Loading...
HomeMy WebLinkAboutContract 50295 CITY SECRETARY •- ��_. �. CONTRACTNO. 60�q5 c C1 � EASEMENT ENCROACHMENT LICENSE AGREEMENT yon 2� LSO Commercial �s�o9T Vali 9�909� 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 Centreport Storage, LP [full legal name], a(n) Limited Partnership [type of entity] ("Licensee"), acting by and through its dulv authorized Managing Member itle], owner of the real Dropertv located at 3954 Reggis Ct , Fort Worth, TX 76 155 ("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 Sanitary Sewer&water 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: AGREEMENT 1. 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 Carport with Solar Photovoltatic Array (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 Easement Encroachment Agreement—Commercial Page 1 of 11 OFFICIAL RECORD PN - CITY SECRETARY FT,WORTH,TX infringe in or on 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 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. Easement Encroachment Agreement—Commercial Page 2 of 11 PN _ Rai, ini')nil 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 KIND 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 ANY AND ALL INJURY OR DAMAGE TO CITY PROPERTY ARISING OUT Easement Encroachment Agreement—Commercial Page 3 of 11 PN _ RPv 10n017 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. Easement Encroachment Agreement—Commercial Page 4 of 11 PN _ Raxf 10/1017 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 default or otherwise shall not require City approval provided that Easement Encroachment Agreement—Commercial Page 5 of 11 PN _ Rav 100017 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] Easement Encroachment Agreement—Commercial Page 6 of I I PN _ Rav ini�ni� 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: Centreport Storage, L.P. By: Farragut Investment CITY OF RT RTH Management, LLC, General Partner (Entity) By: By: Randle Harwood Nam*Mich I Greenfield Director Title: Managing Member Planning and Development Date: Z 120 , 20_14f Date: V , 20� ATTEST: .r O RT Approved As To Form and Legality ��4 �°� '•opt b, i t U 1dtW41A/'— City Secreta t *'' ". ssistant City Attorney Con Compliance Manager By signing I acknowledge that I am the person Responsible for the monitoring and Administration Of this contract, including ensuring all performance And reporting requirements. Janie S. Morales OFFICIAL RECORD Development Manager CITY SECRETARY FT.WORTH,TX Easement Encroac ent Agreement—Commercial Page 7 of 11 PAGE FOR CITY OF FORT WORTH OFFICE USE ONLY*** STATE OF TEXAS § COUNTY OF TARRANT § This instrument was acknowledged before me on dlD , 201 by Randle Harwood, Director of the Planning and Development Department of the City of Fort Worth, on behalf the City of Fort Worth. JENNIFER LOUISE EZERNACK 3 ;,c Notary Public,State of Texas Comm. Expires 03-01-2020 Notary 10 130561630 Not Public, State of Texas Easement Encroachment Agreement—Commercial Page 8 of 11 PN _ Rpv 100017 STATE OF § COUNTY OF LAKE § BEFORE ME, the undersigned authority, a Notary Public in and for the State of mss; on this day personally appeared 04&e� 6r-Pen`Fi2tj M(A 0(A 9('Nq Me f^4r (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 Fr('A aAr'yesl v 'e /�n�c�gom,.+UC , a and in the capacity therein stated. GIVEN UNDER MY HAND AND SEAL OF OFFICE this > day of 20 LOff.ltI1L DAVID ROORIt;t1EZ N0Wy Pok-SN*oa'N' comm,No.aim ��°"""""°" ,s ,s Notary Public in and for the State of After Recording Return to: City of Fort Worth Planning and Development Department CFA Office 200 Texas Street Fort Worth TX, 76102 Easement Encroachment Agreement—Commercial Page 9 of 11 nxr _ Rav 10/1017 LEGAL DESCRIPTION OF THE PROPERTY PAM I of I LEGAL DESCRIPTION PARCEL 17 Being a 1.195 acre tract of land situated in the John Burnett Survey, Abstract No.178, Tarrant County,Texas and being all of W3,Block 201 A.Area 2,Section 1,Centrepon,an addition to the City of Fort Worth, Texas,as recorded in Cabinet A.Slide 3449, Plat Records,Tarrant County. Texas.and a portion of Reggis Court(a 60 foot R.O.W.),and being more particularly described as follows: BEGINNING at a found 1/2 inch iron rod said point being the southwest corner of said Lot 3, Block 201 A,and the southeast corner of Lot 4,Block 201A.as recorded in Cabinet A.Slide 3449, Plat Records, Tarrant County, Texas. and also being in the north line of Lot 3, Block 2018, as recorded in Volume 388-170,Page tib, Deed Rccords,Tarrant County,Texas; THENCE North 01°07'11" East,leavingsaid north line of Lot 3,Block 201 B,and along the cast line of Lot 4, a distance of 175.00 feet passiig a found 1/2 inch iron rod, said point being the southerly northwest corner of said Lot 4,Block 201A,and continuing far a total distance of 225.00 feet to a point for comer, said point being in the centerline of said Reggis Court; THENCE South 88°5249"East,leaving said centerline,a distance of 50.00 feet passing a found 1/2 inch iron rod,said point being the northwest corner of said Lot 3, Block 201 A,also being the southwest comer of Lot 2.Block 201 A as recorded in Cabinet A,Slide 3449,Plat Records,Tarrant County,Texas,and continuing for a total distance of 231.00 feet to a found 1/2 inch iron rod for comer,said point being in the west line of Lot 1R1,Block 201A,area 2,Section 1 as recorded in Volume 388-193,Page 28,Deed Records,Tarrant County,Texas; THENCE South 01*0711"West,along said west line,a distance of 225.00 feet to a found 1/2 inch iron rod,said point being the southeast corncr of said Lot 3,Block 201 A,and being in the north line of Lot IA,Block 201 B.Area 2,Section 1,as recorded in Cabinet A,Slide 3007,Plat Records, Tarrant County,Texas; THENCE North 88052'49"West,along said north line,a distance of 231.00 feet to the POINT OF BEGINNING and CONTAINING 51,975 square feet or 1.195 acres of land,more or less. Basis of Bearing is per plat recorded in Cabinet A,Slide 3449, Plat Records, Tarrant County, Texas. d �. M.L PETERSON 4 U Easement Encroachment Agreement—Commercial Page 10 of 11 PN _ RPv ini�ni� EXHIBIT "A" Map of Encroachment and Easement TRWM BOULEVARD I N I I I ------ , i IN E I II VEY sari=Pqu �x U ��8 & bJrnett No T S ig jo A05hn I Ig lif i � �i I I I I I I I I Y w�rew T I I I / I I I I X9'29 2 ------1 + l 1E1' .gyp e gvm'ao'` ♦ //+'t`\4;G'\`'^'� \ \ II 11 sa,mr.\i 11 I 5o.m•` ♦ T_50.00' �♦ i \ \\\ ` \\\ \\ 1 i �talu REQ, ,845' '37'E l 1 t\\ ` \\t\ `\ t CN-]0.]1' � asl.A tYl J 1 '.Zoo sf caipoM1 area. xoa �` fi .� 11 W st PV Patwl ana+ \ \ Fwwx`aNAAp \ P.'..•'\dC^R-'n BUILDING \ ta� a III ' 11 \ \ Ott V�,ml�iDgM \ USE \ \ p\ >f><OVM- oFa 41- STS BUIlDWO \ \ I ` Carport with Solar k I J -------' Photovoltaic Array Plrax -overhang ro,K a,r naroaches 4'into maevwo sanitary Sewer E 9,,,�„ ,fit6oi,,,m'as® Water Easement. No columns in , nt 1t `.o \ 1 `\ I atr F. �. ontaat with the �\ $ j pppkxr xa uv ground encroach into the easement. I 1 Y }swp a maw t •hy\ .:1 11 � 11 1 `\ `'�\\ 11 I iyllll�I 1 \ i\�Hw ma u ___1_11 i \ 1tiF�N -___;, I .1 'g xk C�RANOgAS1ANPE0 373 '21 \ ' NO)RHINC:fi9e4651.fifi000 ~ J i jlFli ` 4to` t \ \ ` Sm 1 t E+snrvc:x4t tsex..x]aa l—N&W -------- 14.b N89'29'23 ------------ s�ta«a 1 Ult L k✓a fn4 \ U)i to\OOt)N! Tk�CT.T YW�,laa.K tRl pFILi CT 4 ♦ Easement Encroachment Agreement—Commercial Page 11 of 11 PN _ Rev. 10/2017 a 3 g O Syni'HAOM 1MO1 _ rr nc°NL,xorr _ tea • L`t 1M00'J 51003tl 6S6f s�au}�ed�V3N DOVHOis i2lOdEI iUNEIO e v ! s U a FICA a N IR U'fifiE� I � IIII � I � � d'�y I p Q e - - ---_-----� �---- ----�----�----_---=--- 9 ga�c- ---— -- ------------- - --------------- ���----��— — I •aa �E]El >OL^ N it , N N G m N 18 I i i�p°p• •a a a �, 417 p ❑ !! in - �nl -------------- _ �I L I. oAto—,I..rawg-m 111f10J 9DOEM I 6E6 kQ�� • Wscl 1 I 1 , , ---- --- ---------------�--+ RF t�■■■k' � GLtL � I I I I i � I , � •8 x 4d 3 go Q'I X gyp.'. g h a.i� RIO a^C ON w LU U) i N ��o Hw�ggg8q zu N I �j �ory r;41x41M-40 L9 1 J/ 1 a ry c�o \`V�KVI'wF I 3w 0 I ` c4i 7 O o a a b 5$ ' I xW X ' °a = I ~ _ 20 Z� V1 ° �--d m I � m I w I I M 41x41M-10111 Lo v zo O m I m ILJI N N C I N N - - - ��..(I Kx$'M-ZO1B cV �..I I I OD = I = OD I r r - 61x41M-1018 LU * 7 0 o ULU N } m N N d IL + I ' ! � ■ � pJsR ! -art � +aa t A � i � • �� ��"' KIL k: kiI is tt �1� LR� Gi��h - �F I F. �` I � ■ F�E�ii �� ;I -----,ease-- ----- -- mesa,!¢------�---- -'t I t �i4 1 ; q sash = �• iql r1■�tt Q i i1Rl6W . u i ' 00 NERM s 5 , > .: a 99 �:-• t o — fix'• a � d�j�� � S g ON NN W W 0 co cu I (D ws 0 CL r /Mcu g .Z .9-d .Z V V ym�� �I W sV 3 c�c � ���..{( lV 9_9 Zo � cU LLJ r� > OW C0 J LLJ io CO LLJ Q LL- ccs auwnloo bL 9xSSH ---Q- Q rT, 1 I�-i [_1 m r Ta f 00 - O n vcooil _ SCS 3 v c W - 4 o'-El T l -a � WWNJ Q r �> E W N COva) of cn ca I� W } m N CCI CD C7 -COU --x --x 56051z 3DVdols moa a"� R 2 Me 1 O z z00 U 514 p 7 0 pq v 6 F ' �" o a � ? 3 ¢ z S i a g Se c 9� 11hb�9;� ► v8 a c am: ? z 011 ¢ A ? C7 I e �'3 g31 k zU 9 q I I I 0 n •"q b I l z � p sy. Yip e.�a B I I I .lpt i ______________________-------------- a-- _ -------------------------------- U W Q I ygg }Fp{ C C i II IIS y6' D Iyy� I Nil- ly 3 9yq _ '.• , q�,'C 7TH __� ',�' 1 I I 4oro-nsl arra�,a) a�� •o-"" � /' s � i��'�8'y .canon ssooax a s a ozc ,,i 5a� Y88 10 I I� gam O i p s c u p � i I I.3 I 3�a � crt1 =V l6 i o> �d1 ul 4 gra O O s O s- E $ 8• � 6 tntl �N$ A A d cd c} m -r d � d 13 W ca ��. . oI1,200 sf carport area t) i I 1,200 sf PV panel area ° 54 panels at 330w= 17.82kw o vi ouo i= c o E e `° c 4 L C V C 3.5'Setback from Property Line `- a o a ' vu i✓ m > � 00 OAC Q M A C t l7 c 4'Encroach ent 0 s ,,, ( 0 3 ti 20-0~ 9 o fO 0 o a' a u' a ilk '0 a 2 �,' 3 �`��/�. e Option A3: Lq U �. I I = • 3954 Reggis Ct l _. Ft Worth, TX Sept 15, 2017 I Approved by: Joe Bass Date North zo/r dd Finley Date DATE(MM/DD/YYYY) ACORf> CERTIFICATE OF LIABILITY INSURANCE 01/23/2018 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 have ADDITIONAL INSURED provisions or 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 Universal Insurance NAME: Universal Insurance PHIA/ONE o t: 800-844-2101 FVC Na: 866-512-2272 1220 E Osborn Rd Ste 101 ADORIEss: Charliep@uiprograms.com Phoenix AZ 85014 INSURER S)AFFORDING COVERAGE NAIC A INSURER A: INDEMNITY INSURANCE COMPANY INSURED INSURER B: WESTCHESTER Centreport Storage LP INSURER C: INSURER D: PO Box 189 INSURER E Lake Forest IL 60045 INSURER F: COVERAGES CERTIFICATE NUMBER: 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. ;NSR r!o£OF INSURANCE �ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DC 'MMIDD, �rGINI'L MMERCIAL GENERAL LiABiLi(Y EACH OCCURR6,4CE $ 2,000,000. DAMAGE TO RENTEU-- CLAIMS-MADE �OCCUR PREMISES Ea occurrence) $ 2,000,000. MED EXP(Any ane person) $ 5,000. A Y N D38606487 C01 04/24/2017 04%24/2013 PERSONAL SADV INJURY $ 2,000,000. GREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 4,000000. n PRO- n LOC PRODUCTS-COMP/OP AGG $ 2,000,000. frY LL.;ECTER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 300,000. Ea accident ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED N N D38606487 001 04/24/2017 04/24/2018 BODILY INJURY(Per accident) $ AUTOS CNLY AUTOS XHIRED NON-OWNED PROPERTYDAMAGE AUTOS ONLY X AUTOS ONLY (Per accident/ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000. B EXCESSSLLIAB CLAIMS-MADE N N M00819433 04/24/2017 04/24/2018 AGGREGATE $ 5,000,000. X DED RETENTION$ 0 Products-Comp/Op $ 5,000,000. WORKERS COMPENSATION PERTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETOR/PARTNME.XECUTIVEE.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? ❑ N%A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ if yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER IS AN ADDITIONAL INSURED Location: 3954 REGGIS COURT,FORT WORTH TX 76155 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Fort Worth CFA Office THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 200 Texas Street Fort Worth,TX 76102 AUTHORIZED PRESENTATI. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD