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HomeMy WebLinkAboutContract 48478 iRy ESTOPPEL CERTIFICATE FOR ENCROACHMENT AGREEMENTS City Secretary Contract Nos. 44444; 45952; 45124; 45268; 45414; 45610; 47155 T S ESTOPPEL CERTIFICATE (the "Certificate") has been executed this ff�day of , 2016(the"Effective Date"), by THE CITY OF FORT WORTH, a Texas home-rule municipal corporation (the "City") to and for the benefit of SUNDANCE PLAZA PROPERTIES LLC, a Texas limited liability company ("Sundance") and AMERICAN GENERAL LIFE INSURANCE COMPANY, AMERICAN HOME ASSURANCE COMPANY,NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH,PA., and THE VARIABLE ANNUITY LIFE INSURANCE COMPANY(collectively,the"Lender"). WITNESSETH: A. The City entered into those certain Right of Way Encroachment Agreements set forth on Exhibit "A" attached hereto (collectively, the "Encroachment Agreements") with Sanguinet Building, L.P., a Texas limited partnership ("Sanguinet") and Sundance Plaza Buildings, LLC, a Texas limited liability company("Sundance Plaza"). B. Pursuant to that certain Certificate of Merger filed December 5, 2016 and recorded as Instrument No. D216283511, Sundance is the successor-in-interest by merger to Sanguinet and Sundance Plaza. C. Lender is contemplating making a mortgage loan ("Loan") to Sundance relating to certain real property located in Fort Worth, Tarrant County, Texas, to be more particularly described in the Deed of Trust to be executed by Sundance securing the Loan. D. In connection with the Loan, Lender has requested that the City and Sundance deliver this Certificate with respect to certain matters covered under the Encroachment Agreements. AGREEMENT: NOW, THEREFORE, for and in consideration of the recitals set forth above, the City and Sundance hereby certify to each other and to Lender, and otherwise consent and approve, to the best of their knowledge the following: 1. As of the date hereof, there are no outstanding and/or delinquent dues, assessments, charges, or fees due and owing to the City under the Encroachment Agreement and the annual license fees set forth in Section 6 of each of the Encroachment Agreements have been paid for 2016. 2. The City hereby acknowledges Sundance (as successor-in-interest by merger to Sanguinet and Sundance Plaza) as the"Grantee"under the Encroachment Agreements. 3. The Certificates of Insurance for Sanguinet and Sundance Plaza attached to the Encroachment Agreements are hereby deleted and replaced with the Certificates of Insurance for Sundance attached hereto as Exhibit"B". CSC Nos.44444;45952;45124;45268;45414;45610;47155OFFMIAL RECORD Estoppel Certificate 1 CITY SECRETARY FT.WORTH, TX CC>� IN WITNESS WHEREOF, this Certificate has been executed by the parties as of the date first written above. SUNDANCE PL O RTIES LLC, a Texas limited 1' i ny By: John y yrrpb r ice President STATE OF TEXAS § COUNTY OF TARRANT § The foregoing instrument was acknowledged before me this f I Lpday o",•20&by Johnny Campbell, Vice President of Sundance Plaza Properties LLC, a Texas limited liability company, on behalf of such limited liability company. NOTARY PUBLIC, STATE OF TEXAS � GRACIE®WENS ` L Notary Public,State of Texas v 1Y�a L,�. My Commission Expires ,4. NOVEMBER 16,2017 Notary's Typed or Printed Na e My Commission Expires: 1 / CSC Nos.44444;45952;45124;45268;45414;45610;47155 Estoppel Certificate 2 APPROVED AS TO FORM AND CIT F F WORTH LEGALITY: a- (�712 M06 As 'start Cty ttorney Randle H ood,Director Planning d Develop ent Department ATTEST: `~` Date: o �� ba°ate City Secretar [No M&C Required] 9u Gt'7i�dJDflBa�� STATE OF TEXAS § A § }, COUNTY OF TARRANT § Al This instrument was acknowledged before me on , 2041/ Randle Harwood, as the Director of the Planning and Development partment of the City of Fort Worth, a Texas municipal corporation on behalf of the City of Fort W r „Y PCASSANDRA F. FOREMAN ?'a U% Notary Public,state of Texas My Commission Expires otary Public, State of Texas April 26, 2017 [NOTARIAL SEAL] CSC Nos.44444;45952;45124;45268;45414;45610;47155 CITY SECRE��o�� Estoppel Certificate 3 FT.WOR11111,11"T TY, EXHIBIT "A" ENCROACHMENT AGREEMENTS 1. Right-of-Way Encroachment Agreement, City Secretary Contract No. 44444, filed on May 24, 2013 and recorded as Instrument No. D213132676 in the Real Property Records of Tarrant County, Texas. 2. Right-of-Way Encroachment Agreement, City Secretary Contract No. 45952, filed on October 3, 2014 and recorded as Instrument No. D214218304 in the Real Property Records of Tarrant County, Texas. 3. Right-of-Way Encroachment Agreement, City Secretary Contract No. 45124, filed on November 22, 2013 and recorded as Instrument No. D213300492 in the Real Property Records of Tarrant County, Texas. 4. Right-of-Way Encroachment Agreement, City Secretary Contract No. 45268, filed on January 17, 2014 and recorded as Instrument No. D214011160 in the Real Property Records of Tarrant County, Texas. 5. Right-of-Way Encroachment Agreement, City Secretary Contract No. 45414, filed on March 18, 2014 and recorded as Instrument No. D214052731 in the Real Property Records of Tarrant County, Texas. 6. Right-of-Way Encroachment Agreement, City Secretary Contract No. 45610, filed on May 23, 2014 and recorded as Instrument No. D214106760 in the Real Property Records of Tarrant County, Texas. 7. Right-of-Way Encroachment Agreement, City Secretary Contract No. 47155, filed on October 30, 2015 and recorded as Instrument No. D21546605 in the Real Property Records of Tarrant County, Texas. CSC Nos.44444;45952;45124;45268;45414;45610;47155 Estoppel Certificate 4 EXHIBIT "B" CERTIFICATES OF INSURANCE (see attached) CSC Nos.44444;45952;45124;45268;45414;45610;47155 Estoppel Certificate 5 ACS® DAT 12/14/2016 CERTIFICATE OF LIABILITY INSURANCE 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on 2 this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT 'O Aon Risk Services Southwest, Inc. PHONE FAX Fort Worth TX Office (FVC.No.Ext): (817) 810-4000 (A/C.No.: (817) 339-2019 a 301 Commerce street E-MAIL O Suite 2370 ADDRESS: _ Fort worth TX 76102 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Zurich American Ins CO 16535 Sundance Plaza Properties LLC INSURER B: 201 Main Street, Suite 2700 Fort worth TX 76102 USA INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570064748898 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. Limits shown are as requested INSR SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE I INSD WVD POLICY NUMBER (MMIODNYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CPO S 5- EACH OCCURRENCE $1,000,000 CLAIMS-MADE ❑X OCCUR RENTED $1,000,000 PREMISES Ea occurrence) MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 m 00 $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE � POLICY ❑PRO-- X❑LOC PRODUCTS-COMP/OP AGG $2,000,000 0 0 OTHER: t` AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) 0 Z OWNED SCHEDULED BODILY INJURY(Per accident) C1 AUTOS ONLY AUTOS jy PROPERTY DAMAGE HIRED AUTOS NON-OWNED U ONLY AUTOS ONLY Peraccident !L- UMBRELLA _UMBRELLA LIAROCCUR EACH OCCURRENCE U EXCESS LIAR CLAIMS-MADE AGGREGATE DED RETENTION WORKERS COMPENSATION ANDPER OTH. EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? E.L. (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: Contract# 44444 Certificate Holder is included as Additional Insured as required by written contract, but limited to the operations of the Insured under said contract, per the applicable endorsement with respect to the General Liability policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Fort worth AUTHORIZED REPRESENTATIVE ~ 1000 Throckmorton Fort Worth TX 76102 USA 'Oz_ else�� rr �)Gvhd� eJ5/� 01988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD D/YYY ACAV® DATE12/14/2016 YY) CERTIFICATE OF LIABILITY INSURANCE 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(ies)must have ADDITIONAL INSURED provisions or 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 CONTACT '6 Aon Risk Services Southwest, Inc. PHONE (817) FAX Fort Worth TX Office (A/C.No.Ext): 810-4000 A/C.No.: (817) 339-2019 301 Commerce Street ADDRESS: _ Suite 2370 Fort worth TX 76102 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Zurich American Ins CO 16535 Sundance Plaza Properties LLC INSURER B: 201 Main Street, Suite 2700 Fort Worth TX 76102 USA INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570064748074 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. Limits shown are as requested INSR ADD FF POLICY EXP SUBR LTR TYPE OF INSURANCE IN SD WVD POLICY NUMBER MMIDD/YYYY MMIDDM'YY LIMITS A X COMMERCIAL GENERAL LIABILITY cpo3981525-13 EACH OCCURRENCE $1,000,000 OCCUR DAMAGE R $1,000,000 CLAIMS-MADE PREMISES R occurrence MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 r GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000 000 POLICY [:]PRO LOC PRODUCTS-COMP/OP AGO $2,000,000 JECT 0 OTHER: r AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT `O Ea accident ANY AUTO BODILY INJURY(Per person) Z OWNED M D BODILY INJURY(Per accident) d AUTOS ONLY N HIRED AUTOSD PROPERTY DAMAGE V ONLY Y Per accident v_ d UMBRELLA LIAB EACH OCCURRENCE U EXCESS LIAB -MADE AGGREGATE DED RETENTION WORKERS COMPENSATION AND STATUTE EORH EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) RE: Contract# 45952 Certificate Holder is included as Additional insured as required by written contract, but limited to the operations of the S Insured under said contract, per the applicable endorsement with respect to the General Liability policy. �.._ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Fort Worth AUTHORIZED REPRESENTATIVE 1000 Throckmorton Fort Worth TX 76102 USA % ylll�JL .1r• 1yC ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD AC R® DATE(P/ YY) 14/220 6 (� CERTIFICATE OF LIABILITY INSURANCE 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(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on w this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT 'O Aon Risk Services SOUthW2St, Inc. PHONE FAX Fort worth TX Office (AIC.No.Ext): (817) 810-4000 ac.No.: (817) 339-2019 v 301 Commerce Street Suite 2370 ADDRESS: 2 Fort Worth TX 76102 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Zurich American Ins CO 16535 Sundance Plaza Properties LLC INSURER B: 201 Main Street, Suite 2700 Fort worth TX 76102 USA INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570064749091 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. Limits shown are as requested INSR ADS) POLICY EFF POLICY EXP LTR TYPE OF INSURANCE IN- WVD POLICY NUMBER fMMIDDfYYYYh MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CP03981525-13 TT17iTf 7M EACH OCCURRENCE $1,OOO,000 CLAIMS-MADE ❑X OCCUR D O _ D $1,000,000 PREMIMI SES Ea occurrence MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 0 POLICY ❑PRO X❑LOC PRODUCTS-COMP/OP AGG $2,000,000 JECT 0 co OTHER: n AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) z OWNED SCHEDULED BODILY INJURY(Per accident) 0) AUTOS ONLY AUTOS M HIRED AUTOS NON-OWNED PROPERTY DAMAGE V ONLY AUTOS ONLY Per accident w d UMBRELLA LIAROCCUR EACH OCCURRENCE U EXCESS LIAR CLAIMS-MADE AGGREGATE DED RETENTION WORKERS COMPENSATION AND STATUTEEORH EMPLOYERS'LIABILITY YIN N ANY PROPRIETOR I PARTNER/EXECUTIVE E.L,EACH ACCIDENT OFFICER/MEMBER EXCLUDED? ❑ NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: Contract# 45124 �— certificate Holder is included as Additional insured as required by written contract, but limited to the operations of the Insured under said contract, per the applicable endorsement with respect to the General Liability policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. L City of Fort worth AUTHORIZED REPRESENTATIVE 1000 Throckmorton Fort Worth TX 76102 USA ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ACD® DATE12 4 DD 6 YY ) CERTIFICATE OF LIABILITY INSURANCE 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(ies)must have ADDITIONAL INSURED provisions or 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 CONTACT 'C Aon Risk Services Southwest, Inc. PHONEFAX Fort Worth TX office (AIC.No.Ext): <817) 810-4000 (A/C.No.):. <817) 339-2019 v 301 commerce Street suite 2370 ADDRESS: S Fort worth TX 76102 USA INSURERS)AFFORDING COVERAGE NAIC# INSURED INSURER A: Zurich American Ins CO 16535 sundance Plaza Properties LLC INSURER B: 201 Main Street, suite 2700 Fort Worth TX 76102 USA INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570064749173 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. Limits shown are as requested ADD _PDUCY EFF POLICY EXP LTR INSR TYPE OF INSURANCE IN WVD POLICY NUMBER MMIDD/YYYY MM/DO/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CP03981525-13 EACH OCCURRENCE $1,000,000 CLAIMS-MADE ❑X OCCUR A O R $1,000,000 PREMISES Ea occurrence) MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 r GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 mV POLICY ❑PRO- �LOC - PRODUCTS-COMPlOP AGG $2,000,000 JECT 0 OTHER: r AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) z OWNED SCHEDULED BODILY INJURY(Per accident) w AUTOS ONLY AUTOS PROPERTY DAMAGE N HIRED AUTOS NON-OWNEDO ONLY AUTOS ONLY Per accident w E d) UMBRELLA LIAB HOCCUR EACH OCCURRENCE L7 EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION WORKERS COMPENSATION AND 'PTEATUTE OTH- EMPLOYERS'LIABILITY EI ANY PROPRIETOR/PARTNER I EXECUTIVE YIN E,L,EACH ACCIDENT OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE If yes,descdbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: Contract# 45268 +�— certificate Holder is included as Additional Insured as required by written contract, but limited to the operations of the Insured under said contract, per the applicable endorsement with respect to the General Liability policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 'T! City Of Fort Worth AUTHORIZED REPRESENTATIVE 1000 Throckmorton �j p Fort Worth TX 76102 USA ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD AC R® DAT (2/14/2YY) 20 6 1 CERTIFICATE OF LIABILITY INSURANCE 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on 2 this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT 'G Aon Risk Services Southwest, Inc. PHONE FAX Fort Worth TX Office (AIC.No.Ext): (81 (AIC 810-4000 A10 No (817) 339-2019 301 Commerce Street ADDRESS: _ Suite 2370 Fort worth Tx 76102 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Zurich American Ins CO 16535 Sundance Plaza Properties LLC INSURER B: 201 Main Street, Suite 2700 Fort Worth TX 76102 USA INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570064749174 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. Limits shown are as requested INSR AUDI SUBR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CP03981525—ii EACH OCCURRENCE $1,000,000 CLAIMS-MADE ❑X OCCURAG O RENTED $1,000,000 PREMISES Ea occurrence MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 n GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,00 00 POLICY ❑PRO LOC PRODUCTS-COMP/OP AGG $2,000,000 JECT 0 OTHER: o t` AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident , ANY AUTO BODILY INJURY(Per person) Z OWNED SCHEDULED BODILY INJURY(Per accident) y AUTOS ONLY AUTOS R HIRED AUTOS NON-OWNED PROPERTY DAMAGE V ONLY AUTOS ONLY Per accident v= l: CD UMBRELLA LIAROCCUR EACH OCCURRENCE U EXCESS LIAR CLAIMS-MADE AGGREGATE DED RETENTION WORKERS COMPENSATION ANDSTATUTE EORH EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER I EXECUTIVE YINE.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? a N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE I(yes,describe under DESCRIPTION OF OPERATIONS below I I E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: Contract# 45414 Certificate Holder is included as Additional insured as required by written contract, but limited to the operations of the Insured under said contract, per the applicable endorsement with respect to the General Liability policy. y� CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Worth AUTHORIZED REPRESENTATIVE �_ 1000 Throckmorton Za Fort Worth TX 76102 USA CJ�DfG!/ eJS� ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ACO DATE12/14/22016 CERTIFICATE OF LIABILITY INSURANCE 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(ies)must have ADDITIONAL INSURED provisions or 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 CONTACT 'a Aon Risk Services Southwest, Inc. PHONEFAX Fort worth TX Office (A/C.No.Ext): (817) 810-4000 ac.No.: (817) 339-2019 301 Commerce Street ADDRESS: 0 Suite 2370 Fort worth TX 76102 USA INSURER(5)AFFORDING COVERAGE NAIC# INSURED INSURER A: Zurich American Ins CO 16535 Sundance Plaza Properties LLC INSURER B: 201 Main Street, suite 2700 Fort worth TX 76102 USA INSURER c: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570064749176 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE INSD WVD ADDISUBR POLICY NUMBER MMIDDlYYYY MMIDDIYYYY POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CPO - EACH OCCURRENCE 1,0 OOO CLAIMS-MADEFx]OCCUR DAMAGE G O ED $1,000,000 PREMISES Ea occurrence MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 r GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,00 OOO POLICY ❑PRO- PRODUCTSLOC -COMP/OP AGG $2,000,000 JECT 0 OTHER: o r AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident , ANY AUTO BODILY INJURY(Per person) Z OWNED SCHEDULED BODILY INJURY(Per accident) r AUTOS ONLY AUTOS N HIRED AUTOS NON-OWNED PROPERTY AMAGE DV ONLY AUTOS ONLY Per accident w. d UMBRELLA LIABOCCUR EACH OCCURRENCE U EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION WORKERS COMPENSATION AND PER ETH EMPLOYERS'LIABILITY ANY PROPRIETOR I PARTNER/EXECUTIVE Y 1 N E.L.EACH ACCIDENT OFFICERIMEMBER EXCLUDED? ❑ N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: Contract# 45610 certificate Holder is included as Additional Insured as required by written contract, but limited to the operations of the Insured under said contract, per the applicable endorsement with respect to the General Liability policy. ti 0A J CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. G�c�yZ City of Fort Worth AUTHORIZED REPRESENTATIVE 1000 Throckmorton ZQ �rvT Fort Worth TX 76102 USA JUdOYcl� ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD ACO® DATE1(2/14/2016 YYY) CERTIFICATE OF LIABILITY INSURANCE 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(ies)must have ADDITIONAL INSURED provisions or 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 CONTACT 'O Aon Risk services Southwest, Inc. PHONEFAX Fort worth TX office (A/C.No.Ext): (817) 810-4000 A/c.No.: (817) 339-2019 v 301 commerce Street E-MAIL O Suite 2370 ADDRESS: _ Fort worth Tx 76102 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Zurich American Ins Co 16535 Sundance Plaza Properties LLC INSURER B: 201 Main street, Suite 2700 Fort worth Tx 76102 USA INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570064749177 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. Limits shown are as requested INSR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CPD - EACH OCCURRENCE $1,000,000 CLAIMS-MADE ❑X OCCUR DAMAGE O RENTED $1,000,000 PREMISES Ea occurrence MED EXP(Any one person) $5,000 PERSONAL B ADV INJURY $1,000,000 r GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY [:]�E CT ❑X LOC PRODUCTS-COMPIOP AGG $2,000,000 0 0 OTHER: � 0MSINGLE SINGLE LIMIT U) AUTOMOBILE LIABILITY (CEa accident ANY AUTO BODILY INJURY(Per person) O Z OWNED SCHEDULED BODILY INJURY(Per accident) w AUTOS ONLY AUTOS MHIRED AUTOS NON-OWNED PROPERTY DAMAGE O ONLY AUTOS ONLY Per accident w 0f UMBRELLA LIAROCCUR EACH OCCURRENCE V EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION WORKERS COMPENSATION AND STATUTE EORH EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT OFFICERWEMBER EXCLUDED? ❑ NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS[VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: Contract# 47155 Certificate Holder is included as Additional insured as required by written contract, but limited to the operations of the Insured under said contract, per the applicable endorsement with respect to the General Liability policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Worth AUTHORIZED REPRESENTATIVE 1000 Throckmorton /��f� /�f� 5/�� Fort worth Tx 76102 USA �y M�cJi:171 �19112 `�JL r� c.CxXY/�!t ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD