Loading...
HomeMy WebLinkAboutContract 31788Rece�_ved: 3/ 8/05 2:02PM; 877 392 8947 -> RJ M2LLER; Page 4 MAR-08—�005 TUE 01; 43 PM T/PW T, E, STREET MGMT, FAX N0, 817 392 8941 P, 04 CON RACT NO �; ( I� � ', CONSENT AGREEMENT FOR TEMPORARY USE OF PUBLIC PROPERTY STATE OF TEXAS COUNTY OF TAR.R_AN'I' THIS AGREEMENT is made and entered into by and between the City of Fort Worth, a rnunicipal corporation of Tarrant County, Texas, acting herein by and through its duly authorized Building Official, hereinafter referred to as the "City" and f.� 7►^� G,,,,�.},�, . fp�s Acting by and thzough its duly authorized agent, _ %�, �'. !`'l; � �� � . . , Hereinafter referred�to as "Grantee", WITIVESSETH: ' For and in consideration of the payment by Grantee of charges set out below and the true and faithful performance of the mutual covenants herein contained, City hereby grants io Grantee penmission to temporarily encroach upon, uses and occupy portion of the space under, on and/or above the streets, alleys, sidewalks or other public rights-of-way as follows; Scc. a,�acl►ce� S�C�tGI� � L--� � � t�'v � c.�(� � �— The location and description of said encroachment is more particularly described in Exhibit "B" attached hereto, incorporated herein and made a part hereof for all purposes. 2. All use and occupancy of public street, alIeys, sidewalks or other public rights-of-way under this agreement shall be in strict compliance with the Charter, Ordinances and Codes of the City and in accordance with the directions of the $uilding Official and the Director of Transportation and Public Works of City. 1 ���2 �1,;:1 ��� �:V'��'��J,,! ���l�iJ�l'D� � , N �� � � �i i^� 9 � �l� �'�1;� !� !``���( �� � i � '��, . ;��; �ni �; ,7 � :�� �'� cs, 0 CONSENT AGREEMENT(or Temporary use of pu6llc property 3. Upon expiration of this agreement and the privileges granted hereunder, there shall be no encroachment by Grantee in, under, on or above the surface of the public rights-of-way involved. Grantee agrees to pay in advance an encroachment fee for the temporary privilege of encroaching upon a portion of the public rights-of-way as described in Exhibit "B". Said fee is calculated in the manner and amounts prescribed by the Building Code of the City of Fort Worth for temporary use or occupancy of public property. The estimated total amount of said fee is: � / � � C_i �- I � U ?C _ �:�23�� -= �C3 ;� �'c--e�� �35C> L � _ � � X � S = � I (�� . � 5. Grantee, at no expense to City, shall make proper provision for the relocation and/or installation of any existing ar future traffic control devises or other improvements affected by such encroachment, use and occupancy, including the securing of approval and consent from the appropriate agencies of the State and its political subdivisions. In the event that any installation, reinstallation, relocation or repair of any existing or _future t�affic control dPvicP or impro��Pmer.t owned or constructed by or on behalf of the public or at public e�pense is made more costly by virtue of the existence of such encroachment and use, Grantee shall pay to City and additional amount equal to such additional cost as determined by City. 6. The term of this agreement shall be for c� S days, from � Zb �� to `� '2 Z�65 Provided, however, should the need for the encroachments granted hereunder at any time cease, Grantee agrees to immediately notify City of such condition; and, upon receipt of such notice by the Building Official of the City of Fort Worth, this agreement shall terminate. 7. It is e�pressly understood, and agreed that this Consent Agreement is for a temporary encroachment in, under, over and upon the public property as located and described in Eahibit 1� � � �� �,,:, ��, 'v U� � 3'�,� ��:�'l 'r;'���v'�1 �,D v���l� -,rr�nj���� 'oi�q iN� :1'�l'�:1��U!`U:u -.:.,: � � U �� ��� CONSENT AGREEMENTfor Tempora use ��ub�tc(ptN�±��jr� � � ���0 Rec�ived: 3/ 8/05 2:03PM; 877 392 8947 -� RJ MILLER; Page 6 , MAR-08-2005 TUE 01�44 PM T/PW T,E, STREET MGMT, FAX N0, 817 392 8941 P, 06 "B". This agreement shall not be consirued as the granting of a perrnanent easement, encroachment or license upon City's public streets, alleys, sidewallcs, or other rights-of-way. . 8. City, through its duly authorized representatives, shall have the fu1I and unrestricted right to enter upon all public rights-of-way for the purpose of maldng inspections to determine compliance with the terms, covenants and conditions herein. 7n the event that any inspection should reveal a breach of any terms, covenants or conditions herein, City shall gzve Grantee notice of such breach. Should such breach not be corrected by Grantee within twenty-four (24) hours of receipt of the notice, or within such shortez period of time as deemed necessary by the Building Official for the protection of public health or safety, City may terminate and cancel this agreement. --� ----- -- �-- - 9. Upon expiration or termination of this agreement for any reason whatsoever, Grantee shall, at no expense to City, restore the public rights-of-way and adjacent supporting siructures to a condition acceptable to the Director of Transportation and Public Works or his duly authorized representative and in accordance with then existing City specifications, and Grantee shall remove all barricades, equipment, supplies, materials or other property from said location. Crrantee further covenants and agrees that for a period of one (I) year after the termination of this Consent Agreement, Grantee will repair al1 condiiions or damages io the streets and sidewalks or other rights-of:way that have resulted from Grantee's use or occupancy of the streets and sidewalks or other rights-of-way, as determined by the Director of Transportation and Public Works or his � dasignee. Grantee agrees to begin such.repairs �c�vithin thirty (30) days of receipt of notice from � the Director of Transportaiion and Public Works or his designee. All repairs shall be performed in an expeditious and worlrnianlike manner and shail comply with aIl applicable laws, codes, ordinances and City specificafions. 7n the event that Gzantee fails to comply with the covenants herein contained with respect to such removaI or restoration, the City shall have the right to remove or dispose of any barricades, equipment, supplies, materials or other properiy and repair any condztions which in the opinion of the City are necessary to bring the public righis-of-way to the condition prescribed herein, and Cify shall not be responszble for trespass or any other damage or liability in connection with such removal or restoration. Grantee shall reimburse City for the cost and expense of such reznoval andlor repairs immediately following billing for same by Cify, 3 CONSENT A�REEMENTfor Temporary use of public properiy Received: 3/ 8/Ob 2:03PM; 877 392 8947 -> RJ MILLER; Page 7 h1AR-08-2005 TUE 01; 44 PM T/PW T, E, STREET MGMT, FAX N0, 817 392 8941 P, 07 Nothing herein shall be construed as a waiver by City to enforce penal sanctions prescribed by the Code of the City of Fort Worth and the laws of the State of Texas for Grantee's continued encroachment upon t�e public rights-of-way following te-7nination of this Conseni Agreement. 10. It is fiuther understood and agreed between the parties hereto that City hoIds the city streets, a]leys, sidewallcs and other public rights-of-way, including the portions of such streets used and encroaahed upon as described herein, as trustee for the public; that City exercises such powers over the streets as have been delegated to it by the Constitution of the State of Texas oz by the Legislature; and the City cannot contract away its duty and its legislative power to conirol the streets for the use and benefit of the public. It is accordingly agreed that if the •governing body of City, to wit, its City Council, shall at any time during the ferm hereoi defermine in its sole discretion to use or cause or pern�it to be used for any public purpose the said encroached portion _ _ _ _ _ .. _ _ . _ . _ , of the streets, then this agreement_shall be automatically canceled and terminaied. 11. Grantee agrees to comply fully with a11 applicable federal, state and local laws, statutes, ordinances, codes or regulations in connection with the consfruction, operation and maintenance of said encroachments and uses. 12. Grantee agrees to pay promptly when due all fees, taxes or rentals provided for by this agreement or by any federal, state or local statue, law or regulation. 13. Grantee covenants and agrees that it shall exercise a11 rights and privileges granted hereunder as an independent confractor, and not as an officer, agent, servant or employee of City; that C'rrantee shall have exclusive control of and the exclusive right to control the details of its operations and activities on said described public property and all persons perfornung same, and sha1I be solely tesponsible for the acts and omissions of its offcers, agents, servants, eznployees, coniractors, subcontractors, licensees and invitees; that the doctrine of respondeat superior shall not apply as between City and Grar�tee, its officers, agents, servants, employees, contractors and subcontractors, and nothing herein shall be constnted as creating a partnership or joini enterprise between City and Grantee. 4 CONSENT AGREEMENTfor Temporary use of publlc properiy Received_ 3/ 8/Ob 2:04PM; 877 392 8947 -� RJ MILLER; Page 8 MRR-08-�005 TUE 01 � 45 PM T/PW T, E, STREET MGMT, FAX N0, 817 392 8941 P, 08 14. GRANTEE COVENANT3 AND AGREES TO 1NDEMNTFY, AND DOES HEREBY TNDEMTFY, HOLD H"ARMI,ESS AND DEFEND CITY, ITS OFFICERS, AGENTS, SERVANTS AND EMPLOYEES, FROM AND AGATNST ANY A1�D ,4LL CLAiMS OR SiTITS FOR PROPERTY DAMAGE OR LOSS AND/OR PERSONAL INJURY, CNCLUDING DEATH, TO ANY AND AY,L pERSONS, OF WHATSOEVER KIND OR CHARACTER, WHETHER REAL OR ASSERTED, ARISING OUT O�` OR TN - CONN�CTION WITH, DIRECTLY OR 7NDTRECTLY, THE MAINTENANCE, OCCUPANCY, USE, EXISTENCE OR LOCATZON OF SATD ENCROACIiMENT AND USES GRANTED HEREUNDER, WHETHER OR NOT CAUSE, TN W7iOLE OR PART, BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, LICENSEES OR TNVITEES OF CITY; AND GRANTEE HERE$Y ASSZTMES ALL LIABTLITY AND RESPONSTBII,ITY OF CITY, _____._ ITS OFFICERS, AGENTS, SERVANTS AND EMPLOYEES, FOR SUCH CLAIMS OR SUITS. GRANTEE SHALL LIKEWISE ASSUME ALL LIABILITY AND RESPONSIBII,TTY AND SHALL INDEMNlFY CTTY �'OR ANY AND ALL TNJURY �R DAMAGE TO CITY PROPERTY, ARISING OUT OF OR IN CONNECTION WITH ANY AND ALL ACTS OR OMISSIONS OF GRANTEE, TTS OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, LICESNEES, INVITEES OR TRESPASSERS. 15. Grantee agrees to furnish City with a Certificate of Tnsurance, naming City as certificate holder, as proof that it has secured and paid for a policy of public liability insuzance covering all public risks related to the proposed use and occupancy of public properly as located and described in Exhibit "B". The amounts of such insurance shall be not less that the follovving: Property damage, pez occurrence $100,000.00 � Bodily injury, per person $250,000.00 Bodily injury or death, per occurrence $500,000.00 With the understanding of and agreement by Grantee that such insurance arnounts shall be revised upward at City's option and that Crrantee shall so revise such amount immediately following notice to Grantee of such requirement. Such insurance policy shall pxovide that it cannot be canceled or amended without at least thirty (30) days' prior written notice to the Buildin C'���i���;J�ti ��;�vli'a: �� , ��. �J���� J��;� ��'li��� 5 ;fU� '`::�;��������� U���� CONSENT AGREEMENTIor 7emporary use of bllc ro eri J � Received= 3/ 8/05 2:04PM; 877 392 8947 -> RJ MILLER; Page 9 hiAR-08-�005 TUE 01 � 45 PM T/PW T, E, STREET MGMT, FAX N0, 817 392 8941 of the City of Fort Worth. A copy of such Certificate of Insurance is attached as Exhibit "A". Grantee agrees to submit a sim�.Iar Certi�cate of Insurance annually to City on the anniversary date of the execution of this agreen:ent. Grantee,�agrees, binds and obligates itself, it successors and assigns, to maintain and keep in force such public liability insurance at all fimes during the term of this agreement and until the removal of all encroachments and the cleaning and restorafion of �he city sfreets. All insurance coverage required herein shall include coverage of aIl Crrantee's contractors. 16. Gzantee covenanis and agrees that it will not assign all or any of its rights, privileges or duties under this contract without prior written approval of City, and any attempted assignment vvithout such prior vcn-itten approval shall be void. -------�--------- - -- 17. This agreement sha11 be binding upon the parties hereto, their successors and assigns. 18. Should any action, whether real or asserted, at Iaw or in equity, arise out of the terms and conditions of Ehis agreemeni or out of the use and occupancy of City properiy as pernutted hereunder, venue for said action sha11 be in Tarrant County, Texas. 19. In any action brought by City for the enforcement of the obligations of Grantee, City shall be entitled to recover interest and reasonable attorneys' fees. EXECUTED this / day of _/'� n,, r�� GRANTOR: Cl'TY OF FORT WORTH C���'—.dJ �rsz�^-� Building Official GRANTEE; %� � � %? �' ��� i �j(� ��� `" � '� // Tit1e CONSENT AGREEMENTfor Temporary use of public pioperty • �. Received: 3/ S/05 2:04PM; 877 392 8947 -> RJ MILLER; Page 70 MAR-08-2005 TUE 01�45 PM T/PW T,E, STREET MGMT, FAX N0. 817 392 8941 APP �D_'FO FORM AND LEGALITY; � . =�,�y�� ssisfant City Attorney � City Secretary NO M&C RCQUYRL�D Date , ` �- � �.�- �_.�` ' Date 7 CONSENT AGREEMENTfor Temporary use ol publi� P, 10 ����)�;)i;�'1;:��U,�,p� ����� �������'!��r� Q �.1, � 5j�q � U a •��,� `I�.I% 11�Y Y Y�,5f �,,,.. � �.G � STATE OF TEXAS COUNTY OF TARRANT BEFORE ME, tlie aciide�sig�zed arctlaof�ity, a Nota Pccb ic i�a,� nd� For tlze State of Texas, o�a tltis day personally appeaf�ed ` ���-��'-`� ��` ,kiiofv�z to �rze to be tlae perso�t fvltose �aanie is subscribe� to tlze foregoi�ag i�istratment, cznd ackn�owledged to nze tltat Jze/slre executed the sa»ze fof� tlae prrr ses.af d coiasiderat' Irereiia expressed, as tlre act a�:d deed of �� (�>>�'�� ��� �-1� �, �, a�zd i�a tlae capacity tlrereiii state�l �N UNDER MYHAND AZ1�D SEAL OF OFFICE tlzis . of T` i. , , 20� . (� ��zG�-✓ Affia�zt , � / /r/%f � u� � c� �n� r CG � Title , �-���tj ANGELA ESTRADA , %�`� Notary publle � y� STATE OF TEXAS ��`�p MyComm. Exp.08/21/2007 � 1 Notary Picbl c i�a and fof� Tlae State of Texas 8 Z �-� day � ,, � ^ p v ��'�'�� �r! '?:� vU �: D ��(� 1,^ \ar�$G�i]oIs ' ����,/� 17��tir JS�T1�lS'll�k U 3�I/I �i�y'ty'i�';�J�IUI �LSG�a J Ile ''\l�. fl� \ Received: 3/ 8J05 2:05PM; 877 392 8947 -> RJ MILLER; �Page 7y MAR-08-2005 TUE 01; 46 PM T/PW T, E, STREET hiGMT, FRX N0, 817 392 8941 P, 11 �-- , . ' , d ' �.J .L 111 � Q1' .0 �+�sJ . � ' . � CO �iN�'�' OF �TA.RRAI�'T . � � , : ��B.EF'DR�'�12E'� tice undersig�zed aicfltority; alYofaryPrtblic Fn and � For i7� State�c�'Tezas, on tJii� day personally appercred «-��� ►��-.�2 . - � ' ' �2.�`� ��--U. �' _ ,kiiowli to �rte fo be ilseperson �F�l:ose . , t�rrrne u sttbscpibed io tlie fo��e;oi�zg i�tstrrcmer�t, and �ack�ta�vledgerl to t�ce , , tl�rrt fie/slie e�ecctted fhesnmefortl:e.ptrrposes a�td consicleratian fhereirt _ ... � - - � �- � �� erpressed, ru tlre nct arsd rleed of, ' � � - ' �'� � ' � � � �� , ' � � �rtirl iri tlie crrprcciry tlt�rern st�fpc� . � � � �. GI'VEl�r �'JI1'DER lYl�'�111rD AND SE�SL OF O�'.F7CE th�s' .-1_ dny � �.f _ ►tit a � �h 20� , . � . . � ' , . . � -i �. � � • � � . ' Affitrrrt . :. . , � . , • � ', • . . ' � , . � . . . �� �-�.� . , ' . . . 1�T�tary�Ptcb(ic iri anrl fo1� � • , � � Tlre State af Texrrs � • . . " `��N�utui���eqr� — \\`���Q` ' M����4�'��e . �`s\ ��Q ,�� �'� }�� . ��' `� '''�S - . , • �J1 �, . * _ , � , . � * :, �`� �� � �� ` � . . .�"' ..` q� ': � `� . . �-�,,!`, �'' . EXP�" O'�\\\,.�� . . . , ' , ����hy�8`� �Z������` � � _ _ £% �r � � �� �T � ��� - i . ' • � � � ti '�:i �'t �'�.T ��-�.. t� l>1:�.'�: � , �,�U,�� '•�r�,,'1j �i��o�'+i ' 1 ,i��;11���;liJ(�; , ' '!�o �''i�J'i�:lf�� ��G1a �-�.-� S-� ���� � � �� � �-�� �--�-��� � z<<,4j �� Contractors Name:� • � �� `��4� ` Point of Contact: �(�p `f � � !�j�o v� ne Phone Number: L -3 7 -% - � -7 ) Building Permit Number:-� c� � i��� Purpose for Closure: (_c:%�:,-t-rvc}-��a -t -- (�n.,�p�(� BeginDate: �{-2�-0� EnciDate:7-��•� ---- ---- Type of Taper according to posied speed limit: Tapers @ 30 MPH lOft Offset 30ft m;r;mum Tapers @ 35 MPH lOft Offset 35ft minimutn Tapers @ 40 MPH 10ft Offset 40ft m;nimt� {� �`' �'-tc-'-��;�_� c. l�N �,l�` �� C��� ���� ��� . API'ROPRIAT� ,�ATtRIEItS OR OASTR�CTIONS ARE IN PLACE. t�•i���� � ICIYII'UIS/`'1!��( L.�\,.�..i�ii�`����`i Vf" i'��i��_!l� F?li��l��i Ir�.i�}� ----�—`�—`---"- �.-�.�—,�..��.,.�,_� 3 ��"-li�J ��i �i�J n�oR� r��N .� D,��rs - 6 a�.�_�a �.._ ��. SIDEU�ALK FEE- r: ez_.S�`�'_.l.. � � f��';: ';; STREET FEE- _ ��c� St��=(,, X _�3 ' � _��-Y _i�v,� ; � 2-1��7.- S_� . _.__e� r,�,,," �,�.:� ��2 �l -; � 1 :, 1 „ �=, .', I�i'�'til�5�� �' ���,T �i 7: l: U�'11: � �� 'i�i�i��ii�;�IU ���G�a e '�':v1 ,fly � AC4R��, CERTiFICATE OF LIABILITY INSURAIVCE °"��"'�°"�"`' 03/28/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INF'ORMATION $17�47-6825 or 800-72$-2374 X 2253 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Higginbotham 8 Assoc., inc. ' HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 8Y THE POLICIES BELOW. P O Box 9Q8 Fort Worth, TX 76101 ��� RJM Contractors, LP 3629 Lovell Avenue Fort Worth, TX 76107 COVERAGES INSURERS AFFORDING COVERAGE INSURERA Bituminous Casualty Corporafioi wsur�Rs: Bituminous Insurance Ca. - iNsuaERc: Texas Mutual lnsurance Compan iNsuReRo: OneBeacon Insurance Company IN5URER E: NAtC # Robt/Grow CGU THE POLICIES OF INSl1RANCE LISIED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICA7ED. 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 ROLICIES DESCRIBED HEREIN tS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGA7E LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �7R TYPE OF INSURANCE POLICY HtIMBER P�CY EFFECTNE POLICY EXPIRATION DATE I,WD DATE MUD LIMtT3 A GENERALUABWTY CLP3193676 O7i22/04 OT/22/05 EACH OCCURRENCE s1 000 000 X COMMERCtAL GENERAL LIABiLfTY ' DAMAGE TO RENTED P ISESiEaoccurcence $��� ��0 CLAIMS MADE a OCCUR MED EXF' (Any one person) $� Q QQQ P�Soria�&aoVaNJURY $1000000 GENEw�Ac�a�care $2 OOO OOO GEN'LAGGREGATEI�MfiAPPLIESPER: PRODUCTS-COMP/OPAGG $ZOOOOI}O POLICY JECT � LOC A AllTOMOBiIE LIABILITY CAP3193674 07/22l04 07/22/05 X ANYAUTO � ��OMaBINdeD? INGLELIMIT $�,OOO,OOO ALL OWNED AUTOS BOpILY INJURY $ SCHEDULED AUTOS � (Per person) X HIRED AUTOS BODII.Y INJURY $ X NONAWNEDAUT0.S (Peraccident) PROPERTY DAMAGE $ {Per accident) GARAGEW181LITY AUTOONLY-EAACqDENT $ ANYAUTO OTHERTHAN �ACb $ AUTOONLY: A� $ B D(CESSJUMBRELLA LtA81LITY CUP2573920 0%�2��4 07/22(05 EACH OCCURRENCE $� �dQ ��� OCCUR X❑ CLAIMS MADE AGGREGATE $') OOO OOO $ DEDUCTI6LE � $ RETENFION $ $ C NlORl�RS COMPENSAT�ON AN� TSFQ�00646507 07/22/04 07/22J05 � X WC STATU- OTH- EMPLOYERS' LIABILITY ANYPROPRIETOWPARTNERtEJ�CUTNE E.LEACHACCIDENT S�JOO�OOO OFFlCER/MEMBEREXCLUDED? ELDISEASE-EAEMPLOYE $SQO�UOO SPECIA PROVISIONSbebw ELDISEASE-POLICYIJMIT $SOO�OOO p orH� guilder's IM9751685 0T12?J04 O7/22/05 $3,500,000 Per Job Risk/Equipment $S,OOO,ODO Any 1 Occurr Floater Deductible @ $1,000 DESCRIPTION OF OPERATIONS ! LOCATWNS / VEHICLES i EXCLUSIONS ADOm BY ENDORSEMENT / SPECIAL PROVIS�QNS Re: Neil P. Armstrong Building City of Fort Worth 1000 Throckmo�ton Ft Worth, TX 76101-6312 SHOUI.n AHY OF THEABOYE DESCRIBED P6LICiES BE CANC0.LE0 BEFORE THE EXPIRATION DATE THEREOE, THE �SSLIING INSURER WILL ENOEAVOR TO MAIL �_ DAYS WRIT(EN NOTICE TO THE GERTIFlCATE tlOL.�ER NAMED TO THE LFFT, BUT FAILURE TO DO SO SHALL IMPOSE Nd OBLIGATIUN OR LIABILITY OF ANY KIND UPON THE INSURER, tT5 AGENTS OR AVfHOt2¢ED ACORD 25 (2001108} t of 2 #5145838/M128370 f `B�S O ACORD CORPORATION 1988 tMPORTANT If the certificate hoider is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A sfatement on this certificate does not confer rights to the certificate hotder in lieu of such endorsement(s). 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 certfic�te holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s}, authorized representative or producer, and the certficate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (20011081 2 of 2 #S145838/M128370 City of Fort Worth Transportation and Public Works Street Use Pernut ���� ����� CiTY OF FORT WORTH TRANSPORTATION AND PUBLIG WORKS STREET USE PERMIT DATE 4/26/2005 PERMIT # 70806 MAPSCO 77A D.O.E.# Building Permit # P�'�� �- ��Q� (if applicable) STREET I BLOCK I FROM I TO I gEGIN DATEEND j EGIN- Fr' ENDe � SAT. I S NE I 1. LAMAR ST � 750-900 � W 7TH ST � W 10TH ST � 4/28/2005 7/22/2005 � 24HRS � 24HRS � 24HRS TYPE OF WORK TO BE PERFORMED: Other - Fee I fll IMPSTFR IN PGF!KINr CP4r GC ���� en�� ��v.r'i r�ii��v v��E vC IVi�•I L�J �ZS-''r Tn�vvGn JLOL� Vf� rCfC H I I Hl.f'ICU TKHiilli I I CONTROL PLAN. SPECIAL EVENTS IN THE CBD MAY REQUIRE TEMPORARY REMOVAL OF DUMPSTER. THIS PERMIT lS GRANTED TO TfiE C011fTRACTOR/APPL/CANT UNDER i'HE FOLLOWING COND/TIONS: Page 1 • CONTRACTOR/APPLICANT IS REQUIRED TO HAVE THIS PERMIT AND TRAFFIC CONTROL PLAN AT THE WORK SITE OR EVENT AT ALL TIMES. • THIS PERMIT IS ISSUED IN ACCORDANCE WITH AN APPROVED TRAFFIC CONTROL PLAN. • ALL WORK IS CONSTRUCTED IN ACCORDANCE WITH THE CITY OF FORT WORTH'S "STAN�ARD SPECIFICATIONS FOR STREETS AND STORM DRAIN CONSTRUCTION MANUAL". • ADEQUATE TRAFFIC CONTROL DEVICES ARE INSTALLED AND MAINTAINED AS SHOWN IN THE ATTACHED TRAFFIC CONTROL PLA(V (TCP) SUCH AS SIGNS, STANDARD TYPE I BARRICADES SAFEGlJ,4RD THE PROPERTIES AND PUBLIC. • CITY TRAFFIC ENGINEER AND/OR If�SPEGTQ�2S IVIP.Y @�EQlJIRE P.D�6�IO(��AL 'E"F�FFIC CONTR�L DEVICES. e ALl. DAIili.4GES TO PEJE3LI� OR PR9ifi$�� P�ZOPEF�TY, li�l�LUDilVG �Jf�fDERE'sF���S6�� F/$CIL6�IE�, �"aN� F0�22 �$�� PERSOMAL IfVJURIES ON WORK PERFOEZMED �DfVDER THIS PERMIT WILL BE TH� RESPOf�SIBILITY OF THE CONTRACTOR. • A 24-HOUR DECISION-MAKING CONTACT REPRESENTATIVE �4ND PHONE NUfViBER IN THE EVENT OF AN EMEt2GENCY SHALL BE PROVIDED. o iF6�S FaEi�M{T DOES NOT REL{E�v'E Ti�'E CQRiTRRCTOR FF2f3M O@l'klPi�tVG P�iEC���/�F�Y PERfiI'iiT'� FROfiFi COlifof�i'1' laNED Si�TE ENTi ITiES Vi/FIERE ViIORFC !S ENCRO�iCF91P1G liiil'O i'6iEIR i�iGFli"-EiF-�1lAY. • IT IS i1PlDERSTOOD TEiQ►T VIOLATi IO�4S OF �'EiIS PERMf�' II�i�SY RES63L� IN TFEE E�E`60C�ATi�N OF �F6� CONTRACT062'S LICENSE. RJM CONTRACTORS AARON LONG �- LI ��s �� CONTRACTOR/APPLICANT CFW CONTACT EMERGENCY CONTACT NAME TREVOR BROWNE 24-HOUR PHONE 817-377-0971#103 MOBILE 817-793-3458 PGR# FAX# 817-377-0973 TRANSPORTATION AND PUBLIC WORKS DEPARTMENT STREET MANAGEMENT SECTION 311 W 10th STREET FORT WORTH, TX 76102 _ (817)392-6594 FAX (817)392-8941 _ �, �, : -, _ �����L;J:'�:�t �:����::��:�� pN �� ar,��:ilr i -�, V �� J S L�d: �� '!�:'1: �J ;fU� �'���✓'�c:�Z' u�'�'�� �. ��. o ---.._— J -'3"=s — ---�, � http://tpwpermit.cfi��net.org/popup�ermit.asp?permit id=70806 04/26/200: m M Z ¢ J � TYPE I . BARRICADE �� I I If U I, � o o �o 0 r; `s`, ° I`;;�l�,b �o o` . � o� I I f, SO � 0 c x X RIGHT �-- LANE CLOSED rn � � c � ROAD � 4/ORK � AHEAD U C U > � ¢ � , ��^a\ % u -. I I I i'c', �l-. DUMPSTER IN � �'� DUMPSTER IN PARKING LANE TRAVEL LANE m \ This plan is submitied for TCP. I certify this plan will be used for the folling locatic�n(sl: N ('') � / � and that all channelizing devices w�ll conform to °General Notes' as shown on the ,back. o Signature: Date CITY�OF FORT WORTH TYPICAL LAYOUT FOR DUMPSTER ° TRANSPORTATION AND Note: PUBLIC WORKS� see reverse side for General Not�S and Device Spacing PLAN "3I�n ��� "GEivER��L ivOTES" 1. Aff channelizing devices sha(( be in accordance with the current edition of the Texas Manual on Uniform Traffic Controi Devices. � 2• ,Sll Trafri� Co�!trol Dcl/[C2S sha�l ;-ia�e u�o�kin� �isible tnrarnin� G�hts as rec�uired 'sn accordance with t#�e current edition of TnnUTCD. 3. For Temporarv Siivations, when it is not feasible to remove and restore paverrient markings, channelization must be made dominant by using a very cicse dzvi�e s�ac; �y^. This is especia(ly important in locations of conflicting information, such as where traffic is directed over a double yeilow centeriine: In such locations, channelizing device spacing of � 0 feet is required. � � � 4. For Lor�q Te� cva_Sta#iorarv work, a(1 conflictinq pavement markinqs must be removed and centerline striping provided where iwo way traffic is in adjacent lanes. 5. Contractor shafl provide sidewalk ciosure, crosswa(k ciosure and/or walkway bypass wherever pedestrian movements are affected by construciion acfivities. All sidewalks and crosswalks shall be accessible when contractor is not working unless otherwise approved by the City Traffc Engineer. 6. The use of trailer mounted ARROW DISPLAYS'may be required on ail lane closures. The contractor shali provide one (1) stand-by unit in good working condition at the job site, ready for use, if his operaiion requires 24-hour a day closure set-ups and if required. 7. City Trafric Engineer and/or (nspectors may require additional traftic control devices. TYP(CAL TRANSfT10N LENGTHS AND SUGGESTED MMIMUM SPACING OF DEV)CES Minimum Desirable Taper. Suggested Maximum Device I Suggested Sign Len ths L) Feet S acin S acin Feet Posted 10' 11' 12' On a Taper On a. Tangent „x„ Spe�d Formu(a* Lane Lane Lane (Feet) (Feet) Dimension MPH Offset Oifset OLsei � 30 150 165 180 30 60-75 120 35 L=�S2 205 225 245 35. 7Q-90 160 60 � 40 265 295 �' 320 40 : 80-100 I 2�0 45 450 495 54.0 45 90-110 320 50 �—�S 500 550 6Q0 50 100-125 400 "L= Taper lengfh in feei W= Width of offset in feef S= Posted speed Note: BufiierZone will be 25 fee# (maxianum). LEGEND 0 o Channetizing devices �Trailer mounfed arrow dispfay i � Fiagaer- , �� Bar.ricade ��