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
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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