Loading...
HomeMy WebLinkAboutContract 45953-A1 nwm -,ACT RIC ,- a ! EL ` 8252016 o) C (;IYO, Rr[yoprt, . 'n1s STATE OF TEXAS § § KNOW ALL MEN BY THESE PRESENTS: COUNTY OF TARRANT § ASSIGNMENT OF ENCROACHMENT AGREEMENT [City Secretary Contract No. 45953] WHEREAS, on the 23rd day of September, 2014, the City of Fort Worth, acting by and through its duly authorized Planning and Development Department Director,hereinafter referred to as the "City," entered into an Encroachment Agreement with Fort Worth VHP, LLC, a Texas limited liability company, acting by and through its duly authorized Manager, hereinafter referred to as "Grantee," Owner of the property located at 606 South Main Street, Fort Worth, Texas 76105 ("Property"); WHEREAS, a copy of the Encroachment Agreement("Agreement") is attached hereto as Exhibit"A"and incorporated herein by reference as if set forth in full; WHEREAS, the current Grantee under the Agreement, FORT WORTH VHP, LLC, a Texas limited liability company, "Assignor," desires to assign the Agreement to BOARD OF REGENTS OF THE UNIVERSITY OF TEXAS SYSTEM, "Assignee": NOW, THEREFORE, the City of Fort Worth does hereby consent to the assignment of the Agreement from Assignor to Assignee. As consideration for the Assignment of the Agreement, Assignee hereby expressly accepts and assumes all obligations and liabilities of Assignor under the terms of the Agreement and agrees to be bound by all the terms,provisions and covenants therein. OFFICIAL RECORD CCTV SECRETARY GST WORTH9 TK APPROVED AS TO FORM AND OR: i of Fort Wo h LEGALITY: aLu V 1)�oa A sistant ity Attorney Itandle H ood, irect Planning ed Development rOFFICUAL RRCORUrnnv (DWYNYX [Signature Page to Assignment and Assumption of Encroachment Agreement] I - ATTEST: ..ivDC, CF o o any City Secretg°y �"moo o°ov 46 [No M&C Required] °��® °o i' OFFMA,L RECORD CITY SECRETARY [Signature Page to Assignment and Assumption ofF,ncroachment Agreement] ASSIGNOR: FORT WORTH VHP,LLC,a Texas limited liability company By: Name: Title:Authorized Signatory i STATE OF TEXAS § COUNTY OF DYh y § �p n, This instrument was acknowledged before me on the 14 day of October,r,by - C)MS T PI Slti , Authorized Signatory of Fort Worth VHP, LLC, a Texas limited liability company,for the consideration stated and as the act and deed thereof. My commission expires �►�Z(�-I L . Notary Public in and for The State of Texas CAROL BUNION Rotary Pubiic,state of Texas . ' CommissionNovenibExpires t is My er 26, 2016"I. [Signature Page to Assignment and Assumption ofEncroaclunent Agreement] ASSIGNEE: BOARD OF REGENTS OF THE UNIVERSITY OF TEXASSYST 00, By: Kirk S.Tames Executive Director of Real Estate The University of Texas System STATE OF TEXAS COUNTY OF TRAVIS BEFORE ME, the undersigned authority, a Notary Public in and for the State of Texas, on this day personally appeared Kirk S. Tames, Executor Director of Real Estate, 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 Board of Regents of The University of Texas System, and in the capacity therein stated. GIVEN UNDER MY HAND AND SEAL OF OFFICE thisZ(S day of December, 2015. Notary Public in and for the State of Texas A�Il/JY1lJY1�Y/lI✓Y/���� o;arP� , LISANOTARY PUf3L�CEZ State of Texas '. of Cpmgg E�m.11-25-2018 NOTARY WITHOUT BOND EXHIBIT A RIGHT OF WAY ENCROACHMENT AGREEMENT [See attached] I i Page 1 of 23 q ;z t6o3 o-5 i CITY SECRETAW CONTRACT NO. RIGHT OF WAY ENCROACHMOENTAGREEMEENT 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 City Manager or its duly authorized Assistant City Manager or Planning and Development Department Director,hereinafter referred to as the"City",and FORT WORTH.VHP, LLC, acting herein by and through its duly authorized Manager, hereinafter referred to as "Licensee", Owner of the property located at 606 South Main Street,Fort Worth,Texas 76104("Property"). AGREEMENT 1. For and in consideration of the payment by Licensee of the fee set out below and the true and faithful performance of the mutual covenants herein contained, City hereby grants to Licensee 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, sidewalks and other public rights-of-way, such i Improvement(s)are described as follows: P The encroachment is for 82 linear feet of sewer line with 6 cleanouts, 1 grease trap (250 gallons), 1 oil water separator (150 gallons), 21 square feet of backflow preventer vault, 1,016 linear feet of electrical conduit, 8 lighted bollards,3 directional signs, 21 linear feet of storm drain, 144 square feet of ramp and wall, and 2,337 linear feet of PVC irrigation pipe and heads along Pennsylvania Avenue,Galveston Avenue,and West Annie Street. The location and description of said Improvement and the encroachment is more particularly described in Exhibit "A"through Exhibit"G", attached hereto, incorporated herein and made a part hereof for allpurposes. 2012 ROW Encroachment Agreement-Commercial RECEIVED SEP 2 2 2014 Pagel of 10 County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00006 Page 1 of 23 ._......_Page 2 of 23 ---- ! 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 i prior written approval of the Director of Transportation and Public Works, or his duly i authorized representative, but such approval shall not relieve Licensee of responsibility and liability for concept, design and computation in preparation of such plans and specifications. I 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"through Exhibit"G". I 4. I Licensee, at no expense to the City, shall make proper provisions for the i relocation and installation of any existing or fitture 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 Ipublic or at public expense is made more costly by virtue of the construction, maintenance or existence of such encroachment and use, Licensee shall pay to City an additional amount equal to such .additional cost as determined by the Director of Transportation and Public Works of the City,or his duly authorized representative. 5. 2012 ROW Encroachment Agreement-Comicial Page 2 of 10 County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 2 of 23 Page 3 of 23 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, Licensee understands and agrees that City shall bear no responsibility or liability for damage or disruption of improvements installed by Licensee or its successors, but City will make reasonable efforts to minimize such damage. 6. Application fee for this Agreement is waived based on NZ13-00258 QM2 Certification). Upon execution of this Agreement and annually thereafter, Licensee agrees to pay a fee in the amount of$.56 per square/linear foot of the encroachment area. 7. 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. 8. Upon termination of this Agreement, Licensee 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 Licensee that if this Agreement terminates and Licensee fails to remove the Improvement, Owner hereby gives City permission to remove the Improvement and any supporting structures and assess alien on the Property for the costs expended by the City to remove such Improvement. i 9. 2012 ROW Encroachment Agreement-Coaxial Page 3 of 10 County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 3 of 23 � Page 4 of 23 It is further understood and agreed upon between the parties hereto that the public rights-of-way, alleys, sidewalks C 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 right-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. Licensee agrees and acknowledges that this Agreement is solely for the purpose of permitting Licensee to construct,maintain and locate the Improvements over or within the described public right of way and is not a conveyance of any right, title or interest in or to the public right of way nor is it meant to convey any right to use or occupy property in which a third party may have an interest. Licensee agrees that it will obtain all necessary permission before occupying such property. 11. Licensee agrees to comply fully with all applicable federal, state and local laws, statutes, ordinances, codes or regulations in connection with the construction, operation and maintenance of said Improvement,encroachment and uses. 12. Licensee agrees to pay promptly when due all fees, taxes or rentals provided for by this Agreement or by any federal, state or local statute,law or regulation. 13. 2012 ROW Encroachment Agreement-Conme'cial Page 4 of 10 :ounty: TARRANT Doc: 000218305 Date: 10/0312014 Vol: 0000000 Page: 00000 Page 4 of 23 IPage S of 23 - -- - i Licensee covenants and agrees that it shall operate hereunder as an independent contractor as to all rights and privileges granted hereunder and not as an officer, agent, servant or employee of City and Licensee shall have exclusive control of and the exclusive right to control the details of its operations, and all persons performing same, and shall be solely responsible for the acts and omissions of its officers, agents, servants, employees, contractors, subcontractors, licensees and invitees. The doctrine of respondeat superior shall not apply as between City and Licensee, its officers, agents, servants, employees, contractors and subcontractors, and nothing herein shall be construed as creating a partnership or joint enterprise between City and Licensee. 14. LICENSEE COVENANTS AND AGREES TO INDEMNIFY, AND DOES HEREBY INDEMNIFY, HOLD HARMLESS AND DEFEND CITY, ITS 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 PERSONS,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, SUBCONTRACTORS, LICENSEES OR INVITEES OF THE CITY; AND LICENSEE HEREBY ASSUMES ALL LIABILITY AND RESPONSIBILITY FOR SUCH CLAIMS OR SUITS. LICENSEE SHALL LHCFWISE ASSUME ALL a 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 LICENSEE, ITS OFFICERS, AGENTS, SERVANTS, EMPLOYEES, 2012 ROW Enaoachment Agreement-Commercial Page S of 10 County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 5 of 23 I --- ---- --- Page 6 of 23 ICONTRACTORS, SUBCONTRACTORS, LICENSEES, INVITEES, OR TRESPASSERS. 15. While this Agreement is in effect, Licensee agrees to finnish 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 Iproposed use and occupancy of public property as located and described in Exhibit "A" through Exhibit"G". The amounts of such insurance shall be not less than the following: I $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 immediately following notice to Licensee 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 Exhibit"H". 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 i 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. 16. 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 Consent Agreement in its entirety in the deed records of Tarrant County, Texas. After being 2012 ROW Encroachment Agreement-Corm =iat Page 6 of 10 County: TARRANT Doc: 000218305 Date: 10/03/2094 Voir 0000000 Page: 00000 Page 6 of 23 Page 7 of 23 recorded, the original shall be returned to the City Secretary of the City of Fort Worth, Texas. 17. In any action brought by the City for the enforcement of the obligations of Licensee,City shall be entitled to recover interest and reasonable attorney's fees. 18. i Licensee covenants and agrees that it will not assign all or any of its rights, I 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 TEPMUNATION OF THIS AGREEMENT. 20. This Agreement shall be binding upon the parties hereto, their successors and assigns. EXECUTED thisday of ,20/V 2012 ROW Encroachment Agreement-Commemial Page 7 of 10 County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 7 of 23 Page 3 of 23 I City Licensee City of Fort Worth Fort Worth VHP,LLC By: By: i Randi Harwood Name: do%4s f ,jqf,, i Director Title: mat 6.`5, Planning and Development ATTEST: Approved As To Foran and Legality City Secret F® Assistant City Attorney QOOpoGoo oGoo, gD0 O*0 0 8 Som %00, "000000 i !J i 'i 2012 ROW Encroachment Agreement-Commercial Page S of 10 County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 8 of 23 � - - -- ---- - --- ----- Page 9 of 23 i 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 insh=ent, 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. t rr-VEN UNDER MY BAND AND SEAL OF OFFICE this (� day of 20J4. MARYBEI PINA rtir?; o Notory Public,Stote of Texas My commission Expires September 10, tote C4o .. and for the State of Texas i t 'I 2012 ROW Encroachment Agreement-Commercial Page 9 of 10 County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 9 of 23 Page 10 of 23 STATE OF TEXAS § COUNTY OF T T § Ho N7 LDMER� BEFORE ME, the undersigned authority, a Notary Public in and for the State of Texas, on this day personally appeared Tom Pisula, Manager, 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 Fort Worth VHP,LLC,and in the capacity therein stated. GIVEN UNDER MY HAND AND SEAL OF OFFICE this day of 20� Notaryebiand for the State of Texas i 2012 ROW Encroachment Agreement-Commercial Page 10 of 10 County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 10 of 23 Page 11 of 23--- ---- — --�----- i � N 4 3 C a < $ 4 O� f wig Smut mm HUM Co sm 1 } 1 I Lu x 1 IL LLI CO �r raLn ....... ...._.r v LU —11 f u� z > LU 0 ui W } ' i ! 1 Countv: TARRANT Doc: 000218305 Date: 10103/2014 Vol: 0000000 Page: 00000 Page 11 of 23 . - -- .--- Page 12 of 23 ---- N O � u O ui + Z w J LU V X W V) V1 uj uj O C fgg Q F r r W qM 11 1 g M Z r . _.�, . °`` � s1 Z m uj io ;Icy 1 X 1 rUJ Ica LM lua t� ! ; 1 W � e 1 10 ' 1� U. f.. M1G11' i l w 1 5 u, 1 1 a f � lit 4 q ;r � MMM 1 ; Countv: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 12 of 23 Page 13 of 23 -- I N N O o tpi �D CO Z �H4 +44 � N W 1 * x V ,, ffu N W Ui 0a ti Q o CG W ZB� i V Q W UJ Z m W = MJ LLJ 010 5 E�4 If L I i II I n- ims VW lui MIA Its 1 sI? a z, 1 Or! County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 13 of 23 Page 14 of 23 .. I X ' N cc N W � W � LU o � W J (, �, V W / ,��•r•Ii ills \ / d W z - � y ~ ? ~ Ot: O ip ---- * ------- F1 tx � a z Q Lu ~l- 3a u 57 Eli w x a W I n t \IX ----------- / tl rt t I / $ s A UiWlm an m� L county: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 14 of 23 - - -- — --- Page 15 of 23 N ® N D. ► � o 'Q =17-7 •� ---- 4 4m--m - -- -- -- - - ---- 0 cc x t-- Wd � Ce i 1 1cc O W CO 1 ! W CL l i LZN ! NN W CO 1 CO 113 to10 U. _ tu CL ! f II L---�i f ! law ! I ! p County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 16 of 23 Page 16 of 23 - - - -- I _IX 1111 M I i I a M-ftpp"I"WAC-00- ! w C td 71 ! OO r I 30 130 Gu nt tiI1N ! F .0-b .0•.t i LLY __ `• b r a 0 N p I' hlui County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 16 of 23 Page 17 of 23 N i0 r0 �D b io z 4 U � U LU 1h J Oy g w co 'o a <o l W ~ � H ui n N K V H if mj a �c 61 I_LM_ 'IT � V uj tid I I I uj 1W � � � . ......... ' �� W ---- ---- uj 1 - u F- 1 I aWLU I 1 ; V 1 W u 1 Ipy p1m W OL In OW AW-1 �um MtiA1�+Pwi1�MhM�P�'limiiYaeM�PeN iuNfetw ttA:n na ltM'M�pR1ao®v+o ifaume Bounty: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 17 of-23 Rage 18 of 23 , — # R ° ; a H � a £ will g :I 1 � i•I a �I " �C iv ;R A IN IR i CIS TMIF 1W ywCF� ` y � ee SS a--®___,v-_-_-_J' 11INR,i111NN X11 InM-.�`MMA7ti1R� 0 1�IgI County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 18 of 23 Page 19 of 23 -- - : - I it ' It it 'Al z s] lf 133iili NtVfYUj d LU_._.._..._.. ..I y L I !.; ) ' ) , yr ; .......�..,4:. �{ � ( _ � � �`s`;, {' ; i• .- it _.. rpi I i #'fi •� \ , -� V ■ 'M IIS T T-11 ^� I l' County: TARRANT Doc: 000218305 Date: 10103/2014 Vol: 0000000 Page: 00000 Page 19 of 23 Page 20 of 23 - — — i r''+ �-'^*-r-,-r�-�- ice•1',-{ -: �T-:- m ' H-i - 1 .11114 M11 • t-1 i��� � i t r it + '1 ' i i - : r _ �•�:•a-t.1.__. .,.. FITS: - yy�jj({es ,, � _ 'I � ��.--•--•-�-1 1 �fill Bit _I- -{-� -I.�...I_• � _,... ..��. •_ _i.. _ LL•--3 _I.j_.. ..t.-i..•t....t._ •-�(rv��Y'�.+' ��� ,fir•_ p fill Id fill If If i e�Y 1110 .1 fill 11111 1111111��I����.,����l1a lot 13 I „ i 0'lt11143iS 33S 3PY7F{�1YW _ i� r ' County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 20 of 23 Page 21 of 23 A ' CERTIFICATE OF LIABILITY INSURANCE 7W"4'"'°°"""'' 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 tNSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: R the cartNicate holder Is an ADDITIONAL IN D,the poHCy( )must R endorsed. It SUBROGATION IS WAIVED,subject t0 the Wme and eonditlons of the polity,cerhin pollciss may re"Irs an andersemwt A sbdwr4nt on this cortNics to does not tWor rots to the certificate holder in lieu of such endoreement(a). PRDOucot CBClrsstm nce,k1R: WA 431-009 I WE 704-M 1921 NW150A ShL 101 s PenixalaePines FL3302H MUMA,ThafflwskhXhInsumno922MM NRSXNISD VISUIM 8,7'taV ars HUITI`M PAIIH PARTNSWt LA(sw a[ta W nwned instnd) PO BOX 1325157 11-EVYOODLAADS7X7?M F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES 0 WtURANM LISTED B OW HAVE O THE INgURM NA ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUI 0AENT,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 PO JMS DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE DUN INDUCED BY PAID CLAIMS. TIFF OF INSURANCE R rrTr GaNm1AL LIAR K" 000 A X dmOW MAW cLAAIsWDE ox OCCUR 600-7136439511-1342 I(YlW N3 1QII812D14 mED om X VVA6ROFSLfiIRQ*4TION POWNAL&ADV1QURY 51 X TRIAINCLUDED S 1 00D LMItT PEft 000 Paley 0 00 PRD i AvrOVOI E LLA& v 1 000 AIx ANYAUTO DOORLYNINJRY(PatpNlon) i AALL� 66D-7D843958-1342 1W18/2013 1tY18111Yi4 eoaivNuxrr(P.r.�cb«r> s AUTOS HIREDAMM X AUTOSWw-D O i • S 'II ! X I MINIl.LAL" ON g EXCESSLIAR HZLA*:� CUPnX447091342 10/16=3 10i1&2014 ODD WOAKWSBTATti OTH- AND oY Luc m =n 1w EXCLUDED? N/A H 1 aaF f UrdM 0" MC RS'T10N OF OPERAMNS I LOCATIONS 1 VSHIMS(ATt+di ACORD 1H,AMi1oM1 RfIYAt fC1fMYM,NweDn�qt�M» Sal SlBR3 dbedlBd 119t Of Property LAL�7t10I1s CERTIFICATE HOLDER CANCELLATION CITYGFFOFtTVWRRI� SHOULD ANY OF THE ABOVE DESCIMED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1000 7HROCK VIORtON ST ACCORDANCE WITH THE POLICY PROVISIONS. FORTVKffl7,TX76102 1AUT"ORIZEDREIRESENTATIVE tSC> ©1OM2010 ACORD CORPORATION. All rights reserved. ' ACORD 25(2010106) The ACORD name and logo are registered marks ofACORD County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 21 of 23 - — -Page 22 of 23 - - -- - "- - AC ?RL9 AGENCY CUSTOMER 10:1007 LOC#. 1 ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AW-W-Y NAVED POURED C&Charana- 11 htc H I MING PATH P LP POUCY WASER PO am 132557 680g784395M3 2 I TIE WOODLANDS 7X77393 CAaMER wua com iRAVELEIiS 1EtKCTrVEOAM-10M8=3 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: FORM TITLE:Cmffftcds of hutr<anoe Nared i Hurling Path Parfrle►s,LP;Ptrreadt CErter H),LP,W%LLC,Cypress Shan Rnpertios,LLA Kr yAosrxlaHri IViacitxi Plaza Palrvaj LLC " FS Carse,LIA VW Mill MOB,LLC,WrKJADWAcxquisitlaris Medial Partners,LLJ;KPPJ,LLC,Banc!era ED MOB,LLC,Lsfnisolle ED 1010I3,LLC, "�4"kit Hospilbl IMWbars,LLC, t111,LLC,HOW Pa"11,LLA ED MO%LLr,Slx Pines at ftward;LLC, 29M MW DEV Partners,LLr,Menstieki ED MOB,LLC KPPI1,LLC,Six Pines Rawarch Plaza 2,LLC,Saint Lir Ws Vlhy Partnos,LLC,MWE RW&1%LLC, NNE Fwb MA,LLC,Forth WVxffi VIP,LLC Locrkwm 9001 Knecroft Dr,Tho Wbodaxls,TX 77380 22696 R> oral Dr,Hurririe,7X 77309 S51 IH45N Como%7X77304 10847KyrkerKM t5d,'IhDWx dards,7X77382 MM Ptnearrtt Dr,The ftodad,7X77380 8703 Bandera H4 San Antmio,7X 78250 118V FM 196D RDV%I4m stM 7X77064 1699 Rmewch Forrest Dr,7heVlbodaxis,TC 77380 1T191 St Ulm Wey,Conroe,7X 77384 1W57 Kylaerxfatl F4 TheVWodarxis,7X77382 1710 N US WW 287,Nlans i%7X756063 8845 Six Pines D12,Shanerdeek 7X71380 i 720 Dertm Tap Had,Copp&%TX 75019 803 West H"axl Dr,Hurst 7X 7W% I Caner of Researrfr Forest Dny%The Vftdaxis,7X T7360 3625 Dowlerr,Sminart,7X 7T/06 2Wr420631 Kw iwndat9,Spirg,TX77388 13325 Dotson hoed,H xatoon,TX 77070 H4yl wdahl&Plk*kk e,TheMoMufs,7X77380 2628 FM29A SPft 7X77388 Lot 3 SockA,LaAWli%7X 75029 ; 600 S Main Street,Fort Vlt %TX ii EXHIBIT B AC R0.101(2008/01) ®2008 ACORD CORPORATION. All rights reserved. The ACORD name and lope we reply W"marks of ACORD I County:TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 22 of 23 Page 23 of 23 MARY LOUISE GARCIA COUNTY CLERK : 100 West Weatherford Fort Worth,TX 76196-0401 PHONE(817)884-1195 I CITY OF FORT WORTH 1000 THROCKMORTON ST FT WORTH, TX 76102 Submitter: CITY OF FORT WORTH/DEVELOPMENT& PLANNING DO NOT DESTROY WARNING - THIS /S PART OF THE OFFICIAL RECORD. Filed For Registration: 10/3/2014 3:10 PM Instrument#: D214218305 E 23 PGS $100.00 By: j D214218305 ANY PROVISION WHICH RESTRICTS THE SALE,RENTAL OR USE OF THE DESCRIBED REAL PROPERTY BECAUSE OF COLOR OR RACE IS INVALID AND UNENFORCEABLE UNDER FEDERAL LAW. County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 23 of 23