The URL can be used to link to this page

Home My WebLink AboutContract 39838 (2)c SEC3- COMIRACL-r1 STATE OF TEXAS ENCROACHMENT AGREEMENT COUNTY OF TARRANT § 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 Planning and Development Department Director, hereinafter referred to as the "City", and Jt2A(iLd Zvi Inc, gO bersk Pell. r acting herein by and through its duly authorized hereinafter referred to as "Grantee", Owner of the property located at lode 5arksboro HtjhwA4 ("Property"). WITNESSETH: 1. For and in consideration of the payment by Grantee of the fee set out below and the true and faithful performance of the mutual covenants herein contained, City hereby grants to Grantee permission to construct/ install and/or allow to remain, Improvement(s) ("Improvement") that encroaches upon, uses and/or occupies portions of the space under, on and/or above the streets, alleys, 1 OFFICIAL CITY SECRETARY Ft.t4U ' H, TX sidewalks and other public rights -of -way, such Improvement(s) are described as follows: I cxtA;ria aNd 3.. or "en rc441,4,.�.� �,,,�1� �J The location and description of said Improvement and the encroachment is more particularly described in Exhibit "A", attached hereto, incorporated herein and made a part hereof for all purposes. 2. All construction, maintenance and operation in connection with such Improvement, use and occupancy shall be performed in strict compliance with this Agreement and the Charter, Ordinances and Codes of the City and in accordance with the directions of the Director of Transportation and Public Works of City, or his duly authorized representative. All plans and specifications thereof shall be subject to the prior written approval of the Director of Transportation and Public Works, or his duly authorized representative, but such approval shall not relieve Grantee of responsibility and liability for concept, design and computation in preparation of such plans and specifications. 2 3. Upon completion of construction and installation of said Improvement and thereafter, there shall be no encroachments in, under, on or above the surface area of the streets, alleys, sidewalks and other public rights -of -way involved, except as described herein and shown on the hereinabove referred to Exhibit "A". 4. Grantee, 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 the utility companies and 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 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, Grantee shall pay to City an additional amount equal to such additional cost as determined by the Director of Transportation and Public Works of the City, or his duly authorized representative. 5. City may enter and utilize the referenced areas at any time for the purpose of installing or maintaining improvements necessary for the health, safety and welfare of the public or for any other public purpose. In this regard, Grantee understands and agrees that City shall bear no responsibility or liability for 3 damage or disruption of improvements installed by Grantee or its successors, but City will make reasonable efforts to minimize such damage 6. 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, Grantee agrees to pay to City at the time this Agreement is executed a fee in the sum of 'co iitniatt ea k cveM - t� Dollars ($135 Qo ). 7. The term of this Agreement shall be for thirty years, commencing on the date this Agreement is executed by the City of Fort Worth. 8. Upon termination of this Agreement, Grantee shall, at the option of City and at no expense to City, restore the public right-of-way and remove the Improvement encroaching into the public right-of-way, 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. It is understood and agreed to by Grantee that if this Agreement terminates and Grantee fails to remove the Improvement, Owner hereby gives City permission to remove the Improvement and any supporting structures and assess a lien on the Property for the costs expended by the City to remove such Improvement. 4 9. It is further understood and agreed upon between the parties hereto that the public rights -of -way, alleys, sidewalks ("public right-of-way") to be used and encroached upon as described herein, are held by City as trustee for the public; that City exercises such powers over the public nght-of way as have been delegated to it by the Constitution of the State of Texas or by the 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 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 right of way to be used for any other public purpose, including but not being limited to underground, surface of overhead communication, drainage, sanitary sewerage, transmission of natural or electricity, or any other public purpose, whether presently contemplated or not, that this Agreement shall automatically terminate. 10. Grantee understands and agrees that the granting of any encroachment hereunder is not meant to convey to Grantee any right to use or occupy property in which a third party may have an interest, and Grantee agrees that it will obtain all necessary permission before occupying such property. 5 11. Grantee 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 said Improvement, encroachment 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 statute, law or regulation. 13. Grantee 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 Grantee 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 Grantee, its officers, agents, servants, employees, contractors and subcontractors, and nothing herein shall be construed as creating a partnership or joint enterprise between City and Grantee. 14. GRANTEE COVENANTS AND AGREES TO INDEMNIFY, AND DOES HEREBY INDEMNIFY, HOLD HARMLESS AND DEFEND CITY, ITS 6 OFFICERS, AGENTS, SERVANTS AND EMPLOYEES, FROM AND AGAINST ANY AND ALL CLAIMS OR SUITS FOR PROPERTY DAMAGE OR LOSS AND/OR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL P ERSONS, OF WHATSOEVER KIND OR CHARACTER, WHETHER REAL OR ASSERTED, ARISING OUT OF OR IN CONNECTION WITH, DIRECTLY OR INDIRECTLY, THE CONSTRUCTION, MAINTENANCE, OCCUPANCY, USE, EXISTENCE OR LOCATION OF SAID IMPROVEMENT AND ENCROACHMENT AND USES GRANTED HEREUNDER, WHETHER OR NOT CAUSED, IN WHOLE OR IN PART, BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, S UBCONTRACTORS, LICENSEES OR INVITEES OF THE CITY; AND GRANTEE HEREBY ASSUMES ALL LIABILITY AND RESPONSIBILITY FOR S UCH CLAIMS OR SUITS. GRANTEE 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 ANY AND ALL ACTS OR OMISSIONS OF GRANTEE, ITS OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, S UBCONTRACTORS, LICENSEES, INVITEES, OR TRESPASSERS. 15. While this Agreement is in effect, Grantee 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 Tess than the following: $1,000,000 Commercial General Liability with the understanding of and agreement by Grantee that such insurance amounts shall be revised upward at City's option and that Grantee shall so revise such amounts immediately following notice to Grantee of such requirement. Such insurance policy shall provide that it cannot be canceled or amended without at least ten (10) days prior written notice to the Building Official of the City of Fort Worth. A copy of such Certificate of Insurance is attached as attached as Exhibit "B". Grantee agrees to submit a similar Certificate of Insurance annually to City on the anniversary date of the execution of this Agreement. Grantee 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 city streets. All insurance coverage required herein shall include coverage of all Grantee's contractors. 16. Grantee agrees to deposit with the City when this Agreement is executed a sufficient sum of money to be used to pay necessary fees to record this Consent Agreement in its entirety in the deed records of Tarrant County, Texas. After being recorded, the original shall be returned to the City Secretary of the City of Fort Worth, Texas 17. 8 In any action brought by the City for the enforcement of the obligations of Grantee, City shall be entitled to recover interest and reasonable attorney's fees. 18. Grantee covenants and agrees that it will not assign all or any of its rights, privileges or duties under this contract without the prior written approval of the City Manager or designee. Any attempted assignment without prior written approval will be void. 19. THE PARTIES AGREE THAT THE DUTIES AND OBLIGATION CONTAINED IN PARAGRAPH 8 SHALL SURVIVE THE TERMINATION OF THIS AGREEMENT. 20. This Agreement shall be binding upon the parties hereto, their successors and assigns. 9 EXECUTED this City City of Fort Worth By: /\, Swan Tanis, Dir ci Planning and Development C ATTEST: City Secretary P�ti It 0 ti\c. <cy hy ,c, p t A, Q %co ffho s Q C 0 ® c� y1&' V Q J s yr -- Pr4 r� 0� �+ j _J Qom R� �� s Y1, .� _ elAk‘ %al izys a NA 4,100000 mZiti 10Ls7 lillfliiisteCacC> � day of ,2ofO. Grantee (Business Name) Icac14 ZI°I`I cN, By j-p Name: `2c7$f9,T Title: 9Jj�7f&2z.9 Approved As To Form And Legality it T. ttic D Assistant City Attorney 10 • OFFICIAL RECORD CITY SECRETARY Ft WORm, TX STATF 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 Susan Alan's, 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. it GIVEN UNDER MY HAND AND SEAL OF OFFICE this day of Q- , 20 (.1 v 1011YPU,6>eice SUSAN LEE TEDDER • Notary Public; State ' • CIO `e . tr • . a as of Texas q ,• ' My Commission Expires X1$. % or February 09, 2012 . _ _ Not ry Public in and for the ale of Texas 11 State of Texas, on this day personally appearod STATE OF TEXAS COUNTY OF TARRANT § BEFORE ME, the undersigned authority, a Notary Public in and for the _OL>r* ed-I( 7 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 and in the capacity therein stated. i) GIVEN UNDER MY HAND AND SEAL OF OFFICE this / S day of cUe Qpn hp/ , 20 LUZ M . LIRA Notary Public, State of Texas My Commission ExpTres s . �,; Janu0ty i Notary Public in and for the Sate of Texas 12 INSTALL TxDOT TYPE 7 CURB RAMP TxDOT TYPE "SETP—PD" .SAFETY END TREATMENN •? INSTALS\ .' '\ SIGN PER TxDOT STANDARD STRIPE PER TxDOT STANDARDS NOTE: FULL —DEPTH SAW CUT ALL JOINTS l"O MADE FOR REMOVAL 4<c OF EXISTING STATE 'Q FACILITIES INSTALL EXPANSION JOINT PER TxDOT STANDARDS Scale 1" = 20' Tlnwfl Rockwood Park Municipal Golf Course OUAIL LOCATION MAP PROPOSED RETAINING WALL (BASE BEARING) EAST PROPOSED DUMPSTER PROPOSED ASSESSIBLE SPACE SIGN w VAN SESSIBLE S INING LL PROPOSED RETAINING WALL ••OPOSED RE INING A Lot 1 Block 1 (1.64 ACRES OF LAND) City PROPOSED ASSESSIBLE SPACE SIGN w/VAN ASSESSIBLE SIGN 49.R0.5'R REVISIONS/ SUBMISSIONS EX. BLDG EX. BLDG PROPOSED DUMPSTER Lot 1R Block 14 HAGAN ADDITION IN CAB. B, SLIDE 2687, P.R.T.C.T. 29.5R .. S6ZA6 3 CO4VeT2T EXISTING CURB INLET INTO JUNCTION BOX PER DETAIL SHT. 18 J EX. BLDG EX. BLDG E X. POOL PROPOSED RETAINING WALL ENCROACHMENT DETAIL �-EXISTING RETAINING WALL ENCROACHMENT DETAIL CONSTRUCT NEW 10' CURB INLET EX. 10' CURB INLET TOP=102.28 FL=97.78 THOMAS HOOVER ENGINEERING, LLC 420 JOHNSON ROAD, SUITE 303 KELLER, TEXAS 76248 (817) 431-0790 PH. (817) 431-0780 FAX T.B.P.E. FIRM REGISTRATION NO. 006009 PETRIE CENTER AT ROCKWOOD 2000 JACKSBORO HIGHWAY FORT WORTH, TEXAS 76114 DMICNED DRAWN CHOCKED SDS SDS TLH SITE PLAN SOME 1" a 20' DATE 10-15-09_ PROJECT NO. 02— SHEET 3 o1 EXISTING RETAINING WALL EXISTING GRADE PLAN VIEW 1 13.00' cc w1 z� J ... r a 0 cc a ELEVATION VIEW __ J EXISTING RETAINING WALL ENCROACHMENT DETAIL RP OPER-LIA7E PROPOSED RETAINING WALL RO SI D EWALK PROPOSED RETAINING WALL PRO SIDE ALK PLAN VIEW 0.88' ELEVATION VIEW I___ 0.42' z PROPOSED RETAINING WALL ENCROACHMENT DETAIL s. Ns sN Rockwood Park Municipal Golf Course INSTALL 1-12"x6" TAPPING SLEEVE 1-6" GATE VALVE 18 LF. 6" WATER MAIN —STD. FIRE HYDRANT INSTALL 1" 11 1/4' END INST 1" 22 BEND INSTALL' 1" 90" BEND EX. BLDG EX. BLDG \ REVISIONS/ SUBMISSIONS Lot 1R Block 14 HAGAN ADDITION IN CAB. B, SLIDE 2687, P.R.T.C.T. EX. BLDG SEE SANITARY SEWER PLAN & PROFILE SHEETS FOR SANITARY SEWER DESIGN INSTALL 100 LF. 1" DOMESTIC WATER SERVICE INSTALL: 1" WATER METER (DOMESTIC) INSTALL 1" WATER METER (IRRIGATION) INSTALL 1-12"x4" TAPPING SLEEVE 1-4" GATE VALVE 4"x1" REDUCER 20 F. 4" WATER MAIN Lot 1 Block 1 (1.64 ACRES OF LAND) INSTALL: L.F. 1" IRRIGAT10 R SERVICE INSTALL: 1" WATER METER (DOMESTIC) INSTALL 1" 22 1/2 BEND \ INSTALL: 133 LF. 1" DOMESTIC WATER SERVICE INSTALL 1" 11 1/4' BEND City o1 Ft6j`��+ INSTALL 85 LF. 1" Dti.1EST1C WATER SERVICE\ EX. BLDG EX. POOL \ ♦♦ \ \\ / • \ ♦♦• ' ♦ EX. 10' CURB INLET TOP=102.28 FL=97.78 Scale 1' = 20' 'O• / cb ♦ EX. Mii♦ ♦ ♦ J IL THOMAS HOOVER ENGINEERING, LLC 420 JOHNSON ROAD, SUITE 303 KELLER, TEXAS 76248 (817) 431-0790 PH. (817) 431-0780 FAX T.B.P.E. FIRM REGISTRATION NO. 006009 PETRIE CENTER AT ROCKWOOD 2000 JACKSBORO HIGHWAY FORT WORTH, TEXAS 76114 UTILITY PLAN DmIcNED SDS DRAWN SOS CHECKED TLH 1" 20' DATE 12-2-09 PROJECT NO. 02— SHEET 8f 0 20 40 610 605 600 595 60 80 LOT 11 SCALE: 11' - 40' \ \ \ \ Cslvre sUB. C/L PROP. 74 LF 8" SAN. SEWER EXT. \\i�L. Q� 10' DRAWAG FACEMENT LOT 12 - --8" S.S. (L-2326)— Is/ON LIEASEM NN 10' 18 FTA 2+9340 (I-7'i76RFrIN R SAN. SEWER REMCVE EX MAN'-IOLt & I SIALL SI MAN TOLE w/ ATERTIoFFI CONK. COL . MATCH GROJND. Ar'.=4925..74 E-5C3 PROFILE SCALE HORI Z.: 1 "=40' VERT.. 1 =4' ST. U. 4 DIA T & EXIT. TOP OF RIM=607.42'± N EXIST. 8' S.S. 0 5.5% GADE EXIST. 8" S.S. .660 F/LT603.80' 1PPROX LDCAT ON PP 101 N /�7.5' UTILITY /EASEMENT ''gg / O/ �NPI /y I TOP F PnvkN t�ROF. 74 Q 8" 3r 1" LAMER Q S EV'I' ® D ACM nlipf INE (\ 0+00 tn PROPERTY /CORNER N=5000.00 E=5000.00 fro �--—4510'45E' Ear ""'- -- JACICSBORO HWy W—.. 42`24 00 w 100.00 AIDS BafFS CONTRACTOR TO USE FLOWABLE FILL FOR BACKFIr.LTNG MATERIAL V EXT. INSTALL STD. 4' DIA. M 1NI-OL� w/w-1uu'GHI INStKI & CO)(C. GEAR MATGH---E4 . 5' NORTHWEST PROVIIE 2" SAN. SEWER SERVICE. 1 - - 4982780 R M=609.04'± IU'PR)X. L=CATTON OF 24" STORM DRAIN UN STA. C+74.00 - 8" F/_ 604.10 1+00 SEN 'ER 2+00 610 605 600 595 X- THE CONTRACTOR S441 I CONTACT THE FOLLOWING AT LEAST 48 HOURS PRIOR TO EXCAVATING AT EACH LOCATION: FORT WORTH WATER DEFT., FIELD OPERATIONS KRISTIAN SUGRIM 817-212-2649 OR 817-925-2271 SCOTT MARTIN 817-212-2642 OR 817-994-8663 FORT WORTH TRANSPORTATION UGHT AND SIGNAL DNISION FORT WORTH TRANSPORTATION (STORM ORMN LOCATES) & PUBUC WORKS DWAYNE COX 817-871-8100 ROGER MARTIN 817-871-8100 & PUBUC WORKS CORDON COUCH 817-871-8100 TEXAS UTILITY SERVICE COMPANY (800) 242-9113 TFY&R ONE CALL - FIBER OPTICS LOCATION (800 245-4545 (AT&T, SPRINT, SW BELL TELEPHONE, LONESTAR CAS) on TESS (WESTERN UNION. MCI) (800) 344-8377 MCI TELECOMMUNICATIONS (800) 624-9675 MARCUS CABLE • 246-5538 THE APPLICANT APPROVES SIZE AND LOCATION OF THE SERVICE SHOWN ON THE SKETCH SIGNATURE DATE PRINT NAME NOTES: 1. APPROXIMATE NUMBER OF SANITARY SEWER SERVICES TO BE INSTALLED IN THIS AREA - 1. 2. CONTRACTOR SHALL PROTECT ALL EXISTING TREES, FENCES, RETAINING WALLS, AND STRUCTURES, UNLESS OTHERWISE NOTED. 3. THIS DRAWING PREPARED BASED ON A COMPILATION OF EXISTING PLATS, AS-BUILTS, MD STRET INFORMATION. 4. DIMENSIONS SHALL PREVAIL OVER AM' STATIONING OR NORTHING/E/SONG IN CASE OF DSCREPENCIES. W.O.# -- MAP No. 2036-404 I MAPSCO No. 61-M CITY OF FORT WORTH, TEXAS DEPARTMENT OF EIVGDYEERWNG PROP. 74 LP 8" S.S. EXT. x/4" S.S. SERVICE AT 2000 JACKSBORO HWY. (TAP MADE ON NW 21st ST.) DRAWN TC PROJECT NUMBERS: DATE SHEET DESIGN TC S-0805-03 07/01/09 1 OF 1 REWEY ✓D P258-7011700971 ConknoCer t'uNx Arev low FORM 05-102 (Rev. 1-08/28) ■ gICOdx 13196 ■ Taxpayer number 31210121619 Taxpayer name JACK 2199 INC Mailing address 1924 JACKSBORO HWY City FORT WORTH 3 I 1 TEXAS FRANCHISE TAX PUBLIC INFORMATION REPORT (To be filed by Corporations and Limited Liability Companies (LLCS)) This report MUST be filed to satisfy franchise tax requirements ■ Report year State TX You have certain rights under Chapter 552 and 559, Government Code, to review, request, and correct information we have on file about you. Contact us at. (512) 463-4600, or (800)252-1381, toll free nationwide. IZIP Code (Plus 4 76114 5930 Secretary of State file number or Comptroller file number 0800777775 OBlacken circle if there are currently no changes or additions to the information displayed in Section A of this report. Then complete Sections B and C. Entity's principal office 1924JACKSBORO HWY FORT WORTH TX 76114 Principal place of business 1924JACKSBORO HWY FORT WORTH TX 76114 nose sip Gels/ Officer, director and member information is reported as of the date a Public Information Report is completed. The information is updated annually as part of the franchise tax report. There is no requirement or procedure for supplementing the information as officers, directors, or members change throughout the year. SECTION A Name, title and mailing address of each officer, director or member. Name Title ROBERT PETRIE Mailing address 1924 JACKSBORO HWY Name Mailing address Name Mailing address Name DIRECTOR City FORT WORTH Title City Title City Title Mailing address City Director YES Director 0 YES Director 0 YES Director O YES Term expiration State TX Term expiration State Term expiration State Term expiration State SECTION B Enter the information required for each corporation or LLC, if any, in which this reporting entity owns an interest of ten percent (1095) or more. Narne of owned (subsidiary) corporation or limited liability company Name of owned (subsidiary) corporation or limited liability company State of formation State offormation 4'202691;48n8 m m m m 'Texas SOS file number, if any texas SOS file number, if any I I m d d I ZIP code 76114 m d d IZIP code m d d II ZIP code m d d II ZIP code Y Y Percentage of Ownership Percentage of Ownership SECTION C Enter the information required for each corporation or LLC, if any, that owns an interest of ten percent (10%) or more in this reporting entity or limited liability company. Name of owned (parent) corporation or limited liability company (State of formation (Texas SOS file number, if any (Percentage of Ownership (Registered agent and registered office currently on file. (See instructions if you need to make changes) Blacken circle if you need fo ms to change the registered agent or registered office information. gent: WAYNE C. WATSON Office: 104 PINE ST., STE. 306 City ABILENE (State ITX IZIP Code 79601 The above information is required by Section 171.203 of the Tax Code for each corporation or limited liability company that files a Texas Franchise Tax Report. Use additional sheets for Sections A, B, and C, if necessary. The information will be available for public inspection. I declare that the information in this document and any attachments is true and correct to the best of my knowledge and belief, as of the date below, and hat a copy of this report has been mailed to each person named in this report who is an officer, director or member and who is not currently employed by this, or a related, corporation or lin ited liability company. sign here r 'Title SECRETARY (Date t:a:ta.'s .trir iriiiIrar"STtITlE1I1pruto 1v I li 1 1 �I i III IItilhidli1111111111110 I, I IIII In g111111 Area code and phone number (817 ) 829 - 0282 IVE/DE I 0 Iluhinh' PIR IND I O I 1111111111 Tarrant Appraisal District Real Estate 12/22/2009 Account Number: 04706021 Georeference: A1525-1B Property Location: 2000 Jacksboro Hwy, Fort Worth Owner Information: Jack 2199 Inc 1924 Jacksboro Hwy Fort Worth Tx 76114-2315 2 Prior Owners Legal Description: Thomas, Mrs John P Survey A 1525 Tr 1B Taxing Jurisdictions: 026 City of Fort Worth 099 Regional Water District 220 Tarrant County 224 Tarrant County Hospital Dist 225 Tarrant County College Dist 905 Fort Worth ISD This information is intended for reference only and is subject to change. It rnay not accurately reflect the complete status of the account as actually carried in TAD's database. Certified Values for Tax Year 2009 Land Impr 2009 Total** $0 $113,514 Market Value $113,514 Appraised Value _ * $113,514 $0 $113,514 *** 0 Approximate Size Land Acres 1.0300 44,867 Land SqFt * Appraised value may be Tess than market value due to state -mandated limitations on value increases ** A zero value indicates that the property record has not yet been completed for the indicated tax year ***Rounded 5-Year Value History Tax YearXMPT Appraised Land Appraised Impr Appraised Total Market Land Market Impr Market Total $100,951 $0 $100,951 $100,951 $0 $100,951 2008 000 2007 000 $100,951 $0 $100,951 $100,951 $0 $100,951 2006 000 $67,301 $0 $67,301 $67,301 $0 $67,301 $0 $56,084 $56,084 $0 $56,084 2005 000 $56,084 2009 Notice Sent: 04/30/2009 Exemptions: None Property Data Deed Date: 03/23/2007 Instrument: D207107573 Year Built: 0000 TAD Map: 2036 404 MAPSCO: 061M Agent: None Protest Deadline: 06/01/2009 Protest Filed Class:000 State Code: C2 Comm Vacant Garage Bays: 00 Central Air: Central Heat: Pool: N BUSINESS ORGANIZATIONS INQUIRY -VIEW ENTITY Page 1 of 1 retary qf State r. ade UCC I Business Organizations Trademarks Notary I Account Help/Fees Briefcase I Logout BUSINESS ORGANIZATIONS INQUIRY n VIEW EN' 'ITY Filing Number: 800777775 Entity Type: Domestic For -Profit Corporation Original Date of Filing: February 22, 2007 Entity Status: In existence Formation Date: N/A Tax ID: 32026931348 F EIN Duration: Perpetual Name: Address: JACK 2199, INC. 1924 JACKSBORO HWY FORT WORTH, TX 761142315 USA REGISTERED FILING AGENT HISTORY ASSUMED ASSOCIATED NAMES MANAGEMENT NAMES ENTITIES Name Robert W Petrie Sr Address 1924 Jacksboro Hwy. Fort Worth, TX 76114 USA Inactive Date Order Return to Search Instructions: si To place an order for additional information about a filing press the 'Order' button. https://direct.sos.state.tx.us/corp inquiry/corp inquiry -entity . asp? : Sfiling_number=8 0077... 12/22/2009 Form 401 Secretary of State P.O Box 13697 Austin, TX 78711-3697 FAX 512/463-5709 ;Filing Fee: See Instructions Statement of Change of Registered Office/Agent Filed in the Office of the Secretary of State of Texas Filing #: 800777775 12/11/2009 Document #: 287514700003 Image Generated Electronically for Web Filing Entity Information The name of the entity is : ;JACK 2199, INC. The file number issued to the entity by the secretary of state is: 800777775 r • • The registered agent and registered office of the entity as currently shown on the records of the secretary of state are: Wayne C. Watson f1O4 Pine Si. Ste. 306 Abilene TX USA 79601 r • i • • Change to Registered Agent/Registered Office The following changes are made to the registered agent and/or office informationewof ............... henaentity: Registered Agent Change ;CIA. The new registered agent is an organization (cannot be entity named above) by the name of: • IOR p=B. The new registered agent is an individual resident of the state whose name is: !Robert W Petrie Sr r 4 4 2 Registered Office Change 17C The business address of the registered agent and the registered office address is changed to: 11924 Jacksboro Hwy., Fort Worth, TX, USA 76114 The street address of the registered office as stated in this instrument is the same as the registered agent's business :address. Statement of Approval • The change specified in this statement has been authorized by the entity in the manner required by the BOC or in the `manner required by the law governing the filing entity, as applicable. .11-ar-Wits Sat - Effectiveness of Filing ----------.... -----------..... --______ _______ _----_ --- A. This document becomes effective when the document is filed by the secretary of state. B. This document becomes effective at a later date, which is not more than ninety (90) days from the date of its ;filing by the secretary of state. The delayed effective date is: Execution ;The undersigned signs this document subject to the penalties imposed by law for the submission o i'or fraudulent instrument. Date: December 11 2009 FILING OFFICE COPY • SSW - a materially false Robert W. Petrie Signature and title of authorized person(s)(see instructions)