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HomeMy WebLinkAboutContract 55115 Date Received: Jan 4,2021 City Secretary Time Received: 9:31 am Number: 55115 PUBLIC RIGHT-OF-WAY ENCROACHMENT LICENSE AGREEMENT RESIDENTL4L 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 by and through its duly authorized City Manager, Assistant City Manager, or Development Services Director, and Robert Holt ("Licensee"), owner(s) of the real property located at 3509 Hamilton Ave., Fort Worth,Texas 76107 (the"Property),more particularly described in the attached Legal Description. 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, attached as "Exhibit C" and incorporated herein for all purposes; 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 snap attached to this Agreement as "Exhibit A," which is incorporated herein for all purposes; and WHEREAS, Licensee desires to construct, place, and/or maintain certain improvements which will encroach in, on, above, or below the Public Right-of-Way; and WHEREAS, to accommodate the needs of the Licensee, the City will allow the encroachment under the terms and conditions as set forth in this Agreement. NOW, THEREFORE, the City and Licensee agree as follows: OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX ROW Encroachment Agreement—Residential Page 1 of 14 Revised 04/2020 AGREEMENT 1. The 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 the Licensee, hereby grants permission to the Licensee to encroach upon and occupy a portion of the City's Public Right-of-Way as described in and at the location shown on Exhibit A, but only to the extent shown thereon,for the purpose of Repair and replace in-kind 135 sq. ft. of existing fence encroaching into City ROW (the "Encroachment"). Upon completion of the Encroachment, Licensee agrees to be responsible for maintaining the Encroachment within the Public Right-of-Way. Licensee shall not expand or otherwise cause the Encroachment to further infringe in or on the Public Right-of-Way beyond what is specifically described in the exhibit(s) attached hereto. 2. All construction,maintenance, or operation in connection with such Encroachment,use, or occupancy shall comply and be performed in strict compliance with this Agreement and with the Charter, Ordinances, and Codes of the City, and in accordance with the directions of the Director of the Transportation and Public Works Department or the Director of the Water Department, or their duly authorized representative. Prior to the construction of the Encroachment, Licensee shall submit all plans and specifications to the applicable Director or duly authorized representative. Licensee shall not commence construction of the Encroachment until such approval shall be indicated in writing by the applicable Director or authorized representative. However, such approval shall not relieve Licensee of responsibility and liability for concept, design, and computation in the preparation of such plans and specifications. 3. 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 securing the approval and consent of the appropriate utility companies and 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 or constructed by or on behalf of the public or at public expense is made more costly by virtue of the construction, maintenance, ROW Encroachment Agreement—Residential Page 2 of 14 Revised 04/2020 or existence of the Encroachment and use, Licensee shall pay to City an additional amount equal to such additional cost as determined by the Director of Transportation and Public Works or the Director of the Water Department, or their duly authorized representative. 4. Licensee agrees that the 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. The 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. 5. Upon termination of this Agreement, Licensee shall, at the option of and at no expense to the City, remove the Encroachment and restore the Public Right-of-Way to a condition acceptable to the Director of Transportation and Public Works or the Director of the Water Department, or their duly authorized representative, in accordance with then-existing City specifications. It is understood and agreed to by Licensee that if this Agreement terminates and Licensee fails to remove the Encroachment as directed and restore the Public Right-of-Way, Licensee hereby gives City permission to remove the Encroachment and any supporting structures and assess a lien on the Property for the costs expended by the City in taking such actions. 6. In order to defray all costs of inspection and supervision which the 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 to City at the time this Agreement is requested an application fee in the sum of Five Hundred Dollars ($500.00). Additionally, Licensee agrees to pay a fee in the amount of $1.44 per square/linear foot of the encroachment area upon execution of this Agreement and annually thereafter. 7. ROW Encroachment Agreement—Residential Page 3 of 14 Revised 04/2020 The term of-this Agreement shall be for thirty (30) years, commencing on the date this Agreement is executed by the City. However,this Agreement may be terminated upon Licensee's noncompliance with any of the terms of this Agreement. City shall notify Licensee in writing of any noncompliance and if not cured within thirty (30) days, this Agreement shall be deemed terminated, unless such noncompliance is not susceptible to cure within thirty (30) days, in which case this Agreement shall be deemed terminated in the event that Licensee fails to commence and take such reasonable steps as are necessary to remedy the noncompliance within thirty (30) days after written notice specifying the same, or having so commenced, thereafter fails to proceed diligently and with continuity to remedy same. 8. It is further understood and agreed between the parties hereto that the Public Right-of-Way to be used and encroached upon 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 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 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. 9. 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 lKJND OR CHARACTER,WHETHER REAL OR ASSERTED, ARISING OUT OF OR IN CONNECTION WITH, DIRECTLY OR INDIRECTLY, THE ROW Encroachment Agreement—Residential Page 4 of 14 Revised 04/2020 CONSTRUCTION, MAINTENANCE, OCCUPANCY, USE, EXISTENCE, OR LOCATION OF THE ENCOACHMENT 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 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. 10. While this Agreement is in effect, Licensee agrees to furnish City with a Certificate of Insurance as proof that it has secured and paid for a homeowner's insurance policy 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 the following: $300,000.00 with the understanding and agreement by Licensee that such amounts may be revised upward at the City's option and that Licensee shall so revise such amounts immediately following notice to Licensee of such requirement. Such insurance policy not be canceled or amended without at least thirty (30) days prior written notice to the Building Official of the City. A copy of such Certificate of Insurance is attached as attached as "Exhibit B" and incorporated herein for all purposes. Licensee agrees to submit a similar Certificate of Insurance annually to the City on the anniversary date of the execution of this Agreement. Licensee agrees, binds, and obligates itself and its successors and assigns to maintain and keep in force such homeowner's 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 ROW Encroachment Agreement—Residential Page 5 of 14 Revised 04/2020 insurance coverage required herein shall include coverage of all Licensee's contractors and subcontractors. 11. Licensee 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 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. 12. Licensee agrees to comply fully with all applicable federal, state, and local laws, statutes, ordinances,codes,and regulations in connection with the construction,operation,and maintenance of the Encroachment: and uses. 13. 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. 14. 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. 15. 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 described Public Right-of-Way and is not a conveyance of any right, title, or interest in or to the ROW Encroachment Agreement—Residential Page 6 of 14 Revised 04/2020 Public Right-of-Way, 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 permission before occupying such property. 16. In any action brought by the City for the enforcement of the obligations of Licensee, City shall be entitled to recover interest and reasonable attorneys' fees. 17. The parties agree that the duties and obligations contained in Section 5 shall survive the termination of this Agreement. 18. Licensee covenants and agrees that it will not assign all or any of its rights, privileges, or duties under this contract without the written approval of the 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 default or otherwise shall not require City approval provided that said lender notifies City in writing within sixty (60) days of such foreclosure or assignment and assumes all of Licensee's 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. 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 20. ROW Encroachment Agreement—Residential Page 7 of 14 Revised 04/2020 This Agreement shall be binding upon the parties hereto and their successors and assigns. 21. This Agreement may be executed in multiple counterparts, each of which shall be considered an original, but all of which shall constitute one instrument. [SIGNATURES APPEAR ON THE FOLLOWING PAGE] ROW Encroachment Agreement—Residential Page 8 of 14 Revised 04/2020 City: Licensee: CITY OF FORT WORTH HOMEOWNER A1soj3 Grav Q _ Allison Gray(Dec 31,2D20 12:44 CST) DJ Harrell, Director obert Holt, Homeowner Development Services Date: Dec 31,2020 Date: I Z"f Zg/2 • 2 �,a4vnnn�� by FOR?- 4Z ,4 SOO00000.4 , ATTEST: P�� °o�p�� Approved As To Form and Legality �vo �=A $ o° d kl-�0`1GI C701 �1 a °°°°°°°°°°°°° aff a��ExA54ap M�tNrceu�Mtwl-A,y 'for Ronald P.Gonzales(Dec 31,202013:11 CST) Matthew Murray(Dec 30,2020 1 :38 CST) Mary Kayser, City Secretary FWBC Sec. 3210 City Secretary's Office Matthew A. Murray, Assistant City Attorney City Attorney's Office 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. Janie S. Morales Development Manager OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX ROW Encroachment Agreement—Residential Page 9 of 14 Revised 04/2020 STATE OF TEXAS § COUNTY OF TAR.RANT § BEFORE MI:,the undersigned authority, a Notary Public in and for the State of Texas, on this day personally appeared DJ Harrell, Director, known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that he 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 31st day of December , 2020 o,�p.RY PUe/ JENNIFER L. EZERNACK _ Notary Public Digitally signed byJenniferL N STATE OF TEXAS Jennifer L Ezernack 9�OF�+P Notary I.D. 130561630 My Comm. Exp.Mar. 1,2024 EzPr1'la(�( _ Date:2020.12.3113:05.45 600 Notary Public in and for the State of Texas After recording return to: Development Services Development Coordination Office 200 Texas Street Fort Worth, Texas 76102 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX ROW Encroachment Agreement—Residential Page 10 of 14 Revised 04/2020 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 Robert Holt,known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that he or she executed the same for the purposes and consideration therein expressed, as the act and deed of 3509 Hamilton Ave., and in the capacity therein stated. GIVEN UNDER MY HAND AND SEAL OF OFFICE this _Zq� Y da of(I)ZQ ,E I��Qv 20 a� CYNTHIA ANN WISE Notary Public in and for the S Notary Public, State of Texas y v�7 Comm. Expires 11-18-2023 State J 1 Notary ID 4504334 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX ROW Encroachment Agreement—Residential Page 11 of 14 Revised 04/2020 EXHIBIT A Map of Public Right-of-Way and Encroachment ROW Encroachment Agreement—Residential Page 12 of 14 Revised 04/2020 EXHIBIT A Reference No: 1506033509 G.F.No: ATD-18-6000181501412-SL Title Co: ALAMO TITLE COMPANY Purchaser: TERMINE PROPERTY DESCRIPTION Lot 6,Block 16,Monticello,an Addition to the City of Fort Worth,Tarrant County,Texas,according to Plat recorded in Volume 1037,Page 200,Deed Records of Tarrant County,Texas. 1. Residence protrudes over the 35 foot building line by 0.17 feet and over the 20 foot building line by 4.7 feet. 3509 HAMILTON AVENUE DIRECTIONAL CONTROL LINE (BEARING ASSUMED) (CONTROL) MEAS. DUE WEST - 95.03' ND. 1/2- IR FND. 1/2" IR A 4 .D n O O :1. N 35' BL 6.8 — 6.8 6.9 8.1 I 16 W 24 o 7 N BRICK & FRAME O w 0 RESID E jC j CIO to � / LOT 6 O; o 0 5.36 4.1( c0 1037 /200 � LOT 5 o 1037/200 O �\.' _ ao our-B�ILOJjJG— — r Q UNIT LINE Vi 15.0' W 5 \ � BRICK 28.0 COLUMN BRICK a•.}� FRAME �Y.•y GARAGE N . 's.••.•. ON ONC _:•.� POINT UNABLE TO SET FROM WHICH A 3" METAL FENCE POST IN CONIC. •� BEARS N W W — 0.42' FND. 1• � — METAL PIPE 4 ESMT. ;'MEAS. S 89' 27 24" W - 58.0 1037/zoo •!:..'v•a: .. .GONG. ..t.:RUNNER (TYP) .a rNEIGHB•ORI(JG• ON�. gRIGE• *:'�•• .. .tea.'•.. . .. 'a `. LOT B `" This survey is hereby 388-D /267 accepted and approved. —E— OVERHEAD UTIUTIES N FENCE Purchaser BRICK ® WOOD DECK � Purchaser SCALE: 1" = 20' 0 CONCRETE -j Date SURVEYORS CERTIFICATION STATE FIRM REGISTRATION NUMBER 10193797 I, DAVID J. ROSE, REGISTERED PROFESSIONAL LAND SURVEYOR, HEREBY CERTIFY THAT THIS SURVEY WAS MADE ON THE GROUND UNDER MY SUPERVISION MD CORRECTLY SHOWS THE BOUNDARY LINE, AND DIMENSIONS OF THE UWO INDICATED THEREON, AND THAT SAID PROPERTY HAS ACCESS TO AND FROM A DEDICATED ROADWAY,SAID PROPERTY BEING SUBJECT TO ANY AND ALL EASEMENTS, RESERVATIONS AND RESTRICTIONS THAT MAY BE OF RECORD, AND THAT ONLY THE EASEMENTS SHOWN ON THE REFERENCED PLAT OF RECORD, VISIBLE EASEMENTS AND THOSE OF WHICH THE SURVEYOR HAS BEEN GIVEN WRITTEN NOTICE FROM TITLE COMPANY A SHOWN ON THIS PLAT. SURVEYOR 010 NOT ABSTRACT THIS PROPERTY.THIS SURVEY WAS �• RE F PERFORMED EXCLUSIVELY FOR THE TITLE COMPANY AND PURCHASER SHOWN AND IS LICENSED FOR ONE SINGLE USE THIS SURVEY WILL BE VOID IF USED BY ANY OTHER PERSON OR FOR ANY OTHER PURPOSE. SURVEYOR BEARS NO RESPONSIBILITY FOR SAID USE *2 O•* P f� L I N E ❑� Tr T'T� :DAVID J. ROSE til. r �i !'A'f o S U R V E Y I N G LTD. r* .' 9a SlJit �yo www.prolinesurveyors.com 0 • Ph#817-276-1148 info@prolinesurveyors.com DRAWN BY: AV DATE:5 8 15 © Proline Surveying,LTD.2015 SURVEY ONLY VAUD WITH ORIGINAL SIGNATURE , J � k % 4,■ ■� . � - . ' bl . �� . . �f Z' IL - � ���j °�• , � � � ,�7��\ � . � . . . it • - y }• L 1.r qp AD oc L IL ILL ' I r I . � 1 a � ' � i t -. • ti , f� �� i T y �. a r y •• J ' ;J r y •�F L{ ' �. J _ ai4 { _h T l i _ 4 - r �4F • f r _ ' f .71 l dIF6 , e6Ti d. # - Pe di F� * ' _ •+ - j 4 ,4 Y� ' d•, h R +f F Mir y r { F _ 4l •h F � ALL + r ' 1 � � -ildc:--rF L AL 5 .46 _ ' lL 1 f. i I Aj `- •I. I � I w� a y - M1 � 1 I �L F } I I a by 4 r F J i� r t R ti f. r .4 R 1 I 1 r. � I 1 � 1 � � y Ct • I EXHIBIT B Certificate of Insurance ROW Encroachment Agreement—Residential Page 13 of 14 Revised 04/2020 Exhibit B • insuranceTM A Liberty Mutual Company Your insurance Policy J= Insurance- A Hhvrty Mutual Conilmny AMERICAN ECONOMY INSURANCE COMPANY (A SAFECO Company) Home Office: 350 East 96th St, Indianapolis, IN 46240 (A stock insurance company.) HOMEOWNERS POLICY DECLARATIONS POLICY NUMBER: POLICY PERIOD: FROM: SEPT 1, 2020 12:01 A.M. OY8236081 TO: SEPT 1, 2021 12:01 A.M. NAMED INSURED AND MAILING ADDRESS: ROBERT HOLT AGENT: 3509 HAMILTON AVE HIGGINBOTHAM INS AGENCY INC FORT WORTH TX 76107-1854 500 W 13TH ST FORT WORTH TX 76102-4657 Valued Homeowners Customer Since: SEPT 1, 2020 INSURED LOCATION: Same POLICY SERVICE INFORMATION: TELEPHONE: (817) 336-2377 E-MAIL: MRUSSE LL@HIGGI NBOTHAM.NET WEBSITE: www.higginbotham.net N ....... . .......... ................. .............. ....... ..... - Your new policy is effective September 1, 2020. - THIS POLICY CONTAINS A SEPARATE DEDUCTIBLE FOR WINDSTORM OR HAIL LOSSES. - The dollar amount of each Percentage deductible is calculated by multiplying the Coverage A, B or C limit of liability shown in your Declarations by the deductible percentage amount. As a result, the calculated dollar amount of each Percentage deductible will increase if the Coverage A, B or C limit of liability increases and will decrease if the Coverage A, B or C limit of liability decreases. LIMITS OF LIABILITY (Policy Section I - Property Coverages and Section II - Liability Coverages) Coverage A Coverage 8 Coverage C Coverage D Coverage E Coverage IF Dwelling Other Personal Additional Personal Medical Structures Property Living Liability Payments Expense $560,400 *56,040 $280,200 *112,080 *500,000 $5,0001 I The following deductibles apply unless otherwise stated within the policy. o DEDUCTIBLE(S) PERCENTAGE AMOUNT o Section 1, except as noted below 1% t 5,604 0 Windstorm or Hail Deductible 1% 4; 5,604 CD Valuable Articles Sched-Group Unsched N/A Soo (D Section I - Loss Assessment N/A Soo CD Esc of Water from Sump (Bldg/Contents) N/A 5,604 Refrigerated Spoilage N/A 100 ID Theft - Expense reimbursement N/A 5,604 (D BASIC COVERAGES PREMIUM 2,843.00 OTHER COVERAGES, L114ITS AND OPTIONAL COVERAGES 428.00 DISCOUNTS AND SURCHARGES You Saved *931.00 Included .......... . ... ................. Premium Payer: Servicing Mortgagee CONTINUED ORIGINAL HOM-7000/EP 1/09 Page 1 of 3 DATE PREPARED: SEPT 8 2020 G3 - - - AMERICAN ECONOMY INSURANCE COMPANY (A SAFECO Company) HOMEOWNERS POLICY DECLARATIONS cowrmao POLICY NUMBER: OY8236081 You may ney your premium in full or in installments. There is no installment fee for the following billing plans' Full Pay. Installment fees for all other billing plans are listed below. If more than one policy is billed on the installment bill, only the highest fee is charged. The fee is: $0.00 per installment for recurring automatic deduction (EFT) $5.00 per installment for recurring credit card or debit oor6 *3.00 per installment for all other payment methods Servicing Mortgagee AFFILIATED BANK ISADA / ATIMA PO BOX 202020 FLDRENCE Dt 29502-2028 LOAN NUMBER: 0113634414 ROOF LOSS SETTLEMENT T9 AV. Replacement Cost 2014 ASPHALT 100.00% REPLACEMENT COST EXPIRATION DATE, September l, 2030. POLICY LIMITS AND OTHER ADDITIONAL COVERAGES (Unless otherwise stated, all limits and coverages are included in basic coverages) COVERAGE LEVEL: OPTIMUM SECTION I - PROPERTY COVERAGES COVERAGE C - PERSONAL PROPERTY - 3. SPECIAL LIMITS OF LIABILITY a.Monev, pre-paid oards. . . $ 11000 h.Business Property 6.Rare coins and currency. . . * 51000 On Premises. . . $ 3,000 o.3acuritiea, debit cards. . . $ 5,000 Off Premises Sub-limit $ 11000 6.Wataroraft. . . * 3,000 i.Tapos, records, discs. . ' 500 e.Trailers. . . $ 3,000 j .Theft of rugs. . . * 10,000 f.Theft of jewelry, watchms. . . $ 5,000 k.Grave Merkers. . . $ 5,000 o.Theft of silverware. . . $ 5,000 OTHER INCLUDED COVERAGES/POLICY PROVISIONS Limit Premium o Loss Assessment Coverage $ 5,000 Included � Building Ordinance or Law Coverage ( lOx) $ 58,040 Included - Refrigerated Spoilage Coverage Included Fungi, Wet or Dry Rot, or Bacteria * 5,000 Included Water Seepage or Leakage Coverage $ 25,000 Included Reasonable Repairs $ 5"000 Included Fire Department Service Charge $ 51000 Included Land Stabilization 10,000 Included Arson Reward $ 25,080 Included Criminal Conviction Reward - Item a. Information $ 2,500 Included Criminal Conviction Reward - Item 6. Property Recovery $ 5,000 Included Credit Card, Fund Transfer, Forgery & Counterfeit Money $ 5,000 Included OPTIONAL COVERAGES Limit Premium Personal Property Replacement Cost Included Extended Dwelling Coverage Up to 25% Included Personal Offense Coverage 4 500,000 13.00 Escape of Water from Sump (Building/Contents) 0 25,000 Included Replacement Cost on Roof Surfacing (Wind or Mail) Included Matching Undamaged Siding, Roofing, Windows * 10,000 Included Identity Recovery Coverage $ 25,000 $ I2'00 Foundation Water Damage $ 25,000 $ I15.00 Cowr/wvcu *uw-7001/sp1/09 Page of DATE PREPARED SEPT 8xum AMERICA,N ECONOMY INSURANCE COMPANY (A SAFECO Company) HOMEOWNERS POLICY DECLARATIONS CONTINUED POLICY NUMBER: OY8236081 Valuable Articles Itemized Coverage See Schedule $ 288.00 DISCOUNTS AND SURCHARGES Premium Multi-Policy Auto Discount Included Multi-Policy Umbrella Discount Included Claim Free Discount Included Paid In Full Discount Included Advance Quote Credit Included For information on other deductibles, coverages or discounts available in your state or to review your account online, log on to www.safeco.com ;>:.;.......::::......,.:.:::.:.:.:,:..:::.:.::... rr. ,..,::::... ...:. :::::::::....:..:..::::::.::. . :. ... .........:::::::::::::::...: :::::. .. :::.::: .. .... .... HOM-7301/EP 1/09 - PERSONAL PROPERTY REPLACEMENT COST HOM-7230/EP 1/09 - WINDSTORM/HAIL DEDUCTIBLE HOM-7307/EP 1/09 - IDENTITY RECOVERY COVERAGE HOM-7010/EP 6/18 - VALUABLE ARTICLES COVERAGE HOM-7232/EP 1/09 - EXECUTION CLAUSE HOM-7030/EP 11/19 - SAFECO HOMEOWNERS POLICY HOM-7300/EP 11/19 - EXTENDED DWELLING COVERAGE HOM-7220/EP 1/12 - SAFECO OPTIMUM HOMEOWNERS COVERAGE HOM-7338/EP 11/19 - MATCHING OF UNDAMAGED SIDING, ROOF SURFACING AND/OR WINDO HOM-7331/TXEP 4/20 - FOUNDATION WATER DAMAGE HOM-7100/TXEP R1 4/20 - SPECIAL PROVISIONS - TEXAS HOM-7311/EP 1/20 - ESCAPE OF WATER FROM SUMP/SUMP PUMP DRAIN (BLDG/CONT) HOM-7332/TXEP 4/20 - WATER SEEPAGE OR LEAKAGE COVERAGE HOM-7376/TXEP 4/20 - VALUABLE ARTICLES COVERAGE HOM-7350/EP 1/14 - PERSONAL OFFENSE COVERAGE - ANNUAL AGGREGATE LIMIT HOM-7336/EP 11/19 - REPLACEMENT COST ON ROOF SURFACING FOR WINDSTORM OR HAIL u C) 0 0 0 N 0 0 0 0 0 rn 0 0 0 0 0 0 0 0 a1 HOM-7001/EP 1/09 Page 3 of 3 DATE PREPARED SEPT 8 2020 EXHIBIT C Metes and Bounds or Location Description of the Property ROW Encroachment Agreement—Residential Page 14 of 14 Revised 04/2020 EXHIBIT C Legal Description: Lot 6, Block 16, Monticello, an Addition to the City of Fort Worth,Tarrant County, Texas, according to Plat recorded in Volume 1037, Page 200, Deed Records of Tarrant County,Texas.