REQUIRED CHECKLIST. Onsite Meeting Onsite Meeting between Excavator and Operator (onsite meeting must include the 1) Operator or Operator’s authorized representative with knowledge of the location of the high priority subsurface installation and authority to develop and sign this Agreement, such as a superintendent, supervisor, or engineer; and 2) Excavator or Excavator’s authorized representative with knowledge of the excavation that will occur in the area of continual excavation during the year and authority to develop and sign this Agreement). Discussion and agreed terms and conditions must be documented in this Agreement. Signature & Distribution Excavator and Operator sign this Agreement and copies are distributed to both parties. This Agreement applies only to the excavation activities documented in this Agreement. Any deviating activities such as work requiring greater excavation depth or other tools or equipment are beyond the scope of this Agreement. All work outside the scope of this Agreement require separate Tickets and shall be performed in accordance with Government Code section 4216 et seq. Each party will notify the other of any unexpected occurrences (ex., fire, flood, earthquake or other soil/geologic movement, riot, accident, sabotage, damage to the high priority subsurface installation requiring immediate repair) or excavation activities that may be in conflict with the high priority subsurface installation. The Excavator shall notify the one-call center of any damage to the high priority subsurface installation in accordance with California Code of Regulations, title 19, section 4100. Prior to conducting excavation activities described in this Agreement, Excavator will communicate information about the terms and conditions under this Agreement to all workers, including any subcontractors, who perform excavation work in the area of continual excavation. EXCAVATOR: Signature Name Title Date OPERATOR:
REQUIRED CHECKLIST. Onsite Meeting Onsite Meeting between Farm Owner/Lessee and Utility Owner (onsite meeting must include the 1) Utility Owner’s authorized representative with knowledge of the location of the Utilities, and authority to develop and sign this Agreement, such as a superintendent, supervisor, or engineer; and 2) Farm Owner/Lessee or Farm Owner’s/Xxxxxx’s authorized representative with knowledge of the farming activities involving excavation that will occur in the area of continual excavation during the year, and authority to develop and sign this Agreement). Discussion and agreed terms and conditions must be documented in this Agreement. Signature & Distribution Farm Owner/Lessee and Utility Owner sign this Agreement and copies are distributed to both parties. This Agreement applies only to the farming activities documented in this Agreement. Any deviating activities such as work requiring greater excavation depth or other tools or equipment are beyond the scope of this Agreement. All work outside the scope of this Agreement require separate Tickets and shall be performed in accordance with Government Code section 4216 et seq. Each party will notify the other of any unexpected occurrences (ex., fire, flood, earthquake or other soil/geologic movement, riot, accident, sabotage, damage to Utility requiring immediate repair) or excavation activities that may be in conflict with the Utility. The Farm Owner/Lessee shall notify the one-call center of any damage to the Utility in accordance with California Code of Regulations, title 19, section 4100. Prior to conducting farming activities described in this Agreement, Farm Owner/Lessee will communicate information about the terms and conditions under this Agreement to all workers, including any subcontractors, who perform excavation work in the area of continual excavation. FARM OWNER/LESSEE: Signature Name Title Date UTILITY OWNER
