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21-129 Encroachment Agreement, GTE Mobilnet of California Limited Partnership, dba Verizon Wireless, R.O.W, 20065 Somerset DriveThis Encroachment Agreement (“Encroachment Agreement”), made as of the last date signed below (“Effective Date”) between the City of Cupertino, a political subdivision of the State of California, hereinafter designated “Licensor” and GTE Mobilnet of California Limited Partnership, d/b/a Verizon Wireless, with its principal offices at c/o Verizon Wireless, 180 Washington Valley Road, Bedminster, New Jersey 07921, hereinafter designated “Licensee”: 1.Encroachment Agreement. This is an Encroachment Agreement as referenced in that certain Small Cell License Agreement between Licensor and Licensee dated May 16, 2017 ("Agreement"). This Encroachment Agreement shall serve as an encroachment license. All of the terms and conditions of the Agreement are incorporated hereby by reference and made a part hereof without the necessity of repeating or attaching the Agreement. In the event of a contradiction, modification or inconsistency between the terms of the Agreement and this Encroachment Agreement, the terms of the Encroachment Agreement shall govern. Capitalized terms used in this Encroachment Agreement shall have the same meaning described for them in the Agreement unless otherwise indicated herein. 2.Project Description and Locations. Licensee shall have the right to use the ROW for a Small Cell at the designated areas in the ROW as further described in Attachment 1 attached hereto (the “Licensed Area”). 3. Equipment. The Small Cell to be installed at the Licensed Area is described in Attachment 1 attached hereto. 4.Term. The term of this Encroachment Agreement shall be as set forth in Section 2 of the Agreement. 5.Fees. The initial annual Rent for the term of this Encroachment Agreement shall be Three Hundred Dollars ($300) and paid in accordance with Paragraph 5.1 of the Agreement, as amended by Section 4, to that certain Settlement Agreement and Mutual Release entered into between Licensor and Licensee dated October 4, 2017, and as adjusted by Paragraph 5.2 of the Agreement. 6.Commencement Date. The first day of the month following the date Licensee has Commenced Installation of its Equipment at the Licensed Area. 7. Approvals/Fiber. It is understood and agreed that Licensee's ability to use the Licensed Area is contingent upon its obtaining all of the certificates, permits and other approvals (collectively the "Governmental Approvals") that may be required by any Federal, State or Local authorities, as well as a satisfactory fiber and electrical connection which will permit Licensee use of the Licensed Area as set forth above. In the event that (i) any of such applications for such Governmental Approvals should be finally rejected; (ii) any Governmental Approval issued to Licensee is canceled, expires, lapses, or is otherwise withdrawn or terminated by governmental authority; (iii) Licensee determines that such Governmental Approvals may not be obtained in a CA_SJ_CUPERTINO_341 20065 Somerset Dr ENCROACHMENT AGREEMENT 545468DocuSign Envelope ID: 1B67EA46-1DD4-4E78-8A9F-B5740186A622DocuSign Envelope ID: D441F5FC-513E-4F49-827A-87B0EAF123AA timely manner; (iv) Licensee determines that it will be unable to obtain in a satisfactory manner, or maintain any fiber or power connection; or (v) Licensee determines that the Licensed Area is no longer technically compatible for its use, Licensee shall have the right to terminate this Encroachment Agreement. Notice of Licensee's exercise of its right to terminate shall be given to Licensee in writing by certified mail, return receipt requested, and shall be effective upon the mailing of such notice by Licensee, or upon such later date as designated by Licensee. All rentals paid to said termination date shall be retained by Licensor. Upon such termination, this Encroachment Agreement shall be of no further force or effect except to the extent of the representations, warranties and indemnities made by each party to the other hereunder. Otherwise, Licensee shall have no further obligations for the payment of Rent to Licensor. 8.Miscellaneous. N/A [Signature page follows] DocuSign Envelope ID: 1B67EA46-1DD4-4E78-8A9F-B5740186A622DocuSign Envelope ID: D441F5FC-513E-4F49-827A-87B0EAF123AA EXECUTED to be effective as of the last date shown below. LICENSOR: City of Cupertino, a political subdivision of the State of California By: ___________________________ Name: _________________________ Title: __________________________ Date: ___________________________ ATTEST: Date: ___________________________ APPROVED AS TO FORM CITY ATTORNEY’S OFFICE BY: __________________________ Print Name: _____________________ Date: __________________________ City Attorney LICENSEE: GTE MOBILNET OF CALIFORNIA LIMITED PARTNERSHIP, D/B/A VERIZON WIRELESS by Cellco Partnership, its General Partner By: Date: ______________________________ Name: Alba Barber Title: Senior Real Estate Manager Exhibits: Attachment 1 , Clerk DocuSign Envelope ID: 1B67EA46-1DD4-4E78-8A9F-B5740186A622DocuSign Envelope ID: D441F5FC-513E-4F49-827A-87B0EAF123AA Mar 25, 2021 Heather Minner Apr 5, 2021 Chad Mosley City Engineer Apr 5, 2021 Apr 5, 2021 Attachment 1 Licensed Area See attached. DocuSign Envelope ID: 1B67EA46-1DD4-4E78-8A9F-B5740186A622DocuSign Envelope ID: D441F5FC-513E-4F49-827A-87B0EAF123AA T-1 TITLE SHEET DRAWN BY: CHECKED BY:BM APE IT IS A VIOLATION OF THE LAW FOR ANY PERSON, UNLESS THEY ARE ACTING UNDER THE DIRECTION OF A LICENSED PROFESSIONAL ENGINEER, TO ALTER THIS DOCUMENT 0 08/06/20 100% CD REV DATE DESCRIPTION MODUS, LLC 240 STOCKTON ST., 3RD FLOOR SAN FRANCISCO, CA 94108 APPROVED BY:LJB CA_SJ_CUPERTINO_341 VERIZON WIRELESS 2785 MITCHELL DRIVE, SUITE 9 WALNUT CREEK, CA 94598 (NEAR) 20065 SOMERSET DR CUPERTINO, CA 95014 1 12/03/20 100% CD PLAN CHECK SITE INFORMATION SITE ADDRESS: OWNER: APPLICANT: LATITUDE: LONGITUDE: COUNTY: ASSESSORS PARCEL NUMBER: ZONING: ELEVATION: CITY OF CUPERTINO 10300 TORRE AVE CUPERTINO, CA 95014 VERIZON WIRELESS 2785 MITCHELL DRIVE, SUITE 9 WALNUT CREEK, CA 94598 37° 19' 2.866" N NAD83 122° 1' 27.771" W NAD83 SANTA CLARA PUBLIC RIGHT OF WAY NEAR 36932022 CITY OF CUPERTINO 214.92' AMSL VICINITY MAPPOLE PHOTO N DRAWING INDEX T-1 SHEET NO. TITLE SHEET T-2 GENERAL NOTES A-1 SITE PLAN & ENLARGED SITE PLAN A-2 A-4 ELEVATIONS CIRCUIT DIAGRAM D-1 DETAILS CODE COMPLIANCE ALL WORK AND MATERIALS SHALL BE PERFORMED AND INSTALLED IN ACCORDANCE WITH THE CURRENT EDITIONS OF THE FOLLOWING CODES AS ADOPTED BY THE LOCAL GOVERNING AUTHORITIES. NOTHING IN THESE PLANS IS TO BE CONSTRUCTED TO PERMIT WORK NOT CONFORMING TO THESE CODES. ·2019 CALIFORNIA CODE ·2019 CALIFORNIA BUILDING CODE (CBC), BASED ON THE 2018 IBC ·2019 CALIFORNIA RESIDENTIAL CODE (CRC), BASED ON THE 2018 IRC ·2019 CALIFORNIA ELECTRICAL CODE (CEC), BASED ON THE 2017 NEC ·2019 CALIFORNIA MECHANICAL CODE (CMC), BASED ON THE 2018 UMC ·2019 CALIFORNIA PLUMBING CODE (CPC), BASED ON THE 2018 UPC ·2019 CALIFORNIA GREEN BUILDINGS STANDARDS CODE (CALGREEN) ·2019 CALIFORNIA FIRE CODES WITH ALL LOCAL AMENDMENTS ·ANY LOCAL BUILDING CODE AMENDMENTS TO THE ABOVE ·CITY / COUNTY ORDINANCES SHEET TITLE E-1 ELECTRICAL GENERAL NOTES E-2 ONE-LINE DIAGRAM & GROUNDING SCHEMATIC E-3 ELECTRICAL DETAILS ACCESSIBILITY REQUIREMENTS FOR PERSONS WITH DISABILITIES: FACILITY IS UNMANNED AND NOT FOR HUMAN HABITATION. ACCESSIBILITY IS NOT REQUIRED IN ACCORDANCE WITH CALIFORNIA ADMINISTRATIVE STATE CODE PART 2, TITLE 24, CHAPTER 11B, SECTION 1103B. 20065 SOMERSET DRIVE SURVEY PROJECT TEAM PROJECT DESCRIPTION D-2 DETAILS THE UTILITIES SHOWN HEREIN ARE FOR THE CONTRACTORS CONVENIENCE ONLY. THERE MAY BE OTHER UTILITIES NOT SHOWN ON THESE PLANS. THE ENGINEER/SURVEYOR ASSUMES NO RESPONSIBILITY FOR THE LOCATIONS SHOWN AND IT SHALL BE THE CONTRACTOR'S RESPONSIBILITY TO VERIFY ALL THE UTILITIES WITHIN THE LIMITS OF THE WORK. ALL DAMAGE MADE TO THE (E) UTILITIES BY THE CONTRACTOR SHALL BE THE SOLE RESPONSIBILITY OF THE CONTRACTOR. CALL 811 BEFORE YOU DIG IT'S THE LAW MODUS PROJECT MANAGER: MODUS, LLC 240 STOCKTON ST., 3RD FLOOR SAN FRANCISCO, CA 94108 PHONE: (415) 989.1102 EMAIL: VERIZONPOLYGONTEAM@MODUS-CORP.COM CONSTRUCTION/IMPLEMENTATION MANAGER: MODUS, LLC 240 STOCKTON ST., 3RD FLOOR SAN FRANCISCO, CA 94108 PHONE: (415) 989.1102 EMAIL: VERIZONPOLYGONTEAM@MODUS-CORP.COM A&E PROJECT MANAGER: MODUS, LLC 240 STOCKTON ST., 3RD FLOOR SAN FRANCISCO, CA 94108 PHONE: (415) 989.1102 EMAIL: VERIZONPOLYGONTEAM@MODUS-CORP.COM APPLICANT: VERIZON WIRELESS 2785 MITCHELL DRIVE, SUITE 9 WALNUT CREEK, CA 94598 CONTACT: CHRIS MOLLER PHONE: (925) 339.2778 EMAIL: CHRIS.MOLLER@VERIZONWIRELESS.COM LAND USE PLANNER: MODUS, LLC 240 STOCKTON ST., 3RD FLOOR SAN FRANCISCO, CA 94108 PHONE: (415) 989.1102 EMAIL: VERIZONPOLYGONTEAM@MODUS-CORP.COM SITE ACQUISITION: MODUS, LLC 240 STOCKTON ST., 3RD FLOOR SAN FRANCISCO, CA 94108 PHONE: (415) 989.1102 EMAIL: VERIZONPOLYGONTEAM@MODUS-CORP.COM SITE C-1 A-3 ELEVATIONS VERIZON WIRELESS PROPOSES TO INSTALL A NEW WIRELESS COMMUNICATION SITE ON A LIGHT POLE IN THE PUBLIC RIGHT-OF-WAY. SCOPE: ·INSTALL (2) 5G ANTENNA/RADIOS INSIDE NEW FRP CONCEALMENT SHROUD ON TOP OF POLE ·INSTALL (1) NEW DISCONNECT / SMART METER ON SIDE OF POLE ·INSTALL NEW POLE AND FOUNDATION TO REPLACE EXISTING D-3 POLE SPECS (NEAR) 20065 SOMERSET DR CUPERTINO, CA 95014 (NEAR) 20065 SOMERSET DR CUPERTINO, CA 95014 CA_SJ_CUPERTINO_341 SITE ID: SITE TYPE: POLE #: COUNTY: PSLC: CA_SJ_CUPERTINO_341 LIGHT POLE 5142 SANTA CLARA 545468 D-4 CITY STANDARD DETAILS DocuSign Envelope ID: 1B67EA46-1DD4-4E78-8A9F-B5740186A622DocuSign Envelope ID: D441F5FC-513E-4F49-827A-87B0EAF123AA O/H O/H O/H O/H O/H O/H S/L S/L S/L S/L O/H O/H O/H O/H O/H O/H S/L S/L S/L S/L FIBER FIBER FIBER FIBER O/H O/H O/H O/H O/H O/H O/H O/H S/L S/L S/L S/L S/L S/L S/L S / L DRAWN BY: CHECKED BY:BM APE IT IS A VIOLATION OF THE LAW FOR ANY PERSON, UNLESS THEY ARE ACTING UNDER THE DIRECTION OF A LICENSED PROFESSIONAL ENGINEER, TO ALTER THIS DOCUMENT 0 08/06/20 100% CD REV DATE DESCRIPTION MODUS, LLC 240 STOCKTON ST., 3RD FLOOR SAN FRANCISCO, CA 94108 APPROVED BY:LJB CA_SJ_CUPERTINO_341 VERIZON WIRELESS 2785 MITCHELL DRIVE, SUITE 9 WALNUT CREEK, CA 94598 (NEAR) 20065 SOMERSET DR CUPERTINO, CA 95014 1 12/03/20 100% CD PLAN CHECK A-1 SITE PLAN 1ENLARGED SITE PLAN N SITE PLAN2 N 2 A-1 ENLARGED SITE PLAN 1&2 A-3 1&2 A-2 1/16"=1'-0" SCALE 1/2"=1'-0" SCALE (E) LIGHT POLE & FOUNDATION TO BE REMOVED. (N) LIGHT POLE & FOUNDATION TO BE INSTALLED IN PLACE (N) LOCATION OF VERIZON WIRELESS ANTENNA IN FRP SHROUD MOUNTED ON LIGHT POLE 2'- 7 " ± B A C K O F P O L E TO R O W L I N E (N) LOCATION OF VERIZON WIRELESS ANTENNA AND EQUIPMENT A.P.N.: 36932022 ELECTRICAL LINE STREET LIGHT LINE E S/L FIBER LINE(S)FIBER LEGEND N C 1 (N) STEEL MAST ARM (N) LUMINAIRE N1 NC2 NC3 (E) MANHOLE SOMERSET DR (E) FACE OF THE CURB (E) FACE OF THE CURB 2'- 7 " ± B A C K O F P O L E TO R O W L I N E NC4 20065 SOMERSET DR CUPERTINO, CA 95014 S E C T O R A Z I M U T H 1 7 5 5 G B S E C T O R A Z I M U T H 3 5 5 5 G A N2 L A S O N D A S W A Y 20047 SOMERSET DR CUPERTINO, CA 95014 (E) CONCRETE SIDEWALK PROPERTY LINE (E) LANDSCAPE SOMERSET DR (E) FACE OF THE CURB 10377 LAS ONDAS WAY CUPERTINO, CA 95014 20087 SOMERSET DR CUPERTINO, CA 95014 ( E ) C O N C R E T E S I D E W A L K P R O P E R T Y L I N E ( E ) L A N D S C A P E ( E ) F E N C E (E ) C O N C R E T E S I D E W A L K P R O P E R T Y L I N E (E ) L A N D S C A P E ( E ) F E N C E ( E ) C O N C R E T E S I D E W A L K P R O P E R T Y L I N E ( E ) L A N D S C A P E ( E ) F E N C E (E) MEDIAN ( E ) C O N C R E T E S I D E W A L K P R O P E R T Y L I N E ( E ) L A N D S C A P E (E) CONCRETE SIDEWALK PROPERTY LINE (E) LANDSCAPE (E) FACE OF THE CURB A.P.N.: 36932022 20065 SOMERSET DR CUPERTINO, CA 95014 SOME R S E T D R (E) FACE OF THE CURB (E) TREE (E) OVERHEAD UTILITY LINES TO BE REMOVED BY OTHERS NC4 (N) CITY TRENCH, SEE DETAIL 1/D-4 (N) CITY SERVICE BOX (N) CITY TRENCH, SEE DETAIL 1/D-4 (N) PG&E TRENCH, SEE DETAIL 9/E-3 (E) WOOD UTILITY POLE (N) PG&E VAULT (N) 4'-0" x 2'-6" x 6" THICK CONCRETE CAP PER CITY STANDARDS 6" M I N . NOTE: 1. FIBER PULLBOX EXACT LOCATION TO BE VERIFIED IN FIELD 2. CITY SERVICE PULLBOX AT POC TO BE LOCATED WITHIN 10' FROM PG&E VAULT 3. UPON COMPLETION OF CONSTRUCTION, RESTORE LANDSCAPE AND IRRIGATION TO LIKE OR BETTER CONDITION, TEST IRRIGATION. 4. UPON COMPLETION OF CONSTRUCTION, NOTIFY THE CITY OF NEW STREETLIGHT INSTALLATION SO THAT NEW BADGE ID NUMBER CAN BE PLACED BY THE CITY ONTO THE NEW STREETLIGHT POLE Label carrier gnd line in City electrical box Mast arm to match (E) noted that (N) NC4 at lip of gutter from PGE source to (N) N2. DocuSign Envelope ID: 1B67EA46-1DD4-4E78-8A9F-B5740186A622DocuSign Envelope ID: D441F5FC-513E-4F49-827A-87B0EAF123AA SHUTDOWN DRAWN BY: CHECKED BY:BM APE IT IS A VIOLATION OF THE LAW FOR ANY PERSON, UNLESS THEY ARE ACTING UNDER THE DIRECTION OF A LICENSED PROFESSIONAL ENGINEER, TO ALTER THIS DOCUMENT 0 08/06/20 100% CD REV DATE DESCRIPTION MODUS, LLC 240 STOCKTON ST., 3RD FLOOR SAN FRANCISCO, CA 94108 APPROVED BY:LJB CA_SJ_CUPERTINO_341 VERIZON WIRELESS 2785 MITCHELL DRIVE, SUITE 9 WALNUT CREEK, CA 94598 (NEAR) 20065 SOMERSET DR CUPERTINO, CA 95014 1 12/03/20 100% CD PLAN CHECK A-2 EXISTING & PROPOSED ELEVATIONS 12PROPOSED ELEVATIONEXISTING ELEVATION 1/2"=1'-0" SCALE 1/2"=1'-0" SCALE EXISTING SURFACE 0'-0" AGL EXISTING SURFACE 0'-0" AGL (E) FOUNDATION (E) LIGHT POLE TO BE REPLACED (E) LUMINAIRE 2'-7" BACK OF POLE TO ROW LINE 4 D-2 (N) FOUNDATION (N) 8'-0" MAST ARM NOTES: 1. ALL NEW ANTENNAS, BRACKETS, AND OTHER EQUIPMENT WILL BE PAINTED TO MATCH LIGHT POLE. 2. ALL EXISTING SIGNAGE TO BE RELOCATED SHALL BE FASTENED USING 1/2" STEEL BANDING. T.O. (E) LIGHT 30'-9" AGL (E) LIGHT ARM 28'-7" AGL T.O. (E) STEEL LIGHT POLE 29'-10" AGL (N) LIGHT POLE (N) (2) 5G ANTENNAS IN FRP SHROUD 6 D-1 (N) FRP CONCEALMENT SHROUD 1 D-1 T.O. (N) STEEL LIGHT POLE 30'-0" AGL RAD CENTER OF (N) 5G ANTENNA 31'-7" AGL T.O. (N) CONCEALMENT SHROUD 35'-6" AGL 8 D-1 3 E-3 B.O. (N) DISCONNECT 7'-0" AGL T.O. (N) DISCONNECT 8'-9" AGL (N) SMART METER / DISCONNECT w/ SHUTDOWN SIGNAGE 4 D-1 5 D-1 PORT HOLE LOCATION FOR DISCONNECT 1 D-2 (N) LUMINAIRE 1 D-3 2'-7" BACK OF POLE TO ROW LINE T.O. (E) LIGHT SENSOR 31'-8" AGL (N) NOTICE SIGNAGE, TYP. OF (1) FACING STREETSIDE 9 D-1 T.O. (N) NOTICE SIGNAGE 25'-2" AGL (E) LIGHT ARM SUPPORT 26'-3" AGL (E) SECONDARY SERVICE 29'-4" AGL 7 E-3 DocuSign Envelope ID: 1B67EA46-1DD4-4E78-8A9F-B5740186A622DocuSign Envelope ID: D441F5FC-513E-4F49-827A-87B0EAF123AA Certificate Of Completion Envelope Id: 1B67EA461DD44E788A9FB5740186A622 Status: Completed Subject: Please DocuSign: CA_SJ_CUPERTINO_341_Encroachment Agreement.pdf Source Envelope: Document Pages: 7 Signatures: 0 Envelope Originator: Certificate Pages: 5 Initials: 14 BRYAN MCCAFFERY AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) 92 Bay Street Glens Falls, NY 12801 modusdocusign@modusllc.com IP Address: 24.7.112.21 Record Tracking Status: Original 3/3/2021 9:39:24 PM Holder: BRYAN MCCAFFERY modusdocusign@modusllc.com Location: DocuSign Signer Events Signature Timestamp Chad Mosley chadm@cupertino.org Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Using IP Address: 67.164.60.110 Sent: 3/3/2021 9:41:12 PM Viewed: 3/9/2021 12:52:52 PM Signed: 3/9/2021 12:53:09 PM Electronic Record and Signature Disclosure: Accepted: 1/8/2021 11:03:58 AM ID: cf965389-d53e-4e7e-9e57-3e9c6593663d Marlene Dehlinger Dehlinger@smwlaw.com Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 52.39.49.65 Sent: 3/3/2021 9:41:12 PM Viewed: 3/13/2021 10:40:51 PM Signed: 3/13/2021 10:44:33 PM Electronic Record and Signature Disclosure: Accepted: 3/13/2021 10:40:51 PM ID: fb3d1a19-d2bb-40ae-94b2-d78bb5a7e8c2 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 Steve Pagan stevep@cupertino.org Security Level: Email, Account Authentication (None) Sent: 3/3/2021 9:41:13 PM Viewed: 3/4/2021 8:21:01 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Witness Events Signature Timestamp DocuSign Envelope ID: D441F5FC-513E-4F49-827A-87B0EAF123AA Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 3/3/2021 9:41:13 PM Certified Delivered Security Checked 3/13/2021 10:40:51 PM Signing Complete Security Checked 3/13/2021 10:44:33 PM Completed Security Checked 3/13/2021 10:44:33 PM Payment Events Status Timestamps Electronic Record and Signature Disclosure DocuSign Envelope ID: D441F5FC-513E-4F49-827A-87B0EAF123AA