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HomeMy WebLinkAboutContract 48486 E ��F TAIRY L��� �,duff TRACT 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 City Manager,its duly designated Assistant City Manager or Planning and Development Director, and LRIC Champions Center, LP, a Texas Limited Partnership ("Licensee"), acting by and through its duly authorized Founder, owner of the real property located at the SW Corner of SH114 and Tanger Blvd.,Fort Worth,TX 76177 ("Property"). RECITALS WHEREAS, Licensee is the owner of certain real property situated in the City of Fort Worth, Tarrant County, Texas, more particularly described in the attached Legal Description of the Property; and WHEREAS,the City has a 35 foot wide access,water,and wastewater easement (the "Easement") in the Property as shown on the map attached to this Agreement as Exhibit"A" and incorporated herein for all purposes; and WHEREAS, Licensee desires to construct/place and maintain certain improvements which will encroach onto the Easement; and WHEREAS, City will allow the encroachment under the terms and conditions as set forth in this Agreement to accommodate the needs of the Licensee. NOW,THEREFORE, the City and Licensee agree as follows: AGREEMENT 1. 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 Licensee, hereby grants permission to Licensee to encroach upon and occupy a portion of the City's Easement for the purpose of paving and storm water drainage facilities (the "Encroachment") as described in and at the location shown on Exhibit "A" but only to the extent shown thereon. Upon completion of the Encroachment, Licensee agrees to be responsible for maintaining the Encroachment within and above the Easement. Licensee shall not expand or otherwise cause the Encroachment to further infringe in or on City's Easement beyond what is specifically described in the Exhibit(s) attached hereto. 2. 2015 Easement Encroachment Agreement-Commercial Page 1 of 11 Champions Center Rev.02/2015 All construction, maintenance and operation in connection with such Encroachment, use and occupancy shall be performed in strict compliance with this Agreement and the City's Charter, Ordinances and Codes and in accordance with the directions of the Director of the Transportation and Public Works or the Director of the City's Water Department, or his or her duly authorized representative. Licensee shall submit all plans and specifications to the applicable Director or his or her duly authorized representative prior to the construction of the Encroachment. Licensee shall not commence construction of the Encroachment until receiving written approval by the Director,but such approval shall not relieve Licensee of responsibility and liability for concept, design and computation in the preparation of such plans and specifications. 3. Upon prior written notice to Licensee,except in the case of an emergency,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 or 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, or said Director's duly authorized representative. 4. Licensee agrees to pay to City at the time this Agreement is requested an application fee of$325.00 in order to defiay 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. 2015 Easement Encroachment Agreement-Commercial Page 2 of 11 Champions Center Rev. 02/2015 5. The term of this Agreement shall be for 30 years, commencing on the date this Agreement is executed by City. However,this Agreement shall terminate upon Licensee's non-compliance with any of the terms of this Agreement. City shall notify Licensee in writing of the non-compliance, and if not cured within 30 days, this Agreement shall be deemed terminated, unless such non-compliance is not susceptible to cure within 30 days, in which case this Agreement shall be deemed terminated in the event that Licensee fails to commence and take such steps as are necessary to remedy the non-compliance with 30 days after written notice specifying the same, or having so commenced, thereafter fails to proceed diligently and with continuity to remedy same. 6. It is further understood and agreed between the parties hereto that the Easement to be used and encroached upon as described herein, is 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 Texas 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 Easement to be used for any other public purpose, that does not preclude the use of the Encroachment on the Property, including but not being limited to underground, surface or overhead communication, drainage, sanitary sewerage, transmission of natural gas 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 DAMAGE OR LOSS AND/OR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, OF WHATSOEVER HIND OR CHARACTER,ARISING OUT OF OR IN CONNECTION WITH, THE CONSTRUCTION, MAINTENANCE, OCCUPANCY, USE, EXISTENCE OR LOCATION OF THE ENCROACHMENT 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 2015 Easement Encroachment Agreement-Commercial Page 3 of 11 Champions Center Rev. 02/2015 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 $1,000,000 Commercial General Liability with the understanding and agreement by Licensee that such insurance amounts may be revised upward at City's option and that Licensee shall so revise such amounts immediately following notice to Licensee of such requirement. Such insurance policy shall not be canceled or amended without at least 30 days prior written notice to the Building Official of the City of Fort Worth. A copy of such Certificate of Insurance is attached as Exhibit "B" and incorporated herein for all purposes. Licensee agrees to submit a similar Certificate of Insurance annually to City on the anniversary date of the execution of this Agreement 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 the Encroachment and the cleaning and restoration of the Easement. All insurance coverage required herein shall include coverage of all Licensees' contractors and subcontractors. 9. Licensee agrees to deposit with City when this Agreement is executed a sufficient sum of money to be used to pay necessary fees to record this Agreement in the Real Property Records of Tarrant County, Texas. After being recorded, the original shall be returned to the City Secretary of the City of Fort Worth. 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 the Encroachment and uses. 2015 Easement Encroachment Agreement-Commercial Page 4 of 11 Champions Center Rev. 02/2015 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. 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 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 party may have an interest. Licensee agrees that it will obtain all necessary permissions 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 Sections 3 and 4 shall survive the termination of this Agreement. 16. Licensee covenants and agrees that it will not assign all or any of its rights, privileges or duties under this Agreement without the written approval of City, and any attempted assignment without such written approval shall be void. In the event Licensee conveys the Property, Licensee may assign all of its rights and obligations under this Agreement to the new owner of the Property, and Licensee shall be deemed released fiom its duties and obligations hereunder upon City's approval in writing of such assignment, which approval shall not be unreasonably conditioned or withheld. Foreclosure by a secured lender of Licensee or assignment to a secured lender by Licensee in the event of default or otherwise shall not require City approval provided that said lender notifies City 2015 Easement Encroachment Agreement-Commercial Page 5 of I 1 Champions Center Rev. 02/2015 in writing within 60 days of such foreclosure or assignment and assumes all of Licensees' rights and obligations hereunder. However, no change of ownership due to foreclosure or assignment to any secured lender of Licensee shall be effective as to City unless and until written notice of such foreclosure or assignment is provided to City. 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. SIGNATURES APPEAR ON FOLLOWING PAGE 2015 Easement Encroachment Agreement-Commercial Page 6 of 11 Champions Center Rev. 02/2015 THIS AGREEMENT may be executed in multiple counterparts, each of which shall be considered an original, but all of which shall constitute one instrument. City Licensee: CITPOandle RT ORTH LRIC Champions Center, LP J By: By: arood Name: StEi,Q 5(2ovnO Director Title: 04'lLT"E_:/Z Planning and Development Date: / J ,204� ATTEST: Approved As To Form and Legality `-� 1 Y UGY ✓ City Secre2r Assistant City Attorney 0 ® 00000000°OA�1 g o o� .0 0p00 S 2015 Easement Encroachment Agreement-Commercial Page 7 of 11 Champions Center Rev. 02/2015 STATE OF TEXAS § COUNTY OF TARRANT § This instrument was acknowledged before me on 20 by Randle Harwood, Director of the Planning and Development Department of the City of Fort Worth, on behalf the City of Fort Worth CASSANDRA F. FOREMAN Wa4J .� 5tote o No My Commission[xptatyPubhc. t�resos ary Public, State of Texas _ •...•�+� Aptli 26,2017 After Recording Return to: Cassandra Foreman Planning and Development Department 1000 Throckmorton Street Fort Worth TX, 76102 2015 Easement Encroachment Agreement-Commercial Page 8 of 11 Champions Center Rev. 02/2015 STATE OF TEXAS § COUNTY OF DALLAS § BEFORE ME, the undersigned authority, a Notary Public in and for the State of Texas, on this day personally appeared Steve Lipscomb,Founder,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 LRIC Champions Center, a Texas Limited Partnership, and in the capacity therein stated. GIVEN UNDER MY HAND AND SEAL OF OFFICE this�_:--day of 20 kO . ALEJANDRINA SANCHEZ Notary Public,State of Texas My Commission Expires Notary Public in and he January 09, 2018 State of Texas 2015 Easement Encroachment Agreement-Commercial Page 9 of 11 Champions Center Rev. 02/2015 LEGAL DESCRIPTION OF THE PROPERTY 2015 Easement Encroachment Agreement-Commercial Page 10 of I 1 Champions Center Rev. 02/2015 EXHIBIT "A" Map of Encroachment and Easement 2015 Easement Encroachment Agreement-Commercial Page 11 of 11 Champions Center Rev. 02/2015 STATE HIGHWAY NO.t14 (VARIABLE WDTH PUBLIC R.O.W.) UNDER CONSTRUCTION — — — — — — — — — — — — — — — — — -- ---- — -- — — — — — — — — — — — — — — — — IF- - T 14�IIHJAI�I 4t 1)4 7171� �I-H &H+H �j I UNDERGROUND WATERLINE EASEMENT-J CITY OF FT WORTH INST. NO. 97O-RR0066579 O.PI.R.D.C.T. 70' ELECTRIC RIGHT-OF-WAY EASEMENT— BRAZOS ELECTRIC POWER COOPERATIVE INC. INST. NO. 2012-32516 I I I ® Lot 9 O.P.R.D.C.T. Block 3 PROPOSED 25' PUBLIC— WATER & WASTEWATER EASEMENT 49,800 SQ. FT. tE t' Lot 9 FBlock 31 375 SQ. FT. PAVEMENT STORM DRAIN AREA 11 �C T 1 i I I _ ENCROACHMENT OAR --ENCROACHMENT AREA Cq .co T­ T� LU w - - - - - - - - - - -———————————— r C/) — —— —— — —— — —— — — — — LU _j -- — — — — — — — —— — — — — — — — — — — - --— z _j +1 233 SQ. FT. STORM DRAIN 233 S( ;1M I ST RM 15' PRIVATE DRAINAGE— C :E 0 EASEMENT ENCROACHMENT AREA 2 89 R 77,289 SQ. FT. TEMPORARY 436 SQ. C 0, AREA PAVEMENT I ENCROACHMENT A ENCROACHMENT AREA 2 TEMPORARY PRIVATE DRAINAGE EASEMENT- 2 INTERIM CONDITION UNTIL PHASE 2, 771 1 MEN SWALE WILL BE REPLACED WITH PRIVATE STORM DRAIN 15' PUBLIC WATER— EASEMENT MATCHLINE SHEET 5 WTR & WW EASEMENT ENCROACHMENT EXHIBIT BURY 777 Main Street,Suite 600 0 30 60 CHAMPIONS CENTER Fort Worth,Texas 76102 Tel.(817)887-8104 Fax(8171887-8001 FORT WORTH, TEXAS SHEET 1 of 5 TBPE#F-1048 TBPLS#F-10107502 STATE HIGHWAY NO.U4 (VARIABLE WIDTH PUBLIC R.O.W.) UNDER CONSTRUCTION OH'/J— H I —0155' H1'f H4'�' r � UNDERGROUND WATERLINE EASEMENT CITY OF FORT WORTH — � INST. N0. 97—R0066579 — O.P.R.D.C.T. 525 SQ. FT. F= STORM DRAIN — 539 SQ. FT. ENCROACHMENT AREA 3 _ STORM DRAIN ENCROACHMENT ALj REA 6 563 SQ. FT. STORM DRAIN ENCROACHMENT AREA 5 - 690 SQ. FT. — STORM DRAIN — ENCROACHMENT AREA 4 I - LU I =D, rw w T w _ — — _w z a _ z E J J V 15' PRIVATE DRAINAGE PROPOSED 25' PUBLIC U E EASEMENT 15 PRIVATE DRAINAGE WASE EASEMENT EASEMENT 49,800 SQ. FT. _PAVEMENT _ ENCROACHMENT AREA 1 E E_ — w Lot- w — Bloch o� ® ENCROACHMENT EXHI IT 0 30 60 CHAMPIONS CENTER 777 Worth,Street,Suite Fort Worth,Texas 76102 Tel.(817)887-8104 Fax(817)887-8001 FORT WORTH, TEXAS SHEET 2 of 5 TBPE#F-1048 TBPLS#F-10107502 STATE HIGHWAY NO.U4 (VARIABLE WDTH PUBLIC R.O.W.) UNDER CONSTRUCTION - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ _. �–/ - - — = i II DH o w oliv,I I'oH.v --}— ojw -'-OFI P,r — — �I �— — SHY'•.' — —0(�1i'.'__. - -- -- --I -- CF'. OFA''!- OHK UNDERGROUND WATERLINE EASEMENT CITY OF FORT WORTH INST. NO. 97—ROO66579 O.P.R.D.C.T. / i 6 8 Lot 12 LL LL lock 3 ' Cot 3t.fy�q{[ ` ' V �{ BICYCLE R CK 49,800 SQ. FT. TM77T7[M,1l L PAVEMENT ENCROACHMENT AREA 1 PROPOSED 25' PUBLIC - cv WATER do WASTEWATER :g LU _ EASEMENT L_ w LLJ � �� •� _– —— — I_ _I-� � W. U, 'zLU _ — _ — ____ •_ _ --- — — Z_ 539 SQ. Q STORM DRAIN „� ENCROACHMENT AREA 7 — — — U I I 192 SQ. FT. W STORM DRAIN E ENCROACHMENT AREA 8 15' PRIVATE DRAINAGE E EASEMENT w 539 SQ. FT. STORM DRAIN _ ENCROACHMENT AREA 9 WTR & WW EASEMENT ® ENCROACHMENT EXHI IT BURY 0 30 60 CHAMPIONS CENTER 777 Main Sheets 761 2 00 Fort Worth,Texas 76102 Tel.(817)887-8104 Fax(817)887-8001 6e&im FORT WORTH, TEXAS SHEET 3 of 4 TBPE#F-1048 TBPLS#F-1 0107502 i I STATE HIGHWAY NO.114 (VARIABLE MOTH PUBLIC R.O.W.) UNDER CONSTRUCTION - - - - - - - - - — — — —I. I I _ J— �H4; ?— -iW - - - _ — OHY1 OH45' CIH�;- - -I - - - - - - - - o. oHrt - OHS. OHI' OHW - 0Hw - �� - 0{w-- UNDERGROUND WATERLINE EASEMENT ..—_ CITY OF FORT WORTH ' INST. NO. 97—ROO66579 O.P.R.D.C.T. F I I p,� I I I I I t 4 1 ) . ` 3 L 5 C. p a B! C538 SQ* FT. . I I t F rl STORM DRAIN I U I I I ENCROACHMENT AREA 10 13 / I Wd0 Qm BLICu ' PROPOSED 25' PUm M WATER do WASTEWATER I m o N w EASEMENT I CWf o Z t 2 I I a U) z eco a t � _ w � E15PRIVATE DRAINAGE _1022 SQ. FT. EASEMENT STORM DRAIN " E A —ENCROACHMENT AREA 11 - w 49,800 SQ. FT. / -- PAVEMENT / ENCROACHMENT AREA 1 w / /t ® ENCROACHMENT EXHIBIT 0 30 60 CHAMPIONS CENTER 777 Main ,Tex,S761uite 2 00 Fort Worth,treetTexas 76102 Tel.(817)887-8104 Fax(817)887-8001 FORT WORTH, TEXAS SHEET 4 of 5 TBPE#F-1048 TBPLS#F-10107502 MATCHLINE SHEET 1 I I � I I I I / 1 1 / I I FUTURE PHASE 2 BUILDINGS FUTURE PHASE 3 I / BUILDINGS 7,289 SQ. FT. TEMPORARY ENCROACHMENT AREA I 1 TEMPORARY PRIVATE DRAINAGE EASEMENT: INTERIM CONDITION UNTIL PHASE 2, 1 I 1 WHEN SWALE WILL BE REPLACED WITH 1 PRIVATE STORM DRAIN I I 530 SQ. FT. 15' PUBLIC WATER 1 1 I STORM DRAIN EASEMENT J / I ENCROACHMENT AREA 12 i I I 25' PRIVATE DRAINAGE EASEMENT / 7 7I I / a I / / II � 1 / - - - - - - - - - - - - - - I I m ecus I I � w / I BUCEES BLVD. — — E / (60,PUBUC R.O.W.) w p E -- - - - - - - - - - - - - - - - - - - - - -- - E / w WTR & WW EASEMENT ® ENCROACHMENT EXHIBIT BURY 0 30 so CHAMPIONS CENTER 777 Main ,Tex S761020 Fort Worth,Texas 76102 Tel.(817)887-8104 Fax(817)887-8001 6-01" FORT WORTH, TEXAS SHEET 5 of 5 TBPE#F-1048 TBPLS#F-10107502 MM/DDNYYY ACS�® CERTIFICATE OF LIABILITY INSURANCE DATE 6/22/2016 ) 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 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 Lauri Bell NAME: Ragland, Strother, Lafitte PHONE (214)522-4880 a/c No:(214)520-3856 (AIC No 3838 Oak Lawn Ave. Ste. 500 E-MAIL ADDRESS:lbell@rslins.com INSURERS AFFORDING COVERAGE NAIC# Dallas TX 75219-4506 INSURER A:Covia ton Specialty Insurance 13027 INSURED INSURERS Nautilus Insurance Co. LRIC Champions Center, LP INSURERC: 4311 Oak Lawn Ave. INSURER D: Suite 370 INSURERE: Dallas TX 75219 INSURERE: COVERAGES CERTIFICATE NUMBER:16 GL/XS 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MWDD MM/DD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE �OCCUR PREM SES MAGE ToEa occurRENTErence) $ 100,000 X $500 deductible per VBA43792100 4/27/2016 4/27/2017 MED EXP(Any one person) $ 5,000 claim both BI & PD PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY F_�PRO F]LOC PRODUCTS-COMP/OPAGG $ 2,000,000 JECT OTHER: $ AUTOMOBILE LIABILITY COMBINEaaccidentED SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 B X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED I I RETENTION$ IAN027597 4/27/2016 4/27/2017 $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVEF-1N/A E.L.EACH ACCIDENT $ OF EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) The General Liability policy includes an additional insured endorsement that provides additional insured status to the certificate holder by specific endorsement. EXHIBIT B 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 Department of Development ACCORDANCE WITH THE POLICY PROVISIONS. ATTN: David Schroeder, Planner 1000 Throckmorton Street AUTHORIZED REPRESENTATIVE Fort Worth, TX 76102 W. Scott Ragland/LMB ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025/2nlaoll