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HomeMy WebLinkAboutContract 49309 �N12 A I� CITY SECRETARY ,moo a CONTRACT N000 . R _to e lip1� �°�Q� " EASEMENT ENCROACHMENT LICENSE AGREEMENT a ��t ,� m Commercial b 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"), A-,.- acting by and through its duly authorized City Manager, its duly designated Assistant City D'' a Develo^merit Lirector, and Marine Creek All Storage U a [full Manager or .canning and Y , legal name], a LLC [type of entity] ("Licensee"), acting by and through its duly authorized Manager [title], owner of the real property located at 1401 Longhorn Rd ,Fort Worth, TX 76 179 "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 Sewer Facility 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 Ornamental Iron Fence (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 OFFICIAL RECORD Page 1 of 11 CITY SECRETARY Rev.02/2015 FT.WORTH,TX N 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 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. 20 15 Easement Encroachment Agreement-Commercial Page 2 of 11 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 KIND 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 2015 Easement Encroachment Agreement-Commercial Page 3 of 11 Rev.02/2015 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 $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 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 from 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 2015 Easement EncroacHment Agreement-Commercial Page 5 of 11 Rev.02/2015 default or otherwise shall not require City approval provided that said lender notifies City 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 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: CITY F F RT ORTH Marine Cree ll orage, LLC By: By: Randle Har ood Name: Ma6AcDowell Director Title: Manager Planning and Development Date: , 20_q. ATTEST: Approved As To Form and Legality City Sec e Assistant City Attorney, t,1 e WbY`lvii of FORT V: O OFFICIAL.RECORD CITY SECRETARY FT.WORTH,TX 2015 Easement Encroachment Agreement-Commercial Page 7 of 11 Rev.02/2015 STATE OF TEXAS § COUNTY OF TARRANT § This instrument was acknowledged before me on_ , 2011 by Randle Harwood, Director of the Planning and DevAoptent 4partment of the City of Fort Worth, on behalf the City of Fort Worth. c ' Notary P lic, State of Texas E spry 10 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 Rev.02/2015 STATE OF Oklahoma § COUNTY OF Canadian § BEFORE ME, the undersigned authority, a Notary Public in and for the State of Texas, on this day personally appeared Mark McDowell Manager (title), 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 Marine Creek All Storage , a LLC , and in the capacity therein stated. GIVEN UNDER MY HAND AND SEAL OF OFFICE this Iqh` day of 750027 1 / .0 a 1`° Y Notar Public in and for the two wI State of 2015 Easement Encroacinlent Agreement-Commercial Page 9 of 11 Rev.02/2015 LEGAL DESCRIPTION OF THE PROPERTY 2v 15 Easement Encroachment Agreement-Commercial Page 10 of 11 Rev.02/2015 STATE OF TEXAS § COUNTY OF TARRANT § WHEREAS Marine Creek All Storage, LLC, are the owners of a part of the A.F. ALBRIGHT SURVEY, Abstract No. 1849 situated in the City of Fort Worth, Tarrant; embracing all of the 14.1358 acre tract described in the deed to Marine Creek All Storage, LLC as recorded in Document No. D215201809 of the Official Public Records of Tarrant County, Texas and being more particularly described by metes and bounds as follows: BEGINNING at a 'h" capped iron rod found for the northerly northwest corner of said 14.1358 acre tract, the northeast corner of Lot 1 in Block 1 of LONGHORN COSSING ADDITION, an addition to the City of Fort Worth, Tarrant County, Texas according to the plat thereof recorded in Instrument No. D209243338 of said Official Public Records and being in the south right-of-way line of Longhorn Road (having a 120 foot right-of-way); THENCE South 89°53'35" East, along the north of said 14.1358 acre tract and said south right-of-way line of Longhorn Road, a distance of 492.27 feet to a '/z" iron rod found for the northeast corner of said 14.1358 acre tract and being the most northerly northwest corner of the remainder of the Parcel No. 3, being a 142.461 acre tract described in the deed to Marine Creek of Texas Joint Venture, as recorded in Volume 11431, Page 293 of the Deed Records of Tarrant County, Texas; THENCE South 0°06'25"West, along the east line of said 14.1358 acre tract, a distance of 1069.89 feet to a '/2" iron rod found for the southeast corner of said 14.1358 acre tract; THENCE North 89°53'35"West, along the south line of said 14.1358 acre tract, a distance of 500.00 feet to a '/"capped iron rod found marked "PACHECO KOCH"for the southwest corner of said 14.1358 acre tract and being in the east right-of-way line of Marine Creek Parkway, (having a 120 foot right-of-way as dedicated in Volume 5533, Page 106 of the Deed Records of Tarrant County, Texas) and being in a curve to the right; THENCE northerly along said east right-of-way line Marine Creek Parkway for the westerly line of said 14.1358 acre tract and said curve to the right, having a central angle of 16°00'50", a radius of 2804.79 feet, an arc length of 783.92 feet and a long chord bearing and distance of North 13°48'12"West, 781.37 feet to a '/2" capped iron rod found marked"PACHECO KOCH"for the westerly northwest corner of said 14.1358 acre tract and the southwest corner of said Lot 1; THENCE South 89°53'35" East, along the south line of said Lot 1 for the westerly north line of said 14.1358 acre tract, a distance of 229.76 feet to a'/z"capped iron rod found marked"PACHECO KOCH" for the southeast corner of said Lot 1 and a re-entrant corner of said 14.1358 acre tract; THENCE generally northerly along the east line of said Lot 1 for a westerly line of said 14.1358 acre tract the following: North 0°06'25" East, a distance of 30.95 feet to a'/2" iron rod found; North 25°29'54"West, a distance of 79.10 feet to a '/" iron rod found; North 0°06'25" East, a distance of 209.15 feet to the POINT OF BEGINNING and containing 14.1357 acres or 615,753 square feet of land. 0 60 120 MATCHUNE (SEE SHEET 2) ta � � � ■� A IC CAL E IN FEET TEMPORARY CONSTRUC1+oN EASEMENT 00 (BY SEPARATE INSTRUMENT) LEGEND ^ M I I — OPERTY UNE to , OAKMONT LANG FOUR, L.P. E EMENT UNE VOL, 139136. PG. 0373 EXI 71NG EASEMENT LINE M ) OI OR CORNER I (VOL. 14306, PG. 0080) ERWISE NOTED) W i . .� COWM UMENT a R I PONT NCING to go I I PVNING (N Q I a o c 00 a� ER T R z S 79'+02'00" E o;, V T 11058 0 . .d ACRES ago I 1/2-INWON • w/'PACNECO is 00 FOUND (GM.) N w FINE CREEK pp$` N 89'53'35" W ` POC 13.2r AS JOINT (PARCE o. 3 f 90.06' �. 1/2-INCH " ROD ( - 11 1• P 3) N 7902100" Vi C! w/1111FLS 40W CAP S FOUND(C M.) *` 1/2-NICH L ICIN cAMP F«, Z, 51 05' ' MARINE , , PERM T 1/2- D a: FAC QdEMIM CREEK DRI VE (8Y SEPARA YT) _`_ (VOL 5533, PG. 106) D.R. HORTON - XAS. EOCOONNSM T10N MENT A , (INST. N0. D206 / I(NST�ARATE � n 12 � I. A sCri On f even survey dote herewith r ` acCom onie hi to of survey. The undersigned, Registered Professional Land 2. I3eorin tem I survey is based on o I Surveyor. hereby certifies that this plot ofbearing f 9 revs, 53 minutes, 35 survey accurately sets out the metes and tF,0F,f%e-*U. seconds It ut line of the tract of bounds of the easement tract described. 1f:�G��S¢i,�`e• ';-/ land descri d i iol Warranty Deed with „e�,7C Ea':;p Vendor's Lie t Ookmon Land Four. L.P. .............. .. s = recorded in Vol a 1 Pe 80 of the Deed NU AR ( Y(Fyyjg;• Records of Torr t ou y. T s 5773 •.;.. q'�� a�'�� A T 8 Michael Larry Lewis. Jr. Dote' �'p••�$8!v�y'ti PERMWER Registered Professional S°it FACILITY MT Land Surveyor No. 5773 o LOCATED IN THE Cr Y TEXAS APacheco Koch Consulting Engineers ALEXANDER F. ALB s 8350 N. CENTRAL EXPWY. SUITE 1000 DALLAS. TX. T5205 977.235.3031 ABS1RAC;T N 9 TEXAS DEPARTMENT OF PROFESSIONAL ENGINEERS REG- NO. F-I69 TARRANT COV � G MA 11111f BY I aWOK D BY 8941EGATE .108 AiNdwR JAD/KFW MLL 1'-60' AUG 2009 2009-09.034 SHEET 1 OF Y DWG FILE: 2009-09. 34 .DWG S 89'53'35" E ���� o �4 •�ar: 35.00 N 00*06'25" E AS 00'06'25" W 59.20' T1 53.68' 0 30 60 120 GRAPHIC SCALE IN FEET 1 S 17'4912" E A T SEWER 351.35' CI ENT .7 1LEGEND (3 0 — – – — PROPERTY UNE 1 EASEMENT UNE EXISTING EASEMENT UNE O POINT FOR CORNER (UNLESS OTHERWISE NOTED) 1 (C.a.) - CONTROLLING MONUMENT ' TEMPORARY OONSTRUCflON EASEMENT N 7' (BY SEPARATE INSTRUMENT) 3 .35' 1 1 ' OAKMONT LAND FOUR, L.P. 1 (VOL. 13986, PG. 0373) e I (VOL. 14306, PG. 0080) S 00006'25" w CD I 393.38' M Z MATCHUNE (S S NOES: 3 1. A legal description of even survey date herewith accompanies this plat of survey. 2. Bearing system for this survey is based an a bearing of North 89 degrees, 53 minutes, 35 seconds West for the south line of the tract of land described in Special X Warranty Deed with Vendor's Lien to Oakmont Land Four, L.P. recorded in Volume 14306, Page 80 of the Deed PERM WER Records of Tarrant County. Texas. F Ac I L T NT LOCATM IN THE CITY 7ECAS Pacheco Koch Consuffing Engineers ALE)CAMER F. AM , B350 N C£WRAL EX6PWY, SUITE 1000 DALLAS, TY- 76206 R?Z25SI-1031 ABSTRACT N 9 TEXAS DEPARTMENT OF PROF,1•9&QUiL ENGINEERS REG. NOL F469 DAA THY!Y 6wcffO BY SCALP RATE J07B A9AielER TARRAi�iT JADA MLL1�=60' AUG 2009 2009-09.034 SHEET 2 OF DWG FILE: 2W9-109434E .Dm EXHIBIT "A" Map of Encroachment and Easement 2015 Easement Encroacinlent Agreement-Commercial Page 11 of 11 Rev.02/2015 9Z6-j-ON UO!leAs!6a ZOOL MS L L i! laajiS tiia4o 608 H IW Ua0 OMa E .� 0 Lo co co Lo 0 3 N33 03SOd02id.9 3S` G.Z rr� s p r z WoLU IX O+ O - e- CL cc r' Ino <01-1Z nl W LLl Zo � cdKo Wim ' WZ� o °i.° d; r J .. 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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 Remy Sickoff NE HO Novus Insurance Services PHO 19800 MacArthur Blvd.,Suite 850 E-MAIL s:_blckD ff&malLc= __— - — - — -- - - Irvine,CA 92612 INSURER(SI AFFORDING COVERAGE NAIC R INSURER A:First Specialty Insurance Company_ 34916 i INSURED INSURER B;Startstone National Insurance Company - 25416 All Storage Inc INSURER C: 82 Armstrong Drive INSURER 0: Mustang,OK 73064 INSURER E 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. !NSR ---'----_- TYPE OF INSURANCE ----`-T�601�T18R- -- ---���-'_-' POUOY EFF POLICY EXPO L1MR5 _- LTR POLICY NUMBER MMIDDIY MM100lYYYV GENERAL LIABILITY j I EACH OCCURRENCE 111000000 , IX COMMERCIAL GENERAL LV181LITY X I X PREMISESAM1 Ea�oca ceJ s 100 000 CUIMS-MAGE 'X OCCLR ��i� _MED EXP(An one Y person) s N/A A j i j IRG200378100 04/21/2017; 04/21/2018 PERSONAL 6 ADV INJURY s 1,000,000_________ k�E?'L GENERAL AGGREGATE s2,000,000 AGGREGATE LIMB APPLIES PERPRODUCTS-COMPIOPAGG S2,000 0OI POLICY! PRO JECT LOC I s AUTOMOBILE LIABILITY %� C MBINED SINGLE L11,111 _ iEa ecmde.ul------- ;- -- -- -- �- --�ANY AUTO _ I BODILY INJURY(Pr person)ALL f _ AUTOS ED - i SCHEDULEDAUTOS I i BODILY INJURY(Pr amwent) r_ i NON-OWNED I PROP'EIiTY DAMAGE i s _ HIRED AUTOS AUTOS 1Per accdq"t —�_- S - X,UMBRELLA LU113 X OCCUR EACH OCCURRENCE s 10,000,000 __ ,CLAIMS-MADE; 492630172ALI 0412112017' 04/21/201$AGGREGATE ^-` 510,000,000 -- x - j - - I DE. T —I RETENTION S �_ s WORKERS COMPENSATION 1 NC STATU- OTH•I AND EMPLOYERS'LIABILITY i �T RtZ Y LIM TS I ER ANY PROPRIETOWPARTNER:EXECUTT.'E YIN I -- OFF(CF-WEMBER EXCLUDED' !N I A I E.L.EACH ACCIDENT s (Mandatory In NH) ❑ I DISEASE•EA EMPLOYEE! s If yes dosrnbe under _- i -E.L._.--- - c E.L.DISEASE-POLICY LIMIT S if—iF_I I t I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Certificate Holder is included as an additional insured,loss payee,and mortgagee to the following location:Marine Creek AIS,1401 Longhorn Rd,Fort Worth, TX 73179.30 days Notice of Cancellation applies to the certificate holder with exception of non-payment of premium for which 10 day notice applies.Additional Interests as additional insured.mortgagee,loss payee is.City of Fort Worth. CERTIFICATE HOLDER CANCELLATION City Of Fort Worth SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE / O 1988-2010 ACORD CORPORATION. All rights reserved. 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