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21-169 Encroachment Agreement, GTE Mobilnet of California Limited Partnership, dba Verizon Wireless, R.O.W, 10656 Amulet PlaceENCROACHMENT AGREEMENT This Encroachment Agreement (“Encroachment Agreement”), made this day of , 20 (“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 Rent for the term of this Encroachment Agreement shall be $1,500.00, as determined in accordance with Paragraph 5.1 of the Agreement, as adjusted by Paragraph 5.2. 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 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 CA_SJ_CUPERTINO_310 545441 10656 AMULET PL, CUPERTINO, CA 95014 DocuSign Envelope ID: 8D9F4F00-3CE0-4DCB-830E-302313626E63 21February 16th 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: 8D9F4F00-3CE0-4DCB-830E-302313626E63 EXECUTED to be effective as of the date shown above. ATTEST: , Clerk APPROVED AS TO FORM CITY ATTORNEY’S OFFICE BY: Print Name:____________________ City Attorney LICENSOR: City of Cupertino, a political subdivision of the State of California By: Name: Title: LICENSEE: GTE MOBILNET OF CALIFORNIA LIMITED PARTNERSHIP, D/B/A VERIZON WIRELESS by Cellco Partnership, its General Partner By: Name: Alba Barber Title: Senior Real Estate Manager Exhibits: Attachment 1 DocuSign Envelope ID: 8D9F4F00-3CE0-4DCB-830E-302313626E63 Heather M. Minner Heather M. Minner City Engineer Chad Mosley 2/18/21 Attachment 1 Licensed Area See attached. DocuSign Envelope ID: 8D9F4F00-3CE0-4DCB-830E-302313626E63 T-1 TITLE SHEET DRAWN BY: CHECKED BY:BPM 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 08/04/20 100% CD REV DATE DESCRIPTION MODUS, LLC 240 STOCKTON ST., 3RD FLOOR SAN FRANCISCO, CA 94108 APPROVED BY:LJB CA_SJ_CUPERTINO 310 VERIZON WIRELESS 2785 MITCHELL DRIVE, SUITE 9 WALNUT CREEK, CA 94598 (NEAR) 10656 AMULET PL CUPERTINO, CA 95014 1 100% CD PLAN CHECK11/16/20 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' 56.215" N NAD83 122° 02' 55.039" W NAD83 SANTA CLARA PUBLIC RIGHT OF WAY NEAR 326-43-059 CITY OF CUPERTINO 266.82' 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 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. 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 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) 10656 AMULET PL CUPERTINO, CA 95014 (NEAR) 10656 AMULET PL CUPERTINO, CA 95014 CA_SJ_CUPERTINO 310 SITE ID: SITE TYPE: POLE #: CX PROJECT ID: COUNTY: PSLC: CA_SJ_CUPERTINO 310 LIGHT POLE 7823 20191962669 SANTA CLARA 545441 10656 AMULET PLACE SITE E-1 ELECTRICAL GENERAL NOTES E-2 ONE-LINE DIAGRAM & GROUNDING SCHEMATIC E-3 ELECTRICAL DETAILS 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 D-4 CITY STANDARD DETAILS DocuSign Envelope ID: 8D9F4F00-3CE0-4DCB-830E-302313626E63 S/L S/L S / L S / L S / L S/L S/L S / L S / L S / L S / L S / L S / L S / L S / L S / L S / L S / L S / L S / L S / L S / L S / L S / L S / L FIBER FIBE R FIBE R DRAWN BY: CHECKED BY:BPM 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 08/04/20 100% CD REV DATE DESCRIPTION MODUS, LLC 240 STOCKTON ST., 3RD FLOOR SAN FRANCISCO, CA 94108 APPROVED BY:LJB CA_SJ_CUPERTINO 310 VERIZON WIRELESS 2785 MITCHELL DRIVE, SUITE 9 WALNUT CREEK, CA 94598 (NEAR) 10656 AMULET PL CUPERTINO, CA 95014 1 100% CD PLAN CHECK11/16/20 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 (N) LOCATION OF VERIZON WIRELESS ANTENNA IN FRP SHROUD MOUNTED ON LIGHT POLE (N) LOCATION OF VERIZON WIRELESS ANTENNA AND EQUIPMENT A.P.N.: 326-43-059 ELECTRICAL LINE STREET LIGHT LINE E S/L FIBER LINE(S)FIBER LEGEND N C 1 (N) STEEL MAST ARM (N) LUMINAIRE N1 E C 2 NC2 NC3 (E) CO N C R E T E S I D E W A L K PROPE R T Y L I N E (E) LA N D S C A P E AMULET DRIV E (E) CURB 7 ' - 1 1 " ± B A C K O F P O L E T O R O W L I N E (E) FOUNDATION & LIGHT POLE TO BE REMOVED. (N) FOUNDATION & LIGHT POLE TO BE INSTALLED IN PLACE EXISTING CONDUIT TO BE CUT AND CONNECTED TO NEW CONDUIT TO NEW STREET LIGHT PULLBOX E C 1 SECTOR AZIMUTH 270 5G B SECTOR AZIMUTH 90 5G A N2 (E) BUSH, TYP. (E) FENCE A.P.N.: 326-43-059 7 ' - 1 1 " ± B A C K O F P O L E T O R O W L I N E (E) BUSH, TYP. AMULET DRIV E (E) CO N C R E T E S I D E W A L K PROPE R T Y L I N E (E) LA N D S C A P E (E) CURB (E) FENCE (N) 2'-6" x 4'-0" x 6" THICK CONCRETE CAP PER CITY STANDARDS (E) PG&E PEDESTAL (N) N2 CITY SERVICE BOX TO INTERCEPT EXISTING UNDERGROUND CONDUIT 10'-0"± NOTE: 1. FIBER PULLBOX EXACT LOCATION TO BE VERIFIED IN FIELD 2. RESTORE EXPOSED AGG PARKSTRIP TO SAME OR BETTER CONDITION; MATCH BLACK AND WHITE AGGREGATE PATTERN. REMOVE AND REPLACE DAMAGED PARKSTRIP CONCRETE TO NEAREST JOINT 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. 5. PAINT NEW STREET LIGHT POLE BLACK TO MATCH (E) Label carrier ground in City electrical box. Restore exp agg concrete in parkstrip DocuSign Envelope ID: 8D9F4F00-3CE0-4DCB-830E-302313626E63 SHUTDOWN DRAWN BY: CHECKED BY:BPM 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 08/04/20 100% CD REV DATE DESCRIPTION MODUS, LLC 240 STOCKTON ST., 3RD FLOOR SAN FRANCISCO, CA 94108 APPROVED BY:LJB CA_SJ_CUPERTINO 310 VERIZON WIRELESS 2785 MITCHELL DRIVE, SUITE 9 WALNUT CREEK, CA 94598 (NEAR) 10656 AMULET PL CUPERTINO, CA 95014 1 100% CD PLAN CHECK11/16/20 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 7'-11" BACK OF POLE TO ROW LINE 4 D-2 (N) FOUNDATION (N) 6'-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. (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 29'-11" 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 T.O. (E) LIGHT SENSOR 31'-8" AGL (N) NOTICE SIGNAGE, TYP. OF (1) FACING STREETSIDE 12 D-1 T.O. (N) NOTICE SIGNAGE 25'-2" AGL 7'-11" BACK OF POLE TO ROW LINE T.O. (E) LIGHT 32'-10" AGL (E) LIGHT ARM 30'-5" AGL T.O. (E) STEEL LIGHT POLE 30'-10" AGL 7 E-3 DocuSign Envelope ID: 8D9F4F00-3CE0-4DCB-830E-302313626E63 Certificate Of Completion Envelope Id: 8D9F4F003CE04DCB830E302313626E63 Status: Completed Subject: CA_SJ_CUPERTINO_310/E1671534/FM WT Approved 1-25-21/ Manager to Sign. Source Envelope: Document Pages: 7 Signatures: 1 Envelope Originator: Certificate Pages: 5 Initials: 0 Felipe Martinez AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) felipe.martinez@verizonwireless.com IP Address: 69.78.66.88 Record Tracking Status: Original 1/25/2021 10:36:17 AM Holder: Felipe Martinez felipe.martinez@verizonwireless.com Location: DocuSign Signer Events Signature Timestamp Alba Barber alba.barber@verizonwireless.com Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 69.78.66.89 Sent: 1/25/2021 10:37:12 AM Viewed: 1/25/2021 4:19:45 PM Signed: 1/25/2021 4:19:54 PM Electronic Record and Signature Disclosure: Accepted: 12/30/2020 2:52:40 PM ID: e293a4bd-9212-4030-bf70-0115b4008976 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 Alissa Ludtke alissa.ludtke@verizonwireless.com Security Level: Email, Account Authentication (None) Sent: 1/25/2021 10:37:12 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 1/25/2021 10:37:13 AM Certified Delivered Security Checked 1/25/2021 4:19:45 PM Signing Complete Security Checked 1/25/2021 4:19:54 PM Completed Security Checked 1/25/2021 4:19:54 PM Payment Events Status Timestamps Cupertino 310 - Encroachment Agreement, 10656 Amulet Pl Final Audit Report 2021-02-18 Created:2021-02-14 By:Araceli Alejandre (aracelia@cupertino.org) Status:Signed Transaction ID:CBJCHBCAABAA04KKVjoL-dySDcDF5TcpCg2ZEpcAcrjA "Cupertino 310 - Encroachment Agreement, 10656 Amulet Pl" H istory Document created by Araceli Alejandre (aracelia@cupertino.org) 2021-02-14 - 8:12:38 PM GMT- IP address: 73.170.27.253 Document emailed to Marlene Dehlinger (Dehlinger@smwlaw.com) for approval 2021-02-14 - 8:14:36 PM GMT Email viewed by Marlene Dehlinger (Dehlinger@smwlaw.com) 2021-02-16 - 4:41:54 AM GMT- IP address: 45.41.142.4 Document approved by Marlene Dehlinger (Dehlinger@smwlaw.com) Approval Date: 2021-02-16 - 4:46:51 AM GMT - Time Source: server- IP address: 52.39.49.65 Document emailed to Heather M. Minner (minner@smwlaw.com) for signature 2021-02-16 - 4:46:53 AM GMT Email viewed by Heather M. Minner (minner@smwlaw.com) 2021-02-18 - 6:13:11 PM GMT- IP address: 45.41.142.13 Document e-signed by Heather M. Minner (minner@smwlaw.com) Signature Date: 2021-02-18 - 6:13:49 PM GMT - Time Source: server- IP address: 52.39.49.65 Document emailed to Chad Mosley (chadm@cupertino.org) for signature 2021-02-18 - 6:13:55 PM GMT Email viewed by Chad Mosley (chadm@cupertino.org) 2021-02-18 - 6:14:26 PM GMT- IP address: 104.47.44.254 Document e-signed by Chad Mosley (chadm@cupertino.org) Signature Date: 2021-02-18 - 6:14:34 PM GMT - Time Source: server- IP address: 67.164.60.110 Document emailed to Kirsten Squarcia (kirstens@cupertino.org) for signature 2021-02-18 - 6:14:36 PM GMT Email viewed by Kirsten Squarcia (kirstens@cupertino.org) 2021-02-18 - 10:20:08 PM GMT- IP address: 104.47.44.254 Document e-signed by Kirsten Squarcia (kirstens@cupertino.org) Signature Date: 2021-02-18 - 10:20:20 PM GMT - Time Source: server- IP address: 69.110.137.176 Agreement completed. 2021-02-18 - 10:20:20 PM GMT