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HomeMy WebLinkAboutContract 49128 CITY SECRETARY ; CONTRACT NO. ENVIRONMENTAL ACCESS LICENSE AGREEMENT This Agreement ("License") is between the City of Fort Worth ("Licensor"), and Talon LPE, LTD. ("Licensee"). In consideration of the mutual covenants contained herein, the parties agree to the following: GENERAL 1. Licensor hereby grants Licensee a non-exclusive license, subject to all rights, interests, and estates of third parties, and upon the terms and conditions set forth below, to use the area shown on the attached map (EXHIBIT A) for the specific purpose of conducting the activities as described in EXHIBIT B, on Licensor's property situated at 12201 Rendon Road (Speedy Bee Rendon LPST # 111761) in Burleson, Tarrant County, Texas, more fully described as J Rendon Survey, Abstract 1263, Tract 26F3/Tract 26F4 ("Premises") for the purposes specified in Section 3 below. 2. Licensee shall not disturb any improvements of Licensor or Licensor's existing lessees, licensees, easement beneficiaries or lien holders or interfere with the use of such improvements. Licensee shall stay within the areas delineated on the attached map (Exhibit A). 3. Licensee shall use Premises exclusively as a site for performing environmental and engineering explorations to include one of, or a combination of, the following categories of work: (a) Drilling and installation of soil test borings/monitoring wells in conformance with Exhibit B attached; 4. Licensee shall not use or store hazardous substances, as defined by the Comprehensive Environmental Response, Compensation, and Liability Act, as amended ("CERCLA") or petroleum products on the premises, other than normal amounts of fuel and fluids self-contained within its motor vehicles. No refueling is allowed on the Premises. 5. Any contractors or subcontractors performing work on the Premises, or entering the Premises on behalf of Licensee, shall be deemed agents of Licensee for purposes of this License. 9 ro rr LOFFICIAL RECEIVED SCFTX .1�1N-5 ZOl7 8ECR�' CITY OF FORT WORTH CRY SECRETARYINORTH9 w of 13 8 Z SC TERM 6. This License shall commence on the Effective Date and shall continue until December 31, 2018, subject to prior termination as hereinafter described. COMPLIANCE WITH LAWS 7. Licensee shall observe and comply with any and all laws, statutes, regulations, ordinances, orders, covenants or restrictions relating to the use of the Premises. 8. Licensee shall obtain and comply with all conditions of all required permits and authorizations by governmental agencies which relate to Licensee's use of the Premises. LICENSEE'S OPERATIONS 9. Licensee shall notify Licensor at least three (3) business days prior to entering the Premises. After completion of use of the Premises for the purpose specified in Section 3, Licensee shall notify Licensor in writing that such use has been completed. 10. Any open hole, boring or well constructed upon Premises by Licensee shall be safely covered and secured at all times when Licensee is not working in the actual vicinity thereof. Following completion of that portion of the work, all holes or borings constructed on the Premises by Licensee shall be: (a) for surface completions of monitoring wells, a concrete "donut" shall be utilized in the roadway or a 2'x2' concrete pad for areas located in non- improved area; or (b) filled in to surrounding ground level; or (c) otherwise secured or retired in accordance with standard practices, any applicable legal requirements, and as may be directed by Licensor. 11. Upon completion of Licensee's work on the Premises or upon termination of this License, whichever shall occur first, Licensee shall: (a) remove all of its equipment from the Premises; (b) report and restore any damage to the Premises arising from, growing out of, or connected with Licensee's sole use of the Premises; (c) remedy any unsafe conditions on the Premises created or aggravated by Licensee; and (d) perform any other work to restore the Premises to substantially the same condition as before Licensee's work on the Premises. Environmental Access License Agreement—Talon LPE, LTD 2 of 13 ALTERATIONS 12. Licensee shall not make any alterations of the Premises or permanently affix anything to the Premises or any buildings or other structures adjacent to the Premises without Licensor's prior written consent. TERMINATION 13. This License may be terminated by either party by upon ten (10) days written notice of termination upon the other party. Upon expiration of the time specified in such notice, this License and all rights of Licensee shall absolutely cease. NOTICES 14. Any notice to be given by either party shall be deemed to be properly served if deposited with the United States Postal Service, or other acceptable mailing service, postage prepaid, addressed to either party, at the addresses and department shown beneath signature of the parties. SURVIVAL 15. Neither termination nor expiration will release either party from any liability or obligation under this License resulting from any acts, omissions or events occurring prior to the date of termination or expiration, or, if later, the date when the Premises are restored to its condition as of the Effective Date. RECORDATION 16. It is understood and agreed that this License shall not be filed with the County Clerk for Tarrant County, Texas, for recording. APPLICABLE LAW 17. All questions concerning the interpretation or application of provisions of this License shall be decided according to the laws of the State of Texas. SEVERABILITY 18. To the maximum extent possible, each provision of this License shall be interpreted in such manner as to be effective and valid under applicable law, but if any provision of this License shall be prohibited by, or held to be invalid under, applicable law, such provision shall be ineffective solely to the extent of such prohibition or invalidity, and this shall not invalidate the remainder of such provision or any other provision of this License. Environmental Access License Agreement—Talon LPE, LTD 3 of 13 INTEGRATION 19. This License is the full and complete agreement between Licensor and Licensee with respect to all matters relating to Licensee's use of the Premises, and supersedes any and all other agreements between the parties hereto relating to Licensee's use of the Premises as described herein. NOTICES 20. Any notice or communication required in the administration of this License shall be sent as follows: If to the City: Cody Whittenburg, Environmental Program Manager Code Compliance Department 200 Texas Street Fort Worth, TX 76102 If to the Contractor: David Prescott, President Talon LPE, LTD 921 North Bivins Street Amarillo, TX 79107 JURISDICTION AND VENUE 21. Venue of any suit or cause of action under this contract shall lie in Tarrant County, Texas. The laws of the State of Texas shall apply to this agreement and in the case of any dispute arising from this agreement. GOVERNMENTAL POWERS 22. It is understood that by execution of this Agreement, the City does not waive or surrender any of it governmental powers, rights, or immunities. INDEMNIFICATION 23. Definitions. The following words and phrases shall be defined as follows: A. "Environmental Damages" shall mean all damages, losses, diminished values, claims, judgments, penalties, fines, liabilities, encumbrances, liens, costs, expenses of investigation, and the defense of any claim, whether or not such claim is ultimately defeated, results in a judgment or order of any kind, or is resolved by any good faith settlement, and of whatever kind or nature, direct or indirect, tangible or intangible, compensatory, exemplary, or punitive, economic or non-economic, contingent or otherwise, matured or unmatured, foreseeable or unforeseeable, to the City and any third parties, including without limitation reasonable attorney's and consultant's fees, Environmental Access License Agreement—Talon LPE, LTD 4 of 13 any of the foregoing which are incurred as a result the Contractor's work, or due to negligence, or arising from a violation of any Environmental Requirements, or arising from strict liability, or an intentional tort, and whether any of the foregoing are attributable to the Contractor, a Subcontractor, a vendor, employee, agent, successor, or assignee and including by way of example but not limited to: 1. Damages for personal injury or death, pain and suffering, mental or emotional distress, injury to property of any kind or to natural resources, environmental contamination, or the loss of use or value of property; 2. Fees incurred for the services of attorneys, consultants, engineers, contractors, experts, laboratories, and investigators related to any studies, cleanup, remediation, removal, response, abatement, containment, closure, restoration, monitoring work, civil or criminal defense, or the recovery of any other costs; and 3. Liability, claims, or judgments to any third persons or governmental agencies in connection with the items referenced herein. 4. Fines, penalties, costs, agreed orders, or settlements to any federal, state, or local government for violations of environmental laws, permits, standards, or regulations. B. "Environmental Requirements" shall mean the allowable or permissible levels, concentrations, or amounts of materials; all applicable present and future statutes, regulations, rules, permits, plans, or authorizations of all governmental agencies, departments, commissions, boards, bureaus, or instrumentalities of the United States, states, and political subdivisions thereof; and all applicable judicial, administrative, and regulatory decrees, judgments, and orders; and all common law causes of action; all of the above relating to the protection of human health or the environment and being inclusive of, but not limited to: 1. All requirements, including, but not limited to, those pertaining to reporting, licensing, permitting, facilities, sites, operations, emissions, discharges, releases, or threatened releases of wastes, substances, materials, pollutants, contaminants, hazardous wastes, petroleum products, toxic substances, materials, , or other any other regulated or harmful substances whether solid, liquid, or gaseous into the air, surface water, groundwater, stormwater, or land, or relating to the manufacture, processing, distribution, use, treatment, storage, disposal, transport, or handling of elements, compounds, materials, substances, pollutants, contaminants, or hazardous or toxic materials, substances, or wastes, whether solid, liquid, or gaseous in nature; and 2. All requirements, including, but not limited to, those pertaining to reporting, licensing, permitting, facilities, sites, operations, emissions, discharges, releases, or threatened releases of radioactive materials. 3. All requirements pertaining to the protection of the environment, natural resources, the health and safety of employees or the public; and Environmental Access License Agreement—Talon LPE, LTD 5 of 13 4. Citizen suits authorized by any federal or state law; and 5. All common law causes of action related to health, safety, natural resources, and the environment. 24. Environmental Indemnification. CONTRACTOR AGREES TO INDEMNIFY, HOLD HARMLESS, RELEASE, REIMBURSE, AND DEFEND, THE CITY, ITS OFFICERS, AGENTS, AND EMPLOYEES AGAINST ANY AND ALL: a) ENVIRONMENTAL DAMAGES, AS DEFINED HEREIN, THAT ARE RELATED TO ANY ENVIRONMENTAL REQUIREMENTS AS DEFINED HEREIN, INCLUDING ANY ACTS, OMISSIONS, OR LIABILITIES (INCLUDING STRICT LIABILITY) AND b) VIOLATIONS, ALLEGED VIOLATIONS, SUITS, OR CLAIMS RELATED TO ANY ENVIRONMENTAL REQUIREMENTS AS DEFINED HEREIN, INCLUDING ANY ACTS, OMISSIONS, OR LIABILITIES (INCLUDING STRICT LIABILITY). 25. General Indemnification. CONTRACTOR AGREES TO INDEMNIFY, RELEASE, HOLD HARMLESS, REIMBURSE, AND DEFEND, THE CITY, ITS OFFICERS, AGENTS, AND EMPLOYEES FROM AND AGAINST ANY AND ALL DAMAGES, LIABILITY, CLAIMS, SUITS, DEMANDS, OR CAUSES OF ACTION THAT ARISE FROM THE CONTRACTOR'S OPERATIONS UNDER THIS AGREEMENT WHEN SUCH ARE CAUSED BY ANY ACT OR OMISSION OF CONTRACTOR, ITS OFFICERS, AGENTS, EMPLOYEES, OR SUBCONTRACTORS, SUCCESSORS, OR ASSIGNS AND WHETHER ARISING FROM NEGLIGENCE, INTENTIONAL TORT, VIOLATION OF A LAW OR DUTY TRIGGERING STRICT LIABILITY, OR BY THE INFRINGEMENT OF ANY PERSON'S PROPERTY, LEGAL, OR CONSTITUTIONAL RIGHT. THIS INDEMNIFICATION EXCLUDES, HOWEVER, DAMAGES WHICH ARE CAUSED BY CLAIMS OR LIABILITIES THAT RESULT SOLELY FROM THE NEGLIGENT ACTS OR OMISSIONS OF THE CITY OR ITS EMPLOYEES. 26. The obligations of the Contractor related to this general and environmental indemnification shall include, but not be limited to, the burden and expense of reimbursing the City for all fees and costs for defending all claims, suits, and administrative proceedings, even if such claims, suits or proceedings are groundless, false, or fraudulent, and conducting all negotiations of any description, and paying and discharging, when and as the same become due, any and all judgments, settlements, penalties or other sums due against such indemnified persons. 27. Upon learning of a claim, lawsuit, or other liability which Contractor is required hereunder to indemnify, contractor shall provide City with timely notice of same. 28. The obligations of the Contractor related to this indemnification shall survive the expiration or termination of this Agreement and the discharge of all other obligations owed by the parties to each other hereunder. Environmental Access License Agreement—Talon LPE, LTD 6 of 13 INSURANCE 29. The Contractor certifies it has, at a minimum, current insurance coverage as detailed below and will maintain it throughout the term of this Contract. Prior to commencing work, the Contractor shall deliver to City, certificates documenting this coverage. The City may elect to have the Contractor submit its entire policy for inspection. A. Insurance coverage and limits Commercial General Liability Insurance $1,000,000 each occurrence; $2,000,000 aggregate Automobile Liability Insurance Coverage on vehicles involved in the work performed under this contract: $1,000,000 per accident on a combined single limit basis or: $500,000 bodily injury each person; $1,000,000 bodily injury each accident; and $250,000 property damage. The named insured and employees of Contractor shall be covered under this policy. The City of Fort Worth shall be named an Additional Insured, as its interests may appear. Liability for damage occurring while loading, unloading and transporting materials collected under the Contract shall be included under this policy. Worker's Compensation Coverage A: statutory limits Coverage B: $100,000 each accident $500,000 disease -policy limit $100,000 disease -each employee Professional Liability $2,000,000 each claim, or $5,000,000 aggregate ' Professional Liability Insurance shall be written on a project specific basis. The retroactive date shall be coincident with or prior to the date of this contract and the certificate of insurance shall state that the coverage is claims-made and the retroactive date. The insurance coverage shall be maintained for the duration of this contract and for five (5) years following completion of the contract (Tail Coverage). An annual certificate of insurance shall be submitted to the City for each year following completion of this contract. Environmental Access License Agreement—Talon LPE, LTD 7 of 13 Environmental Impairment Liability (EIL) and/or Pollution Liability $2,000,000 per occurrence. EIL coverage(s) must be included in General Commercial Liability policies above; or, such insurance shall be provided under separate policy(s). Liability for damage occurring while loading, unloading and transporting materials collected under the contract shall be included under the Automobile Liability insurance or other policy(s). B. Insurance general requirements 1. Certificates of Insurance evidencing that the Contractor has obtained all required insurance shall be delivered to the City prior to Contractor proceeding with the Contract. 2. Applicable policies shall be endorsed to name the City an Additional Insured thereon, as its interests may appear. The-term City shall include its employees, officers, officials, agents, and volunteers as respects the Contracted services. . 3. Certificate(s) of Insurance shall document that insurance coverage specified herein are provided under applicable policies documented thereon. 4. Any failure on part of the City to request required insurance documentation shall not constitute a waiver of the insurance requirements. 5. A minimum of thirty (30) days' notice of cancellation or material change in coverage shall be provided to the City. A ten (10) days' notice shall be acceptable in the event of non-payment of premium. Such terms shall be endorsed onto Contractor's insurance policies. Notice shall be sent to Department of Financial Management Services - Risk Management Division, City of Fort Worth, 1000 Throckmorton Street, Fort Worth, Texas 76102. 6. Insurers for all policies must be authorized to do business in the state of Texas or be otherwise approved by the City; and, such insurers shall be acceptable to the City in terms of their financial strength and solvency. 7. Deductible limits, or self-insured retentions, affecting insurance required herein shall be acceptable to the City in its sole discretion; and, in lieu of traditional insurance, any alternative coverage maintained through insurance pools or risk retention groups must be also approved. Dedicated financial resources or Letters of Credit may also be acceptable to the City. 8. Applicable policies shall each be endorsed with a waiver of subrogation in favor of the City as respects the Contract. 9. The City shall be entitled, upon its request and without incurring expense, to review the Contractor's insurance policies including endorsements thereto and, at the City's discretion; the Contractor may be required to provide proof of insurance premium payments. 10. The Commercial General Liability insurance policy shall have no exclusions by endorsements unless the City approves such exclusions. Environmental Access License Agreement—Talon LPE, LTD 8 of 13 11. The City shall not be responsible for the direct payment of any insurance premiums required by the contract. It is understood that insurance cost is an allowable component of Contractor's overhead. 12. All insurance required above shall be written on an occurrence basis in order to be approved by the City. Subcontractors to the Contractor shall be required by the Contractor to maintain the same or reasonably equivalent insurance coverage as required for the Contractor. When subcontractors maintain insurance coverage, Contractor shall provide City with documentation thereof on a certificate of insurance. Notwithstanding anything to the contrary contained herein, in the event a subcontractor's insurance coverage is canceled or terminated, such cancellation or termination shall not constitute a breach by Contractor of the contract. Remainder of Page Left Intentionally Blank Environmental Access License Agreement—Talon LPE, LTD 9 of 13 EXHIBIT SITE MAP [}FAREAS OFAUTHORIZED USE UNDER THIS ENVIRONMENTAL ACCESS LICENSE AGREEMENT F-If 1187 Scale in recz WA BM TAN.ON Date: 07,01,2013 Speedy Bee Reiidoii(LPs'r#i1l76l) Scale: I"—go' 12201 Rendon Road Drawn By: US Burleson,Texas Figure I-Site Plan Environmental Access License Agreement—Talon LPE. LTD 10of13 EXHIBIT B DESCRIPTION OF WORK ACTIVITIES TO BE PERFORMED UNDER THIS ENVIRONMENTAL ACCESS LICENSE AGREEMENT TASK 1 — Groundwater Monitoring Well Installation (PMW-10A and PMW-13A) and Plugging (MW-10 and MW-13) Talon/LPE personnel will install two (2) 2-inch diameter monitor wells to replace MW-10 and MW-13 (see locations indicated in Attachment 1). The proposed monitor wells will be two (2) inches in diameter and installed using a hollow stem auger to a depth of approximately 20 ft below ground surface (bgs). A staff geologist will be on-site to supervise drilling activities, log the borehole lithology, collect soil samples, and survey the completed wells. The completed wells will consist of Schedule 40 polyvinyl chloride (PVC) casing tentatively slotted from 2 ft to 20 ft bgs. After the wells have been installed, the annular space around the PVC well screen and casing will be filled with a sand filter pack to approximately 1 ft above the screen for both PMWs, followed by bentonite hole plug and then filled with concrete to act as a barrier. A determination will be made in the field on which particular surface completion is needed (pop-up, concrete donut, or concrete pad). The wells will be properly developed upon completion. Soil samples will be taken and field analyzed using a photoionization detector (PID) at every five foot depth interval during drilling. One drum composite (1) soil sample will be collected and will be submitted for laboratory analysis of benzene, toluene, ethylbenzene, and xylenes (BTEX), TPH, and Total Lead. Samples of groundwater from the newly installed and properly developed wells will be collected and submitted for laboratory analysis of BTEX/MTBE during the following groundwater monitoring event. If the wells are installed after the groundwater monitoring event has been completed, the groundwater samples will be collected after the wells installation. All soil waste will be secured on-site in 55-gallon drums and removed to a licensed waste disposal facility. All purge water will be secured on-site in 55-gallon drums and disposed of upon completion of the second groundwater monitoring event. A hand-held global positioning system (GPS) receiver will be used to accurately record the position of the wells and the top of casing (TOC) elevation will be surveyed relative to an arbitrary datum associated with the site. Costs have been requested to bring MW-8A to grade level. The requested rate is from the Talon/LPE's 2016 Drilling Rate Sheet. Cost for mobilization/demobilization of the drilling rig has been calculated from the San Antonio office where the rig is stationed. A total of three (3) laborers will be required to operate the hollow stem auger and a geologist is required to supervise drilling activities, log the borehole lithology, collect soil samples, and survey the completed wells. Travel Environmental Access License Agreement—Talon LPE, LTD 11 of 13 cost for geologist has been calculated from the nearest office located at San Antonio, TX. Talon/LPE personnel will properly plug and abandon two (2) groundwater monitoring wells. Both groundwater monitoring wells are to be properly plugged and abandoned and the former groundwater monitoring well locations restored to previous conditions. The well plugging and abandonment work plan include the removal of casing and well pad, sealing the bore hole with grout to two feet below ground, and completing the remaining two feet with concrete to seal the existing bore hole. TASK 3— Groundwater Monitoring (1 Event) Talon/LPE personnel will conduct one (1) groundwater monitoring event at the subject site in order to determine current groundwater plume concentrations, verify stability, and evaluate the recurrence of the non-aqueous-phase liquids (NAPL). After the appropriate wells are gauged and the depth to groundwater is recorded, the wells will be properly purged approximately three (3) well volumes and then sampled. Groundwater monitoring wells which exhibit a NAPL thickness of <0.10 feet will also be purged and closely monitored to confirm if NAPL returns after purging. If a measurable amount of NAPL does not return after purging, the groundwater monitoring well will be sampled accordingly. If a measurable amount of NAPL does return after purging, the well will not be sampled. Prior to obtaining any groundwater sample, multi-parameters (temperature, pH, and conductivity) will be analyzed in the field to confirm that the groundwater monitoring well has stabilized after purging. Once the parameters are stable within QAPP guidelines, the wells will be sampled according to EPA SW-846. After completion of the groundwater monitoring event, results will be submitted in a Groundwater Monitoring Update (GMU). An estimated 100 gallons of purge water and 110 gallons of development water will be contained on-site in 55-gallon drums and will be disposed of upon completion of the second groundwater monitoring via a vacuum truck. Remainder of Page Left Intentionally Blank Environmental Access License Agreement—Talon LPE, LTD 12 of 13 SIGNATURE PAGE ENVIRONMENTAL ACCESS LICENSE AGREEMENT IN WITNESS THEREOF, the parties have executed this contract in triplicate in Fort Worth, Texas, on the dates written below. CITY OF FORT WORTH LICENSEE Talon LPE, LTD BY: et�ia�_. BY: I a. Fernando Costa David Prescott Assistant City Mana er President Date Signed: G / /7 WITNE �Y r /J RECOMMEND E D : �Gco 000-1 Cody W nburg SEAL: FFt, "11 Y1, ", �1NGELA GRACE MILES En' Ti ntal Prograiin anager Notary Public, Stato of Touas Code Compliance comm.Expires 02-21-2021 Notary ID 126812146 6 APPROVED AS TO FORM ATTEST: AND LEGALITY: v'/AtK --H A Christa` opez-Reyds FO& ry s r Senior Assistant City- ttorn . 0 ......• T Secret�ry CITY OF FORT WORTHXAS CONTRACT COMPLIANCE MANAG By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract/license, including ensuring all performance and reporting requiremenntts..� -� Roger Grantham Environmental Supervisor OFFICIAL RECORD CITY SECRETARY FT.WORTHI TX Environmental Access License Agreement—Talon LPE, LTD 13 of 13 AC40RL> CERTIFICATE OF LIABILITY INSURANCE P4/10/2017 ATE(MM/DDNYYY) �� 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(ies) 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 CONTACT Karissa Greer, CIC, ACSR DFB Insurance Group of Amarillo, LLC PHONE E (806)356-6000 (FAX No; (806)356-0615 301 S Polk St. , Ste. 600 E-MAIL ADDRESS:kg reer@dfbinsurance.com INSURERS AFFORDING COVERAGE NAIC# Amarillo TX 79101 INSURER A:Westchester Surplus Lines Insurance 10172 INSURED INSURERBACE American Insurance Co. 22667 Talon/LPE LTD INSURER CNavi ators Specialty Insurance Cc 36056 921 N. Bivins INSURERD:Texas Mutual Insurance Co 22945 INSURER E:Travelers Lloyds Ins Co 41262 Amarillo TX 79107 1 INSURER F: COVERAGES CERTIFICATE NUMBER?017 LIAB 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 I TypE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDD/YYYY MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ A CLAIMS-MADE DAMAGE TO RENTED 50,000 PREMISES Ea occurrence $ X Professional Liability G27543273 003 12/31/2016 12/31/2017 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ]JECT 0 LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Professional Liability $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 B X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED H08458509 003 12/31/2016 12/31/2017 BODILY INJURY(Per accent $ AUTOS AUTOS Paccident)) X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident PIP-Basic $ 2,500 UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 10,000,000 C X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED X RETENTION Nil H016EXC887984IC 12/31/2016 12/31/2017 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 D (Mandatoryin MBER EXCLUDED? N/A 0001155583 12/31/2016 12/31/2017 ( cr ) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 A Pollution 627543285 003 12/31/2016 12/31/2017 Limit 10,000,000 E Contractor's Equipment QT 660 2F257253 12/31/2016 12/31/2017 Leased/Rented 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Fort Worth is additional insured. 30 day notice of cancellation applies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Worth THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN C/O Cody Whi ttenburg ACCORDANCE WITH THE POLICY PROVISIONS. 200 Texas Street Fort Worth, TX 76102 AUTHORIZED REPRESENTATIVE Rod Duckworth/KS1 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(2owi)