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
Issued by
Department of the Interior Bureau of Land Management National Office

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

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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 .