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HomeMy WebLinkAboutContract 35459� �"f i Y ��r�iETARY ��,C7N'i �r�C�i" (�9C� . CONSENT AGREEMENT FOR TEMPOIZARY USE OF PUBLIC PROPERTY STATE OF TEXAS COUN`I'Y OF TA_RRANT THIS 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 Building Official, hereinafter referred to as the "City" and �T � �iN �i`'`.� �"� �.� " �'�F1 L(e' i%��rv Acting by and through its duly authorized agent, /N,A-��"/�i(� {�f1�'' f�t� � Hereinaiter referred to as "Grantee". WITNESSETH: 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 to Grantee permission to temporanly encroach upon, uses and occupy portion of the space under, on and/or above the streets, alleys, sidewalks or other public nghts-af-way as follows: �� � � �� �� �T C� "1��f7��—_-�— ��"��G"Z- 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, alleys, sidewalks or other public rights-of-way under this agreement sha11 be in sh-ict compliance with the Charter, Ordinances and Codes of the City and in accordance with the directions of the Building Official and the Director of Transportation and Public Works of City. � `rY'i�. �t':(• '� s� � v�,%a;J ` ,;i5(,� '��'� i� 1 �?� �u�`.;' CONSENT AGREEMENTfor Ter�,norary use of public D�operty.tloc 06/06/2007 16:13 8173928105 DEVELOPMENT PLANS E PAGE 02f09 3. 'Upon ex.pization o� Yhzs agrccznent and the privileges ganted hereunder, there shall be no encroachment by Grantee in, under, on or above the surface of the pubiic rights-o� way invotved. 4, Grantee agrees to pay in advance an encroachment �fee for the tempRrary privilege of encroaching upon a partion. of' tbc public rights-of way as described in Exhibit "�". Said fec is calcu�ated in the manner and amounts prescribed by the Building Gode of the Ci.ty of T'ort Worth for temporary use or o�cupancy of pub].ic �roperiy. '�'he cstimated tbtal amount of said fee is: �9.�`� s ��-',f-� ; �l� .X /'� -= -�' l �aC, ,�� �.�� � . 5. Grantee, at no expense to City, sha11 make praper provision for the reloca.tion ancUor instaJlation of sny existing or future traffic control dcvises or othcr. irz�provemen.ts af.fceted by such encroachmetit, use and occupaney, including the seeurin.� o� appz�oval, and eonscnt from the apprdp�iate agencies of the State and its political suUdivisions. In the event that any install�tion, rein5tallation, relocation or repair of any existi.�ng or futur.� tra��tc control device or improvernerct owned or construcicd by or on behalf of the public or at public �xpe�se is made morc coscly by virtue of tbe existence of suci� encroacl�rnent and use, Gr.aniee s.h.a�l pay to City and additional amovt�t �qual to such additional cost as determincd b� City. 6. The tenri of this agreement shall bc for ��� days, firom ��� ll1"'7 to �/.� ' Provided, 1lowcvcr, should ehe need for the encraachments granted hereunder at any time cease, Grantce ag,-ees to immediately notify City of such. condition; and, upon receipt of such notic� by thc Building Officia] of the C;ity of Fort Worth, this agreement shall teiminate. 7, It is expressly understood and ag-rced that this Consent llgrecmcnt is for a temporary encroaehment in, under, oyer and upon the public property as located and desc.ribcd in F.xhibit Z.. .. .._.I.. -'�.Ji`, . CONSENT ACiaEEMF_NYlpr 7e�*�oorpry �is¢ of public praperty.doc - � i 1,�� � _',I:, u,;. �, ��, ��%;l/���y'�� �{ -�,�;;,,� ;��e ;(�Il�e .��`Jl�:n:iu� ULG��a .�., _. �.���A.>l 06/06/2007 16:13 8173928105 DEVELOPMENT PLANS E PAGE 03109 "J3". '�'h.is agzcerr�cnt shaf.a not be construed as the granting of a permanent easement, encroachment or ]icense vpon City's public streets, a]]eys, sidewal.ks, oa- other �ights-a� way. $. City, thr.ougb. its duly auth.ari.�ed zepXcsez�tatzycs, sha�l havc thE full azzd unrestrict�d right to enter upon al� public rights�of way for the purpose of ma�ti�i.g zz�spcctiot►s ta detert»ine compliance with tJ7e terms, covenants and candicions i�exein_ Zn. the euent ti�at any inspection should r�veal a breach of any ierms, covenants or conditions herein, City shall give Crrantee notiee of such breaeh. Should such breach not be eorreeted by Grantee wi.ehin. twez�ty-�our. (24) hours of rcceipt of the notice, or withi.n sueh shorter period of time as deemcd necessary by the Building Officia] for the proteetion of pu}alic health �r safety, City may terminate and caneel this agreement. 9. Upon expiration or tei-mination of this agreemcnt for arzy rcason whatsoever, C'rra.ntce sktall, at no expensc to Cicy, restore t�e public ri.ghts�of-way and adJacent supporting s(ructures to a eon.dition aeceptable tp the Directar of 'Transportation and T'ublic VJ�arks or his du3y authorized rc�resentative and in accordance with tl�en existing City specifications, and Grantee shaIl remove al) barricades, equipment, supp}ies, materials ar other property froxn said location_ Grantee further covena.nts and agrees th.aY fo� a�criad of one (1) year after the termina#ion of this Consent Agreement, Grantee will repair all conditions or da.magcs to th.c strects and sidcwal�Cs c��` oth�t rights-of-way that have resulted from Grantee's use or occupancy of the streets and sidewalks or other iights-of-way, as determin,ed by t11e Director of Transpo7-tation and I'ublic VJorks or h�s desi�ec. Gz-antce agrees to begin sucl� repairs within thirty (30) days o�' reccapt of notice frorn the T�irector of Transportation and Public Works �r. his d�sfgnee. .All repairs shal3 be performed in an expeditious an.d w�rkmanlike masmer and sliall comply with all �ppiicablc laws, code:s, prdinances and City specifications. v� the evcnt thaY Grantee fatls to eomply with the covenants herein containCd wilk� respect to sucl� rerztova] o� xestoration, the City shall have the zi�;ht to .re.m.ove or dis�ose of any barricades, cc�uipment, sup}�Iies, materials or other property an�l repair any eonditions which in the opinion of the City are necessary to brin.g thc public rights-of=way to the condition prescribed bcrcin, an.d City sha.11 not be responsiblc for trespass or any otl�er damage or 1i.abili.ty iz� conneetion with such ren�ovaI or restoration. Grantee sllall reimhurse C'it}' for the cosl and expcn.se of such removal andlor repairs immediat�ly following billing for same by Ci.ty. 3 CONSEN7 AGREEMENI"�or TemDorary use o� puDnc proDe�y�Qx 06/06�2007 16:13 8173928105 DEVELOPMENT PLANS E PAGE 04I09 Nothircg h.crczn shall be consfiaed as a waiver by City to En�o�ce penal sanctions prescribed by the Code of the City of For# Worlh and th.e laws of the State of Texas for Grantee's continucd cncroack�znent uparz the public �ights-of-way following termination of this Consent �lgreement. Z0. It is further understoqd and agxced bcfween the parties hereto that City holds the ciiy stx'eets, alleys, sidewalks and other public rights�of way, ineluding tk�e portions of such stceets used and eneroaehed upon as described h�rein, as trustee for the publie; that City exercises such pawers over the streets as have been delegated to it by 1hc Canstitution of the State of Texas ar by ihe %egislature; and the City cannot coniraet away its duty and its ]egislative pawer. to coniral the streets for the use and Uenefit af the public. It is according)y agrGed that if the governing body of City, to wit, its City Council, shall at �ny time during the term hereof detcrmi.»c i.� iCs sol.c di.scretion to usc or causc oz permit to be used far any public purpose the said encroached partion of ihe streets, then this a�reement shall be automaticalty can�eled and terminated. ]1. Grantee agrees to comp]y fully with all applicable fedErak, sYatc dnd la�at. lava•s, stai.utes, ordinances, codes or regulations in conneciion with the construetion, operati.o� a�d mazntenance of said encroachme�zts and u.ses, l 2. Gr�.r�tee agrees to pay pro�r,ptly wbcn, duc a1i fecs, taxes or rentats provicled for by this agreement or Uy any fedetai, state or IocaZ statue, law or regulation. 13. t�ranteE cpt�enancti and agrees that it shall exercise aIl rights and privileg�s granted hereunder as an independent contractor, and not as an officer, agent, serva�lt or employee of City; t1�a.t Gran�ee shall have exclusive eontro3 of and ihe exclusive right to eont�rol the details of its o�erations and activities on said described public property and. all persons p�rforrning sa.me, and sliall ve solely responsiUle for the acts and omissions of its officcrs, agents, scrvants, czz�p].oy�es, contractors, subcontractors. lir.ensecs and aravitecs: that th� doetrine of respondeat superi.or shall not apply as between, City at�d Grantee, its offtcers, agents, servants, employees, contractors and subeontractors, and nothing hereii� shall be construed as creating a part�nershi}� or jo�nt enterprise beh�een City and Grantec. - , � 4 , �i��J��:� CONSEI�;T nGREEMENTfor Tcrr�orary uzp o( puWic p�pr:rtv.qoc - � ����i �i)� � � l:"L �1''� ,--�:: ..��..d9:�� �SL(� 06f06/2007 16:13 8173928105 DEVELOPMENT PLANS E PAGE 05/09 14. GRA,NTEE COVENANTS AN�) AGREES '�'O XNDENlNfFY, ANU DOES I�.EREBX IND�MIFX, 7�O7,b �M�,ESS A1�ID DEFEND CTTX, �'�I'S O��'iCERS, A�ENTS, S'E�Z�A.I�1TS AND EMPLOYEES, FROM A�1�D A,GA.�NS�' ANX Al�t� ALL CLAXIYIS 0�2 SUITS FOR PROP�R7CX pA,1V1A.GE OR LOSS hNA/O� P��tSONAx. IN'.i(�7tY, CNCLUbIl�t� DE�TH, TO ANY AND AX,X, �'�Z{SONS, bF WHAT50EVER KiND OR CHARACTER, W�F,?'��t. �A.X. OR ASSERTED, ARISING Oi.i'x O�' O� YN' CONNECTTON WZTH, D�RFCTLX O�t TND�CTLY, THE �,A,ZNTENA.NCE, 4CCTJpA.NCY, USE, EXISTENCE OR I�OCAT�ON O� 5,4��7 ENCROACHMENT AND USES �RAN'�'EJ} HFRF,UN�?��t, WH.E'�'�IER OR NOT CAUSE, �1V W�OX.� OXt PA�2�', B'S�' A�,Z.EG�D NE�LiGENCE OF OFFICFRS, ACi'EN7'S, S��VANTS, EMPLOYEES, CONTRAC'X'flRS, 5�7�3CONT�tACTORS, LIC�NSEES OR INV1T�,.F,S O�' CX'�'�'; A.ND GK�iNTEE 1�EREBX ASSLIN,TF,S A,�,Y. X.XA,�X��'�'�1 AIVD �SPONSIBILITY OF GITy, IT5 �FFICERS, A(fENTS, SERVp.NTS A.N� �N.1kL0'�'��S, FOR SUCH CLr�IMS OR SU��'S. �RANTEE SHALL LIFCEWYSF ASSLIM� .�X.�., LiABILITY AND RESPONSIBILITY AND S�iALT� .�E1V�NX�'Y CZ�'X k'O� ANY r1ND ALL INJTJRY OR DA.IYIAGE TO CITY PROPERTY, ARISIN� 4i.TT pF OR iN CONN�CTZON ln'ITH A,NX AN]� A�X, A,C„Z'S O�Z OlV�ISSr01�15 OF GRAi�ITEE, ITS p�FZ�F,RS, A.G�NTS, SERVANTS, Ell�PLO�I`EES, COJ�iT'RACT0�2S, SY.IBCON"X'�2ACTORS, LICESNEES, I1�VITEES OR TRESPASSERS. 15. Grantee a�rees to furn.ish City with. a Certif�cate of Insurance, naming City as certifieate holder, as proof that it has �eeured and paid fos a policy of pub�ie liability insurance covering all public risks related �o the pi•oposed use and occupaney o.f- publie pzoperty as Iocated and described in Exllibit "B". Ti�e arnotints of such i�zsuran�e shall be not ]ess that the folfowing: Property damage, per occurrence � 100,040.00 ]3odily injuzy, per. per5on �250;Ob0,00 Bodiiy injuly or death, per oecurrence $SOO,OOQ_00 VJith tt�e understanding of and agreement by Grantee that such insurance amounts sha11 be revised up.�ard at City's aption azid that Grantce shall so revise suc11 amount immediately following noticc to Grantee qf such rcquirement_ Such insurance poiicy shalJ, provide that it cannot b� c�nceled or amended without at ]east thirty (30) days' prior writ�eil notice to the k�uilding Official _ _ � � ': �ti �r='' F�;� ', GONSENT AGREEMENTfof TeMOar�ry v:e of public prnperty.6oc - ��+i5 `" U�A.`J ",, c °i ' .i���'i�ld . �...��.✓ , v��: J �' k� f51�r 06/a6/2007 16:13 8173928105 DEVELOPMENT PLANS E PAGE 06109 .� o� the City of Fort Worth_ A copy of such Certificate of �nsuzance is attached as Exh�bxt ",A". Grantee agxees to submit a similar Certi�icatc o£ Tnsura�Ice annually to City on the anniversary date of the execution of. this agreetnent. Grantec, agrees, binds and obligates itsel�, it successors and assigr�s, to maintain and keep in foree such public liability inSurance at a11 times during thc tezxn of this agreement and unti.l thc remova] of al1 ez-�croachments and the cicarzirzg and restoration of thc city s�eets. t�ll insurance eov�rage required herein sha�l inelude coverage of all Grar�tee's contractors. f6. Grantee covenants and agrees tl�at it wiil not assign a�), or any of its rights, privilc�es or duties uz�der this contract without pri4r written approval of City, and any attcmpted assignment without such prior writien approval shall be void. 3.7. This agreement shall be bindin� upon the parties }zereto, their successors and assig�as. � $. ShouJd any action, whether real o� asscrted, at law or in equit�, �rise out of the terms and eon.ditions of this agreement or out qf the use and occupancy of City property as permitted hereunder., ver�ue for said actian sha(] be in Tat-ran[ County, Texas. �9. I.n az�y actzon brought by City for the cnforcement o� the obligations of C'xrantce, City shall be entitted to recover intcrest and reasanable attorneys' fees. ��C�CUTED this GR1�NT OR; CITY �F FORT �JO�"Z'I� ( �%Ci ��(�MrvL�c.�� Building Official ,,��d °� day of �. cuarrTE�: �: v1,� r 7�j�� ti c� r� r'��2~�= � r '1N? �, � � _ ? � � '� f' C. � �`r'` �2 i, :/3i',,v` 1 Title � � �t�t�"tsi�� 4L /� .qti`,��; � �c�� 6 CONSENT AGREEMENTtor Tr.rr��or�ry u?B o� Dublic Droperly.ODt 06/06/2007 16:13 8173928105 DEUELOPMENT PLANS E PAGE 07/09 �P QV�D 'x'O FOR�M AND L�GAI.ITY: ,_ i '1 ','v.l-'�' Con"r`1�"��— Assistant City Attomey l�ate ���j � � � � 1%L�G 1i�i�---- � � � �`t, City cretary bate ����z_��__ , � _�-... _- _ - .:,a_ _ _�.. � -_�, � �I� ��c�; �.�:��J��kk�� � � � ,�;?"2 ;, ,� ->�� ^� � ' �;,� „';i �� ofu�l i ���i �l.'.�u=;� i.?�i�.�A.!'J c>i�s� ,,i �,1..;��s� ,�qn < _ ���'�1•;iJ. CONSENT AGRCCMENTIr�r Tnmporary use ol DuDIiG�AjcperiY_d� n���` . .. . . : - . � �:uti,a 06/06/2007 16:13 8173928105 DEVELOPMENT PLANS E PAGE 08I09 ,STA 1',L' OF T,�'X,4S' COUNTY D�' �'A�R,�1V�' BE,�'OXE JI��, tJte uttde�'signed authority, a Notary Public �n u�td Ftrr�; tl'ie Stttte af �'czus, o�:. tJtis day pet'sonally appeared -- � `'. --�� `� `� ----- ,k�zvwrt to tne to be thepersor� whose name is subscribed to ihe, f'oregoing iltstrurner�t, and ackr�owledged to rne �hat helslie e�recr�ted 11te scx�ne for zt:e,purposes and cot:siderat`iort tf:erei�: expressed, as tlze act a,�d deed of ��_ �ri ,.., { �—•- , and in the capacity 1lterei�: statec� � / GrYEN UN,U,�R MYI�s,t,ND AND S.�AL OF' 4.FFICE tilis �; �day o. f .�.� .. . , , z0�_+� (.G� r Affiant z'zrr� ,'1�,� D-��,� ^ . ,� _ � Nota>y �'ub�lic i�z and for ,. \ J 7'h e State of Texas ,--..,,,����;�;;'-.--- - r�:�=,� �.�t�nrr�o''� iL Cy. NAREZ `2V. ,. ... i�i , , Notary Fublic, State cf Texas - ' �Sc My Commission Expires �°';;;;;;`,:�° September 10, 2009 8 06/06/2007 16:13 8173928105 DEVELOPMENT PLANS E PAGE 09f09 S�''ATE t1F �',1G',XAS �OUlV7`Y O,� T�1,�,�4NT BEFO.RE M,�', flte utxde�•signed t�ufh.ori�j�, a Not�cry PuG[tc in and Fo,• r1�e Slaxe of Texas, v�z tlzis day personr�ly appeared �`'Z����: A• -�F � `^}`' ` . __ ,krrowrz �o n:e to be tlze per'sa�: whose ,came is su,hscr•ibed 10 tl�e fnj•egoirtg 1�tstrunier�.t, arzd acknowredged !o �t:e t)iat Ite/sI'ie �Yecuted tlte samefor the pur,pases and consideratiorz thereitt expressed, as tlze act ��xd de�d of '•" r-�- -' �' arrd ir� the capacity filierein sfated. � �IVEN �iNDER i��'HAND AND .SL�tL 4� O,FFIC� tlsis ! day °� � � � ,ZO ��..s._:� . 1��: ;� i� l� ,� �' l� �4 p'� U� _� Af�a�zt l�' �,� � � % �P � / v 6�t� � d- ,�iw�/�i4 (.� M �� v`'�'G�£'2 T1tle � � �--y�- c]: �K'L/i-ti' i' ��` 7" < r�! J/��_, Notr�ry Puhlie ir: arr.d for � The Str�te of'Tnxas ,.,,�y,�,4j,,, � - ;a " KRI�7Y I,IVINGuTOiV � " -� p PAY COMMIS�ION �XPIRES � '`�' PAAY 29, 2011 � a �� �S l l� rf � �� /=, n G ��1 � ��1�17�,�1� l t(�� r���;�l.�y � � �� � � � �� � ��� � � j� � ,i�i,,,r��.��41�i �rr!:� i;�` i�i ��%'% � ; i�� , �:;.�����., U� 06/07/2007 THU 13;06 FA� 817 332 1�51 Turner Cor�strUction Co, �003/003 a�/I�7/7F]b7 "12:13 8173928105 D�V�LGF'MENT PLANS E PAGE b"1/01 � ConttactaraName; ! � , E�1� .' '�.���?U/.� �Poin[ o�Contact: ��"� � . Phone Num�baz; � a �'�' — � '7.�' $uildit�g kernrit Number. � �� Piupase �ar Clo e: � �i-%P" + �,3egiz� bate. � �nd IIate: �jpe of T�per accatrling to pdsted sp�ed Limir. Tapers (r�i 3U N.[�'H l Oft Of�s�t 3Qft miuim»m Tapers @ 35 l�'H. l0� Offset 35ft rrunam�m �'apers @ 40 IYfPEi �6�t Q�'set 40�t mix�xTxaum � 7s' S ��-� �`���--1 K , �� - � i� s-j- I�� o�-� i`-f� �-i-�5 ��"3c� 5 (a X l� = ��tS4Z>s�f� ,--�.-- • ,� �i�,z'�,r E �`>' ,,,<, _ � , ;��," ;'e.� �t��F'EI��I�! � f�AYS QR LESS 0 / �_ — T � Jf% `���. ��: f��`.7fa.-- � _ _�iA�J r_ �._ `, . -.i.��� 3R f\ _ �.Y(`Ft�i'..i . _ . ____._ ' I/..c.! ! �/yr , �� �:F 1 —�- - , -�� - e; ��� �.. . �.–��� IC;Ai�t`I' �i�1�' i C'AI.,�, I����. AI`1I� ,IVE AN INSPECTION AFTER ALL � � � �� � �;� rr�<._,;, �l } �';��'�tiiJ J>IJ,J,; ✓}��} ,;;�,`'n,`,� � ', �',� ;ri � ul: J: �f �., ;� ":�;:;,v,;f� �'in J't5�? ; U� . � �� :, ONS ACORD,x, CERiIFICATE OF NABILIT'Y INSURANCE �Ro8J6D2 °i2,` 6�Zo a' PROOUCER TH15 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Turner surety aad znsurance erokerage, znc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE so Tice soulevard HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR c•�oodcliFf Laxe, N,7 0�5�� ALTERTHE COVERAGE AFFORDED BYTHE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC #! INSURED INSURER A: Liberty Mutual Insurance Company Turner Corporation Turner Construction INSURERB:Liberty hlutua'_ Fire Znsurance Comoany 50 Tice 81vd. INSURER C: Woodclif Lake, NJ 076�7 INSURER D: INSURER E- nnv�onrrc ' i THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NANIED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUfvIENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSl1RANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERtviS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD' POLICY EFFECTIVE POLICY EXPIRATION LIMRS LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMID�lYY �ATE MMIDD/YY A GENEwaLLIAe1LI7v TB1-625-092815-046 ll/Ol/2006 11/O1/2007 �CHOCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIA8ILITY PREMISES Ea occurence � z, � � 0, 00 0 CLAIMS MADE � OCCUR I MED EXP (Any one person) S 10 , 00 4 I PERSONAL BADV INJURY $ 2, 000, 000 GENERALAGGREGATE S 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I PROOUCTS - COMP/OP AGG S 12 , 50 0, 0 0 0 i POUCY X PRO- �OC E AUTOM081LELIABILITY A52-625-092815-016 11/O1/200'0 11/O1/2007 COMBINEDSINGIELIMIT IANYAUTO (Eaaccidenq i� 2, 000, 000 X ALL OWNED AUTOS I BODILY INJURY S SCHEOULED AUTOS � , . (Per person) X HIRED AUTOS BODILY INJURY x NON-OWNED AUTOS (Per accident) I� PROPERTY DAMAGE $ (Per accidenl) GARAGE LIABIIITY AUTO ONLY - EA ACCIDENT 3 ANY AUTO OTHER THAN � ACC $ I AUTO ONLY: AGG g EXCESSlUMBRELLA LIABILITY EACH OCCURRENCE S OCCUR � CLAIMS MADE AGGREGATE g � $ i DEDUCTIBLE � $ RETENTION 3 I S i A WORKERSCOMPENSATIONAND WC7-625-092815-036 11/O1/2006 11/01/2007 � X WCYTA'IT- OTH-� EMPLOYERS' LIABILiTY I E.LEACHACCIDENT � 3 2, 000, 000 ANY PROPRIETOWPARTNER/EXECU7IVE '�, OFFICER/MEMBER EXCLUOED7 i i E.L. DISEASE - EA EMPLOYEE 3 2, 000 , 000 If yes, describe under SPECIAI. PROVISIONS 6elow E.L. OISEASE - PO�ICY LIMIT S 2, 000, 000 OTHER � I OESCRIPTION OF OPERATIONS / LOCATION51 VEHICLES / EXCLUSIONS AODED BY ENOORSEMENT I SPECIAL PROVISIONS LOCATION: LE BIJOU CONDOMINIU[�15, 1-R, BLOCK 69, ORIGINAL TOS4DT OF FT. YiORTH, FT. WORTH (TARRAPiT COUNTY), TX 76102 Job #1273700 ADDITIONAL INSURED: THE CITY OF FORT P70RTH, ITS OFFICERS AlID EMPLOYEES 4lAIVER OF SUBROGATION APPLIES CERTIFICATE HOLDER CITY OF FOP,T WORTH 1000 THROC[�'IORTON FT. 4IORTH, TX 76102 ACORD 25 (2001/08) CANCELLATION SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION OATETHEREOF,THE ISSUING INSURER WILL MAIL 30 DAYS WRITiEN NOTICETOTHE CERTIFICATE HOLDER NAMEDTOTHE LEFT. AUTHORI2ED REPRESENTATIVE U �� �C. Page 1 of 1 �O ACORD CORPORATION 1988