HomeMy WebLinkAboutContract 49129 i
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CONTRACT NO,
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EASEMENT ENCROACHMENT LICENSE AGREEMENT
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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, its duly designated Assistant City
Manager or Planning and Development Director, and Columbia Plaza Medical Center of
Fort Worth Subsidiary, L.P., a Texas Limited Partnership ("Licensee"), acting by and
through its duly authorized Vice President, owner of the real property located at 800 9`h
Avenue, Fort Worth, Texas 76104 (Lots 136R & 14 Carlocks Revision of Dissel Tract)
("Property").
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; and
WHEREAS, the City has a Drainage Easement (the "Easement") in the
Property as shown on the map attached to this Agreement as Exhibit "A" and
incorporated herein for all purposes; and
WHEREAS, Licensee desires to construct/place and maintain certain
improvements which will encroach onto the Easement; and
WHEREAS, City will allow the encroachment under the terms and conditions as
set forth in this Agreement to accommodate the needs of the Licensee.
NOW, THEREFORE, the City and Licensee agree as follows:
®1=FIC6Ail.REC®1�
AGREEMENT CITY SECRl1e1P
XR
1. •WORTH,'
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 Licensee,
hereby grants permission to Licensee to encroach upon and occupy a portion of the City's
Easement for the purpose of retaining wall and encasement pipe (the
"Encroachment") as described in and at the location shown on Exhibit "A" but only to
the extent shown thereon. Upon completion of the Encroachment, Licensee agrees to be
responsible for maintaining the Encroachment within and above the Easement. Licensee
shall not expand or otherwise cause the Encroachment to further infringe in or on City's
Easement beyond what is specifically described in the Exhibit(s) attached hereto.
2015 Easement Encroachment Agreement-Commercial Page 1 of 13
Columbia Plaza Medical Center of Fort Worth Subsidiary, L.P. Rev.02/2015
2.
All construction, maintenance and operation in connection with such
Encroachment, use and occupancy shall be performed in strict compliance with this
Agreement and the City's Charter, Ordinances and Codes and in accordance with the
directions of the Director of the Transportation and Public Works or the Director of the
City's Water Department, or his or her duly authorized representative. Licensee shall
submit all plans and specifications to the applicable Director or his or her duly authorized
representative prior to the construction of the Encroachment. Licensee shall not
commence construction of the Encroachment until receiving written approval by the
Director, but such approval shall not relieve Licensee of responsibility and liability for
concept, design and computation in the preparation of such plans and specifications.
3.
Upon prior written notice to Licensee, except in the case of an emergency,
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 or 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
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, or said Director's duly authorized
representative.
4.
Licensee agrees to pay to City at the time this Agreement is requested an
application fee of$325.00 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.
2015 Easement Encroachment Agreement-Commercial Page 2 of 13
Columbia Plaza Medical Center of Fort Worth Subsidiary, L.P. Rev.02/2015
5.
The term of this Agreement shall be for 30 years, commencing on the date this
Agreement is executed by City. However,this Agreement shall terminate upon Licensee's
non-compliance with any of the terms of this Agreement. City shall notify Licensee in
writing of the non-compliance, and if not cured within 30 days, this Agreement shall be
deemed terminated, unless such non-compliance is not susceptible to cure within 30 days,
in which case this Agreement shall be deemed terminated in the event that Licensee fails to
commence and take such steps as are necessary to remedy the non-compliance with 30
days after written notice specifying the same, or having so commenced, thereafter fails to
proceed diligently and with continuity to remedy same.
6.
It is further understood and agreed between the parties hereto that the Easement to
be used and encroached upon as described herein, is 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 Texas 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 Easement to be used for any other public purpose, that does not preclude the use of
the Encroachment on the Property, 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.
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 HIND OR CHARACTER,
ARISING OUT OF OR IN CONNECTION WITH, THE CONSTRUCTION,
MAINTENANCE, OCCUPANCY, USE, EXISTENCE OR LOCATION OF THE
ENCROACHMENT 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
2015 Easement Encroachment Agreement-Commercial Page 3 of 13
Columbia Plaza Medical Center of Fort Worth Subsidiary, L.P. Rev.02/2015
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
$1,000,000 Commercial General Liability
with the understanding and agreement by Licensee that such insurance amounts may 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
not be canceled or amended without at least 30 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"B" and incorporated herein for all purposes. 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 the Encroachment and the cleaning and restoration of
the Easement. All insurance coverage required herein shall include coverage of all
Licensees' contractors and subcontractors.
9.
Licensee agrees to deposit with 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.
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 the Encroachment and uses.
2015 Easement Encroachment Agreement-Commercial Page 4 of 13
Columbia Plaza Medical Center of Fort Worth Subsidiary, L.P. Rev.02/2015
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.
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
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 permissions 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 Sections 3 and 4 shall
survive the termination of this Agreement.
16.
Licensee covenants and agrees that it will not assign all or any of its rights,
privileges or duties under this Agreement without the written approval of 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
2015 Easement Encroachment Agreement-Commercial Page 5 of 13
Columbia Plaza Medical Center of Fort Worth Subsidiary, L.P. Rev.02/2015
default or otherwise shall not require City approval provided that said lender notifies City
in writing within 60 days of such foreclosure or assignment and assumes all of Licensees'
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.
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.
SIGNATURES APPEAR ON FOLLOWING PAGE]
2015 Easement Encroachment Agreement-Commercial Page 6 of 13
Columbia Plaza Medical Center of Fort Worth Subsidiary, L.P. Rev.02/2015
THIS AGREEMENT may be executed in multiple counterparts, each of which
shall be considered an original, but all of which shall constitute one instrument.
City Licensee:
CITY OF FORT WORTH Columbia Plaza Medical Center of Fort
Worth Subsidiary, LP
By: Columbia North Texas
Subsidiary GP, LLC
JRndle Harwod Name: Clay Franklin
Director Title: Vice President
Planning and De elopment
Date: , 20[i
ATTEST: Approved As To Form and Legality
City Secreta Assistant Ci`y Attorney
0 .FORT O
�'XAS
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH]TX
2015 Easement Encroachment Agreement-Commercial Page 7 of 13
Columbia Plaza Medical Center of Fort Worth Subsidiary, L.P. Rev.02/2015
STATE OF TEXAS §
COUNTY OF TARRANT §
This instrument was acknowledged before me on yn fitld , 2017
by Randle Harwood, Director of the Planning and Developme t Department of the City of
Fort Worth, on behalf the City of Fort Worth..
Sao-�t
Notary Public, State of Texas
IRMA SAENZ
.o:• •<<.,s_Notary Public,State of Texas
Comm.Expires 0 1-28-2020
Notary ID 2724984
After Recording Return to:
Cassandra Foreman
Planning and Development Department
1000 Throckmorton Street
Fort Worth TX, 76102
2015 Easement Encroachment Agreement-Commercial Page 8 of 13
Columbia Plaza Medical Center of Fort Worth Subsidiary, L.P. Rev.02/2015
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 Clay Franklin, Vice President (title), 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 Columbia Plaza Medical Center of Fort
Worth Subsidiary, LP, a Texas Limited Partnership, and in the capacity therein stated.
GI v'EN UNDER MY HAND AND SEAL OF OFFICE this day of
, 20�
Notary Public in and for the
State of Texas
PATTIE E.WILSON
��1Y PU I
Notary Public,State of Texas
Comm.Expires 10-13-2020
Notary ID 130881873
2015 Easement Encroachment Agreement-Commercial Page 9 of 13
Columbia Plaza Medical Center of Fort Worth Subsidiary, L.P. Rev.02/2015
LEGAL DESCRIPTION OF THE PROPERTY
S TA TE OF TEXAS
COUPVTY OF TARRANT
WhEREAS COL UWIA PLAZA AWEDICAL CENTER OF FORT WORTH SU19SIDIARY,
L.P., A TEXAS LIMITED PARTAEERSH°, ACTM BY AND THOUGH ThE
UVERSIGNE'D IT'S D(1LY AUTHORIZED AGENT IS THE SOLE OWWR OF A
TRACT OF LAND L OCA TED IN ThE E. S. HARRIS SUR VEY, ABSTRACT Ab
688, TARRANT COUNTY, TEXAS, ACCORDING TO THE DEEDS RECORDED IN
VOLUW 5714, PAGE 634. DEED RECORDS, TARRANT COUNTY, TEXAS
(D.R.T.C. T. ) AND INSTRU4+EEENT NLOWSER 02/3301040, OFFICIAL PUaLIC
RECORDS, TARRANT COUNTY, TEXAS (0.P R.T.C. T, ), MERGER
DOCL NT RECORDED IN VOLLW 14323, PAGE 457, D.R,T.C. T. AND
JOHN STREET AND 17 FOOT ALLEY RIGHT-OF-WAY AS ABANDONED BY
ORDINANCE NtWER 22152-04-2016, AND BEMIG MORE PARTICULARLY
DESCRIBED AS FOLLOWS,
BEING ALL OF LOTS 136-139 AID ALL OF JOHN STREET (A 30 FOOT W10E
RIGHT-OF-WA'Y I. CARLOCKS REVISION OF DISSEL TRACT, AN ADDITION TO
ThE CITY OF FORT WORTH, TARRANT COIAVTY, TEXAS, ACCORDING TO
TW PLAT RECORDED IN VOLUME 330, PAGE 34, PLAT RECORDS.
TARRANT COUNTY, TEXAS (P.R. T.C.T. ) AND ALL OF LOTS 140-145,
DISSEL TRACT, AN ADDITION TO THE CITY OF FORT WORTH, TARRANT
CO(hVTY, TEXAS, ACCORDING TO T14E PLAT RECORDED M/ VOLaw 106,
PAGE 129, P.R.T.C.T. , AND ALL OF TRACT 2 AS DESCRIBED IN A DEED
TO COLUMBIA PLAZA MEDICAL CENTER OF FORT WORTH SUBSIDARY, L,P.
AS RECORDED IN SAID INSTRU1+ldc'NT AOWBER D21330/040, O.P.R. T.C. T.,
AND BENVG MORE PARTICULARLY DESCRIBED BY METES AID BOUNDS AS
FOLLOWS
BEGINNING AT A 1!2"IRON ROD FOLW WITH A CAP STAMPED "WIER 8
ASSOC INC", SAID IRON ROD BEING THE NORTAEAST CORNER OF SAID TRACT
2, THE NORTHWEST CORNER OF SAID LOT 145, AND MI THE SOUTH
RIGHT-OF-WAY LINE OF COOPER STREET f6O' WIDE RIGHT-OF-WAY),
ThENCE S 89'59'29"E, ALONG THE SOUTH RIGHT-O WAY LIVE OF SAID
COOPER STREET AND ALONG THE NORTH LAE OF SAID LOT 145, 130.00
FEET TO A 112•)RON ROD FObW W1TH A CAP 5TAAFED 'WIER 8 ASSOC
MVC', SAID IRON ROD BEING THE NORTHEAST CORNER OF SAID LO l' 145 AND
THE INTERSEC TION OF THE SOUTH RICHT-OF-WA Y LINE OF SAID COOPER
STREET WITH ThE WEST RIGHT-OF-WAY LINE OF 9TH AVENLE (A CALLED
60' RIGHT-OF-WAY),
THENCE S 00.00'31- W, ALONG THE EAST LM OF SAID DISSEL TRACT
AND THE WEST LME OF SA 10 9TH AVEA E, AT 5 00.14 FEET, PASSING AN
'X' CUT FOUND BEING THE SOUTHEAST CORNER OF SAID LOT 136 AND THE'
NORTWAST CORNER OF SAID JORV STREET ABANDOAWNT, AND
CONTINUING ALONG THE EAST LAE OF SAD JOHN STREET ABANDONwENT 1N
ALL A TOTAL DISTANCE OF 530,14 FEET TO A 1/2"IRON RDD FOLD WITH
A CAP STAMPED O WIER 8 ASSOC IVC". SAID IRON ROD BEING THE
NOR TWA S T CORWR OF LOT 134 OF SAID CARL OCKS REVISION OF DISSEL
TRACT AND Th1E SOUTHEAST CORNER OF SAID JOW STREET ABANDONMENT,
2015 Easement Encroachment Agreement-Commercial Page 10 of 13
Columbia Plaza Medical Center of Fort Worth Subsidiary, L.P. Rev.02/2015
THENCE N 89'59'29"W, DEPARTAEIG TW *rST RIGHT-OiFWAY LAZE or
SAID 9TH AVEME, 4L OA* THE NORTH LNC OF SAID LOT 134 AhD THE
SOUM LAZE OF SAO JOIw STREET A$Awoov C7VT, 130.00 FEET TO A
1!2"IRON ROD F000 W1 TH A CAP 5 TAWED 41WR 8 ASSOC ANC'AV TNF
EAST LAC OF SAO TRACT 2. SAES ARAN ROD 13Em Tic SOUTH1 sT
CORwR OF SAAR J&w STREfT A8A1"mw:NT AAA THE NORTHWEST
CME'R OF SAAR LOT 134,
THENCE S 00'00'31' W. ALONG THE EAST LAE OF SAID TRACT 2. THE
WEST LAE Or SAO CARRLOCKS REVISK,NV OF DISSEL TRACT AAV TH,E WEST
LAC OF CARLOCK'S REVISION, AN ADDITION TO THE CITY OF FORT WORTH,
TARRANT COUNTY, TEXAS, ACCORDING TO THE PLAT RECORDED HV
VOL UAE 368-146, PAGE 77, P.R. T.C. T., 499.9 1 FEET TO A 1/2"IRON
ROD F01AV IN THE NORTH RIGHT-OF-WAY LINE OF WEST ROSEDALE
STREET t VARIABLE WIDTH RIGHT-OF-WAY 1. SAID IRON ROD BEING THE
SOUTHEAST CORNIER OF SAID TRACT 2 AND THE SOUTHWEST CORNER OF
LOT 124 OF SAID CARLOCKS REVISION OF DISSEL TRACT,
THENCE N 81°32'04" W, ALONG THE SOUTH LIME OF SAID TRACT 2 AAV
THE NORTH R/GHT-OF-WAY LM OF SAID WEST ROSEDALE STREET, 81.32
FEET TO A I/2-IRON ROD FOUND IN THE NORTH RIGHT-OF-WAY LANE OF
SAID WEST ROSEDALE STREET, SAID IRON ROD BEING THE SOUTHWEST
CORNER OF SAID TRACT 2 AND THE SOUTHEAST CORAER OF LOT IRA2.
&.00K 1, MEDICAL CENTRE, AN ADDITION TO THE CITY OF FORT WORTH,
TARRANT COOVrY, TEXAS, ACCORDING TO THE PLAT RECORDED IN
CABINET B, SLIDE 2523, P.R. T.C.T.,
THENCE DEPARTING THE NORTH RIGHT-OF-WA Y L AE OF SAID WES T
ROSEDALE STREET, ALONG THE WEST LINE OF SAAR TRACT 2 AND THE
EAST LAE OF SAID LOT IRA2 AS FOLLOWS
I I N 06'0t'44-E, 45.62 FEET TO A 1/2"IRON ROD FOLM WITH A
CAP STAAFED 15RANT ENG",
21 N 04.32'43'£, 49.40 FEET TO A 1/2'N?ON ROO FOUND,
31 N 03'1643-E. 49.41 FEET TO A I/2-IRON ROD FOLAV,
4 l N 01.50'43"E, 49.65 FEET TO A 1/2-IRON ROD FOL O,
THENCE N 0/'06'43-E, ALONG THE WEST LITE OF SAID TRACT 2 AND THE
EAST LINE OF.SAO LOT IRA2, AT 21.35 FEET PASSING THE NORTHEAST.
CORNER OF SAID LOT IRA2 AND THE SOUTHEAST CORNER OF LOT IRA OF
SAAR BLOCK 1, AND CONTINUING ALONG THE WEST L6AE OF SAID TRACT 2
AND THE EAST LINE OF SAID LOT IRA 1. A TOTAL DISTANCE OF 4 9.42
FEET TO A I/2-IRON ROD FOUND,
THENCE N 00'27'23-E, ALONG THE WEST LINE OF SAID TRACT 2 AND
THE EA S T L INE OF SAID L 0 T IRA I. A T 632.88 FEET PASSING A H/2"IRON
ROD FOL00, SAID IRON ROD BEING THE NORTHEAST CORNER OF SAID LOT
IRA/AND THE SOUTHEAST CORAER OF 6ELOCK 3, MEDICAL CENTRE, AN
ADDITION TO THE CITY OF FORT WORTH, TARRANT COUNTY, TEXAS,
ACCORDING TO THE PLAT RECORDED IN VOLUME 388-2!6, PAGE 38,
P.R. T.C.T. , AND CONTIIAMG ALONG THE WEST LINE OF SAID TRACT 2
AID THE EAST LINE OF SAD BLOCK 3, A TOTAL DISTANCE OF 777.88
FEET TO A POINT NV THE SOUTH RIGHT-OF-WAY LINE OF SAID COOPER
STREET, SAID POINT BEING THE NORTWAST CORAER OF SAID BLOCK 3 AA17
THE NORTHWEST CORNER OF SAID TRACT 2,
2015 Easement Encroachment Agreement-Commercial Page 11 of 13
Columbia Plaza Medical Center of Fort Worth Subsidiary, L.P. Rev.02/2015
THENCE N 00027"23"E, ALONG THE WEST LAE OF SAID TRACT 2 AID
THE EAST LAE OF SAID LOT IRA I. A7'632.88 FEET PASSING A 1/2`IRON
ROD FOIA, SAID IRON ROD BEING THE NORTHEAST CORNER OF SAID LOT
IRA/AND THE SOUTHEAST CORAER OF BLOCK 3, MEDICAL CENTRE, AN
ADDITION TO THE CITY OF FORT WORTH, TARRANT COUNTY. TEXAS,
ACCORDING TO THE PLAT RECORDED NV VOLLAEE 388-216, PAGE 38.
P.R.T.C. T., AND CONTA'VGUNG ALONG THE WEST LNW OF SAID TRACT 2
AND THE EAST LkW OF SAID BLOCK J. A TOTAL DISTANCE OF 777.88
FEET TO A PONVT #V THE SOUTH RIGHT-OF-WAY LACE OF SAID COOPER
STREET. SATED PONVT BEING THE NORTHEAST CORAER OF SAID BLOCK 3 AND
THE NORTHWEST CORNER OF SAID TRACT 2,
THENCE S 87'23'11"E. ALONG THE SOUTH RIGHT-OF-WAY LM OF SAID
COOPER STREET AND THE NORTH LAZE OF SAID TRACT 2. A DISTANCE OF
60.36 FEET TO THE PLACE OF BEGIAWM AAAI CONTANVNVG 3.120 ACRES
1135.910 SQUARE FEET I OF LAND, MORE OR LESS.
2015 Easement Encroachment Agreement-Commercial Page 12 of 13
Columbia Plaza Medical Center of Fort Worth Subsidiary, L.P. Rev.02/2015
EXHIBIT "A"
Map of Encroachment and Easement
2015 Easement Encroachment Agreement-Commercial Page 13 of 13
Columbia Plaza Medical Center of Fort Worth Subsidiary, L.P. Rev.02/2015
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Y EXHIBIT B Page 1of1
Health Care Indemnity, Inc. Certificate of Insurance
�I. 1100 Charlotte Avenue,Suite 800
Nashville,TN 37203
Health Care Phone:615/344-5193 Date: 05/02/2017
Fax:855-775-0393
Indemnity, Inc. Email:Corp.Insurance@HCAHealthcare.com
COW 48059-2017
This is to certify to: City of Fort Worth
(Name of Certificate Holder) 200 Texas Street
Fort Worth, TX 76102
that the described insurance coverages as provided by the indicated policy has been issued to:
Named Insured: HCA HOLDINGS, INC.AND SUBSIDIARY ORGANIZATIONS
Address: EXISTING NOW OR HEREAFTER CREATED OR ACQUIRED
ONE PARK PLAZA
NASHVILLE,TN 37202-0550
The Policy identified below by a policy number is in force on the date of Certificate issuance. Insurance is afforded only with respect to those coverages for which
a specific limit of liability has been entered and is subject to all the terms of the Policy having reference thereto. This Certificate of Insurance neither affirmatively
nor negatively amends,extends or alters the coverage afforded under any policy identified herein.
POLICY NO. POLICY PERIOD
Effective: 1/11/2017
HCI-EX-10117-01 Expiration: 1/1/2018
TYPE OF INSURANCE LIMITS OF LIABILITY
Comprehensive General Liability-
• Occurrence Form
• Bodily Injury $1,000,000 Each and Every Occurrence
• Property Damage
• Products and Completed Operations $1,000,000 Aggregate
• Personal and Advertising Injury
Health Care Professional Liability $0 Each and Every Occurrence
Occurrence Form $0 Aggregate
SPECIAL CONDITIONS/OTHER COVERAGES:
The Named Insured Includes: Columbia Plaza Medical Center of Fort Worth Subsidiary, LP d/b/a Medical City
Forth Worth COID: 34318
Cancellation: Should any of the above described policies be canceled before the expiration date thereof,the issuing company will endeavor to mail ninety days written
notice to the above named certificate holder,but failure to mail such notice shall impose no obligation or liability of any kind upon the company.
Authorized STature
�l
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.
Ifn �J
e of Employee
L-C� M"
Title _