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HomeMy WebLinkAboutContract 50620 g1p 11 12q� CITY SECRETARY' 43 RECEIVED q�RECEIVED CONTRACT N0. � EASEMENT ENCROACHMENT LICENSE AGREEMENT :v w 017Y OF FORTWORTH 'A Commercial eye CITYSECRETARY �y Zt 11 p�6� 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 QUIKTRIP CORPORATION, an Oklahoma corporation ("Licensee"), acting by and through its duly authorized Director of Real Estate, owner of the real property located at the southwest corner of McCart Avenue and SW Loop 820, Fort Worth, TX 76133 ("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 as shown on Exhibit"A"; and WHEREAS, the City has a fifteen (15) foot wide water line easement (the "Easement") in the Property as shown on the map attached to this Agreement as Exhibit "B" 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 constructing, maintaining, modifying and replacing a screening wall and a decorative wall for QuikTrip #959 (the "Encroachments") as described in and at the location shown on Wall Crossing 1, Exhibit "B-1" and Wall Crossing 2, Exhibit "B-2" 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. OFFICIAL RECORD 2018 Easement Encroachment Agreement-Commercial C1TYpjtffMY QuikTrip Corporation-southwest corner of McCart Avenue and SW Loop 820 FTS WORTH,TX 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. 2018 Easement Encroachment Agreement-Commercial Page 2 of 14 QuikTrip Corporation-southwest corner of McCart Avenue and SW Loop 820 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 material 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 WITHIN THE EASEMENT 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 2018 Easement Encroachment Agreement-Commercial Page 3 of 14 QuikTrip Corporation-southwest comer of McCart Avenue and SW Loop 820 RESPONSIBILITY AND SHALL INDEMNIFY CITY FOR ANY AND ALL INJURY OR DAMAGE TO CITY PROPERTY ARISING OUT OF OR IN CONNECTION WITH THE ENCROACHMENTS WITHIN THE EASEMENT 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 "C" 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. 2018 Easement Encroachment Agreement-Commercial Page 4 of 14 QuikTrip Corporation-southwest corner of McCart Avenue and SW Loop 820 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 in the event that City prevails. 15. The parties agree that the duties and obligations contained in 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 2018 Easement Encroachment Agreement-Commercial Page 5 of 14 QuikTrip Corporation-southwest corner of McCart Avenue and SW Loop 820 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 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] 2018 Easement Encroachment Agreement-Commercial Page 6 of 14 QuikTrip Corporation-southwest corner of McCart Avenue and SW Loop 820 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 WO TH QUIKTRIP CORPORATION By: By: Randle Ha oodoseph S. Faust Director Tit Director of Real Estate Planning and D;ve opment Date: , 20� ATTEST: Approved As To Form and Legality T� City Secret ,�� �� Assistant City Attorney U� 7EXP5 1295:_ OFFICIAL RICCRC CITY®111CRIMITY FT"WORTH,TX 2018 Easement Encroachment Agreement-Commercial Page 7 of 14 QuikTrip Corporation-southwest corner of McCart Avenue and SW Loop 820 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 report requirements. Janie Scarlett Morales Development Manager OFFICIAL RECORD CITY SECRETARY FTA WORTH,TX STATE OF TEXAS § COUNTY OF TARRANT § This instrument was acknowledged before me on , 201 by Randle Harwood , Director of the Planni d Devel pment Department of the City of Fort Worth, on behalf the City of Fort W rth. p Not Publi , tate f T xas JENNIFER LOUISE EZERNACK Notary Public,State of Texas • •'a01.2020 z. Comm.Expires 03 Notary ID 130581630 After Recording Return to: Cassandra Foreman Planning and Development Department 1000 Throckmorton Street Fort Worth TX, 76102 OFFICIAL RECORD CITY SECRETARY FT-WORTH,TX 2018 Easement Encroachment Agreement-Commercial Page 8 of 14 QuikTrip Corporation-southwest corner of McCart Avenue and SW Loop 820 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 Joseph S. Faust, 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/she executed the same for the purposes and consideration therein expressed, as the act and deed of QuikTrip Corporation, an Oklahoma corporation, and in the capacity therein stated. OI v'EN UNDER MY 4 AND AND SEAL OF OFFICE this day of 20T .1!'i"�;; TINA L CN.QWELL =' MY COMMISSION EXPIRES ` , � July 19,2019 late is in and for the ,,, xas OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX 2018 Easement Encroachment Agreement-Commercial Page 9 of 14 QuikTrip Corporation-southwest corner of McCart Avenue and SW Loop 820 EXHIBIT "A" LEGAL DESCRIPTION OF THE PROPERTY SOUTH HILLS ADDITION LOT 1 R, BLOCK 67 2.8931 ACRES BEING A REPLAT OF LOTS 10-14, BLOCK 67; LOT 4, BLOCK 67-A; THE REMAINDER OF LOTS 2 & 3, BLOCK 67-A, SOUTH HILLS (VOLUME 388-9, PAGE 551, P.R.T.C.T.); LOT 1, BLOCK 71, SOUTH HILLS (VOLUME 388-12, PAGE 84, P.R.T.C.T.); A PORTION OF LUBBOCK AVENUE AS ABANDONED BY ORDINANCE NO. 22191-05-2016 & A PORTION OF SOUTHGATE DRIVE AS ABANDONED BY ORDINANCE NO. 22486-10-2016, PART OF THE JOHN JENNINGS SURVEY, ABSTRACT NO. 851 CITY OF FORT WORTH, TARRANT COUNTY, TEXAS OFFICIAL RECORD CITY SECRETARY FT,WORTI49 TX 2018 Easement Encroachment Agreement-Commercial Page 10 of 14 QuikTrip Corporation-southwest corner of McCart Avenue and SW Loop 820 EXHIBIT "B" The Easement sr __ _ Uta6Vy Ecsr✓ THE "EASEMENT$ lilt un } I f& 2018 Easement Encroachment Agreement-Commercial Page 11 of 14 QuikTrip Corporation-southwest corner of McCart Avenue and SW Loop 820 EXHIBIT "B-1" Map of Encroachment and Easement Wall Crossing 1 > 7---7'1 cc) - —— —— — —;1- 7 — - --- - - ------ - - --- I LLJ < ST ANNIL AMML-ANOUL-Mm C"O PROPPSED I - ' , i VERMRETE it-REENIK WALLI fc wtr _j F.F E. = 763.00 jEncroachment Area UGT 0+00 0+§0 EX 8" W,Af 6R L I N E 30 15 0 1,dn 2018 Easement Encroachment Agreement-Commercial Page 12 of 14 QuikTrip Corporation-southwest comer of McCart Avenue and SW Loop 820 EXHIBIT `B-2" Map of Encroachment and Easement Wall Crossing 2 � ------------ ----- laolu-)l JK wry wtr I III <8> ti 1 C S Sr S� MOM i ( I �� ! jPR POSED ;1 DE ORATIVE Ip 000 2000 Encroachment Area ,`f SC EENING WALL " i OX I ( EX 112 WATERLINE ° Oo 0 040 0)0 1 E- Li C 30 �5 A. 2018 Easement Encroachment Agreement-Commercial Page 13 of 14 QuikTrip Corporation-southwest comer of McCart Avenue and SW Loop 820 06S60 'ON dpjjjnb •fit )U'RLW-VA IWU V-1 VIAVIWPH uawcav 6561bxxie'Mi 101 edl, 5 i 1,17 7 wn-t 1-au Z1. �Sv .1a ............ 1? fe', 0 -6L - .......... .. ... ....... - �J, , 1; �T ............ V—S I A, p X x / w k)�� �-4 7L c/)f ST I LU s PROP�dSED, VERT RETE I I �CREENI WALLI WV Wt� 1� ( 'b2 I � I W 1 I F.F.E. = 763.00 I I I UGT 0+00 �; Imo' 0+ 0• EX 8" W ERLINE I 30 15 0 I i I 765 765 all Crossing i Ex. Ground PROP GRADE __...____..____._...___......._....._..____..._........................_._........................................ ...F....._ .................... ....__.._-___.___-._.._...._._..__...._..__.. 760 ._._.._.._.__......._............................_.._.__............._........................................................._. .. ... .. .. ..._;.................._......_... ..............._......_._._.__._.._..._________._.._....__.__-"'"" 760 P OPOSED Ex, 15'--.Water ----! `_ TICRETE NS Easement _ (4 DEDF') _....__ .. _....._._ .. . _.... _ 1 ..._..._......... .. ___ _... 755 5, 755 Water __.._....._............. _.._........_..............................._......................................................................_.... i TOP=7$J 58-t- 750 0 0 0+50 0+175 750 STORE NO.: 959 NAME: WALL,A,ALL CROSSING REVISION: TITLE: DATE: 04/10/17 DRAWN BY: CMA EXHIBIT A If I 3 — _---- -----�-- ----- r— �i 0� I 1 --------- ---- J. I o �I wtr I I I I S7 ST S PR POSED I I DE ORATIVE 0008 0000 SC EENING WALL O,cO "'` .I EX 112" WATERLINE 00Qoc(oQ000 0 / 16 1 J / X 0Up- 1 ....,. 30 15 0 765 765 MAI Ex. Ground ' PROP GRADE 760 .._.._............_.....__......_..................._. ................_. ....................._......._.._........................ ................__................_....._........._.._......................._......__......_...............__.._.. 760 .............................................................. _.....__..__..._......----..................... -- Ex. 15' Water PROPOSED Easement WALL FOOT/NG _ ;' •.a (4.JJ' DEEP 755 ' �;�;5: , :.:;'r; 755 ..............._..._..._..._.................................................._..........._.............................. ........ ...................._..........._.._......................................................._._...._........._......._.......................... .............._Ex,....._..._1...... "......Water....._......_......_........ TOP=7 1.92f 750 0 00 0 50 0 75 750 STORE NO.: 959 NAME: REVISION: TITLE: � WALL CROSSING - DATE: 04/10/17 r � DRAWN BY: CMA EXHIBIT B svaL id 'lutnx ,+Tifoa ac-I an 1zvFN ao ays t a 4 � y`I N va11YLV 1RII,'alal�� 6560 'ON dijLM!no � .. € ¢¢ R n9 8.y(gYpp J A:. U D Z O M1 Z 1 1 j — ., .. � .,,'•- � III i �� -' III d _ O z or jig g Cl 4 Q 2 J d U Y M1 Q I T e 0 0 Q K -.- Y Y 0 4 CL s � IIII IIII � II � I I III a� z w 42 (n r Y W � s r�'. g e � 1 IIIA w I Iz 151 R1171 III III III'- ry — ' � I I IT I I�TILI IJ I II I � �— �� �' 1 IIII II X1111 LII_ 4 Z ¢ — d w I I7 ¢ J J U i7�1 T_a 1 e, I O 1 l s 1 � I Y 1 I = I ` ••�.. I � Tl W I o I � I � I < 'I v 3 iw�.w�o�aer � st OZaAl1WYM JO DW u.w v m y a i+rv�o ! i• N m X 6560 'ON di�l�ino -I am 3 w e a ? J ^ I - ^ Q ^ — z 0 13 CL F 7 U - - - w N J (] � w 3 Ln s 2 0h, 'yy IrAb'3i.r b�L z w O F Im fQj T Ir. Lll ri - J _ ¢ w w _ r . 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ASO G w�P.��vias/�f/Y'muPY �tCa.v,ot/tfA' vwYifn i ilY¢w1]U Y¢:�n F'iP WY6 w swll4 KNE+w w W�4L�'CVPM.NN+�w�A:laWnP1]w Exhibit "C" Certificate of Insurance As depicted on the following page 2018 Easement Encroachment Agreement-Commercial Page 14 of 14 QuikTrip Corporation-southwest corner of McCart Avenue and SW Loop 820 QUIKCOR-02 RBLEVINS1 ACOA U DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 03/06i2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must 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 License#100101891 CONTA E:CT NAM Hub International Mid-America PHONE 6100 S.Yale Ave.,Ste.1900 (A/C,No,Ext):(918)359-6000 (A/c,No):(918)359-6001 Tulsa,OK 74136 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:Old Republic Insurance Company 24147 INSURED INSURER B: QuikTrip Corporation INSURER C: P.O.Box 3475 INSURER D: Tulsa,OK 74101-3475 INSURER E: 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LT I D M MM A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 500,000 CLAIMS-MADE X OCCUR MWZY312906 03/01/2018 03/01/2019 DAMAGE TO RENTED 100,000 REMISES Ea occurrence) $ MED EXP(Any oneperson) $ 0 PERSONAL R ADV INJURY $ 500'000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 X POLICY❑ JECT PRO- ❑ LOC PRODUCTS-COMP/OP AGG $ 5'000'000 OTHER: SIR $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ WORKERS COMPENSATION AND EMPLOYERS`LIABILITY YSTAT ITE ER ANY PROPRIETOR/PARTNER/EXECU I IVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) RE:: QT#959,5300 McCart Ave.,Ft.Worth,TX 76133 Policy is endorsed for 30 day notice of cancellation,except for non-payment,which is 10 days notice. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ci of Fort Worth THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City ACCORDANCE WITH THE POLICY PROVISIONS. CFA Office PN17-00117 200 Texas Street Fort Worth,TX 76102-6314 AUTHORIZED REPRESENTATIVE S ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD