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21-163 Encroachment Agreement, GTE Mobilnet of California Limited Partnership, dba Verizon Wireless, R.O.W, 20574 Homestead RdENCROACHMENT 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_302 545438 20574 Homestead Road, Cupertino, CA 95014 DocuSign Envelope ID: 0D537BCA-DA45-473D-8334-26BABA99769C 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: 0D537BCA-DA45-473D-8334-26BABA99769C 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: 0D537BCA-DA45-473D-8334-26BABA99769C Heather M. Minner Heather M. Minner City Engineer Chad Mosley 2/18/21 Attachment 1 Licensed Area See attached. DocuSign Envelope ID: 0D537BCA-DA45-473D-8334-26BABA99769C 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_302 VERIZON WIRELESS 2785 MITCHELL DRIVE, SUITE 9 WALNUT CREEK, CA 94598 (NEAR) 20574 HOMESTEAD RD CUPERTINO, CA 95014 1 10/26/20 100% CD PLAN CHECK 2 11/04/20 100% CD PLAN CHECK SITE ID: SITE TYPE: POLE #: CX PROJECT ID: COUNTY: PSLC: CA_SJ_CUPERTINO_302 LIGHT POLE 30531 20191962630 SANTA CLARA 545438 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° 20' 14.73" N NAD83 122° 2' 0.45" W NAD83 SANTA CLARA PUBLIC RIGHT OF WAY NEAR 32610066 CITY OF CUPERTINO 203.53' 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 APPLICANT: VERIZON WIRELESS 2785 MITCHELL DRIVE, SUITE 9 WALNUT CREEK, CA 94598 CONTACT: CHRIS MOLLER PHONE: (925) 339.2778 EMAIL: CHRIS.MOLLER@VERIZONWIRELESS.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) 20574 HOMESTEAD RD CUPERTINO, CA 95014 (NEAR) 20574 HOMESTEAD RD CUPERTINO, CA 95014 CA_SJ_CUPERTINO_302 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 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 E-1 ELECTRICAL GENERAL NOTES E-2 ONE-LINE DIAGRAM & GROUNDING SCHEMATIC E-3 ELECTRICAL DETAILS D-4 CITY STANDARD DETAILS DocuSign Envelope ID: 0D537BCA-DA45-473D-8334-26BABA99769C S/LS/LS/LS/L FIBERFIBER FIBER FIBER S/L S/L 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_302 VERIZON WIRELESS 2785 MITCHELL DRIVE, SUITE 9 WALNUT CREEK, CA 94598 (NEAR) 20574 HOMESTEAD RD CUPERTINO, CA 95014 1 10/26/20 100% CD PLAN CHECK 2 11/04/20 100% CD PLAN CHECK A-1 SITE PLAN 1ENLARGED SITE PLAN N SITE PLAN2 N 2 A-1 ENLARGED SITE PLAN 1/16"=1'-0" SCALE 1/2"=1'-0" SCALE 15 ' - 7 " ± B A C K O F P O L E T O R O W L I N E (N) LOCATION OF VERIZON WIRELESS ANTENNA AND EQUIPMENT ELECTRICAL LINE STREET LIGHT LINE E S/L FIBER LINE(S)FIBER LEGEND (E) TREE HOMESTEAD RD (E) CONCRETE SIDEWALK (E) LANDSCAPE (E) LANDSCAPE (E) FACE OF CURB (E) CONCRETE SIDEWALK PROPERTY LINE (E) LANDSCAPE (E) FACE OF CURB (E) FACE OF CURB (E) CONCRETE SIDEWALK (E) LANDSCAPE (E) FACE OF CURB (E) CONCRETE SIDEWALK (E) LANDSCAPE MEDIAN MEDIAN A.P.N.: 32610066 20574 HOMESTEAD RD CUPERTINO, CA 95014 N1 E1 EC2 NC4 NC3 (N) LOCATION OF VERIZON WIRELESS ANTENNA IN FRP SHROUD MOUNTED ON LIGHT POLE (E) LIGHT POLE & FOUNDATION TO BE REMOVED. (N) LIGHT POLE & FOUNDATION TO BE INSTALLED IN PLACE (E) TREE 1&2 A-2 1&2 A-2 1&2 A-3 (N) STEEL MAST ARM (N) LUMINAIRE EC1 (E) CONCRETE SIDEWALK (E) LANDSCAPE (E) LANDSCAPE (E) CURB AND GUTTER PROPERTY LINE (E) LANDSCAPE (E) FIRE HYDRANT (E) LANDSCAPE PROPERTY LINE A.P.N.: 32610066 20574 HOMESTEAD RD CUPERTINO, CA 95014 SECTOR AZIMUTH 90 5G B SECTOR AZIMUTH 270 5G A NC2 NC1 CUT AND CONNECT EXISTING UNDERGROUND CONDUIT TO NEW UNDERGROUND CONDUIT. REMOVE EXISTING CONDUCTORS AND INSTALL CONDUCTORS AS INDICATED HOMESTEAD RD (N) 2'-6" X 4'-0" X 6" THICK CONCRETE CAP PER CITY STANDARDS (E) PULLBOX 6" MIN. NOTE: 1. FIBER PULLBOX EXACT LOCATION TO BE VERIFIED IN FIELD 2. UPON COMPLETION OF CONSTRUCTION, RESTORE LANDSCAPE AND IRRIGATION TO LIKE OR BETTER CONDITION, TEST IRRIGATION. 3. 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. AT NEXT ADJACENT STREET LIGHT POLE/STREET LIGHT PULL BOX (SEE NOTE #1) SC EC3 EC1 Label carrier gnd line in City box Repl inductive lamp with (N) LED Restore landscape, and irrigation to like or better condition; test irrigation to ensure operation. Salvage shrubs to be reinstalled as space allows. DocuSign Envelope ID: 0D537BCA-DA45-473D-8334-26BABA99769C 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_302 VERIZON WIRELESS 2785 MITCHELL DRIVE, SUITE 9 WALNUT CREEK, CA 94598 (NEAR) 20574 HOMESTEAD RD CUPERTINO, CA 95014 1 10/26/20 100% CD PLAN CHECK 2 11/04/20 100% 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 15'-7" BACK OF POLE TO ROW LINE 4 D-2 (N) FOUNDATION 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 B.O. (E) SIGNS 7'-6" AGL T.O. (E) LIGHT SENSOR 35'-3" AGL (E) LIGHT ARM 29'-8" AGL T.O. (E) STEEL LIGHT POLE 30'-0" AGL T.O. (E) SIGNS 11'-9" AGL (N) LIGHT POLE (N) (2) 5G ANTENNAS IN FRP SHROUD 6 D-1 (N) FRP CONCEALMENT SHROUD 1 D-1 (N) NOTICE SIGNAGE, TYP. OF (1) FACING STREETSIDE 9 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 T.O. (N) NOTICE SIGNAGE 24'-9" AGL 8 D-1 3 E-3 (N) SMART METER / DISCONNECT w/ SHUTDOWN SIGNAGE 4 D-1 5 D-1 PORT HOLE LOCATION FOR DISCONNECT 1 D-2 1 D-3 15'-7" BACK OF POLE TO ROW LINE T.O. (N) LIGHT SENSOR 31'-8" AGL B.O. (E) SIGNS 9'-3" AGL T.O. (E) SIGNS 9'-0" AGL ROAD SIGNS T.O. (E) SIGNS 11'-9" AGL ROAD SIGNS B.O. (E) SIGNS 7'-6" AGL T.O. (N) DISCONNECT 8'-9" AGL B.O. (N) DISCONNECT 7'-0" AGL B.O. (E) SIGNS 9'-3" AGL T.O. (E) SIGNS 9'-0" AGL (N) 12'-0" MAST ARM (N) LUMINAIRE 7 E-3 DocuSign Envelope ID: 0D537BCA-DA45-473D-8334-26BABA99769C Certificate Of Completion Envelope Id: 0D537BCADA45473D833426BABA99769C Status: Completed Subject: CA_SJ_CUPERTINO_302/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 10:29:40 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 10:32:47 AM Viewed: 1/25/2021 4:08:00 PM Signed: 1/25/2021 4:08:21 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 10:32:47 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 10:32:47 AM Certified Delivered Security Checked 1/25/2021 4:08:00 PM Signing Complete Security Checked 1/25/2021 4:08:21 PM Completed Security Checked 1/25/2021 4:08:21 PM Payment Events Status Timestamps Cupertino 302 - Encroachment Agreement, 20574 Homestead Road Final Audit Report 2021-02-18 Created:2021-02-14 By:Araceli Alejandre (aracelia@cupertino.org) Status:Signed Transaction ID:CBJCHBCAABAAPGlcESXbkMGL4smLgXacg_S2iTaJ1skr "Cupertino 302 - Encroachment Agreement, 20574 Homestead Road" History Document created by Araceli Alejandre (aracelia@cupertino.org) 2021-02-14 - 7:42:38 PM GMT- IP address: 73.170.27.253 Document emailed to Marlene Dehlinger (Dehlinger@smwlaw.com) for approval 2021-02-14 - 7:45:02 PM GMT Email viewed by Marlene Dehlinger (Dehlinger@smwlaw.com) 2021-02-16 - 5:08:20 AM GMT- IP address: 45.41.142.207 Document approved by Marlene Dehlinger (Dehlinger@smwlaw.com) Approval Date: 2021-02-16 - 5:12:11 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 - 5:12:13 AM GMT Email viewed by Heather M. Minner (minner@smwlaw.com) 2021-02-18 - 6:08:17 PM GMT- IP address: 45.41.142.166 Document e-signed by Heather M. Minner (minner@smwlaw.com) Signature Date: 2021-02-18 - 6:09:16 PM GMT - Time Source: server- IP address: 52.39.49.65 Document emailed to Chad Mosley (chadm@cupertino.org) for signature 2021-02-18 - 6:09:19 PM GMT Email viewed by Chad Mosley (chadm@cupertino.org) 2021-02-18 - 6:10:10 PM GMT- IP address: 104.47.73.254 Document e-signed by Chad Mosley (chadm@cupertino.org) Signature Date: 2021-02-18 - 6:10:25 PM GMT - Time Source: server- IP address: 67.164.60.110 Document emailed to Kirsten Squarcia (kirstens@cupertino.org) for signature 2021-02-18 - 6:10:27 PM GMT Email viewed by Kirsten Squarcia (kirstens@cupertino.org) 2021-02-18 - 10:22:11 PM GMT- IP address: 104.47.46.254 Document e-signed by Kirsten Squarcia (kirstens@cupertino.org) Signature Date: 2021-02-18 - 10:22:21 PM GMT - Time Source: server- IP address: 69.110.137.176 Agreement completed. 2021-02-18 - 10:22:21 PM GMT