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HomeMy WebLinkAboutContract 50786 CITY SECRETARY CONTRACT NO. i TEMPORARY OCCUPANCY PROCEDURES FOR STREET, SIDEWALK, & PARKING METER ENCROACHMENTS 1. Applicant receives in triplicate "CONSENT AGREEMENT FORMS" page ten (10) of the Consent Agreement Forms shall be signed (all originals signatures)tures) by s the company president or the company vice president. Name of grantee shall be r same as whoever furnishes the insurance certificate. If grantee is a corporation, obtain officer's signature. ""CONSENT AGREEMENTS SHALL BE NOTARIZED 2. Applicant shall furnish three (3) copies of a certificate of insurance and three (3) copies of sketch showing the area(s) to be occupied, time to be occupied, area(s) length and width in whole feet, the correct address, and Building Permit #, that applies to the encroachment. If parking meters are involved, applicant furnishes parking meter number to Gordon Alderman with Transportation Public Works Dept. f 3. Insurance Requirements: Property Damage, Per occurrence $100,000 Bodily Injury,per occurrence $250,000 Bodily Injury or Death per occurrence $500,000 k 4. FEE CALCUALTION; RECORDED ON SKETCH SUBMITTED FOR PERMIT A. If the time does not exceed three (3) days, the fee will be $42.80 per day up to and including the third day, with a minimum of$128.40 if more than 3 days. B. If the time exceeds three (3) days, the fee per day will be $.015 per sq. ft. of sidewalk space and$.03 per sq. ft. of street space used,minimum of$128.40 Formula: Sidewalk : $.015 x Length x Width x Calendar Days Minimum Street: $.03 x Length x Width x Calendar Days $128.40 f 5. TRANSPORTATION & PUBLIC WORKS APPROVAL REQUIRED j Approval in all cases, contact Gordon Alderman, 817-392-6748. The Transportation & Public Works Department is located at 311 W. 10`h Street, ground level. You will need their signatures on all (3) sketches. ryP� o RECEIVED MAY 2 4 2018 Q OFFICIAL RECORD CR1'OFFORT CITY CITY SECRETARY r SECRETA Fr.W01trN,TX a f i t j i. ! kkf k 1 1 CONSENT AGREEMENT ; FOR TEMPORARY USE OF PUBLIC PROPERTY € STATE OF TEXAS i I 4 t t COUNTY OFTARRANT 4 s i THIS AGREEMENT is made and entered into by and between the City of Fort Worth, a i E municipal corporation of Tarrant County,Texas, acting herein by and through its duly authorized f i i Building Official,hereinafter referred to as the"City"and E Acting by and through its duly authorized agent, �( ! Hereinafter referred to as"Grantee". P € F 4 WITNESSETH: i For and in consideration of the payment by Grantee of charges set out below and the true and faithful performance of the mutual covenants herein contained, City hereby grants to Grantee permission to temporarily encroach upon, uses and occupy portion of the space under, on and/or I i above the streets, alleys,sidewalks or other public rights- ay as follows: I lA.11 74 LIOPr^ I The location and description of said encroachment is rrAlre particular) described in Exhibit "B" i i attached hereto,incorporated herein and made a part hereof for all purposes. I i 2. I All use and occupancy of public street, alleys, sidewalks or other public rights-of-way under C this agreement shall be in strict compliance with the Charter, Ordinances and Codes of the City f f and in accordance with the directions of the Building Official and the Director of Transportation I i and Public Works of City, I j I i i 's t 1 CONSENT AOREEMENTfor Temporary use of public propertyl.doc i t f t l s i f 3. i 9 i 1 Upon expiration of this agreement and the privileges granted hereunder, there shall be no i encroachment by Grantee in,under,on or above the surface of the public rights-of-way involved. i s i 4. I Grantee agrees to pay in advance an encroachment fee for the temporary privilege of I encroaching upon a portion of the public rights-of-way as described in Exhibit"B". Said fee is { calculated in the manner and amounts prescribed by the Building Code of the City of Fort Worth for temporary use or occupancy of public property, The estimated total amount of said fee is: t i -LSD� i .� .�`� �o'� � i l 5. Grantee, at no expense to City, shall make proper provision for the relocation and/or E installation of any existing or future traffic control devises or other improvements affected by f such encroachment, use and occupancy, including the securing of approval and consent from the 4 s appropriate agencies of the State and its political subdivisions. In the event that any installation, reinstallation, relocation or repair of any existing or future traffic control device or improvement owned or constructed by or on behalf of the public or at public expense is made more costly by virtue of the existence of such encroachment and use, Grantee shall pay to City and additional ( I f amount equal to such additional cost as determined by City. f l I 6. The term of this agreement shall be for days,from ) / to Provided, however, should the need for the encroachments granted hereunder at any time cease, i Grantee agrees to immediately notify City of such condition; and, upon receipt of such notice by the Building Official of the City of Fort Worth,this agreement shall terminate. 1 s 7. i It is expressly understood and agreed that this Consent Agreement is for a temporary encroachment in, under, over and upon the public property as located and described in Exhibit f 2 CGNSFNT AGREEME NTfor Temporary use of public prop"I doc I ` , i I i f I "B". This agreement shall not be construed as the granting of a permanent easement, encroachment or license upon City's public streets,alleys,sidewalks,or other rights-of-way. I i z I 8. s City, through its duly authorized representatives, shall have the full and unrestricted right to f enter upon all public rights-of-way for the purpose of making inspections to determine I f compliance with the terms, covenants and conditions herein. in the event that any inspection should reveal a breach of any terms, covenants or conditions herein, City shall give Grantee notice of such breach. Should such breach not be corrected by Grantee within twenty-four (24) I hours of receipt of the notice, or within such shorter period of time as deemed necessary by the Building Official for the protection of public health or safety,City may terminate and cancel this agreement. i i 9. Upon expiration or termination of this agreement for any reason whatsoever,Grantee shall, at j no expense to City, restore the public rights-of-way and adjacent supporting structures to a ( condition acceptable to the Director of Transportation and Public Works or his duly authorized l representative and in accordance with then existing City specifications, and Grantee shall remove all barricades, equipment, supplies, materials or other property from said location. Grantee further covenants and agrees that for a period of one(1)year after the termination of this Consent f Agreement, Grantee will repair all conditions or damages to the streets and sidewalks or other t rights-of-way that have resulted from Grantee's use or occupancy of the streets and sidewalks or E other rights-of-way, as determined by the Director of Transportation and Public Works or his f designee. Grantee agrees to begin such repairs within thirty (30) days of receipt of notice from the Director of"Transportation and Public Works or his designee. All repairs shall be performed t in an expeditious and workmanlike manner and shall comply with all applicable laws, codes, ordinances and City specifications. t In the event that Grantee fails to comply with the covenants herein contained with respect to such removal or restoration,the City shall have the right to remove or dispose of any barricades, f equipment,supplies,materials or other property and repair any conditions which in the opinion of I the City are necessary to bring the public rights-of-way to the condition prescribed herein, and City shall not be responsible for trespass or any other damage or liability in connection with such removal or restoration. Grantee shall reimburse City for the cost and expense of such removal and/or repairs immediately following billing for same by City. I ( 3 4 CONSENT AGREEMENTfor Temporary use of puNiic propertyt.doc E 3 f 1 F f • R 7 1 � F ' Nothing herein shall be construed as a waiver by City to enforce penal sanctions prescribed by the Code of the City of Fort Worth and the laws of the State of Texas for Grantee's continued r f' encroachment upon the public rights-of-way following termination of this Consent Agreement. 10. It is further understood and agreed between the parties hereto that City holds the city streets, alleys, sidewalks and other public rights-of-way, including the portions of such streets used and F encroached upon as described herein, as trustee for the public; that City exercises such powers over the streets as have been delegated to it by the Constitution of the State of Texas or by the Legislature; and the City cannot contract away its duty and its legislative power to control the streets for the use and benefit of the public. It is accordingly agreed that if the governing body of ( t City, to wit, its City Council, shall at any time during the term hereof determine in its sole discretion to use or cause or permit to be used for any public purpose the said encroached portion I of the streets,then this agreement shall be automatically canceled and terminated. ' 11. Grantee agrees to comply fully with all applicable federal, state and local laws, statutes, i ordinances, codes or regulations in connection with the construction, operation and maintenance of said encroachments and uses. I 12. E Grantee agrees to pay promptly when due all fees, taxes or rentals provided for by this agreement or by any federal,state or local statue, law or regulation. F r 13. f e Grantee covenants and agrees that it shall exercise all rights and privileges granted hereunder 1 as an independent contractor, and not as an officer, agent, servant or employee of City; that i Grantee shall have exclusive control of and the exclusive right to control the details of its operations and activities on said described public property and all persons performing same, and shall be solely responsible for the acts and omissions of its officers, agents, servants, employees, 4 contractors, subcontractors, licensees and invitees; that the doctrine of respondeat superior shall i not apply as between City and Grantee, its officers, agents, servants, employees, contractors and subcontractors, and nothing herein shall be construed as creating a partnership or joint enterprise j between City and Grantee. 4 CONSENT AGREEMENT(or Temporary use of public properbyl.doc e E 4 f' { I { i 14. GRANTEE COVENANTS AND AGREES TO INDENINIFY, AND DOES HEREBY g INDEMIFY, HOLD HARMLESS AND DEFEND CITY, ITS OFFICERS, AGENTS, SERVANTS AND EMPLOYEES, FROM AND AGAINST ANY AND ALL CLAIMS OR i SUITS FOR PROPERTY DAMAGE OR LOSS AND/OR PERSONAL INJURY, s CNCLUDING DEATH, TO ANY AND ALL PERSONS, OF WHATSOEVER KIND OR CHARACTER, WHETHER REAL OR ASSERTED, ARISING OUT OF OR IN CONNECTION WITH, DIRECTLY OR INDIRECTLY, THE MAINTENANCE, OCCUPANCY, USE, EXISTENCE OR LOCATION OF SAID ENCROACHMENT AND j USES GRANTED HEREUNDER,WHETHER OR NOT CAUSE, IN WHOLE OR PART, I i BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, LICENSEES OR INVITEES OF CITY; AND GRANTEE HEREBY ASSUMES ALL LIABILITY AND RESPONSIBILITY OF CITY, I ITS OFFICERS, AGENTS, SERVANTS AND EMPLOYEES, FOR SUCH CLAIMS OR SUITS. GRANTEE SHALL LIKEWISE ASSUME ALL LIABILITY AND j RESPONSIBILITY AND SHALL INDEMNIFY CITY FOR ANY AND ALL INJURY OR i I DAMAGE TO CITY PROPERTY, ARISING OUT OF OR IN CONNECTION WITH 5 ANY AND ALL ACTS OR OMISSIONS OF GRANTEE, ITS OFFICERS, AGENTS, s SERVANTS, EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, LICESNEES, INVITEES OR TRESPASSERS. I 15. 4 Grantee agrees to furnish City with a Certificate of Insurance, naming City as certificate j 4 i holder, as proof that it has secured and paid for a policy of public liability insurance covering all l public risks related to the proposed use and occupancy of public property as located and i described in Exhibit"B". The amounts of such insurance shall be not less that the following: i Property damage, per occurrence $100,000.00 Bodily injury, per person $250,000.00 Bodily injury or death,per occurrence $500,000.00 l With the understanding of and agreement by Grantee that such insurance amounts shall be revised upward at City's option and that Grantee shall so revise such amount immediately following k notice to Grantee of such requirement. Such insurance policy shall provide that it cannot be canceled or amended without at least thirty(30)days' prior written notice to the Building Official i 5 CONSENT AGREEMENTfor 7empo'8r/uSe of public propeft/1 Ane. si i j i i t i 1 h of the City of Fort Worth. A copy of such Certificate of Insurance is attached as Exhibit "A". Grantee agrees to submit a similar Certificate of Insurance annually to City on the anniversary i date of the execution of this agreement. Grantee, agrees, binds and obligates itself, it 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 all encroachments and the cleaning and restoration of the city streets. All insurance coverage required herein shall include coverage of all Grantee's contractors. 16. Grantee covenants and agrees that it will not assign all or any of its rights,privileges or duties ! l under this contract without prior written approval of City, and any attempted assignment without I such prior written approval shall be void. s � l i 17. f This agreement shall be binding upon the parties hereto,their successors and assigns. E E 18. i l Should any action, whether real or asserted, at law or in equity, arise out of the terms and { conditions of this agreement or out of the use and occupancy of City property as permitted i i hereunder,venue for said action shall be in Tarrant County,Texas. f 19. In any action brought by City for the enforcement of the obligations of Grantee,City shall be r entitled to recover interest and reasonable attorneys' fees, zm rQ � EXECUTED this day of �o/ -26657- - - -- --- I GRANTOR: GRANTEE: CITY OF FORT WORTH r% d Wyle C I a I Building Official 06 IefIrC M Title i 6 CONSENT AGREEMENTfor Temperery use of public properto doe f� f E E P f APPROVED TO FORM AND LEGALITY: Assistant City Attorney Date w City Secretary Date I ` ..................FRr ....XAS 1 � Eft{ f fi P f I t 1 f j F 31 OFFICIAL RECON c CITY sECRU?AKY 1Z.wOv(rHs 3X P 7 CONSENT AGREEMENTfor Temporary use of pu6Gc properto.doc i f i E STATE OF TEXAS i E 1 [ COUNTY OF TARRANT � g BEFORE ME, the undersigned authority,a Notary Public in and i F t S{ate of Te , on this day personally appeared j ,known to me to be the person whose s name is subscriber to tfce oregoing instrument, and acknowledged to me E that he/she executed the same fort a fur oses and considers ion therein expressed, as the act and deed of j and in the capacity therein state . VF_N UNDER MY HAND D SEAL OF OFFICE this -Z, -7,� day [ of 2t7 E CE I I Affiant Title I i Not IfPin!nd f The State of Texas � f c otnYpo,` R. G. NAREZ Notary Public-State o1 Texas I Notary ID#12398238-8 r OF Commission Exp.SEPT.U.2021 I i i I f [ F g I I t p 4 I f I i t E f [ I I 4 E t I F yi 4 1 ry i} f STATE OF TEXAS i £ COUNTY OF TARRANT BEFORE ME, the undersigned authority, a Notary Public i and For the State of Texas, on this day personally appeared ,known to me to be the person who e name is subscribed to the foregoing instrument, and acknowledged to me that he/she executed the same for the pur oses//a�nd�c+f nsideration therein a expressed,as the act and deed of / e. /Crta t e4 and in the capacity therein stated. GIVENUNDER MY HAND AND SEAL OF OFFICE this day Of _ a 241 . II t E f I t a zant r I Title i LINDSEY TOTEN "its Notary Public,State of Texas "�`• '•'ry Comm. Expires 02-11-2020 Notary ublic n ndfor „°;;��� Notary ID 13053503.6 The State of a ; i r i f G = f ` f 6 I 1 t 1 I I j E f f 9 i i I i t i Contractors Name: Point of Contact: f Phone Number: Building Permit Number: Purpose for Closure: Begin Date:, g _End Date:fZ Type of Taper according to posted speed limit: pp Tapers @ 30 NPH,10ft Offset,150'minimum € Tapers @ 35 NPH,10ft Offset,a05'minimtm± Tapers @40 NPH,IOft Offset,9-65'minimum x IVo , ftrrow f i t S t ,A �(o ✓ i /Sv --� s V d a C r ACORO� DATE(MMIDD/YYYY) ��. CERTIFICATE'OF LIABILITY INSURANCE F05n1/2018 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 COME:NTACT MIKE MEHAFFEY NA Mackenzie Holden Insurance Agency,Inc. PHONE (346)221-5514 ac No):(713)714-8005 1302 WAUGH DR.#185 n uRE ,mikem@getmhi.com HOUSTON,TX 77019 INSURERS AFFORDING COVERAGE NAIC# INSURER A:JAMES RIVER INSURANCE CO. INSURED INSURER B:PROGRESSIVE COUNTY MUTUAL INS.CO. BC ROOFTECH 8<REMODELING INSURER C:JAMES RIVER INSURANCE CO. 101 SCURLOCK ST. INSURER D:TEXAS MUTUAL INSURANCE CO. GRANDVIEW,TX 76050 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 SUER POLICY EFF POLICY EXP LIMBS LTR POLICY NUMBER M DD MM D COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE ©OCCUR 00072504-1 06/23/2017 06/23/2018 PREMSES 100 000 PREMISES Ea ocwrrenca $ r MED EXP(Any one person) $ 1,000 PERSONAL S ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑JELOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: I $ AUTOMOBILE LIABILITYCOMBINED SINGLE LIMIT $ 1000000 Ea eccrdent r r B I ANY AUTO 01345925-2 02/05/2018 02/05/2019 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLALIAB OCCUR EACH OCCURRENCE_ $ 2,000,000 C EXCESS LIAB CLAIMS-MADE 00072505-1 06/23/2017 06/23/2018 AGGREGATE $ 2,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH AND EMPLOYERS'LU1BILnY STATUTE ER D ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N TSF-0001247968 02/05/2018 02/05/2019 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? El N/A (Myandatory In NH) E.L.DISEASE-EA EMPLOYEE $If 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 E:1r DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICTATE HOLDER NAMED BELOW,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. CERTIFICATE HOLDER CANCELLATION CITY OF FORT WORTH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1000 THROCKMORTON DR. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN FORT WORTH,TX 76102 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE MIKE MEHAFFEY ©1988-2015 ACORD CORPORATION. All rights reserved. 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