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Contract 43231 (2)
CITY Y OF FORT WORTH, TEXAS Ctu4Y srcRETARV7 CONTRACT N09 _.= STANDARD AGREEMENT FOR PROFESSIONAL SERVICES This AGREEMENT is between the City of Fort Worth, a Texas home -rule municipality (the "CITY"), and Kimley-Horn and Associates, Inc., authorized to do business in Texas, an independent contractor ("Consultant"), for a PROJLCT generally doscribed as: North Z Boaz Community Park Master Plan. Articl Scope of Services (1) Consultant hereby agrees to perform as an independent contractor the services set forth in the Scope of Services attached hereto as Attachment "A". These services shall be performed in connection with North 7 Boaz Community Park Master Plan. (2) Additional services, if any, will be requested in writing by the City. City shall not pay for any work performed by Consultant or its subconsultants, subcontractors and/or suppliers that has not been ordered in writing. It is specifically agreed that Consultant shall not be compensated for any alleged additional work resulting from oral orders of any person. Article II Compensation Consultant shall be compensated in accordance with the Fee Schedule shown in Attachment "B". Payment shall be considered full compensation for all labor, materials, supplies, and equipment necessary to complete the services described in Attachment A. However the total fee paid by the City shall not exceed a total of $24,800.00 unless the City and the Consultant mutually agree upon a fee amount for additional services and amend this Agreement accordingly. The Consultant shall provide monthly invoices to the City. Payment for services rendered shall be due within thirty (30) days of the uncontested performance of the particular services so ordered and receipt by City of Consultant's invoice for payment of same. Acceptance by Consultant of said payment shall operate as and shall release the City from all claims or liabilities under this Agreement for anything related to, done, or furnished in connection with the services for which payment is made, including any act or omission of the City in connection with such services. City of Fort Worth, Texas Standard Agreement for Professional Services PMO Official Release Date: 05/04/2012 Page 1 of 8 05-1 7-1 2 P03:41 IN OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Article III Term Unless terminated pursuant to the terms herein, this Agreement shall be for a term of 5 months, beginning upon the date of its execution, or until the completion of the subject matter contemplated herein whichever occurs first. Article IV Independent Contractor Consultant shall operate hereunder as an independent contractor, and not as an officer, agent, servant, or employee of the City. Consultant shall have exclusive control of and the exclusive right to control the details of its work to be performed hereunder and all persons performing same, and shall be solely responsible for the acts and omissions of its officers, agents, employees, contractors and subcontractors. The doctrine of respondent superior shall not apply as between City and Consultant, its officers, agents employees, contractors, and subcontractors and nothing herein shall be construed as creating a partnership or joint venture between City and Consultant. Article V Professional Competence and Indemnification (1) Work performed by Consultant shall comply in all aspects with all applicable local, state and federal laws and with all applicable rules and regulations promulgated by the local, state and national boards, bureaus and agencies. Approval by the City shall not constitute or be deemed to be a release of the responsibility and liability of Consultant or its officers, agents, employees, contractors and subcontractors for the accuracy and competency of its services performed hereunder. (2) In accordance with Texas Local Government Code Section 271.904, the Consultant shall indemnify, hold harmless, and defend the City against liability for any damage caused by or resulting from an act of negligence, intentional tort, intellectual property infringement or failure to pay a subcontractor or supplier committed by the Consultant or Consultant's agent, consultant under contract, or another entity over which the Consultant s exercises control. City of Fort Worth, Texas Standard Agreement for Professional Services PMO Official Release Date: 05/04/2012 Page 2 of 8 Article VI Insurance (1) Consultant shall not commence work under this Agreement until it has obtained all insurance required under this Article and the City has approved such insurance nor shall Consultant allow any subcontractor to commence work on its subcontract until all similar insurance of the subcontractor has been so obtained and approval given by the City; provided, however, Consultant may elect to add any subconsultant as an additional insured under its liability policies. Commercial General Liability $1,000,000 each occurrence $1,000,000 aggregate Automobile Liability $1,000,000 each accident (or reasonably equivalent limits of coverage if written on a split limits basis). Coverage shall be on any vehicle used in the course of the Project. Worker's Compensation Coverage A: statutory limits Coverage B• $100,000 each accident $500,000 disease - policy limit $100,000 disease - each employee (2) Additional Insurance Requirements a. Except for employer's liability insurance coverage under Consultant's worker's compensation insurance policy, the City, its officers, employees and servants shall be endorsed as an additional insured on Consultant's insurance policies. b. Certificates of insurance shall be delivered to the Parks and Community Services Department, Attention. Scott E Penn, 4200 S. Freeway, suite 2200, Fort Worth, TX 76115, prior to commencement of work. c. Any failure on part of the City to request required insurance documentation shall not constitute a waiver of the insurance requirements specified herein. d Each insurance policy shall be endorsed to provide the City a minimum thirty days notice of cancellation, non -renewal, and/or matenal change in policy terms or coverage. A ten days notice shall be acceptable in the event of non-payment of premium. City of Fort Worth, Texas Standard Agreement for Professional Services PMO Official Release Date: 05/04/2012 Page 3 of 8 e. Insurers must be authorized to do business in the State of Texas and have a current A.M. Best rating of A: VII or equivalent measure of financial strength and solvency. f. Other than worker's compensation insurance, in lieu of traditional insurance, City may consider alternative coverage or risk treatment measures through insurance pools or risk retention groups. The City must approve in writing any alternative coverage. g. Workers' compensation insurance policy(s) covering employees employed on the Project shall be endorsed with a waiver of subrogation providing rights of recovery in favor of the City. h. City shall not be responsible for the direct payment of insurance premium costs for Consultants insurance. i. Consultant's insurance policies shall each be endorsed to provide that such insurance is primary protection and any self -funded or commercial coverage maintained by City shall not be called upon to contribute to loss recovery. In the course of the Agreement, Consultant shall report, in a timely manner, to City's officially designated contract administrator any known loss occurrence which could give rise to a liability claim or lawsuit or which could result in a property loss. k. Consultant's liability shall not be limited to the specified amounts of insurance required herein. I. Upon the request of City Consultant shall provide complete copies of all insurance policies required by these Agreement documents. Article VII Transfer or Assignment City and Consultant each bind themselves, and their lawful successors and assigns to this Agreement. Consultant, its lawful successors and assigns, shall not assign, sublet or transfer any interest in this Agreement without prior written consent of the City. Article VIII Termination of Contract (1) City may terminate this Agreement for its convenience on 30 days' written notice. Either the City or the Consultant for cause may terminate this Agreement if either Party fails substantially to perform through no fault of the other and does not City of Fort Worth Texas Standard Agreement for Professional Services PMO Official Release Date: 05/04/2012 Page 4 of 8 commence correction of such nonperformance with 5 days of written notice and diligently complete the correction thereafter (2) If City chooses to terminate this Agreement under Article 8, upon receipt of notice of termination, Consultant shall discontinue services rendered up to the date of such termination and City shall compensate Consultant based upon calculations in Article 2 of this Agreement and Exhibit "B" attached hereto and incorporated herein. (3) All reports, whether partial or complete, prepared under this Agreement, including any original drawings or documents, whether furnished by the City, its officers agents, employees, consultants, or contractors, or prepared by Consultant, shall be or become the property of the City, and shall be furnished to the City prior to or at the time such services are completed, or upon termination or expiration of this Agreement. Article IX Right to Audit (1) Consultant agrees that the City shall, until the expiration of three (3) years after final payment under this Agreement have access to and the right to examine any directly pertinent books, documents, papers and records of Consultant involving transactions relating to this Agreement. Consultant agrees that the City shall have access during normal working hours to all necessary facilities and shall be provided adequate and appropriate workspace in order to conduct audits in compliance with the provisions of this section. City shall give Consultant reasonable advance notice of intended audits. (2) Consultant further agrees to include in all its subcontracts hereunder, a provision to the effect that the subcontracting consultant agrees that the City shall, until the expiration of three (3) years after final payment under the subcontract, have access to and the right to examine any directly pertinent books, documents, papers and records of such sub -consultant, involving transactions to the subcontract, and further, that City shall have access during normal working hours to all sub - consultant facilities and shall be provided adequate and appropriate work space in order to conduct audits in compliance with the provisions of this article. City shall give Consultant and any sub -consultant reasonable advance notice of intended audit. (3) Consultant and sub -consultants agree to photocopy such documents as may be requested by the City. The City agrees to reimburse Consultant for the cost of copies at the rate published in the Texas Administrative Code in effect as of the time copying is performed. City of Fort Worth, Texas Standard Agreement for Professional Services PMO Official Release Date: 05/04/2012 Page 5 of 8 Article X Minority and Women Business Enterprise (M/WBE) Participation In accordance with City Ordinance No. 15530, the City has goals for the participation of minority business enterprises and woman business enterprises ("M/VVBE') in City contracts. Consultant acknowledges the MNVBE goal established for this Agreement and its commitment to meet that goal. Any misrepresentation of facts (other than a negligent misrepresentation) and/or the commission of fraud by the Consultant may result in the termination of this Agreement and debarment from participating in City contracts for a period of time of not less than three (3) years. Article XI Observe and Comply Consultant shall at all times observe and comply with all federal, state, and local laws and regulations and with all City ordinances and regulations which in any way affect this Agreement and the work hereunder, and shall observe and comply with all orders, laws ordinances and regulations which may exist or may be enacted later by governing bodies having jurisdiction or authority for such enactment. No plea of misunderstanding or ignorance thereof shall be considered. Consultant agrees to defend, indemnify and hold harmless City and all of its officers agents and employees from and against all claims or liability arising out of the violation of any such order, law, ordinance, or regulation, whether it be by itself or its employees. Article XII Venue and Jurisdiction If any action, whether real or asserted, at law or in equity, arises on the basis of any provision of this Agreement, venue for such action shall lie in state courts located in Tarrant County, Texas or the United States District Court for the Northern District of Texas — Fort Worth Division. This Agreement shall be construed in accordance with the laws of the State of Texas. Article XIII Contract Construction The Parties acknowledge that each party and, if it so chooses, its counsel have reviewed and revised this Agreement and that the normal rule of construction to the effect that any ambiguities are to be resolved against the drafting party must not be employed in the interpretation of this Agreement or any amendments or exhibits hereto. City of Fort Worth Texas Standard Agreement for Professional Services PMO Official Release Date: 05/04/2012 Page 6 of 8 Article XIV S everability The provisions of this Agreement are severable, and if any word, phrase, clause, sentence, paragraph, section or other part of this Agreement or the application thereof to any person or circumstance shall ever be held by any court of competent jurisdiction to be invalid or unconstitutional for any reason, the remainder of this Agreement and the application of such word, phrase, clause, sentence, paragraph, section, or other part of this Agreement to other persons or circumstances shall not be affected thereby and this Agreement shall be construed as if such invalid or unconstitutional portion had never been contained therein. Article XV N otices N otices to be provided hereunder shall be sufficient if forwarded to the other Party by hand -delivery or via U.S. Postal Service certified mail return receipt requested, postage prepaid, to the address of the other Party shown below: City of Fort Worth Attn: Parks and Community Services Department 4200 S. Freeway, suite 2200 Fort Worth, Texas 76115 Consultant: Kimley-Horn and Associates, Inc. Attn: Mark C. Hatchel RLA, ASLA 2201 West Royal Lane, suite 275 Irving, Texas 75063 Article XVI Headings The headings contained herein are for the convenience in reference and are not intended to define or limit the scope of any provision of this Agreement City of Fort Worth, Texas Standard Agreement for Professional Services PMO Official Release Date: 05/04/2012 Page 7 of 8 Artodl XV0I] Counterparts This Agreement may be executed in one or more counterparts and each counterpart shall, for all purposes, be deemed an original, but all such counterparts shall together constitute but one and the same instrument. Executed and effective this the 11 day of [dCitj , 201 2/ BY: CITY OF FORT WORTH Susan Alanis Assistant City Manager Date: c 1 IS I ear- APPROVAL RECOMMENDED: By: t3QQC Rict 'ard Zavala Director, Parks and Services �p Department (fr_kfz Community APPROVED AS TO FORM AND LEGALITY By: Douglas i . Black Assistant City Attorney ATTEST: //Mary J. Kayser City Secretary City of Fort Worth, Texas Standard Agreement for Professional Services PMO Official Release Date: 05/04/2012 Page 8 of 8 y 0 *so,. 4 t7„000.00 mgri, el az BY: CONSULTANT Kimley-Horn and Associates, Eric Z. Smith / Assistant Secretary Date' "-CAPA-- M&C No.: M&C Date: icePt nfi-rTh eekYrCrei°\s ©o0 aOo0 72 0 C' Y gtoi o rb 0 v/k nc. OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX MIN Fi Kimley-Horn and Associates, Inc. ATTACHMENT "A" SCOPE OF SERVICES North Z. Boaz Community Park Master Plan Fort Worth, Texas In reference to our conversation regarding the City's need to prepare master plan options and opinions of probable cost for North Z. Boaz Community Park - we have prepared this scope of services for your consideration. Project Understanding Kimley-Horn and Associates, Inc. (Consultant) understands that the City of Fort Worth (City) intends to prepare master plan options and opinion of probable cost for North Z. Boaz Community Park in Fort Worth, Texas. The park site was deeded to the City in 1928, it is approximately 140 acres in size and is currently operating as Z Boaz Golf Course. Due to market oversaturation of golf course development in the area and the negative effect on all City courses, as well as the need for community park land in the West sector of town, the Parks and Community Services Department (PACSD) recommended that Z Boaz Golf Course be repurposed to a Community Park, which City Council approved on April 3, 2012. No tentative budget is established at this time, however, costs and phasing will be established during the development of the master plan. The following scope of services is based on our recent discussions with the City: Professional Services The Consultant will provide services as set forth below: Task I Review and Analyze Existing Conditions The Consultant will review and analyze the existing conditions at the park site as follows: Project Kick -Off Meeting The Consultant will attend a project kick-off meeting with City staff to review existing project limits, development constraints, and to discuss programming opportunities. ■ TEL 214 420 5600 FAX 214 420 5680 Site Analysis Visit The Consultant will visit and walk the site with City staff to photograph and discuss current site conditions, surrounding land compatibility, and potential developable areas for both passive and active use recreation. Data Collection A. Analyze existing site infrastructure, to include but not limited to: buildings/structures, parking, roadways, utilities (water, sewer, electric storm water, etc.). Translate data onto exhibits, as necessary in a readily identifiable manner B. Analyze the FEMA 100 yr flood elevation and it's implications on future development opportunities. C. Consider site placement of proposed active / passive use recreation elements in conjunction with Carswell NAS flight path constraints. D. Research existing site structures as they relate to possible historical preservation guidelines; does not need to be in great detail, only as it relates to discussing the proposed removal or renovation of any on site structures. E. Analyze available aerial topography when considering placement of park elements; detailed survey will not be required. Deliverables — Site Analysis Exhibit(s) on a Current Aerial Photograph showing Opportunities and Constraints relative to drainage, topography, existing facilities to remain, vehicle access and parking, pedestrian access, and adjacent land use. Task 11 Master Planning / Programming The Consultant will develop programming options and a conceptual master plan with development costs for the park site as follows: Goals/Objectives/Public Meetings A. The Consultant will be required to have an initial public meeting, to include special interest groups and City recreation/maintenance staff, to obtain the overall needs of the public The Consultant will be required to present a schematic plan to include traditional park amenities (playground, benches trails picnic areas — covered, etc ), existing conditions (opportunities & constraints) which may be used to justify or deter specific park improvements, and existing infrastructure. B. The second public meeting will be used to present a draft Master Plan. Topics of these meetings would include potential locations of park elements, size or area necessary for park elements, recreational activities included or not included. C. The Consultant will be required to attend and/or conduct periodic design meetings with City staff and stakeholders, a maximum of six (6) meetings. Public Meeting #1 With the assistance of the City, the Consultant shall schedule and conduct a public meeting at or near the park site to meet with existing and potential park users. At the meeting, the intent of the master plan project as directed by Council will be explained and the finding from the site analysis exhibit showing opportunities and constraints will be presented. The Consultant will then lead the attendees in a discussion of potential park features showing photographs and approximate costs in order to develop a list of park features foi a community park that would be beneficial and utilized by existing and potential west side users. Concept Development The Consultant will then utilize the site analysis information and public programming meeting comments to develop conceptual design alternatives for the development of the park site. The Consultant will hold a design workshop meeting(s) with City staff to review and refine a conceptual design and opinion of probable cost that is responsive to the public comments for a new community park. Deliverable — Conceptual Master Plan Exhibit in Color on an Aerial Photograph showing Proposed Features and an Initial Opinion of Probable Cost. Public Meeting #2 With the assistance of the City, the Consultant shall schedule and conduct a second public meeting at or near the park site to meet with existing and potential park users. At the meeting, the intent of the master plan project as directed by Council will be explained, the findings from the site analysis exhibit and initial public programming meeting will be reviewed, and the resulting conceptual design(s) will be presented The Consultant will then lead the attendees in a discussion of the conceptual plan and document any comments i elated to the proposed conceptual design and the desired phasing of the park improvements. The Consultant will then review the comments from the public meeting with staff and make any final adjustments to the conceptual master plan, finalize phasing recommendations and finalize the opinion of probable cost. Because the Consultant does not control the cost of labor, materials, equipment or services furnished by others, methods of determining prices, or competitive bidding or market conditions, any opinions rendered as to costs, including but not limited to opinions as to the costs of construction and materials, shall be made on the basis of its experience and represent its judgment as an experienced and qualified piofessionai, familiar with the industry. The Consultant cannot and does not guarantee that proposals, bids or actual costs will not vary from its opinions of cost. NOTE• The Consultant shall include a third public meeting in the proposal in the event that the City deems it necessary to conduct a third meeting. Deliverables — Updated Conceptual Master Plan Exhibit on an Aerial Photograph showing updated Proposed Features and a Final Opinion of Probable Cost. Task 111 Presentation to Parks and Community Services (PACS) Advisory Board The Consultant will then work with staff to present the findings of the master plan process for approval to the PACS Advisory Board. PACS Advisory Board Meeting #1 With the assistance of the City the Consultant shall schedule and make an initial formal presentation to the PACS Advisory Board of the final conclusions and designs for North Z Boaz Community Park. The presentation will include the completed colored conceptual master plan exhibit and any other written text and graphic exhibits documenting methodology, site analysis, design program elements, meeting notes, and opinions of probable cost. The Consultant will then lead the parks advisory board in a discussion of the conceptual plan and document any comments related to the proposed conceptual design and the desired phasing of the park improvements. • The Consultant will then review the comments from the PACS Advisory Board meeting with staff and make any final adjustments to the conceptual master plan, finalize phasing recommendations, and finalize the opinion of probable cost PACS Advisory Board Meeting #2 With the assistance of the City, the Consultant shall schedule and make a final formal presentation to the PACS Advisory Board of the final conclusions and designs for North Z Boaz Community Park. The presentation will include the final amended completed colored conceptual master plan exhibit and any other written text and graphic exhibits documenting methodology, site analysis design program elements, meeting notes, and opinions of probable cost. Deliverables (Six Hard Copies and One Electronic Copy) — Final Updated Conceptual Master Plan Exhibit on an Aerial Photograph showing updated Proposed Features and a Final Opinion of Probable Costs. Task IV Construction Documents In the event that the City is successful in obtaining a funding mechanism for the project, the Consultant will develop a scope and fee with the City for the construction documents and proceed (upon authorization) with that portion of the work. Exclusions Any items requested by the City that are not outlined in the above scope will be considered excluded from this contract and may be provided only if requested and authorized in writing by the City. The Consultant can provide the following services, but they are not included in the limited scope of this initial proposal: Franchise Utility Coordination Traffic Impact Studies or Signal Design Preparation of Traffic control plans Revisions due to changes in regulations Revisions to CD's after design approval Geo-technical investigations or materials testing Archaeological Survey Submittal, Permitting Fees, or Impact Fees Construction Staking Off -Site Utility Design Off -Site Roadway Design Off -Site Easement Descriptions, other than noted Detailed Cost Estimates as Prepared by a Contractor/Professional Estimator Record Drawing Survey Preparation of Record Drawings Boundary and Topographic Surveys Preparation of Preliminary or Final Plat Tree Identification Surveys Wetlands Permitting / Delineation Wind Certifications Environmental Impact Statement Operations and Expense Projections Operations and Training Consultation Citv Responsibilities The Consultant understands that the City will provide the following information, on which we may rely, for our use in completing this Scope of Services: 1) Any previously prepared surveys or construction documents for project site. 2) Any maps of existing or proposed utilities, parking, and streets, and development restrictions within or adjacent to project site. 3) Any existing boundary and topographic survey information of the project site. 4) Any existing geo-technical investigation information on the project site. 5) Any existing up-to-date aerial photography of the project site. Schedule for Rendering Services The Consultant has prepared an initial project schedule for the performance of services (See Attachment "C".) This schedule includes reasonable allowances for review and approval times required by the City and performance of services by City's consultants. This schedule shall be equitably adjusted as the Project progresses, allowing for changes in scope, character or size of the Project requested by the City, or for delays or other causes beyond the Consultant's reasonable control. Additional Services Any items requested by the City that are not outlined in the above scope will be considered as additional services to this contract and may be provided only if requested and authorized in writing by the City. Fee and Billing The Consultant will perform the services described in the Scope of Services for the amounts shown in Attachment "B" — for the Lump Sum fee of $24,800. Fees will be invoiced monthly based upon the percentage of services completed as of the invoice date. Payment will be due within 25 days of the date of the invoice. Kimley-Horn and Associates, Inc. ATTACHMENT "B" COMPENSATION North Z. Boaz Community Park Master Plan Fort Worth, Texas Basic Services Task I Task II Task III Task IV Review and Analyze Existing Conditions Master Planning/Programming Presentation to Parks and Community Services Advisory Board TOTAL Construction Documents Note: Total Compensation Basic Services Inclusive of All Expenses $7,750 $12,400 $4,650 $24,800 TBD Kimley-Horn and Associates, Inc. ATTACHMENT "C" PROJECT SCHEDULE North Z. Boaz Community Park Master Plan Fort Worth, Texas Master Plan Schedule May 2012 June 2012 July 2012 August 2012 August 2012 September 2012 September 2012 Contract Signed —Authorization to Proceed Visit Site and Complete Site Analysis and Information Gathering Schedule and Conduct First Public Meeting for Community Input Schedule and Conduct Second Public Meeting for Concept Design Comments Present Findings to Parks and Recreation Advisory Board (As Information Item) Approval from Parks and Recreation Advisory Board (As Action Item) Project Complete (No Presentation to Council) Note: The above schedule may be adjusted to conform to mutually agreed revisions by the City and the Consultant. ACOR ® CERTIFICATE OF LIABILITY INSURANCE 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 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 Greyling Insurance Brokerage 450 Northridge Parkway Suite 102 Atlanta INSURED Kimley-Horn and Associates, P.O Box 33068 INSR LTR TYPE OF INSURANCE GENERAL LIABILITY GA 30350 CONTACT NAME: Jerry Noyola (PHONE Fxtl• (770) 552-4225 I FAXA/C. Nol: (866/550-4082 E-((. f l ADDRESS: Jerry.noyola@greyling.com INSURER(S% AFFORDING COVERAGE NAIC # INSURER A :Travelers Property Casualty INSURER13 :Travelers Indemnity Company Inc. INsuRERc•Lexington Insurance Company INSURER D : 25674 25682 19437 INSURER E : Raleigh NC 27636 INSURER F: COVERAGES CERTIFICATE NUMBER:11-12 (Kimley Melanie) 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. ADDL SUBR POLICY EFF POLICY EXP LIMITS INSR wvn POLICY NUMBER (MM/DD/YYYYI /MM/DD/YYYY) EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrences $ A CLAIMS -MADE X OCCUR P-630-8193899A-TIL-11 MEDEXP(Anyoneperson) $ X COMMERCIAL GENERAL LIABILITY IDATE (MM/DD/YYYY) 5/9/2012 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 1 X I .PiFCOT I X I LOC AUTOMOBILE LIABILITY B X A A X ANY AUTO ALL OWNED AUTOS HIRED AUTOS X UMBRELLA LIAB EXCESS LIAB DED I X I RETENT ON $ WORKERS COMPENSATION AND EMPLOYERS' LIABIL TY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below X 12/1/2011 12/1/2012 SCHEDULED p-810-5724B497-TCT-11 12/1/2011 12/1/2012 AUTOS NON -OWNED AUTOS OCCUR CLAIMS -MADE 10,000 Y/N N N/A PSM-CUP-8193899A-TIL-11 12/1/2011 12/1/2012 PJ-UB-8193B99-A-11 C Professional Liability 016017332 12/1/2011 12/1/2012 12/1/2011 12/1/2012 PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ 1,000,000 1,000,000 10,000 1,000,000 2,000,000 1,000,000 COMBINED SINGLE LIMIT IS 1,000,000 (Ea accident) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) Underinsured motorist BI split $ EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 $ WC STATU- I 1OTH- ITS FR E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ Per Claim Aggregate 500,000 500,000 500,000 $2,000,000 $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Re: North Z Boaz Park Master Plan. The City of Fort Worth, TX, its officers, employees & servants are named as Additional Insureds on the above referenced liability policies with the exception of workers compensation & professional liability where required by written contract. This insurance is primary & non-contributory where required by written contract. Waiver of Subrogation is applicable where required by written contract & allowed by law. A.M. Best Rating For Insurer A, B are "A+"; Insurer C is "A". Should any of the above described policies be cancelled by the issuing insurer before the expiration date thereof, 30 days written notice (except 10 days for nonpayment of premium) will be provided to the CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Fort Worth, Texas Parks & Community Services Dept. 4200 South Freeway Suite 2200 Fort Worth, TX 76115 AUTHORIZED REPRESENTATIVE Matias Ormaza/JERRY ACORD 25 (2010/05) INS025 (2mnn.5l ni 1988-2010 ACORD CORPORATION. All rights reserved. Thu ACfPfl nnnin and Innn aro renictarnrl marke of Ar:(1fMl COMMENTS/REMARKS Certificate Holder named below. OFREMARK COPYRIGHT 2000, AMS SERVICES INC.