Attachment B.pdf

ATTACHMENT B

BUS OPERATIONS CONTROL

Subject: Orange Line Alignment Allocation Permit Request Form

Please note the attached Orange Line Alignment Allocation Request Form. This is the official request form that will be required to schedule your entry and exit to the Orange Line Alignment.

This form must be approved and on file at least twenty-four hours prior to your entry to the alignment. It is a two-page document with page two instructions on properly completing page one.

The form must be filled out in its entirety, and a phone call must be placed to BOC immediately prior to entering the Alignment. If approved, you will be given specific instructions on where to enter, what maintenance vehicle pullout to use for equipment and vehicles, and also what intersection to exit from.

You can request the document from BOC@metro.net, complete online and Email it back to us.

In the alternative you can fax us at 213-922-4401.

RULES AND PROCEDURES FOR PERSONNEL AND EQUIPMENT

All work shall be performed in accordance with Metro Orange Line Operating Rules and Procedures. These rules include but are not limited to the following:

1. Licensees must notify BOC two hours prior to scheduled entry onto the alignment.

Additionally, licensees must notify BOC immediately prior to entering, and again upon exiting the alignment or immediate vicinity.

2. All personnel shall wear required identification while on the alignment. Further, personnel shall wear appropriate safety gear and personal protective equipment, including a reflective safety vest.

3. All licensees working on the alignment road surface must be working within a cone line or other appropriate safety barrier. Licensees walking on the alignment should walk against the direction of vehicle traffic.

4. All vehicles, equipment or other obstructions on the roadway must be positioned as close as possible to the edge of the roadway, and must under no circumstances encroach upon the traffic lanes of the roadway without the expressed permission from BOC.

Bus Operations Control

5. A tapered cone line or other suitable safety barrier must be placed a minimum of 100 feet behind any obstruction. Cones or barricades must also be placed along the left side of the obstruction, both directly in front of and behind the obstruction.

6. Any obstruction or combination of obstructions that extends beyond 100 feet, or any obstruction on a curve or other area of reduced visibility (taking weather conditions into consideration) will require a flag person in front of and behind the obstruction.

7. Flashing or other emergency lighting must be positioned to warn oncoming vehicles whenever obstructions are present during hours of darkness or inclement weather conditions that limit visibility.

8. Injuries to Metro employees, service providers, or members of the public must be immediately reported to BOC.

9. Ay damage to Metro or private property (including accidents that occur while entering or exiting the alignment) must be immediately reported to BOC.

10. Licensees may be required to reimburse Metro for any costs incurred resulting from work done on the alignment.

11. Any disputes with other contractors, bus operators or other groups must be mediated through BOC.

Any questions please call 213-922-4634 and ask for the Assistant Manager. Thank you for your cooperation.

As Conditions for granting this Request, an On-Site Supervisor must be present at all times while the Occupant is present on the BRT Alignment. Prior to entering the BRT Alignment, the Occupant must contact BOC at (213) 922- 4644 to obtain verbal authorization to enter.

If work is to extend longer than one week, the Alignment Allocation Request must be renewed on a weekly basis until completion of the project. Submittal of the Alignment Allocation Request does not guarantee that approval for work will be granted.

SUBMIT FORM TO: DIRECTOR OF BUS OPERATIONS CONTROL

One Gateway Plaza; Mail Stop 99-6-4, Los Angeles, CA, 90012-2952

FAX COMPLETED FORM TO (213) 922-4401 OR E-MAIL TO: boc@metro.net

LOS ANGELES METROPOLITAN TRANSPORTATION AUTHORITY

METRO ORANGE LINE ALIGNMENT ALLOCATION REQUEST FORM

(IN CASE OF EMERGENCY CALL (213) 922-4644)

TO REQUEST FORM BY E-MAIL: boc@metro.net

Work Permit #:

Date Submitted:

Effective Time:

Start Date:

End Date:

Occupant:

Occupant Phone #:

Occupant FAX #:

On-Site Supervisor:

Occupant E-Mail: On-Site Cell #:

Authority To Occupy:

Detailed Description Of Work:

Description Of Equipment To Be Used:

Directions For Entering BRT Alignment:

Directions For Exiting BRT Alignment:

Proof Of Insurance:

Policy #:

Insurance Limits:

Issued By: Date:

Time:

Allocation Approved: (Circle One) Yes No mailto:boc@metro.net

Glossary of Terms and Instructions for completing the METRO Orange Line BRT Alignment Allocation Request Form:

All shaded areas are to be completed by METRO Personnel only.

Date Submitted: Date the Occupant submits the Form to Bus Operations Control.

Effective Time: Hours the Occupant will be on the BRT Alignment (i.e. 7a-3p).

Start Date: Date the Occupant will begin occupying the BRT Alignment.

End Date: Date the Occupant will end occupying the BRT Alignment.

Occupant: Name of the individual or Firm that will be occupying the BRT Alignment.

Occupant Phone #: Business Phone Number of the Occupant.

On Site Supervisor: Name of the Occupant’s On-Site Supervisor.

Occupant E-Mail Address: E-Mail Address of the Occupant.

Detailed Description of the Work: Exactly what the Occupant will be doing (i.e., gardening, picking up trash, etc.) and the approximate location they will be occupying. (Cutout Spot Location will be determined by METRO from the information input in this location).

Description Of Equipment To Be Used: Exact description of equipment the Occupant will be using (i.e., evacuator, skip loader, pick-up truck, etc.).

Proof Of Insurance: Occupant’s Policy Number and Insurance Limits of the Policy or a Certificate Of Insurance.