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HomeMy WebLinkAboutContract 48997-T1 TERMINATION OF ENCROACHMENT AGREE1vT.SECRETARY I CITY SECRETARY CONTRACT NO. [48997]CONTRACT NO. .L. This TERMINATION OF ENCROACHMENT AGREEMENT OF CITY SECRETARY CONTRACT NO. [48997], ENCROACHMENT AGREEMENT is made and entered into by and between the CITY OF FORT WORTH, a municipal corporation of Tarrant County, Texas, acting herein by and through its duly authorized City Manager, its duly designated Assistant City Manager or Planning and Development Director, hereinafter referred to as the "City," and Thomas Z. Hamm // Hamm Family Partnership, acting herein by and through its duly authorized representative, hereinafter referred to as "Licensee". RECITALS WHEREAS, the City of Fort Worth ("City") and Licensee made and entered into City Secretary Contract No. [48997] on 04/18/2017 (the "Agreement") to authorize the use of certain encroachments for the purpose of adding an elevator; and WHEREAS,the parties wish to terminate the Agreement. NOW THEREFORE, City and Licensee, acting herein by and through their duly authorized representatives, enter into the following agreement: 1. The Agreement is hereby terminated, effective on 05/09/2018. 2. Pursuant to Section 19 of the Agreement, Parties hereby agree that the requirements of Section 8 of the Agreement shall survive this termination. EXECUTED on this the 8th day of May, 2018. OFFICIAL RECORD CITY ONCfRBTA1RY t WORTH,TX Termination of Encroachment Page 1 of 3 Revised 05.07.2018 JLE CITY OF FORT WORTH LICENSEE: 4e: rZlRandle Harwood Nint -r,vlm"' t Y } AAIft fti Director, Title: haz's. Department of Planning and Development Company Name: 0A^0t 10IA^WjUe A Roe UL77 t Approved as to Form and Legaity: Attested By-,, _ RT Paige eb e Mar'J. a r Assistant City Attorney City Secretary �•;' U M&C: '' P5 12 95NtN Contract Compliance Manager: By signing I acknowledge that I am the person Responsible for the monitoring and Administration of this contract, including ensuring all performance and reporting requirements. `M JanYe S. Morales Development Manager OFFICIAL RECORD CITY SECRETARY FT.WORT",TX Termination of Encroachment Page 2 of 3 Revised 05.07.2018 ME STATE OF TEXAS § COUNTY OF TARRANT § BEFORE ME, the undersigned authoritya Notary Public in and for the State of Texas, on this day personally appeared Randle Harwood, known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that he/she executed the same for the purposes and consideration therein expressed, as the act and deed of the CITY OF FORT WORTH, and in the capacity therein stated. GIVEN UNDER MY HAND AND SEAL OF OFFICE this j y of , 20�. JENNIFER LOUISE EZERNACK Notary Public, State of Texas 4;; +P Comm. Expires 03-01-2020 No Public,Otate of'I as Notary 10 130561630 STATE OF ( - § COUNTY OF -T� rci Y)A- § BEFORE ME, the undersigned authority, a Notary Public in and for the State of Tomas, on this day personally appeared Name , 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 Licensee Name, and in the capacity therein stated. Vo\r —ro,rn,�� tJ � Y.,, GIVEN UNDER MY HAND AND SEAL OF OFFICE this day of UC� Lw , 20 r \II IIrI �• PAMELA MICHELLE RILEY :off Notary Public,State of Taxes i'a= °Q= Comm.Expires 09-0&2021 ��(y ��i OF hl` gllll� Notary ID 131269786 Notary Public, State of Texas Termination of Encroachment Page 3 of 3 Revised 05.07.2018 JLE RIGHT OF WAY CITY sECRUARY' C CONTRACT N0. ENCROACHMENT 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 herein by and through its duly authorized City Manager, its duly authorized Assistant City Manager or Planning and Development Department Director, and Thomas Z. Hamm HI [full legal name], a partner of Hamm Family Partnership_[type o}-entity] "Licensee' acting herein by and through its duly authorized President[title], the owner of the real property located at 100 N.-FoMt Park Blvd._,Fort Worth,Texas 76102 C'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 street, alley, sidewalk, and/or other public right-of- way(individually or collectively,the"Public Right-of-Way")adjacent to 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 Public Right-of-Way; 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 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, use and/or occupy portions of the space under, on, and/or above the City's Public Right-of-Way to construct/install and/or allow to remain, certain improvements for the purpose of adding an elevator(whether one or more, the "Improvements") as described in and at the location shown on Exhibit"A" but only to the extent shown thereon. Upon completion of the Improvements, Licensee agrees to be responsible for maintaining the Improvements. Licensee shall not expand or otherwise cause the Improvements to further infringe in or on City's Public Right-of-Way beyond what is specifically described in the Exhibit(s) attached hereto. 2015 ROW Encroachm ent-Commercial Page 1 of I 1 _ rev.02/2015 2. All construction, maintenance and operation in connection with such Improvements, 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 City's Director of Transportation and Public Works, 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 Improvements. Licensee shall not commence construction of the Improvements until receiving written approval by the Director, but such approval shall not relieve Licensee of responsibility and liability for concept, design and computation ill the preparation of such plans and specifications. 3. Upon completion of the construction and installation of the Improvements, there shall be no other encroachments in, under, on or above the surface area of the Public Right-of-Way,except as described herein and depicted on Exhibit "A". A. Licensee, at no expense to the City, shall make proper provisions for the relocation and installation of any existing or future utilities affected by such encroachment, use and occupancy, including the securing of approval and consent from any affected utility companies and the appropriate agencies of the State of Texas and its political subdivisions. 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 such encroachment and use, Licensee shall pay to City an additional amount equal to such additional cost as determined in the reasonable discretion of the Director of Transportation and Public Works, or his or her duly authorized representative. 5. 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 Improvements 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 2015 ROW Encroachin i�zent-Cominercia! Page 2 of 11 rev.02/2015 Improvments 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. 6. Licensee agrees to pay to City at the time this Agreement is requested an application fee of$325.00 in order to defray all costs of inspection and supervision which City has incurred or will incur as a result of the construction, maintenance, inspection or management of the encroachments and uses provided for by this Agreement. Licensee agrees to pay a fee in the amount of$.56 per square/linear foot of the encroachment area upon execution of this Agreement and annually thereafter. 7. 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 within 30 days after written notice specifying the same, or having so commenced,thereafter fails to proceed diligently and with continuity to remedy same. 8. Upon termination of this Agreement, Licensee shall at no expense to City remove the Improvements encroaching into the Public Right-of-Way, and restore the Public Right-of-Way to a condition acceptable to the Director of Transportation and Public Works, or his or her duly authorized representative, in accordance with then-existing City specifications. It is understood and agreed by Licensee that if this Agreement terminates and Licensee fails to remove the Improvements and restore the Public Right-of-Way, Owner hereby gives City permission to remove the Improvements along with any supporting structures, restore the Public Right-of-Way, and assess a lien on the Property for the costs expended by the City in taking such actions. 9. It is further understood and agreed between the parties hereto that the Public Right-of-Way 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 public right-of way 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 Public Right-of-Way for the use and benefit of the public. It is accordingly 2015 ROW Encroaclune ment-Commercial Page 3 of 1 l rev.0212015 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 Public Right-of-Way to be used for any other public purpose, including but not 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 this Agreement shall terminate upon 60 days' written notice to Licensee. In the event this Agreement is terminated under this Section 9, Licensee shall perform the obligations regarding removing the Improvements and restoring the Public Right-of-Way described in Section S. 10. Licensee agrees and acknowledges that this Agreement is solely for the purpose of permitting Licensee to construct,maintain and locate the Improvements over or within the described Public Right-of-Way and is not a conveyance of any right, title or interest in or to the Public Right-of-Way nor is it meant to convey any right to use or occupy any property in which a third party may have an interest. Licensee agrees that it will obtain all necessary permissions before occupying such property. 11. 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 Improvements, encroachment and uses. 12. 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. 13. 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. 14. LICENSEE COVENANTS AND AGREES TO INDEMNIFY, AND DOES HEREBY INDEMNIFY, HOLD HARMLESS AND DEFEND CITY, ITS 2015 ROW Encroachn i re ent-Commercial Page 4 of 1 I rev.02/2015 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 IMPROVEMENTS AND ENCROACHMENT AND USES GRANTED HEREUNDER, WHETHER OR NOT CAUSED, IN WHOLE OR IN PART, BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, LICENSEES, ELECTED OFFICIALS, OR INVITEES OF THE CITY; AND LICENSEE HEREBY ASSUMES ALL LIABILITY AND RESPONSIBILITY FOR SUCH CLAIMS OR SUITS. LICENSEE SHALL LIKEWISE ASSUME ALL LIABILITY AND RESPONSIBILITY AND SHALL INDEMNIFY CITY FOR ANY AND ALL INJURY OR DAMAGE TO CITY PROPERTY ARISING OUT OF OR IN CONNECTION WITH THE IMPROVEMENTS AND ANY AND ALL ACTS OR OMISSIONS OF LICENSEE, ITS OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, LICENSEES, INVITEES,OR TRESPASSERS. 15. 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 described or depicted 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 promptly 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 all encroachments and the cleaning and restoration of the Public Right-of-Way. All insurance coverage required herein shall include coverage of all Licensees' contractors and subcontractors. 16. 2015 ROW Dicroach,nWi4ent -Coiumercial Page 5 of 1 1 rev.02/2015 Licensee agrees to deposit with the City when this Agreement is executed a sufficient sum of money to be used to pay the 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. 17. 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. 18. Licensee covenants and agrees that it will not assign all or any of its rights, privileges or duties under this Agreement without the prior written approval of the City, andany 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 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. 19. THE PARTIES AGREE THAT THE DUTIES AND OBLIGATIONS CONTAINED IN PARAGRAPH 8 SHALL SURVIVE THE TERMINATION OF THIS AGREEMENT. 20. 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. 21. This Agreement shall be binding upon the parties hereto, their successors and assigns. [SIGNATURES APPEAR ON FOLLOWING PAGE] 2015 ROW Encroachm r ment-Commercial Page 6 of I I 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: Licen e: ,r CITY OF FORT WORTH, By: By: o M_PA Randle Haood Name: �4�4 Director Title: Planning and Development Department Date: ANA 12 Iq 2(q A T TEST: Approved As To Form and Legality City Secr Assistant City Attorney * 2 �('AS 2015 ROW Encroachi vent-Commercial Page 7 of 1 1 rev.02/2015 Contract Compliance Manager: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. anie Morales Development MJ ::: anager Date: CLIP 11 STATE OF TEXAS § COUNTY OF TARRANT § (q This instrument was acknowledged before me on , 201 by Randle Harwood, Director of the Planning d Develo men epartmen of t e City of Fort Worth,on behalf the City of Fort Wo �. ! $AND-n-`-F,FOR'EMA Notary Public, State of Texas PHMyN CF\�JRiiV RIS . TV�GHiPJ� a:..".. +1ex{3S Notary PUbti C.state O� 4 :. SAY Commission Ex les 1 .F •tY; Aptii 26,2017 After Recording Return to: Cassandra Foreman Planning and Development Department 1000 Throckmorton Street Fort Worth TX, 76102 2015 ROW Encroachft$ ent-Commercial Page 8 of I 1 ��/LL�� rev.02/2015 STATE OF TEXAS § COUNTY OF TARRANT § BEFORE ME, the undersigned authority, a Notary Public in and for the State of Texas, on this day personally appeared Thomas Z. Hamm III, President, 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 Hamm Family Partnership, a Partnership, and in the capacity therein stated. GIVEN UNDER MY HAND AND SEAL OF OFFICE this 2--7 day of P20 ►7 . o�trr PLS JACOBFORD r Notary Public STATE of TEUS otary Public in and for the AgComm.Exp.0812012D20 10#130707836 State of Texas 2015 ROW Encroach!) r ent-Commercial Page 9 of 11 rev.02/2015 LEGAL DESCRIPTION OF THE PROPERTY Lots 1,2 & 3of Fields Hillside Addition to the City of Fort Worth,Tarrant County 2015 ROW Encroachi t meat-Commercial Page 10 of 11 rev.02/2015 EXHIBTI'"A" Location and Description of Encroachment and Improvements Encroachment of approximately 12' to the south of existing building to accommodate the construction of an elevator and stairwell for the compliance of ADA regulations. i 2015 ROW Encroach t ei`t ement-Commercial Page I I of I I rev.02/2015 tl 9 0 ° aED inggz 2q ` � y�' '^ •l r ° 8 u d. VP. �uY � S��hr�,� ��� i � �Ecp�=LL •� �a e �� �o �d� �r�g � d � �S� �y o�� � -.Ea qq� � •�rn o g A �F�G� o`5E � .0.a T5� •� na �N Sa /� .�a 9�0 8 8�o Soo x :g gg i 3Y. zn ag .S5 aR': I 91 Z 0 9 z m O O N Y 'id N 4 U SO r am 5 ado y'. J V� Gf ate. p! '_ \� \ °a •�`�Y' W tpV� `0.0 V� 0 •',.. o _ 0. 00010. L w Ci •� a 50 SO CN n • a � •• • •:ice • • • � f j�l�r LJ r ' A li ' r • -' • • • •r • • • ••• • • ; � a + 0 • r r ' +. �' �' `•moi i - • •' AG.® DATE(MMIDD/YYYY) CERTIF.,ATE OF LIABILITY INSURA. :E 1/26/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. .THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the policy(les) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: CourtneyMoore Higginbotham Insurance Agency, Inc. PHONE 817-349-2249 F'x 817-820-8928 500 W. 13TH Fort Worth TX 76102 ADDRESS,cmoore@higginbotham.net INSURERS AFFORDING COVERAGE NAIC# INSURER A:Ohio Security Insurance Company 124082 INSURED TZHAM INSURER S. TZ Hamm Family Property, LP INSURER C: PO Box 100937 Fort Worth TX 76185 INSURER O: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:442395264 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 POLICY EFF POLICY ExP llMrlS LTR INSO WVD POLICY NUMBER MMIDD MMIDD A X COMMERCIAL GENERAL LIABILITY I BZS1756614381 2/10/2016 12110/2017 EACH OCCURRENCE 51,000,000 TED CLAIMS MADE X OCCUR DAMAGE E 1 I PREMISES Eaoccunenca $1,000,000 I MED EXP(Any oneperson) $15,000 1 4 PERSONAL&ADV INJURY S GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE 52,000,000 POLICY F_�PRO F_X]LOC 1 PRODUCTS-COMPIOP AGG $2,000,000 JECT OTHER: 4 S A AUTOMOBILE LIABILITY BZS1756514381 2/10/2016 2/10/2017 COMBINEDN L 1 I S Ea accident 1,000,000 ANY AUTO i BODILY INJURY(Per person) f S AUTOS ( SCHEDULED 1 ' 1 4f BODILY INJURY(Per accident) S NON-OWNED ! I R P D E i $ X HIRED AUTOS X AUTOS ` Per aaidenl 1 4 S UMBRELLALIAB OCCUR ( EACH OCCURRENCE S EXCESS LIAS CLAIMS-MADE AGGREGATE S DED RETENTIONS S WORKERS COMPENSATION1 1 1 PER OTH- AND EMPLOYERS'UABIUYIN TY STATUTE -R ANY PROPR)ETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT S OFFICER/MEMSER EXCLUDED? �NIA� (Mandatory in NH) I E.L.DISEASE-F11 EMPLOYE(Mandatory If es,descnbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S {i 1 DESCRIPTION OF OPERATIONS)LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached H more space is required) The City of Fort Worth is listed as Additional Insured per written contract or agreement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Worth THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Texas St. ACCORDANCE WITH THE POLICY PROVISIONS. Fort Worth TX 76102 AUTHORIZED REPRESENTATIVE 1 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD MARY LOUISE GARCIA COUNTY CLERK ;a 100 West Weatherford Fort Worth,TX 76196-0401 � tr PHONE(817)884-1195 CITY OF FORT WORTH 1000 THROCKMORTON STREET FT WORTH, TX 76102 Submitter. CITY OF FORT WORTH/DEVELOPMENT& PLANNING DO NOT DESTROY WARNING - THIS IS PART OF THE OFFICIAL RECORD. Filed For Registration: 4/24/201711:41 AM Instrument#: D217089336 OPR 16 PGS $72.00 By: D217089336 ANY PROVISION WHICH RESTRICTS THE SALE,RENTAL OR USE OF THE DESCRIBED REAL PROPERTY BECAUSE OF COLOR OR RACE IS INVALID AND UNENFORCEABLE UNDER FEDERAL LAW.