HomeMy WebLinkAboutAdden 37Version: March 2021 1
Site License Addendum
(Exhibit C to Master License Agreement No. ______________ Between
_______________________________ and City of Renton)
Company shall apply to the City for approval of this Site License Addendum by filling out the below
form and submitting the form to the City for approval with the applicable Administrative Fee. For
each Small Cell, the Company shall fill out a Site License Addendum.
This Site License Addendum (“Addendum”), made this _____ day of ____________, 20____ (the
“Site License Addendum Effective Date”) between the City of Renton, hereinafter designated the
“City” and ___________________, d/b/a ________, with its principal offices at
_________________________, hereinafter designated “Company”:
1. Addendum. This is a Site License Addendum as referenced in that certain Master License
Agreement between The City and Company dated ______________, ____ ("Agreement"). 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 Addendum, the terms of
this Addendum shall govern. Capitalized terms used in this Addendum shall have the same meaning
described for them in the Agreement unless otherwise indicated herein.
2. Project Location. Attachment 1 identifies the physical location of the City Poles on which the
Site Equipment shall be attached.
3. Project Description. Attachment 2 identifies the Site Equipment to be installed on the City
Poles and shall include the construction details (e.g. electrical and fiber connections, antennas, radios
and accessory components). If deviating from the standard detail, Company shall provide photo
simulations of such Site Equipment attached to the City Poles and a load bearing study. The photo
simulations shall include photos indicating the existing City Pole without the Site Equipment and with
the proposed Site Equipment attached. If there are any accessory components, for example conduit
holding backhaul or electrical, such accessory components shall be depicted in the photo simulations.
4. NIER Report. Company has commissioned an NIER Report for the City Poles. Such report
is attached hereto in Attachment 3.
5. Backhaul. Backhaul services shall be provided to the Site Equipment as follows:
Ƒ underground fiber Ƒ DERYHJURXQGILEHUƑ microwave ƑRWKHUBBBBBBBBBBBBBBBBB
and from the following entity: __________________________________. Access to the backhaul
system shall be separate from the City’s communication and electrical conveyance system. The
Company, or its third party contractor, is responsible for the placement and installation of any junction
boxes.
6. Electrical Fee. The estimated peak draw power for the Small Cell is _______. The Small Cell
electrical usage falls within ____ tier as described in the Fee Schedule.
7. Usage of City-Owned Conduit. Company requests usage of City’s streetlight power conduit.
Ƒ Yes Ƒ No (if yes, see Attachment 4)
5978
ExteNet Systems, Inc
ExteNet Systems, Inc, a Delaware Corporation
3030 Warrenville Rd, Ste 340, Lisle, IL 60532
December 18, 2020
ExteNet Systems, Inc
✔
✔
2nd
21.6 kwh
8 March 22
CAG-20-489, Adden #37-22
Version: March 2021 2
8. Term. The term of this Addendum shall run concurrently with the Agreement and shall
terminate upon the Agreement termination unless earlier terminated by a party consistent with the
Agreement.
9. Commencement Date. The Company shall notify the City upon the installation of its Site
Equipment on the City Pole.
10. Fees. The Rent and Administrative Fee for the Site Equipment installed pursuant to this
Addendum shall be in accordance with Section 6 of the Agreement.
11. Counterparts. This Site License Addendum may be signed in counterparts, each of which shall
be deemed an original, but all of which will constitute one and the same document.
12. Authority. Each individual executing this Site License Addendum represents and warrants
that such individual is duly authorized to execute and delivery this Site License Addendum on behalf
of the party it represents.
13. Carrier. The following third-party wireless carrier’s equipment will be located on this City
Pole: _____________________________ or ƑVDPHDV&RPSDQ\
14. Acknowledgment. Company acknowledges that (i) this Site License Addendum is only
effective upon the signatures of both parties and (ii) Company shall not have the right to install its Site
Equipment on the City Poles until it has received Government Approvals and complied with the
requirements (including any insurance or bonding requirements) of such Government Approvals.
EXECUTED to be effective as of the Site License Addendum Effective Date.
CITY OF RENTON:
______________________________
By: ___________________________
Name: _________________________
Title:__________________________
COMPANY
______________________________
By: ___________________________
Name: _________________________
Title:__________________________
Exhibits:
Attachment 1 – Physical Location of City Poles
Attachment 2 – Photo Simulations, Description of Site Equipment and Load Bearing Study
Attachment 3 – NIER Report
Attachment 4 – Conduit Lease Addendum
Michael A. Hill
VP and Associate General Counsel
ExteNet Systems, Inc
✔
Nathan Janderscommunity and economic development
nathan janders
civil engineer III
Version: March 2021 3
Attachment 1
Physical Location of City Poles
City of Renton Pole No. 2926D (47.469932, -122.222220)
Adjacent to 279 SW Grady Way
City of Renton Pole No. 2420D - Adjacent to 82 Rainier Avenue S
(47.483814, -122.217097)
Version: March 2021 4
Attachment 2
Equipment Installation Plans/ Construction Details
update plans per comments in
P_Construction Drawings_ExteNet
Small Cell Node 214_051721_v2
TITLE SHEET
T−1
DRAWING INDEX
SITE INFORMATION PROJECT CONTACTS
DRIVING DIRECTIONS
VICINITY MAP
APPROVAL/SIGN OFF
SITE PHOTO
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
2420D
ADJACENT ADDRESS:
82 RAINIER AVE S
RENTON, WA 98057
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00250
>Integrity Delivered™
NW−WA−STTRNT02−VZW
NODE 00250
CITY OF RENTON LIGHT POLE: 2420D
SITE COORDINATES
LATITUDE: 47° 29’ 01.73" N (47.483814°)
LONGITUDE: 122° 13’ 01.55" W (−122.217097°)
SITE ADDRESS
ADJACENT TO ADDRESS:
82 RAINIER AVE S
RENTON, WA 98057
SITE
REVISED 100%
CONSTRUCTION DRAWINGS
SC21001343
V1 review required corrections on the site
license addendum. please submit a revised site
license addendum for execution.
GENERAL NOTES
G−1CALL AT LEAST TWO WORKING
DAYS BEFORE YOU DIG
DIG ALERT
LIMITS OF LIABILITY:ABBREVIATIONS:
CONTRACT DOCUMENTS:
ADMINISTRATIVE REQUIREMENTS:
SITE SAFETY:
WORK REQUIREMENTS:
UTILITY REQUIREMENTS:
SPECIAL CONSIDERATIONS FOR WEATHERPROOFING:
CAST−IN PLACE CONCRETE:
“”
CONCRETE OR MASONRY ANCHORAGE:
REINFORCING STEEL:
CONCRETE SLABS ON GRADE:
EXISTING STRUCTURES:
LEGEND:
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
2420D
ADJACENT ADDRESS:
82 RAINIER AVE S
RENTON, WA 98057
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00250
>Integrity Delivered™
SITE PLAN
A−1
1SITE PLAN
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
2420D
ADJACENT ADDRESS:
82 RAINIER AVE S
RENTON, WA 98057
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00250
>Integrity Delivered™
VICINITY MAP
SITE
ENLARGED SITE PLAN,
EQUIPMENT & ANTENNA LEVELS
A−2
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
2420D
ADJACENT ADDRESS:
82 RAINIER AVE S
RENTON, WA 98057
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00250
>Integrity Delivered™
1ENLARGED SITE PLAN2PROPOSED EQUIPMENT LEVEL
PROPOSED ANTENNA LEVEL
RAD CENTER OF 5G ANTENNAS @ 40’−3" A.G.L.
3
EXISTING & PROPOSED
SOUTH ELEVATIONS
A−3
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
2420D
ADJACENT ADDRESS:
82 RAINIER AVE S
RENTON, WA 98057
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00250
>Integrity Delivered™
2PROPOSED SOUTH ELEVATION EXISTING SOUTH ELEVATION 1
EXISTING & PROPOSED
WEST ELEVATIONS
A−4
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
2420D
ADJACENT ADDRESS:
82 RAINIER AVE S
RENTON, WA 98057
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00250
>Integrity Delivered™
12EXISTING WEST ELEVATIONPROPOSED WEST ELEVATION
VALMONT POLE DESIGN
A−5
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
2420D
ADJACENT ADDRESS:
82 RAINIER AVE S
RENTON, WA 98057
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00250
>Integrity Delivered™
VALMONT POLE DESIGN
A−5.1
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
2420D
ADJACENT ADDRESS:
82 RAINIER AVE S
RENTON, WA 98057
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00250
>Integrity Delivered™
VALMONT POLE
FOUNDATION DESIGN
A−5.2
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
2420D
ADJACENT ADDRESS:
82 RAINIER AVE S
RENTON, WA 98057
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00250
>Integrity Delivered™
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
2420D
ADJACENT ADDRESS:
82 RAINIER AVE S
RENTON, WA 98057
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00250
>Integrity Delivered™
117.1 A & 117.1B DETAIL
A−5.3
Transmitting Antenna(s)
Radio frequency fields above this point MAY
EXCEED the FCC occupational exposure limit.
Obey all posted signs and site guidelines.
Call Verizon Wireless at 1-800-264-6620 PRIOR to
working beyond this point.
STATE:SWITCH:
SITE ID:
SECTOR/NODE:
DETAILS
A−6
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
2420D
ADJACENT ADDRESS:
82 RAINIER AVE S
RENTON, WA 98057
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00250
>Integrity Delivered™
3COMBINED PANEL ANTENNA/RRU SPECIFICATIONS
PROPOSED ANTENNA CONFIGURATION AND CABLE SCHEDULE
1ANTENNA SCHEDULE
5RF CAUTION SIGNAGE
2NODE ID SIGNAGE
75G TOP SHROUD 6DISCONNECT
4FIBER TRAY
NOTE(S):
1. CLEAR NOTICE STICKER W/ WHITE LETTERING
2. LOCATED AT BASE OF LIGHT POLE
3. PROVIDED BY VERIZON WIRELESS
NOTE(S):
1. CLEAR STICKER W/ WHITE LETTERING
2. LOCATED AT BASE OF LIGHT POLE
3. MADE OF WEATHER AND CORROSIVE RESISTANT MATERIAL
DETAILS
A−7
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
2420D
ADJACENT ADDRESS:
82 RAINIER AVE S
RENTON, WA 98057
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00250
>Integrity Delivered™
1TYPICAL TRANSVERSE PATCH 2TYPICAL LONGITUDINAL PATCH FOR FLEXIBLE PAVEMENT 3TYP LONGITUDINAL PATCH & OVERLAY FOR FLEXIBLE PAVEMENT
DETAILS
A−7.1
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
2420D
ADJACENT ADDRESS:
82 RAINIER AVE S
RENTON, WA 98057
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00250
>Integrity Delivered™
1TYPICAL CURB AND GUTTER REPLACEMENT
4JUNCTION BOX IN CONCRETE PAD2TYPICAL PATCH FOR RIGID PAVEMENT
3UTILITY IN CONCRETE SIDEWALK 5SIGN MOUNTING ON SINGLE METAL POST
DETAILS
A−8
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
2420D
ADJACENT ADDRESS:
82 RAINIER AVE S
RENTON, WA 98057
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00250
>Integrity Delivered™
2NOT USED15G WIRING DIAGRAM
POWER SITE PLAN
E−1
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
2420D
ADJACENT ADDRESS:
82 RAINIER AVE S
RENTON, WA 98057
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00250
>Integrity Delivered™
1POWER SITE PLAN
GROUNDING DIAGRAM & ONE−LINE DIAGRAM
E−2
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
2420D
ADJACENT ADDRESS:
82 RAINIER AVE S
RENTON, WA 98057
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00250
>Integrity Delivered™
1TYPICAL GROUNDING DIAGRAM2ONE−LINE DIAGRAM
LEGEND
GROUNDING DETAILS
E−3
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
2420D
ADJACENT ADDRESS:
82 RAINIER AVE S
RENTON, WA 98057
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00250
>Integrity Delivered™
3GROUND BAR1GROUNDING NOTES 2CABLE GROUND KIT CONNECTIONS
6HAND HOLE
4POWER & FIBER TRENCHING
5CONDUIT ELEVATION
SHEET
REVISIONS
TITLE
GLOTEL PROJECT #:J6633
CITY OF RENTON LIGHT POLE:
2420D
ADJACENT ADDRESS:
82 RAINIER AVE S
RENTON, WA 98057
KING COUNTY
NW−WA−STTRNT02−VZW
NODE 00250
>Integrity Delivered™
POWER SERVICE CABINET
E−4
1POWER SERVICE CABINET (FOR REFERENCE ONLY)
Version: March 2021 5
Attachment 3
NIER Report
The previous documents have been
reviewed and based on the information,
the pole has not been relocated. It
remains on the pole on Rainier Avenue at
Tobin. This EME simply calls out the pole
as being on S Tobin St above.