM
Electronic Record and Signature Disclosure:
Accepted: 9/25/2023 10:12:03 AM ID: 7e17bd77-ba89-4595-9421-6c42c6943a65
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp Yolanda Vasquez yvasquez@cvwd.org
Security Level: Email, Account Authentication (None)
Sent: 9/25/2023 10:12:08 AM
Electronic Record and Signature Disclosure:
Accepted: 9/8/2023 11:58:13 AM ID: 108c479b-7e53-4226-846a-b5b61ced03d5
Erica Casarrubias ecasarrubias@cvwd.org
Security Level: Email, Account Authentication (None)
Sent: 9/25/2023 10:12:08 AM
Electronic Record and Signature Disclosure:
Accepted: 9/10/2020 3:44:27 PM ID: bc1a267c-82d6-489c-a9dc-fa24bc76c291
Chris Bogan cbogan@cvwd.org
Right-of-Way Supervisor
Coachella Valley Water District
Security Level: Email, Account Authentication (None)
Sent: 9/25/2023 10:12:09 AM
Electronic Record and Signature Disclosure:
Accepted: 12/28/2020 12:25:16 PM ID: 3fe8ce3e-f924-405b-83f2-5e3e54b7d77c
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 9/22/2023 2:01:20 PM
Certified Delivered Security Checked 9/25/2023 10:12:03 AM
Signing Complete Security Checked 9/25/2023 10:12:05 AM
Completed Security Checked 9/25/2023 10:12:09 AM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, Carahsoft OBO Coachella Valley Water District (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the
DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and
Signature Disclosure (ERSD), please confirm your agreement by selecting the check-box next to
‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the
DocuSign system.
Getting paper copies
At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time
(usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a
$0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below.
Withdrawing your consent
If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below.
Consequences of changing your mind
If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us.
All notices and disclosures will be sent to you electronically
Electronic Record and Signature Disclosure created on: 1/28/2019 9:14:26 AM Parties agreed to: Chris Bogan, Elmer Alex, Jim Barrett, Sylvia Bermudez, Julia Breyer, Yolanda Vasquez, Erica Casarrubias, Chris Bogan
Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given
us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us.
How to contact Carahsoft OBO Coachella Valley Water District:
You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows:
To contact us by email send messages to: ecarrazco@cvwd.org
To advise Carahsoft OBO Coachella Valley Water District of your new email address
To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at ecarrazco@cvwd.org and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address.
If you created a DocuSign account, you may update it with your new email address through your account preferences.
To request paper copies from Carahsoft OBO Coachella Valley Water District
To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to ecarrazco@cvwd.org and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any.
To withdraw your consent with Carahsoft OBO Coachella Valley Water District
To inform us that you no longer wish to receive future notices and disclosures in electronic format you may:
i. decline to sign a document from within your signing session, and on the subsequent page, select the check-box indicating you wish to withdraw your consent, or you may;
ii. send us an email to ecarrazco@cvwd.org and in the body of such request you must state your email, full name, mailing address, and telephone number. We do not need any other information from you to withdraw consent.. The consequences of your withdrawing consent for online documents will be that transactions may take a longer time to process..
Required hardware and software
The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: https://support.docusign.com/guides/signer-guide-signing-system-requirements.
Acknowledging your access and consent to receive and sign documents electronically
To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system.
By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that:
You can access and read this Electronic Record and Signature Disclosure; and
You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and
Until or unless you notify Carahsoft OBO Coachella Valley Water District as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Carahsoft OBO Coachella Valley Water District during the course of your relationship with Carahsoft OBO Coachella Valley Water
District.
https://support.docusign.com/guides/signer-guide-signing-system-requirements https://support.docusign.com/guides/signer-guide-signing-system-requirements
| 2023-09-25T10:13:52-0700 | |
| Digitally verifiable PDF exported from www.docusign.com |
File details come from the government source that posted it. Updated .