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HomeMy WebLinkAboutContract 48356 CITY SECRETARY CONTRACT NO. _ EASEMENT ENCROACHMENT LICENSE AGREEMENT Commercial THIS AGREEMENT is made and entered into by and between THE CITY OF FORT WORTH, a home rule municipal corporation of Tarrant County, Texas ("City"), acting by and through its duly authorized Planning and Development Director, and L.Y.G. INVESTMENTS, LLC AND CSFW RESIDENTIAL, LLC, hereinafter referred to as "Licensee", owner of the property located at approximately 220 feet northwest of the White Settlement Road and Roberts Cut-off intersection ("Property"). RECITALS WHEREAS, Licensee is the owner of certain real property described as Crystal Springs, an addition to the City of Fort Worth, Tarrant County, Texas as recorded in County Clerks Document No. or Volume and Page No. of the Real Property records of Tarrant County ("Property"); and WHEREAS,the City has a IS foot wide water and sanitary sewer easement(the "Easement") in the property as shown on the map attached to this Agreement as Exhibit "A"and incorporated herein; and WHEREAS, Licensee desires to construct/place and maintain private storm which will be used to convey private storm runoff to the West Fork Trinity River (the "Encroachment") and which will encroach onto the City's Easement as shown on the attached survey and only to the extent shown thereon; and WHEREAS,to accommodate the needs of the Licensee,the City will allow the Encroachment under the terms and conditions as set forth in this Agreement. NOW, THEREFORE, the City and Licensee agree as follows: AGREEMENT 1. The City, in consideration of the payment by the Licensee of the fee set out below and covenants and agreements hereinafter contained, to be kept and performed by the Licensee, hereby grants permission to the Licensee to encroach upon and occupy a portion of the City's Easement as described in and at the location shown Exhibit A for the purpose of private storm drainage facilities (the "Encroachment"). Upon completion of the Encroachment, Licensee agrees to be responsible for maintaining any and all 2014 Easement Encroachment Agreement-Commercial KOFFICIAL RECORD age 1 of 9 ECRETARY'ORTH, TX structures and buildings within and above the Easement. Licensee shall not expand or otherwise cause the Encroachment to further infringe in or on the City's Easement beyond what is specifically described in the exhibit(s) attached hereto. 2. All construction, maintenance and operation in connection with such Encroachment, use and occupancy shall comply and be performed in strict compliance with the Charter, Ordinance and Codes of the City and in accordance with the directions of the Director of the Transportation and Public Works Department or the Director of the Water Department of City, or his duly authorized representative. Prior to the construction of the Encroachment, Licensee shall submit all plans and specifications to the applicable Director or his duly authorized representative. Licensee shall not commence construction of the Encroachment until such approval shall be indicated in writing by the Director. However, such approval shall not relieve Licensee of responsibility and liability for concept, design and computation in the preparation of such plans and specifications. 3. Licensee agrees that City may enter and utilize the referenced areas at any time for the purpose of installing, repairing, replacing or maintaining improvements to its public facilities or utilities necessary for the health, safety and welfare of the public for any other public purpose. City shall bear no responsibility or liability for any damage or disruption or other adverse consequences resulting from the Encroachment installed by Licensee, but City will make reasonable efforts to minimize such damage. In the event that any installation, reinstallation, relocation or repair of any existing or future utility or improvements owned by, constructed by or on behalf of the public or at public expense is made more costly by virtue of the construction, maintenance or existence of the Encroachment and use, Licensee shall pay to City an additional amount equal to such additional cost as reasonably determined by the Director of Transportation and Public Works or the Director of the Water Department of the City, or his duly authorized representative. 2014 Easement Encroachment Agreement-Commercial Page 2 of 9 4. In order to defray all costs of inspection and supervision which City has incurred or will incur as a result of the construction, maintenance, inspection or management of the encroachments and uses provided for by this Agreement, Licensee agrees to pay to City at the time this Agreement is requested an application fee in the sum of Three Hundred and Twenty Five Dollars ($325.00). 5. The term of this Agreement shall be for thirty (30) years, commencing on the date this Agreement is executed by the City of Fort Worth. Provided however, this Agreement shall terminate upon the non-compliance of any of the terms of this Agreement by the Licensee. City shall notify Licensee of the non-compliance and if not cured within thirty days this Agreement shall be deemed terminated. 6. It is further understood and agreed upon between the parties hereto that the easements to be used and encroached upon as described herein, are held by City as trustee for the public; that City exercises such powers over the easement as have been delegated to it by the Constitution of the State of Texas or by the Legislature; and that City cannot contract away its duty and its legislative power to control the easement for the use and benefit of the public. It is accordingly agreed that if the governing body of City may at any time during the term hereof determine in its sole discretion to use or cause or permit the right of way to be used for any other public purpose, that does not preclude the use of the Encroachment on the Property for a office building or activities related thereto, including but not being limited to underground, surface of overhead communication, drainage, sanitary sewerage, transmission of natural or electricity, or any other public purpose, whether presently contemplated or not, that the parties agree to negotiate in good faith in order to accommodate the Encroachment and the public purpose. 7. LICENSEE COVENANTS AND AGREES TO INDEMNIFY, AND DOES HEREBY INDEMNIFY, HOLD HARMLESS AND DEFEND CITY, ITS OFFICERS, AGENTS, SERVANTS, EMPLOYEES AND ELECTED OFFICIALS FROM AND AGAINST ANY AND ALL CLAIMS OR SUITS FOR PROPERTY 2014 Easement Encroachment Agreement-Commercial Page 3 of 9 DAMAGE OR LOSS AND/OR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, OF WHATSOEVER KIND OR CHARACTER, ARISING OUT OF OR IN CONNECTION WITH, THE CONSTRUCTION, MAINTENANCE, OCCUPANCY, USE, EXISTENCE OR LOCATION OF SAID ENCROACHMENTS AND USES GRANTED HEREUNDER, WHETHER OR NOT CAUSED, IN WHOLE OR IN PART, BY THE NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, LICENSEES, ELECTED OFFICIALS OR INVITEES OF THE CITY; AND LICENSEE HEREBY ASSUMES ALL LIABILITY AND RESPONSIBILITY FOR SUCH CLAIMS OR SUITS. LICENSEE SHALL LIKEWISE ASSUME ALL LIABILITY AND RESPONSIBILITY AND SHALL INDEMNIFY CITY FOR ANY AND ALL INJURY OR DAMAGE TO CITY PROPERTY ARISING OUT OF OR IN CONNECTION WITH THE ENCROACHMENTS AND ANY AND ALL ACTS OR OMISSIONS OF LICENSEE, ITS OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, LICENSEES, OR INVITEES. 8. While this Agreement is in effect, Licensee agrees to furnish City with a Certificate of Insurance, naming City as certificate holder, as proof that it has secured and paid for a policy of public liability insurance covering all public risks related to the proposed use and occupancy of public property as located and described in Exhibit "A". The amounts of such insurance shall be not less than the following: $1,000,000 Commercial General Liability with the understanding of and agreement by Licensee that such insurance amounts shall be revised upward at City's option and that Licensee shall so revise such amounts immediately following notice to Grantee of such requirement. Such insurance policy shall provide that it cannot be canceled or amended without at least ten (10) days prior written notice to the Building Official of the City of Fort Worth. A copy of such Certificate of Insurance is attached as attached as Exhibit `B". Licensee agrees to submit a similar Certificate of Insurance annually to City on the anniversary date of the execution of this Agreement. 2014 Easement Encroachment Agreement-Commercial Page 4 of 9 Licensee agrees, binds and obligates itself, its successors and assigns, to maintain and keep in force such public liability insurance at all times during the term of this Agreement and until the removal of all encroachments and the cleaning and restoration of the city streets. All insurance coverage required herein shall include coverage of all Licensees' contractors. 9. Licensee agrees to deposit with the City when this Agreement is executed a sufficient sum of money to be used to pay necessary fees to record this Encroachment on Easement Agreement in its entirety in the deed records of Tarrant County, Texas. After being recorded, the original shall be returned to the City Secretary of the City of Fort Worth, Texas. 10. Licensee agrees to comply fully with all applicable federal, state and local laws, statutes, ordinances, codes or regulations in connection with the construction, operation and maintenance of said Encroachment and uses. 11. Licensee agrees to pay promptly when due all fees, taxes or rentals provided for by this Agreement or by any federal, state or local statute, law or regulation. 2014 Easement Encroaclunent Agreement-Commercial Page 5 of 9 12. Licensee covenants and agrees that it shall operate hereunder as an independent contractor as to all rights and privileges granted hereunder and not as an officer, agent, servant or employee of City, and Licensee shall have exclusive control of and the exclusive right to control the details of its operations, and all persons performing same, and shall be solely responsible for the acts and omissions of its officers, agents, servants, employees, contractors, subcontractors, licensees and invitees. The doctrine of respondeat superior shall not apply as between City and Licensee, its officers, agents, servants, employees, contractors and subcontractors, and nothing herein shall be construed as creating a partnership or joint enterprise between City and Licensee. 13. Licensee agrees and acknowledges that this Agreement is solely for the purpose of permitting Licensee to construct, maintain and locate the Encroachment over or within the described Easement and is not a conveyance of any right, title or interest in or to the Easement nor is it meant to convey any right to use or occupy property in which a third parry may have an interest. Licensee agrees that it will obtain all necessary permission before occupying such property. 14. In any action brought by the City for the enforcement of the obligations of the Licensee, City shall be entitled to recover interest and reasonable attorney's fees. 15. The parties agree that the duties and obligation contained paragraphs 3 and 4 shall survive the termination of this Agreement. 2014 Easement Encroachment Agreement-Commercial Page 6 of 9 16. Licensee covenants and agrees that it will not assign all or any of its rights, privileges or duties under this contract without the written approval of City Planning and Development Director, and any attempted assignment without such written approval should be void. 17. Any cause of action for breach of this Agreement shall be brought in Tarrant County, Texas. This Agreement shall be governed by the laws of the State of Texas. 18. This agreement shall be binding upon the parties hereto,their successors and assigns. EXECUTED this i I day of 4`06,J31 , 20 IL. City Licensee: City of Fort Worth Crystal Springs on the River, LLC By: By: . Randle HarvkodVDireff01 ame: o '-> Gi e - f f o Planning and Develop Vol� Title: *%AN , ' >? 0C. o $O ATTEST: roved As To Form and Legality ° . 00000 AS &S( City Secretary Assistant City Attorney 2014 Easement Encroachment Agreement-Commercial ®FPICIAL RECORD Page 7 of 9 &C REQUII �I� CITU SECRETARY —_ - ---- - F-T.WORTH,TX STATE OF TEXAS COUNTY OF TARRANT BEFORE ME,the undersigned authority, a Notary Public in and for the State of Texas, on this day personally appeared Randle Harwood, known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that he/she executed the same for the purposes and consideration therein expressed, as the act and deed of the City of Fort Worth, and in the capacity therein stated. GIVEN DER MY HAND AND SEAL OF OFFICE this day of /V v/10 CASSANDRA F. FOREMAN Notary Public,State of Texas My commission Expires Notary Public in and for the State of Texas April , 2017 2014 Easement Encroachment Agreement-Commercial Page 8 of 9 STATE OF TEXAS § �}Lt,RS COUNTY OF § BEFORE ME, the undersigned authority, a Notary Public in and for the State of Texas, on this day personally appeared Louis V. Gennarelli, Managing Principal, known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that he/she executed the same for the purposes and consideration therein expressed, as the act and deed of Crystal Springs on the River, LLC, and in the capacity therein stated. 71 GIVEN UNDER MY HAND AND SEAL OF OFFICE this day of QW , 20AU JOANE UMIPIG `,Notary Put*,state of Texas Comm.Expku 05-25-2019 No Public in and for e Floury to 14!126441 State of Texas 2014 Easement Encroachment Agreement-Commercial Page 9 of 9 1 > Exhibit A p n • w,a � ,wa,ea.um«,.«.a„ newer a �.� NORTN ,111 11`1 -'---------�-•�\--_ _ - �.-- _ ------- 1 w i_ ------ --- : 6 a.,.•."w � ,.mnw m: ,.,rm..m,o«".i. nw°,'r«��i�. •ma o R,.:m a I «mawwwoumR `, imr«'"r"`n,ui � I k \ w•wue�.`w•orran � � 1'I n�«�Yawr .. ,.r.«r„ �--'t'6�� !' w� _ I �\ _•{� ___��� ___-_ __ x ___-______ _�_r_ __ ,w..:u �-�'� x I • I T. ,"�irw•em r«•+..uw /-�•� A cou.w /ten eau u'wi nrc,«n•RD ,.'fw•�L� I�I� ^�•n�:tea.« ___L^•SR""_ni�'L"5!L___/ i _ _ __ e ,.e:riLL \•-� „v)1 :am«w I .,... � nnui" «•na�a ...«` �. r R ,n«gym •n««u,,, `` , I �1 - ° r \\„�- ""'m•wnn X 1 �, 1 ... •. c .....__ V; / 1 1\ y 1,1� � 4 11 `A�. i'' - II % 1 4 .L. •�.._ _ _ i I j.. 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DOM eWR N111nQ y 0-103 0 Exhibit A LEGEND —1 SEWER STUDY NO.WSS-2014104 uvnxorcasrua - � ilk L ����}{ - 3 rxprexnuxe �` uuwnuxe fI 0 ' `SHEET C-203 ' g rxprmep vmpxPLNe 777—— ORMHM:9C/iLE W FEETx� _-u_ -—-L• 1 eep rwcx wprm,Nxe � �,' (G(G� N•,I - It 1 1 S a Nro�m �` G2\ �' j-1 r--- 111 W c =N o e ••^ ;•11, ----- _ ° �n_wev_-- - ePm`".,;—`' y�— SEWER SHEET INDEX MAP --_-----_ ---------------------- - — ---------- -- 1t I ex „rmuc IerrxeTi im+`°x°ci'un it �xmwxwn \1\1 X, 1 1 [ Ir r _ 11 L�_• _ 11 Lm_,:xouLs �� V 4 s`11 r o 1 ; ruurc J1":' q, 1 in,'0x. n - wc— mwwuxnvnow;m I nmuwm meaen°etm 1 C� 11 11 Qq a 2 1\, � / \ �`�1\,e1rrT�P�u,1• I I rerun .mTxoruPn I I _-—-_ �Ig111IP/AHOfII xnuamn 1 a ie __-y __ Wo-yxF4 I q .. u� }1 -rw.uw � gPl I `---- -----1 -- r.�1 � I 1 � I mnre�r I.,� � '3 i LT,eL 4- .AM BOMD ti oa.rc.T. U)I I wr,�eLaEKe i L wwa__m�.w._ e °PmxPui.r . F"' Wri° fl ,..,re.. cr- II _ ° Iill —e, rirN.ru,i I � eeml I j H oLL . .`.P.n all I mvxe.xpw.ru carr. \ \` _. - •. I - �� I I -..__ ---• e6nmo�.mPLwiac°uul._ -- -- I 6y Zq CffY OF FORT WORTH BMREROR \ � - --- }5a \; ➢o°nrroree-am,xoan — "--.-- Z cm or �2 W uuxM'oxa+o.iaixT.Tco�oe.eT wPxePOF ePipce rxR,t. _—__—__--- NeM1"OsuUP-LidW -e4p �"'°"•°"'"` CAUTION > W 94 C ewTe orn.Pric I pp"` c,,,,�, P1 =1Q k 3j tl$�7i TEMPOAta�Y rcFNCNM W qi NCONCP6N TaCUE VN€6 CENTEP pF CUPPCOO. E2p OFPS WTH PETUPN.TTH OURM1VCET WPNEPCF 3"�uJ WNP[eE,TLeMExT PUM uIp POPFAT9cvlOFF. q a � Eg exPOP.PaN-oN�N�ee.THeeouHwercoPNea KnoutwhaCsb@IOW. of coxcPEre eneE roaTavwro COMaCL eo..T NoamE.sr pg0 1 CCPNEP DF.119ECilON OF xrtE eenumENraoxo,wp Call before you dlg. e,x i pEi. POVEPTe CUfCFP RND. U eP �€�eSSC ¢evrtnn, 0 xhi _ — Exbit A���" � t TJ P � �ria�LGevs�e°Ev.xto,; i ., 1 •� F- ��`j� r IC-4 f A ...... ri:R ^ �I – ;--qrl' aw.ou< uwNic scuE wrEET .•–. - - - _ _._ No SEWER Ru Rr'L 1°' SEWER SHEET INDEX MAP I I I ^.� •Ruo.ro.xR«R F—I-sl, nINroARv" 1 LEGEND I I LOTI,BLOCK2 I-� roao x.0 u,M I I I L,ti �-'-�Ymvcnx TMe nx � ��l �'�I rWcvwtEluxE �J 4 Y 3y ff �bmleya�Ho�– Y v q Ea ao 7J q .s a0 4 3€ Mror.aRwWa - as I ae aR . ' --.f Mror°.aa� as Rw fRw. I U) 0 , u b iae°Esx J Cy rwaamR cRavRlc scneelNFST oR0 °.,•amu as eRArNlc scuelN rear a0 ,R�vw`y.A sxs cPwrNics oALE wF¢T Q o ,� g EaRANa®RTaA A 0 00 - IN '- IxWErM1 ao— NO v � Tumor asao Ba °I ao 66 ,Axcn R i $"a� 0 3 333 2 afi �� owo ,.00 z.00 a.oD I.a •,.m vex*Irx 0.a ,.m zwo as vERTIGL SSWR LINE A SSWR LAT A-1 SSWR LAT A-2 uj � k Jo LL BENCH MARK U. LIJ 0 W DmDFFs"No°RonP�"aMnx Wux•e DNDr Z W O _lal- BRIOOEOIVERV$QMOFSO=EUOILINE 1 PoRx N �yIZ� 4 ntINRT RIVEPI'sOUTHOTsc HE—coE mor BMDGE LL Q O 3 METALFXPAN610N JDIN}AT 60UfN[A6T COPNEROFBPIODEPo O 7.9p EnsT ecuNUmArslc. CA UTION L1.1 Z t TEMrOMRT 9E�CNMAPKRt LU Q O W ��FMRj VV -ONCONUFETEO TOF—R01NTxe W Z Q p ENi[P OFCURO RETURN Ai RHe oe UIHwE6i COPNEPOF f!J �5 g^�6 wxlre 9EmEMeNr POAD u+D RD mscutwv�.�1.01 �0onexuviP°xNwxo SIE,& �MPOMxDVHaGPEEATT¢EouMWarcoRen ; KnowwhaCsbelow. a Of LONCR[}E 6KEfORTPMflLfANTPOL6W ATS°ORRV Ca, ,. you dl t GORNfllM INTERXOTON OF WNRf RE1TlEMOIF ANO Y fl- ER NUMEIR �� PWER1MMDrPPDr➢. C-201 ;a iosb R,a, ° z Exhibit A I 1 LOT i,BLOCK U j L I LOT 1,BLOCK 2 i Tr--- w SEWER SHEET INDEX MAP S�>`\I cnnvHlc scuewFeer L 1 I*i I LOT 2,BLOCK4 pi•��nia.er.1Y0r .ww ' LEGEND --- I F I+ I I I I I I �LOTI,BLOCK{ I 11 ,n,w..un 11°1111 IIII I III �5 =_� 4L'� �� •�6iilY Wo U) v1 . � Z CO 0 o } O D A 6 Ww 1 Ln LL t ZOO s S1° �+ anrrpc scue w nee 10� O I�aa+ru CION W k ja95' pa LU � Qo 38 � 51 §n,s 5 Q H �IEp�'� apo ,po :•po s.uo a.eo MOS . yp_ F SSWR LINE B • Know-1,-.below. ag@ Call bpf.m yuu al®. 0-202 2 "4. 'r - Exhibit A --- x- l l -LOT 1,BLOCK 5 I I ' I SHEET C-203 LOT 1,BLOCK 3 - i j I c-w—vinic s���e iry rsr s• o*. ✓ --1L _ jJ+ ~m. eww xk mrm w.n "",x - y f 1' � rmsMn r - ,InL--------- --i_-I--_-_--__- - •smvarr,wra _ , �- ---- ----- -- � 1—- ---------------- a g SEWER SHEET INDEX - -' LOT 1,BLOCK 4 b I / LOT 1,BLOCK B - r o,.rarwn -I ly `> - . lil [tel mmnwa i''C°"iwsr"'^uri I LEGEND µam a„wow�,�xr \ � — � G\ ` }�. 1, �• "_- -r i - I I I I rxwwxcosmr,..w° q�—kysFb�— n q ®®®l®y c pec scut 1. p ____ _ eoo ese ase 23 Btlpg� mp9g go co I'sea _�Ka E 'a E 2 ess € -§l a — 6=tea M a i z I — Of _ !y V Q o �0 ary M worvma awx (~ - xs:�r. u�os"��so`0o°n �w�,cox<norexooc - tl�y � ni �S r rry r� ru.rovar Ne°rr.,.,w� ,sv-mr G� sro � are era - w�e°`T1 eM �.aou'�rxw°Pzn�ar"cn� Q sm > k �� .rumwewrw arcrcnr�aa�ssrwua� ! I me wnMemr ! vcarvrnare arae rorrwncw nrrvam,wr J 0 .: mows p en ori Fsernon arwnnz eerne.,u,rw.n.+o m L Z W8a S W a O a°2 9 I-� - •,<nmom.wmexa. _ - oawi ,rr«a (if O UjZauLO CAUTION ` Q + Y w ZQ HIM Q tl a�e�n�e E= gi.tlEa li a.os sws aws r.ss ewa s.eo aw s,as ,wo ,xm U) d ow . Rem KnwhsCsbelow. t8� � SSWR LINE B SSWR LAT B-2 C011 Wfonyou dig. wsEx a�C ¢ fe C-203 Exhibit A _-T- I , a L_ I gl P w I ; DoT 1.etocic s Iwo PRULTI-FANPOSEC OD MY I WIL0N0 SEWER SHEET INDEX MAP I Fw='— ar°rorf u i m'nArwxo t ��°� c nrw.m. F n esw LEGEND6� Axou�AueM�.LTrO� L I C' � m+xa � MmAMw.��xe mmxowA.Fx�xe � .Mmxa eewexsxe I I :`Fc ox' '! xnorauexws.Lwc gmkyaFbm yU� �LLglgl e°s c gg qJ, gggy aro € le8 � 4e:tl z \ U) O � o w x. 0 .€ tiew U l sce°O`a� I m wA,e"�xe Ga lcc seise m—ecJ LU d �€ U eexaa NAna um °vw�° F ee' S W 5 Q LU W yem Or r�µ rm�°M.eaooxOMexrwwAL.rcemiOxa b^d bJ - _ ° J a �] ---1 M wHne sen�icieerir noAn mRnewYsrroa� sro s» nuHm nncn rsoum ar soum w�n°uHcA'mrusroF ?9 9S r.A�sr oo orn i�ic ArswTH r nOF ewoce owo i.00 i�sa CAUTION W Z c n x ,.ems SSWR LINE C xxea•e•.a 3: Q CD �.'�. r£MFOMRYMeENCHMwWtxi Ers off rOFOFcuRs irvTHe �'�°uV1O`w°"ro W Z Q � $ esNisR OFcun_U TnlEsouM1M14Esr00nHea0F e Cn Q I— dSEeS wnllEserrLemeMr WOAD Arv°HO ssx�scuror� °nc cvn x J � mmTfMFORAP.Y K[HLNM�- a 11111 O ere nrTHe eounrmsr camrea ; Know whaCa below. FCONG°ie eA°E ROR nUF COHInOLeMATNORMMS! t 00 eflMINTEP°eCTIOH OF WH BETILFMFM n0A0ANp gg�� nwemscu o snow. Call baforo you dlg. MseR SdoSSe euvea.o C-204 Q ,--� Exhibit B WINDPAR-02 AHUNTER ACRD CERTIFICATE OF LIABILITY INSURANCE DATE(M 8/26//201201YYY) 6 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER ACT NAME: Amanda Hunter Frates Insurance&Risk Management PHONE FAX 13439 Broadway Extension (/uc No.EXtr X405)290-5791 _ A/C,No): Oklahoma City,OK 73114 E-MAIL ESS:Amanda.Hunter@fratesinsurance.com INSURER(S)AFFORDING COVERAGE NAIL R INSURER A:Liberty Mutual Fire Insurance Company 123035 INSURED Crystal Springs INSURER a:ETployers Insu_ran_ce of Wausau X21458 _ Parcels 5306,5320,5328,5336 INSURER-C_:Liberty Insurance Corporation -_ 42404 . -_ Crystal Springs INSURER D: Roberts Cut Off Road INSURER E: Ft Worth,TX -- - - - - --- - INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - I ADDLSUBR' - - - - POLICY EFF I POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER I MMMD/YYY MM/DD/YYYY LIMITS A X I COMMERCIAL GENERAL LIABILITY ' EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X 1 OCCUR I X Z91459130 04/18/2016 04/18/2017 DAMAGE TO RENTED 1 PREMISES(Ea-occurreme $ 100,000 MED EXP(Any one person) I s 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: I I GENERAL AGGREGATE $ 2,000,000 POLICY JE� LOC PRODUCTS-COMP/OP AGG is 2,000,000 OTHER: I $ 'AUTOMOBILE LIABILITY 1 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BANY AUTO ASC-Z91-459130-056 04/18/2016 104/18/2017 I BODILY INJURY(Per person) $ ALL OWNED I SCHEDULED PD BODILY INJURY(Per $ AUTOS I AUTOS er a__ NON-OWNED PROPERTY DAMAGE HIRED AUTOS X 11 AUTOS (Per accident) X UMBRELLA LIAB X I OCCUR EACH OCCURRENCE Tj$ 15,000,000 C EXCESS LIAB CLAIMS-MADE 1 TH7-Z91-459130-086 04/18/2016.04/18/2017 AGGREGATE _ ___ I$ DED I X I RETENTION$ 10,000 I $ 15,000,000 WORKERS COMPENSATION I I IPER OTH- AND EMPLOYE RS'LIABILITY Y/N I STATUTE -_-Ems__ JANY PROPRIETOR/PARTNE—ECUTIVE i E.L.EACH ACCIDENT is OFFICER/MEMBER EXCLUDED? N/A I -- -�-- - (Mandatory In NH) i E.L.DISEASE-EA EMPLOYEE$ If yes,describe under - - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ I I I I i I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City Of Fort Worth THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1000 Throckmorton Street Fort Worth,TX 76102 AUTHORIZED REPRESENTATIVE N-UUA� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD