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Contract 47436
CITY SECRUARY CONTRACT NO. .3 SpN2-`01 EASEMENT ENCROACHMENT LICENSE AGREEMENT jzr� 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 by and through its duly authorized Planning and Development Director, and FW Rivercrest Bluff, LLC, hereinafter referred to as "Licensee", owner of the property located at 4831 White Settlement Rd., Fort Worth, TX 76114 ("Property"). RECITALS WHEREAS, Licensee is the owner of certain real property described as being two 0.002 acre tracts of land (total 0.004 acres) situated in the Isaac Schoonover Survey, Abstract Number 1403, Tarrant County, Texas, and being a part of those certain tracts of land conveyed by deed to FW Rivercrest Bluffs, LLC in Instrument Number #D214116702, Deed Records, Tarrant County, Texas (D.R.T.C.T.), located in Block 14-R4, Lot 4X, an addition to the City of Fort Worth, Tarrant County, Texas as recorded in County Clerks Document No. n/a or Volume and Page No. _Volume 310, Page 91-2 and Volume 3884, Page 455_ of the Real Property records of Tarrant County ("Property"); and WHEREAS, the City has a 50 foot wide Private Streets, Public Water & Sewer easement easement (the "Easement") in the property as shown on the map attached to this Agreement as Exhibit "A" and incorporated herein; and WHEREAS, Licensee desires to construct/place and maintain a private gate consisting of gate, access box, and related appurtenances which will be used to provide private access for the community (the "Encroachment") and which will encroach onto the City's Easement as shown on the attached survey and only to the extent shown thereon; 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_9ECRETARY AGREEMENT FT. WORTH, TX 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 2014 Easement Encroachment Agreement-Commercial Page I of 9 portion of the City's Easement as described in and at the location shown Exhibit A for the purpose of constructing the private gate system to serve the community (the "Encroachment"). Upon completion of the Encroachment, Licensee agrees to be responsible for maintaining any and all structures and buildings within and above the Easement. Licensee shall not expand or otherwise cause the Encroachment to further infringe in or on the City's Easement beyond what is specifically described in the exhibit(s) attached hereto. 2. All construction, maintenance and operation in connection with such Encroachment, use and occupancy shall comply and be performed in strict compliance with the Charter, Ordinance 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 of City, or his duly authorized representative. Prior to the construction of the Encroachment, Licensee shall submit all plans and specifications to the applicable Director or his duly authorized representative. Licensee shall not commence construction of the Encroachment until such approval shall be indicated in writing by the Director. 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 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 for any other public purpose. City shall bear no responsibility or liability for any damage or disruption or other adverse consequences resulting from the Encroachment installed by Licensee, but City will make reasonable efforts to minimize such damage. In the event that any installation, reinstallation, relocation or repair of any existing or future utility or improvements owned by, constructed by or on behalf of the public or at public expense is made more costly by virtue of the construction, maintenance or existence of the 2014 Easement Encroachment Agreement-Commercial Page 2 of 9 Encroachment and use, Licensee shall pay to City an additional amount equal to such additional cost as reasonably determined by the Director of Transportation and Public Works or the Director of the Water Department of the City, or his duly authorized representative. 4. 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 to City at the time this Agreement is requested an application fee in the sum of Three Hundred and Twenty Five Dollars ($325.00). 5. The term of this Agreement shall be for thirty (30) years, commencing on the date this Agreement is executed by the City of Fort Worth. Provided however, this Agreement shall terminate upon the non-compliance of any of the terms of this Agreement by the Licensee. City shall notify Licensee of the non-compliance and if not cured within thirty days this Agreement shall be deemed terminated. 6. It is further understood and agreed upon between the parties hereto that the easements 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 easement 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 easement for the use and benefit of the public. It is accordingly agreed that if the governing body of City may at any time during the term hereof determine in its sole discretion to use or cause or permit the right of way to be used for any other public purpose, that does not preclude the use of the Encroachment on the Property for a office building or activities related thereto, including but not being limited to underground, surface of overhead communication, drainage, sanitary sewerage, transmission of natural or electricity, or any other public 2014 Easement Encroachment Agreement-Commercial Page 3 of 9 purpose, whether presently contemplated or not, that the parties agree to negotiate in good faith in order to accommodate the Encroachment and the public purpose. 7. LICENSEE COVENANTS AND AGREES TO INDEMNIFY, AND DOES HEREBY INDEMNIFY, HOLD HARMLESS AND DEFEND CITY, ITS OFFICERS, AGENTS, SERVANTS, EMPLOYEES AND ELECTED OFFICIALS FROM AND AGAINST ANY AND ALL CLAIMS OR SUITS FOR PROPERTY DAMAGE OR LOSS AND/OR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, OF WHATSOEVER KIND OR CHARACTER, ARISING OUT OF OR IN CONNECTION WITH, THE CONSTRUCTION, MAINTENANCE, OCCUPANCY, USE, EXISTENCE OR LOCATION OF SAID ENCROACHMENTS 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. 8. While this Agreement is in effect, Licensee agrees to furnish City with a Certificate of Insurance, naming City as certificate holder, as proof that it has secured and paid for a policy of public liability insurance covering all public risks related to the proposed use and occupancy of public property as located and described in Exhibit "A". The amounts of such insurance shall be not less than the following: $1,000,000 Commercial General Liability with the understanding of and agreement by Licensee that such insurance amounts shall be revised upward at City's option and that Licensee shall so revise such amounts 2014 Easement Encroachment Agreement-Commercial Page 4 of 9 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". 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 city streets. All insurance coverage required herein shall include coverage of all Licensees' contractors. 9. 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 Encroachment on Easement 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. 10. Licensee agrees to comply fully with all applicable federal, state and local laws, statutes, ordinances, codes or regulations in connection with the construction, operation and maintenance of said Encroachment and uses. 11. Licensee agrees to pay promptly when due all fees, taxes or rentals provided for by this Agreement or by any federal, state or local statute, law or regulation. 2014 Easement Encroachment Agreement-Commercial Page 5 of 9 12. Licensee covenants and agrees that it shall operate hereunder as an independent contractor as to all rights and privileges granted hereunder and not as an officer, agent, servant or employee of City, and Licensee shall have exclusive control of and the exclusive right to control the details of its operations, and all persons performing same, and shall be solely responsible for the acts and omissions of its officers, agents, servants, employees, contractors, subcontractors, licensees and invitees. The doctrine of respondeat superior shall not apply as between City and Licensee, its officers, agents, servants, employees, contractors and subcontractors, and nothing herein shall be construed as creating a partnership or joint enterprise between City and Licensee. 13. Licensee agrees and acknowledges that this Agreement is solely for the purpose of permitting Licensee to construct, maintain and locate the Encroachment over or within the described Easement and is not a conveyance of any right, title or interest in or to the Easement nor is it meant to convey any right to use or occupy property in which a third party may have an interest. Licensee agrees that it will obtain all necessary permission before occupying such property. 14. In any action brought by the City for the enforcement of the obligations of the Licensee, City shall be entitled to recover interest and reasonable attorney's fees. 15. The parties agree that the duties and obligation contained paragraphs 3 and 4 shall survive the termination of this Agreement. 2014 Easement Encroachment A-reement-Commercial Paue 6 of 9 16. 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 City Planning and Development Director, and any attempted assignment without such written approval should be void. 17. Any cause of action for breach of this Agreement shall be brought in Tarrant County, Texas. This Agreement shall be governed by the laws of the State of Texas. 18. This agreement shall be binding upon the parties hereto, their successors and assigns. EXECUTED this day of )a nil_a r`1 , 2( U. City Licensee: City of Fort Worth FW Rivercrest Bluff, LLC By: OJAJV By: Randle fW ood, Director Name: MICHAEL Dl K£ Planning and Developm V:Of? Title: MAMA C.sK UOp° �\ �$ W ° ATTEST: ,$ a 8 oved As To Form and Legality o%°OO°o°AA°o°°° � - ���MS ASf- City Secretary Assistant City Attorney OFFICIAL RECORD 2014 Easement Encroachment Agreement-Commercial CITY SECRETARY ige 7 of 9 FT.WORTH,TX 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 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 day of Aulma� 20 AP MARYBEL PINA Notary Public,State of Texas /•,K s�+r My Commission Expires Notary P lic in and for the State of Texas „+ September 10, 2018 2014 Easement Encroachment Agreement-Commercial Page 8 of 9 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 Michael Dike, Manager, 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 FW Rivercrest Bend, LLC, and in the capacity therein stated. GIVEN UNDER MY HAND AND SEAL OF OFFICE this _'T�l day of Decew bu, _ 2016 MARY TATUM or Notary Public Notary Public to and for the State of Texas Few Comm. Exp.07-09.2019 State of Texas 2014 Easement Encroachment Agreement-Commercial Page 9 of 9 EXHIBIT A GATE ENCROACHMENT EASEMENT AREA I Being a 100 square foot tract of land located in the Rivercrest Addition, an addition to the City of Fort Worth, Texas, according to plat recorded in Volume 310, Page 91-92 Deed Records of Tarrant County, Texas, and part of that certain tract of land conveyed by deed to FW RIVERCREST LLC, as recorded in Instrument Number D214116702, D.R.T.C.T. , located in Blocks 13, 14-R-1, 15-R-1, and 16, River Crest Addition, an addition to the City of Fort Worth Texas, as recorded in Volume 310, Page 91 and 92, and Volume 388-4, Page 455, of the Plat Records of Tarrant County, Texas, and being more particularly described by metes and bounds as follows; Commencing at a point on the South Right-of-Way line of White Settlement Road, said point is located N 89°49 ' 24" W, 378 .39 feet from the Northeast corner of said FW RIVERCREST LLC tract of land; THENCE S 00012100" E A DISTANCE OF 77 .59' , AND THE POINT OF BEGINNING OF THIS TRACT OF LAND; THENCE S 00°12 ' 00" E A DISTANCE OF 10. 001 , TO A POINT, THENCE S 89048100" W A DISTANCE OF 10 . 001 , TO A POINT; THENCE N 00012100" W A DISTANCE OF 10.001 , TO A POINT; THENCE N 89°48100" E A DISTANCE OF 10.00' , WHICH IS THE POINT OF BEGINNING, AND CONTAINING 100 SQUARE FEET, MORE OR LESS. �� ..°•F TF CHRISTOPHER K.BRADLEY� .0 5251 ~ 9ti ••..Fss�o�-,o O SUR\"' / < Date: //—1-3 �' EXHIBIT A GATE ENCROACHMENT EASEMENT AREA II Being a 100 square foot tract of land located in the Rivercrest Addition, an addition to the City of Fort Worth, Texas, according to plat recorded in Volume 310, Page 91-92 Deed Records of Tarrant County, Texas, and part of that certain tract of land conveyed by deed to FW RIVERCREST LLC, as recorded in Instrument Number D214116702, D.R.T.C.T., located in Blocks 13, 14-R-1, 15-R-1, and 16, River Crest Addition, an addition to the City of Fort Worth Texas, as recorded in Volume 310, Page 91 and 92, and Volume 388-4, Page 455, of the Plat Records of Tarrant County, Texas, and being more particularly described by metes and bounds as follows; Commencing at a point on the East Right-of-Way line of Nursery Lane , said point is located N 00°08154" W, 289.67 feet, and N 89°48100" E 17.57 feet, from the Southwest corner of said FW RIVERCREST LLC tract of land; THENCE N 89048100" E A DISTANCE OF 82 .101 , TO A POINT; THENCE N 00012100" W A DISTANCE OF 10.001 , TO THE POINT OF BEGINNING OF THIS TRACT OF LAND; THENCE N 00012100" W A DISTANCE OF 10.001 , TO A POINT; THENCE N 89048100" E A DISTANCE OF 10.001 , TO A POINT; THENCE S 00011159" E A DISTANCE OF 10.001 , TO A POINT; THENCE S 89048100" W A DISTANCE OF 10.001 , WHICH IS THE POINT OF BEGINNING, AND CONTAINING 100 SQUARE FEET OF LAND MORE OR LESS. y 0 s CHRISTOPHER K.BRADLEY oP 5251 S U RAF- if Date: ................................................................ AREA 1 LINE TABLE WHITE SETTLEMENT ROAD Line I Direction Distance (9EARRIG LINE MEN 1) L 1 S 0°12'0"E 77.59 '{ L1 e7013T R '" L2 S 0°12'0"E 10.00 V.MCI 14-11tWRE' ' Js ,....... ::t , L3 S 89°48'0"W 10.00 Lot,sx L' > i ; L4 N 0°12'0'W 10.00 JQ ; to L OBr to ,e L5 N 89°48'0"E 10.00 @C13�Q1 1. ..... : L3 ...... r 2e ::20 ;,: POC a`o• It= `.... ... r I4-A: I •-• -•. , L1 100:S.F. 21 G. �� ...-... :.....- " SCALE:1"=200' , t 1 R L- A # 1 22 :: L5 OB ...............° ... 24• u FVY RIVERCREST BLUFFS LLO :.• e : 4.932-Ar-KES :�::: ....•..•...... ,; IN$ N9 02.141167023 2 ..r 27 L3 ... ... • •�'- GATE ENCROACHMENT EASEMENT etas '!'•••• •' ••1e t AREA I ............... .• 4 , U � Beings 900 square tool tred offend b18ted in Ute RlYardest AddUkin, LLQ ; ••• •, an addition b the City of Fon Worth,Texas,according to plat recorded .....:Z i •.' •• •., ,:s• , t In Vobme 310,Page F91-92 Deed Records d Taming Cowry.Texas, d pan ,Q .............. •'••, .. i of that a land b REST C a Uta len conveyed by deed FW RIVERCREST s •• _ ••••moi. j recorded In instrument Number D214116702,D.R.T.C.T.,located in Blocks •J r '•• 74 . i 13.14-R-1.1541-1,artd 16,River Gest Addison,an addition In,thin City ' 13 of Fat Worth Texas,as recorded in Volume 310,Pape 91 and 92,and Volume r ... .' un r�•, flOOt' 388-4,Page 455,of the Plat Records of Tarrant County,Texas,and being • i 2.,•w•• 17 M-a•• more Pertl0.ukirty,described by metas and bounds as fasoall, IyJ ' ..... •....-......•.•�• '• .,�&•' ' pyala m the South 1 ,-daAaY In of YVie Settlement • � ........ • located NW492W said 37&39 fed from the Northeast ulp',e-a corner of said FW RIVERCREST LLC Arad of to nd; : �• _ LOT 12x THENCE S W 12W E A DISTANCE OF 77.59.AND THE POINT OF Z; ;-, _ BEGINNING OF THIS TRACT OF LAND; �., • R.'' -02 _•••-• ••_• THENCE S 00'1200'E A DISTANCE OF 10.00',TO A POINT, SUMERSBY LANE- PQC: ''L'3 '•' ' THENCE S 89'48'00"W A DISTANCE OF 10.00,TO A POINT; PO 5 tic...... L1 6 e I THENCE N W 12WW A DISTANCE OF 10.00'.TOA POINT: Tee 4th t :::''... ;i:• THENCE N 89'48'00'E A DISTANCE OF 10.00'.WHICH IS THE POINT OF �mn `�:: :•• ,.......''•-.•' BEGiNMNG,AND CONTAINING 101)SOUARE FEET,MORE OR LESS. 041 .. .. T s� i GATE ENCROACHMENT EASEMENT W .•�. AREA b `�' 4,•• •, BNn • 7 .: •. •.r:.' p a 100 square fool bad of lend located in Ute Riveraost • .. ... '• •: on addNlart b Via City of Fat Worth,Texas,aaorant b plat recorded ' "'''ta-R•''; ` •'•••-••••-•••••••�% � •; In Volume 310.P 91-92 Deed Records t>t Tenant Cau ... ape nty.Texan,and pan :'-i'•:.; : of that tartan tract at kind conveyed by deed to FW RIVERCREST LLC,as 4 - • 5 .•+ recorded In Instrument Number 0214116702,D.R.T.C.T.,boated In Biocks toT X 13,14-R-1.15•R-1,and 16,River Crest Addition,an addition b the City •, .. of Fort Worth Texas,as recorded in Volume 310•Page 91 and 92,and Volume ..:........................:.............._..•.__.-__. ---------J 3884,Page 455,of the Plat Records of Tarrant County,Texas,and babp 71=9 3 more particularly described by males and bounds&a fdlowa: AREA 2 LINE TABLE C.•.......1.�.S.F, point kibcateddN 8'54 W,260.67ort The East fast,and t OV�f 1Lane. -5'� Line Direction Distance (/� fad.�'n"e�"*�t�rofsaawu FlNvERCRRESTcbd admnd: Ll N 89°47'48'E 82.10 A-R-E A ..#2 THENCE N 69'4800'E A DISTANCE OF 82.10'.TO A PONT: L2 N 0°12'0"W 10.00 .......... THENCE N 00.12W W A DISTANCE OF icofir,TO 711E POINT OF eEGINNWG OF LA L3 NO°12'0"W 10.00 ••'L THIS TRACT OF ND: L4 N 89°48'0"E 10.00 POC L5 THENCE N 00'12100'W A DISTANCE OF 10.00',TO A POINT; L5 S 0°11'59"E 10.00 �OTHENCE N 88'46'00•E A DISTANCE OF 10.(x7,TO A POINT; L6 �S 89°48'0"W 10.00 L 1 L6 THENCE S WI I'58'E A DISTANCE OF 10.00,TO A POINT: THENCE S 89.46'00•W A DISTANCE OF 10.00•WHICH IS THE POW OF 2 BEGINNING,AND CONTAINING 100 SQUARE FEET OF LAD MORE OR LES& hereby state that this survey was made on the ground of the property legally described hereon, nd is to the best of my knowledge correct,and that there are no discrepancies,conflicts.shortages In area, ` boundary One conflicts,encroachments,overlapping of improvements,easements EXHIBIT A7 or 159hp of way,except as shown hereon.Surveyed Nov mber 2015. OF' TF EXHIBIT SHOWING T W 0 STE�¢�o 9 GATE ENCROACHMENT CHRISTOPHER INNY BRADLEY RPLS 05251 ` •. AREAS I & I I -••-;-• •••• •-•-••-• •-:'••• LOCATED IN THE REFERENCE DATUM CHRISTOPHER KINNY BRADLEY ISAAC S C H 00 N O V E R _.,.,,_,......_... .._.._. ..._ SURVEY A-1403 N 1.Bsarirrps,Distenoss and Cc ordinatea sham hereon are referenced to the Texan ` .q 5251 y: Coordf,Mte Syslam of 19&9,North Central zone Gra and based an the North American Datum of 1983. y'' �, Q•OQ- T A R R A N T CO U N T Y r T E X A S FORT WORTH SURVEYING S U R`IF' 107 E.COLLEGE AVE ALVARADO TEXAS,76009 817-o5 oo7saoo JOB • 2014017 DATE- 11-13-15 DRAWN- CKB CHECKED= RLH EXHIBIT B Aco® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDPYYYY► f4 „ 1 12/7/2015 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 CONTACTNAME: Legacy Texas Insurance Services PHONE 972-461-7300 FAXAIC, o. 972-461-7340 707 E.Arapaho Rd. E-MAIL Suite 200 .customerservice@legacy-texas.com Richardson TX 75081 INSURERS AFFORDING COVERAGE NAIC a INSURER A:Mid Continent Casual Com an #42-..23418 INSURED FWRIVER-02 INSURER B: FW Rivercrest Bluffs LLC INSURER C: 2817 W 5th St, Ste B Fort Worth TX 76107 INSURERD: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 1532561535 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 LIMITS LTR IVSD WVD POLICY NUMBER MM/DD/YYYY MMIDDIYYYY A X COMMERCIAL GENERAL LIABILITY Y 04GL000945680 9/26/2015 9/26/2016 EACH OCCURRENCE $1,000,000 DAACLAIMS-MADE ❑X I OCCUR REMM To R N ED REMISES Ea occurrence $100,000 MED FRCP(Any one person) $ PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY❑PRO ❑LOC PRODUCTS-COMP/OP AGG $2,000,000 x JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT—- Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ AU8WNED SCHEDULED BODILY INJURY(Par amdent) $ HIRED AUTOS AUTOS NON-OWNED PROPERTY DAMAG $ AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER O7H- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETORIPARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached K more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Fort Worth ACCORDANCE WITH THE POLICY PROVISIONS. 1000 Throckmorton St. Fort Worth TX 76102 AU OR¢ED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD