HomeMy WebLinkAboutContract 45560 (2)CITY SECRETARY S5 � 0
CONTRACT NO. _y....... .
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LICENSE AGREEMENT BETWEEN THE CITY OF FORT WORTH AND
CITIZENS SUPPORT GROUP FOR THE FORT WORTH POLICE MOUNTED PATROL
FOR A PORTION OF WEST COMMUNITY PARK
This LICENSE AGREEMENT FOR A PORTION OF WEST COMMUNITY PARK
("License") is made and entered into by and between the CITY OF FORT WORTH ("Licensor"), a
home rule municipal corporation organized under the laws of the State of Texas and acting by and
through Charles Daniels, its duly authorized Assistant City Manager, and CITIZENS SUPPORT
GROUP FOR THE FORT WORTH POLICE MOUNTED PATROL ("Licensee"), a Texas non-
profit corporation, acting by and through Bradford S. Barnes , its President.
RECITALS
WHEREAS, Licensor owns and operates the West Community Park located at 8787 Heron
Drive, Fort Worth, Texas; and
WHEREAS, Licensor has authorized the use of 10 acres of West Community Park for the
purpose of constructing, operating and maintaining a Police Department Mounted Patrol
Equestrian Facility (M&C L-15459, 10/23/12); and
WHEREAS, Licensor and its residents desire to construct a Mounted Patrol Equestrian
Facility ("Facility") to provide a modern facility for housing, training and care of Licensor's
horses, as well as educational opportunities for students participating in the Future Farmers of
America (FFA) program; and
WHEREAS, several generous benefactors in the community have stepped forward to
pledge funds to Licensee for construction of the Facility; and
WHEREAS, Licensor desires to license to Licensee and Licensee desires to license from
Licensor a portion of West Community Park for the purpose of allowing Licensee to construct
the Facility, after which Licensee intends to donate the Facility to the City of Fort Worth.
NOW, THEREFORE, in consideration of the mutual covenants, promises and obligations
contained herein, the parties agree as follows:
I. PROPERTY LICENSED.
Licensor hereby grants unto Licensee a non-exclusive license over 10 acres of West
Community Park, the location and boundary of which are attached as Exhibit "A" and incorporated
herein for all purposes (the "Licensed Premises"). Licensor shall provide Licensee full access to the
Licensed Premises during the Term, as defined herein.
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CITY SECRETARY
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2. TERM OF LICENSE.
The Term of this License shall commence on the date of its execution ("Infective Date")
and expne on the earlier of (i) eighteen (18) months after the Effective Date, or (ii) seven (7) days
after Licensor s receipt of notice from Licensee, of Licensee's abandonment of the Licensed
Premises ("Term").
3. RENT.
Licensee shall pay to Licensor the sum of $100.00 as rental for the full Term of the License,
on or before the effective date, and prior to Licensee's entry onto the Licensed Premises.
4. CONSTRUCTION AND IMPROVEMENTS.
4.1. Discretionary Improvements.
Licensee may, at its sole discretion and subject to the terms herein, perform
modifications, renovations, improvements and other construction work on the Licensed
Premises. Any modifications renovations, improvements or other constiuction work on the
Licensed Premises shall be referred to hereafter as 'Discretionary Improvements", and shall
be performed by an independent contractor engaged by and paid exclusively by Licensee
("Licensee's Contractor') Licensee may not initiate any Discretionary Improvement on or
to the Licensed Premises unless it first submits all plans, specifications and estimates for the
costs of the proposed work in writing and also requests and receives in writing approval
from the Licensor, or its designated representative ("Licensor's Representative"), which
Licensor herein designates as the Director of the Parks and Community Services
Department or his designee.
Upon start of construction of any Discretionary Improvement on or to the Licensed
Premises by Licensee pursuant to plans approved by Licensor pursuant to Section 4.2,
Licensee shall substantially complete the Discretionary Improvements in accordance with
the plan specifications within the Term. For the purposes of this Section, "start of
constiuction" shall mean the date stated in a Notice to Proceed (or other similar document)
issued by Licensee to its Contractor, and "substantial completion" shall mean that point in
time when the Discretionary Improvements are completed to such extent as the City of Fort
Worth could issue a Certificate of Occupancy and a final punch -list is developed by
Licensee and its Contractor. Licensee covenants and agrees that it shall fully comply with
all provisions of this Section 4 in the performance of any such Discretionary Improvements.
Upon completion of any such Discretionary Improvements or earlier termination of this
License, Licensor shall take full title to any Discretionary Improvements on the Licensed
Premises.
Any of Licensor's property adjacent to the Licensed Premises that is damaged during the
course of constructing the Discretionary Improvements shall be repaired and returned to
LICENSE AGREEMENT WITH CITIZENS SUPPORT
GROUP FOR THE FORT WORTH MOUNTED PATROL
FOR A PORTION OF WEST COMMUNITY PARK
PAGE 2 of 16
its previous condition or better, at Licensee's sole cost and expense. Such repairs shall be
performed prior to Licensee's Contractor demobilizing from the Licensed Premises.
Licensee agrees that no improvement to the Licensed Premises will be designed or
constructed in such a manner that it causes an adverse impact to the usability of
Licensoi's adjacent property, which is parkland.
4.2. Process for Approval of Plans.
Licensee's plans for construction and improvements shall conform to the
architectural standards established by Licensor s Representative and must also receive
written approval from the Chief of Police of the City of Fort Worth or his/her designee and
any other city departments as shall be required under ordinance or City policy. All plans,
specifications and work shall conform to all federal, state and local laws ordinances, rules
and regulations in force at the time that the plans are presented for review. The City of Fort
Worth shall inspect all woilc pursuant to its construction inspection procedures.
4.3. Documents.
Licensee shall supply Licensor's Representative with comprehensive sets of
documentation relative to any Discretionary Improvements, including, at a minimum, as -
built drawings of each project. As -built drawings shall be new drawings or redline changes
to drawings previously provided to Licensor's Representative Licensee shall supply the
textual documentation in computer format as requested by Licensor.
4.4 Indemnification.
LICENSEE FURTHER AGREES TO DEFEND AND INDEMNIFY
LICENSOR FROM ANY CLAIM ASSERTED BY LIEN CLAIMANTS ON THE
LICENSED PREMISES WHICH LICENSOR POSSESSES PURSUANT TO THIS
LICENSE, ARISING OUT OF THE PERFORMANCE OF CONSTRUCTION OF
DISCRETIONARY IMPROVEMENTS BY LICENSEE'S CONTRACTOR ON THE
LICENSED PREMISES.
5. USE OF LICENSED PREMISES.
Licensee hereby agrees to use the Licensed Premises strictly in accordance with the terms
and conditions of this License, solely for purposes related to equestrian care, or for the construction
of Discretionary Improvements related to equestrian care.
6. UTILITIES.
Licensee, at Licensee's sole cost and expense, shall be responsible for the installation and
use of all utilities services to all portions of the Licensed Premises and for all other related utilities
expenses, including, but not limited to, deposits and expenses required for the installation of meters
LICENSE AGREENIENT WITH CITIZENS SUPPORT
GROUP FOR THE FORT WORTH MOUNTED PATROL
FOR A PORTION OF WEST COMMUNITY PARK
PAGE 3 of 16
until the expiration or earlier termination of the Term. Licensee further covenants and agrees to pay
all costs and expenses for any extension, maintenance or repair of any and all utilities serving the
Licensed Premises during the Term. In addition, Licensee agrees that all utilities, air conditioning
and heating equipment and other electrically -operated equipment which may be used on the
Licensed Premises shall fully comply with Licensor's Mechanical, Electrical, Plumbing, Building
and Fire Codes ("Codes"), as they exist or may hereafter be amended.
7. MAINTENANCE AND REPAIRS.
7.1. Maintenance and Repairs by Licensee.
Licensee agrees to keep and maintain the Licensed Premises in a good, clean and
sanitary condition at all times throughout the Term. Licensee covenants and agrees that it
will not make or suffer any waste of the Licensed Premises. Licensee, at Licensee's sole
cost and expense, will make all repairs necessary to prevent the deterioration in condition or
value of the Licensed Premises and any improvements thereon, including, but not limited to,
doors, windows and roofs for such improvements, and all fixtures, equipment,
modifications and pavement on the Licensed Premises throughout the Term. Licensee shall
be responsible for all damages caused by Licensee, its agents, servants, employees,
contractors, subcontractors, licensees or invitees during the Term, and Licensee agrees to
fully repair or otherwise cure all such damages at Licensee's sole cost and expense.
Licensee agrees that all improvements, trade fixtures, furnishings, equipment and
other personal property of e\ ery kind or description which may at any time be on the
Licensed Premises shall be at Licensee s sole risk or at the sole risk of those claiming under
Licensee. Licensor shall not be liable for any damage to such property or loss suffered by
Licensee's business or business operations which may be caused by the bursting,
overflowing or leaking of sewer or steam pipes, from water from any source whatsoever, or
from any heating fixtures, plumbing fixtures, electric wires, noise, gas or odors, or from
causes of any other matter.
7.2. Compliance with ADA.
Licensee agrees to submit the plans and specifications for the Discretionary
Improvements to the Texas Department of Licensing and Regulation for review and
approval for compliance with applicable accessibility statutes and regulations prior to the
commencement of construction of the Discretionary Improvements.
7.3. Inspections.
7.3.1. Licensor shall have the right and privilege, through its officers, agents,
servants or employees, to inspect the Licensed Premises Except in the event of an
emergency, Licensor shall conduct such inspections during Licensee's ordinary
business hours and shall use its best efforts to provide Licensee at least two (2)
hours' notice prior to any inspection.
LICENSE AGREEMENT WITH CITIZENS SUPPORT
GROUP FOR THE FORT WORTH MOUNTED PATROL
FOR A PORTION OF WEST COMMUNITY PARK
PAGE 4 of 16
7.3.2. If Licensor determines during an inspection of the Licensed Premises that
Licensee is responsible under this License for any maintenance or repairs, Licensor
shall notify Licensee in writing. Licensee agrees to begin such maintenance or
repair work diligently within thirty (30) calendar days following receipt of such
notice and to then complete such maintenance or repair work within a reasonable
time, considering the nature of the work to be done. If Licensee fails to begin the
recommended maintenance or repairs within such time or fails to complete the
maintenance or repairs within a reasonable time, Licensor may, in its discietion,
perform such maintenance or repairs on behalf of Licensee. In this event, Licensee
will reimburse Licensor for the cost of the maintenance or repairs, and such
reimbursement will be due immediately upon written request of Licensor.
7.3.3. During any inspection, Licensor may perform any obligations that Licensor
is authorized or required to perform under the terms of this License or pursuant to its
governmental duties under federal state or local laws, rules or regulations.
7.3.4. Licensee will permit the City's Fire Marshal or his or her authorized agents
to inspect the Licensed Premises and Licensee will comply with all requirements of
the Fire Marshal or his or her authorized agents that are necessary to bring the
Licensed Premises into compliance with the City of Fort Worth Fire Code and
Building Code provisions regarding fire safety, as such provisions exist or may
hereafter be amended. Licensee shall maintain in proper condition accessible fire
extinguishers of a number and type approved by the Fire Marshal or his or her
authorized agents for the particular hazard involved.
7.4. Environmental Remediation.
To the best of Licensor's knowledge, the Licensed Premises comply with all
applicable federal, state and local environmental regulations or standards. Licensee agrees
that it has inspected the Licensed Premises and is fully advised of its own rights without
reliance upon any representation made by Licensor concerning the environmental condition
of the Licensed Premises LICENSEE, AT ITS SOLE COST AND EXPENSE, AGREES
THAT I7' SHALL BE FULLY RESPONSIBLE FOR THE REMEDIA TION OF OR
ANY VIOLATION OF ANY APPLICABLE FEDERAL, STATE OR LOCAL
ENVIRONMENTAL REGULATIONS OR STANDARDS THAT IS CAUSED BY
LICENSEE, ITS OFFICERS, AGENTS, SERVANTS, EMPLOYEES,
CONTRACTORS, SUBCONTRACTORS OR INVITEES.
7.5 Protection of Lake Worth.
Due to the proximity of the Licensed Premises to Lake Worth Licensee shall use
commercially reasonable efforts to protect the integrity and water quality of Lake Worth,
including, without limitation, providing and maintaining suitable methods and means for
LICENSE AGREEMENT WITH CITIZENS SUPPORT
GROUP FOR THE FORT WORTH MOUNTED PATROL
FOR A PORTION OF WEST COMMUNITY PARK
PAGE 5 of 16
the disposal of trash, body waste, and excreta in compliance with applicable sanitation laws
and ordinances.
8. RIGHTS AND RESERVATIONS OF LICENSOR.
Licensor hereby retains the following rights and reservations:
8.1. Licensor reserves the right to take any action it considers necessary to prevent
Licensee from erecting or permitting to be erected any building or other structure which, in
the opinion of Licensor, would limit the usefulness of the Licensed Premises or diminish the
capability of use of adjacent property owned by Licensor.
8.2. Licensor reserves the right to develop and improve adjacent property owned and
operated by Licensor and any improvements thereon.
8.3. Licensee's rights hereunder shall be subject to all existing and future utility and
drainage easements and rights -of -way granted by Licensoi for the installation, maintenance,
inspection, repair or removal of facilities owned or operated by electric, gas, water, sewer,
communication or other utility companies. Licensee s rights shall additionally be subject to
all rights granted by any ordinance or statute which allows utility companies to use publicly -
owned property for the provision of utility services.
9. INSURANCE
9.1. Licensee shall require Licensee's Contractor to procure, and maintain at all times
during the Term, in full force and effect, the following policies of insurance: (i) statutory
worker s compensation insurance for all of Contractor's employees and all workmen on the
Licensed Premises performing construction of Discretionary Improvements, (ii) commercial
general liability insurance, (iii) business automobile insurance, and (iv) builder's risk
insurance. The commercial general liability insurance policy and the automobile liability
insurance policy shall be primary to all other insurance maintained by Licensee or Licensor
and shall be non-contributory; shall contain an endorsement listing the Licensoi and
Licensee as additional insured (endorsement CG 20 10 10 01 and CG 20 37 10 01) such that
coverage is provided to the additional insured parties for completed operations; and shall be
written for not less than the limits of liability as follows:
(i) Commercial General Liability:
$2,000,000 each occurrence;
$3,000,000 general aggregate per project;
$3,000,000 product / completed operations aggregate; and
$2,000,000 personal and advertising injury.
LICENSE AGREEMENT WITH CITIZENS SUPPORT
GROUP FOR THE FORT WORTH MOUNTED PATROL
FOR A PORTION OF WEST COMMUNITY PARK
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(ii) Business Automobile Liability:
$1,000,000 combined single limit.
The commercial general liability policy shall contain a contractual liability endorsement and
a products completed operations endorsement. The insurance policies shall not include an)
of the following endorsements excluding or limiting coverage: (i) contractual liability
limitation, CG 21 39; (ii) amendment of insured contract definition, CG 24 26; (iii)
exclusion — explosion, collapse and underground property damage hazard, CG 21 42 or CG
21 43; (iv) limitation of coverage to designated premises or project, CG 21 44 07 98; (v)
exclusion — damage to work performed by subcontractors on your behalf, CG 22 94 or CG
22 95; (vi) any type of construction defect completed operations exclusion, and/or (vii) any
type of punitive, exemplary, or multiplied damages exclusion.
The worker's compensation policy shall contain a waiver of subrogation endorsement in
favor of Licensor and Licensee.
9.2. Certificates.
As a condition precedent to the effectiveness of this License, Licensee shall furnish
Licensor with appropiate certificates of insurance signed by the respective insurance
companies as pioof that it has obtained the types and amounts of insurance coverage
required herein If any such policy shall expire before the Term of this License, Licensee
shall furnish to Licensor a renewal certificate of insurance not less than thirty (30) days
prior to the expiration of any such insurance policy required hereunder.
9.3. Additional Requirements.
All insurance companies providing coverage pursuant to the requirements of this
License Agreement shall have a minimum Best's Rating of A- and a Financial Size
Category listing of no lower than VII, both as provided by A.M. Best Company, Inc. Upon
request by Licensor, Licensee shall deliver a copy of all such policies of insurance required
in this License Agreement.
10. INDEPENDENT CONTRACTOR.
It is expressly understood and agreed that Licensee shall operate as an independent
contractor as to all rights and privileges granted herein, and not as an agent, representative or
employee of Licensor. Licensee shall have the exclusive right to control the details of its operations
and activities on the Licensed Premises and shall be solely responsible for the acts and omissions of
its officers, agents, servants, employees, contractors, subcontractors, patrons, licensees and invitees.
Licensee acknowledges that the doctrine of respondent superior shall not apply as between
Licensor and Licensee, its officers, agents, employees, contractors and subcontractors. Licensee
further agrees that nothing herein shall be construed as the creation of a partnership or joint
enterprise between Licensor and Licensee.
LICENSE AGREEMENT WITH CITIZENS SUPPORT
GROUP FOR FHE FORT WORTH MOUNTED PATROL
FOR A PORTION OF WEST COMMUNITY PARK
PAGE 7 of 16
11. INDEMNIFICATION.
LICENSEE HEREBY ASSUMES ALL LIABILITY AND RESPONSIBILITY FOR
PROPERTY LOSS, PROPERTY DAMAGE AND/OR PERSONAL INJURY OF ANY KIND,
INCLUDING DEATH, TO ANY AND ALL PERSONS, OF ANY KIND OR CHARACTER,
WHETHER REAL OR ASSERTED, ARISING OUT OF OR IN CONNECTION WITH ITS
USE OF OR OPERATIONS ON THE LICENSED PREMISES DURING THE TERM OR
WITH THE MAINTENANCE, USE, OR OCCUPANCY OF THE LICENSED PREMISES OR
ANY IMPROVEMENTS TIIEREON DURING THE TERM, EXCEPT TO THE EXTENT
CAUSED BY THE GROSS NEGLIGENCE OR INTENTIONAL MISCONDUCT OF
LICENSOR, ITS OFFICERS, AGENTS, SERVANTS 01Z EMPLOYEES.
DURING THE TERM OF THE LICENSE, LICENSEE COVENANTS AND AGREES
TO, AND DOES HEREBY, INDEMNIFY, HOLD HARMLESS AND DEFEND LICENSOR,
ITS OFFICERS, A GENTS, SERVANTS AND EMPLOYEES, FROM AND AGAINST ANY
AND ALL CLAIMS 01? LAWSUITS FOR EII'IIEI? PROPERTY DAMAGE 01? LOSS
AND/OR PERSONAL INJURY, INCLUDING DEA1'II, TO ANY AND ALL PERSONS, OF
ANY KIND OR CHARACTER, WHETHER REAL OR ASSERTED, ARISING OUT OF OR
IN CONNECTION WITH THE USE, MAINTENANCE, OR OCCUPANCY OF THE
LICENSED PREMISES 01? ANY CONSTRUCTION OF IMPROVEMENTS THEREON,
EXCEPT TO THE EXTENT CAUSED BY THE GROSS NEGLIGENCE OR INTENTIONAL
MISCONDUCT OF LICENSOR, ITS OFFICERS AGENTS, SERVANTS OR EMPLOYEES.
LICENSEE ASSUMES ALL RESPONSIBILITY AND AGREES TO PAY LICENSOR
FOR ANY AND ALL INJURIES OR DAMAGES TO THE LICENSED PREMISES 01? ANY
IMPROVEMENTS THEREON, WHICH ARISE OUT OF OR IN CONNECTION WITH ANY
AND ALL ACTS 01? OMISSIONS OF LICENSEE, ITS OFFICERS, AGENTS,
EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, LICENSEES OR INVITEES,
EXCEPT TO THE EXTENT CAUSED BY THE GROSS NEGLIGENCE OR INTENTIONAL
MISCONDUCT OF LICENSOR, ITS OFFICERS, AGENTS, SERVANTS OR EMPLOYEES.
12. DEFAULT AND TERMINATION.
In addition to termination rights contained elsewhere in this License, Licensor shall
have the right to terminate this License as follows:
12.1. Failure by Licensee to Pay Rent, Fees or Other Charges.
If Licensee fails to pay any rent, fees or other charges due under this License,
Licensor shall deliver to Licensee a written Invoice and notice to pay the invoice within ten
(10) calendai days. If Licensee fails to pay the balance outstanding within such time,
Licensor shall have the right to terminate this License immediately.
LICENSE AGREEMENT WITH CITIZENS SUPPORT
GROUP FOR TI-IE FORT WORTH MOUNTED PATROL
FOR A PORTION OF WEST COMMUNITY PARK
PAGE 8 of 16
12.2. Breach or Default by Licensee.
If Licensee commits any breach or default, other than Licensee's failure to pay rent,
Licensor shall deliver written notice to Licensee specifying the nature of such breach or
default. Licensee shall have thirty (30) calendar days following such written notice to cure,
adjust or correct the problem to the standard existing prior to the breach. If Licensee fails to
cure the breach or default within such time period, Licensor shall have the right to terminate
this License immediately.
12.3. Abandonment or Non -Use of the Licensed Premises.
Licensee's abandonment or non-use of the Licensed Premises for any reason for
more than thirty (30) consecutive calendar days shall constitute grounds for immediate
termination of this License by Licensor.
12.4. Discontinuation or Failure to Complete Construction of Discretionary
Improvements.
If Licensee ceases construction of the Discretionary Improvements foi more than
thirty (30) consecutive calendar days, Licensoi shall deliver written notice to Licensee
specifying the nature of such breach or default. Licensee shall have ten (10) calendar days
following such written notice to resume construction If Licensee fails to resume
construction within such time period, Licensor shall have the right to terminate this License
immediately.
If Licensee fails to substantially complete construction of the Discretionary
Impr ovements in accordance with the approved plans and specifications within twelve
months of the start of construction, Licensee shall be in default of the License, absent a
mutually agreed -upon written waiver of this time requirement for substantial completion.
In the event of a default or termination under this Section 12.4, in addition to
Licensee's financial obligations to Licensor upon termination as provided in Section 12.5,
Licensee shall have the right, pursuant to Section 4.4, to draw down the necessary fluids to
pay the reasonable costs of completion of the Discretionary hmprovements in accordance
with the approved plans and specifications.
Licensor reserves all other rights and remedies available to it whether expressly
stated or not.
12.5. Licensee's Financial Obligations to Licensor upon Termination, Breach or
Default.
If Licensor terminates this License for any non-payment of rent, fees or other
charges or for any other breach or default as provided in Sections 12.1, 12.2, 12.3, or 12.4 of
this License, Licensee shall be liable foi and shall pay to Licensor all rent due Licensor for
LICENSE AGREEMENT WITH CITIZENS SUPPORT
GROUP FOR [HE FORT WORTH MOUNTED PATROL
FOR A PORTION OF WEST COMMUNU Y PARK
PAGE 9 of 16
the remainder of the Term as well as all arrearages of rentals, fees and charges payable
hereunder. In no event shall a reentry onto or reletting of the Licensed Premises by Licensor
be construed as an election by Licensor to forfeit any of its rights under this License.
12.6. Rights of Licensor Upon Termination or Expiration.
Upon termination or expiration of this License, title to all improvements on the
Licensed Premises, including the Discretionary Improvements, and all fixtures and other
items attached to any structure on the Licensed Premises shall pass to Licensor. In addition,
all rights, powers and privileges granted to Licensee hereunder shall cease and Licensee
shall vacate the Licensed Premises. Within twenty (20) days following the effective date of
termination or expiration, Licensee shall remove from the Licensed Premises all tools,
machinery, equipment, materials and supplies placed on the Licensed Premises by Licensee
pursuant to this License (other than machinery, equipment and materials incorporated into
or used in the operation of the Facility). After such time, Licensor shall have the right to
take full possession of the Licensed Premises, by force if necessary, and to remove any and
all parties and property remaining on any part of the Licensed Premises. Licensee agrees
that it will assert no claim of any kind against Licensor, its agents, servants, employees or
representatives, which may stem from Licensor's termination of this License or any act
incident to Licensor's assertion of its right to terminate or Licensor's exercise of any rights
granted hereunder.
13. NOTICES.
Notices required pursuant to the provisions of this License shall be conclusively
determined to have been delivered when (i) hand -delivered to the other party, its agents,
emplo} ees servants or representatives, or (ir) deposited in the United States Mail, postage
prepaid, addressed as follows:
To LICENSOR:
City of Fort Worth
Police Department
Attn: Joe Komisarz
350 Belknap
Fort Worth, TX 76102
With a copy to:
City of Fort Worth
Parks and Community Services Department
Attn• Da\ id Creek
4200 South Freeway, Suite 2200
Fort Worth, TX 76115
LICENSE AGREEMENT WITH CITIZENS SUPPORT
GROUP FOR THE FORT WORTH MOUNTED PATROL
FOR A PORTION OF WEST COMMUNITY PARK
PAGE 10 of 16
With a copy to:
City Attorney's Office
Attn: Leann Guzman
1000 Throcknrnrton
Fort Worth, TX 76102
To LICENSEE:
Citizens Support Group for the Fort Worth Mounted Patrol
Attn: Bradford S. Barnes
PO Box 150
Fort Worth, Texas 76107
14. LIENS BY LICENSEE.
Licensee acknowledges that it has no authority to engage in any act or to make any contract,
which may create or be the foundation for any hen upon the property or interest in the property of
Licensor. If any such purported hen is created or filed, Licensee at its sole cost and expense, shall
liquidate and discharge the same within ninety (90) days of such creation or filing Licensee's
failure to discharge any such purported lien shall constitute a breach of this License and Licensor
may terminate this License upon thirty (30) days' written notice. However, Licensee's financial
obligation to Licensor to liquidate and discharge such lien shall continue in effect following
termination of this License and until such a time as the lien is discharged.
15. TAXES AND ASSESSMENTS.
Licensee agrees to pay any and all federal, state or local taxes, or assessments which may
lawfully be levied against Licensee due to Licensee's use or occupancy of the Licensed Premises or
any improvements or property placed on the Licensed Premises by Licensee as a result of its
occupancy.
16. COMPLIANCE WITH LAWS, ORDINANCES, RULES AND REGULATIONS.
Licensee covenants and agrees that it shall not engage in any unlawful use of the Licensed
Premises Licensee further agrees that it shall not permit its officers, agents, servants employees,
contractors, subcontractors, patrons, licensees or invitees to engage in any unlawfiil use of the
Licensed Premises and Licensee immediately shall remove from the Licensed Premises any person
engaging in such unlawful activities. Unlawful use of the Licensed Premises by Licensee itself
shall constitute an immediate breach of this License.
Licensee agrees to compl) with all federal, state and local laws; all ordinances, rules and
regulations of Licensor; and all rules and regulations adopted by the City Council pertaining to the
Licensed Premises. If Licensor notifies Licensee or any of its officers, agents, employees,
LICENSE AGREEMENT WITH CITIZENS SUPPORT
GROUP FOR THE FORT WORTH MOUNTED PATROL
FOR A PORTION OF \WEST COMMUNITY PARK
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contractors, subcontractors, licensees or invitees of any violation of such laws, ordinances, rules or
regulations, Licensee shall immediately desist from and correct the violation.
17. NON-DISCRIMINATION COVENANT.
Licensee, for itself, its personal representatives, successors in interest and assigns, as part of
the consideration herein, agrees that no person shall be excluded from participation in or denied the
benefits of Licensee's use of the Licensed Premises on the basis of race, color, national origin,
religion, handicap, sex, sexual orientation, familial status, gender identity, gender expression, or
transgender. Licensee further agrees for itself, its personal representatives, successors in interest
and assigns that no person shall be excluded from the provision of any services on or in the
construction of any improvements or alterations to the Licensed Premises on grounds of race, color,
national origin, religion, handicap, sex, sexual orientation, familial status, gender identity, gender
expression, or transgender.
IF ANY CLAIM ARISES FROM AN ALLEGED VIOLATION OF THIS NON-
DISCRIMINATION COVENANT BY LICENSEE, ITS PERSONAL
REPRESENTATIVES, SUCCESSORS IN INTEREST OR ASSIGNS, LICENSEE
AGREES TO INDEMNIFY LICENSOR AND HOLD LICENSOR HARMLESS.
18. GOVERNMENTAL POWERS.
It is understood and agreed that by execution of this License, Licensor does not waive or
surrender any of its go\ ernmental powers.
19. NO WAIVER.
The failure of Licensor to insist upon the performance of any term or provision of this
License or to exercise any right granted herein shall not constitute a waiver of Licensor's right to
insist upon appropriate performance or to assert any such right on any firture occasion.
20. VENUE AND JURISDICTION.
If any action, whether real or asserted, at law or in equity, arises on the basis of any
provision of this License or of Licensee's operations on the Licensed Premises, 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 License shall be construed in
accordance with the laws of the State of Texas.
21. ATTORNEYS' FEES.
In the event there should be a breach or default under any provision of this License and
either party should retain attorney s or incur other expenses for the collection of rent, fees or
charges, or the enforcement of performance or observances of any covenant, obligation or
LICENSE AGREEMENT WITH CITIZENS SUPPORT
GROUP FOR THE FORT WORTH MOUNTED PATROL
FOR A PORTION OF WEST COMMUN1 FY PARK
PAGE 12 of 16
agreement, Licensor and Licensee agree that each party shall be responsible for its own attorneys'
fees.
22. SEVERABILITY.
If any provision of this License shall be held to be invalid, illegal or unenforceable, the
validity, legality and enforceability of the remaining provisions shall not in any way be affected or
impaired.
23. FORCE MAJEURE.
If either party is unable, either in whole or part, to fulfill its obligations under this Agreement due to
acts of God; strikes, lockouts, or other industrial disturbances; acts of public enemies; wars;
blockades; insurrections; riots; epidemics; public health crises; earthquakes; fires; floods; restraints
or prohibitions by any court, board, department, commission, or agency of the United States or of
any state; declaration of a state of disaster or emergency by the federal, state, county, or City
government in accordance with applicable law; issuance of an Imminent Threat Alert or Elevated
Threat Alert by the United States Department of Homeland Security or any equivalent alert system
that may be instituted by any agency of the United States; any arrests and restraints; civil
disturbances; or explosions; or some other reason beyond the party's reasonable control
(collectively, "Force Majeure Event"), the obligations so affected by such Force Majeure Event will
be suspended only during the continuance of such Force Majeure Event. If a Force Majeure Event
occurs, the City may, in its sole discretion, close or postpone the opening of its community centers,
parks, or other City -owned and operated properties and facilities in the interest of public safety and
operate them as the City sees fit. Licensee hereby waives any claims it may have against the City
for damages resulting from any such Force Maj eure Event.
24. HEADINGS NOT CONTROLLING.
Headings and titles used in this License are for reference purposes only and shall not be
deemed a part of this License.
25. ENTIRETY OF AGREEMENT.
This written instrument, including any documents attached hereto or incorporated herein by
reference, contains the entire understanding and agreement between Licensor and Licensee, its
assigns and successors in interest, as to the matters contained herein. Any prior or
contemporaneous oral or written agreement is hereby declared null and void to the extent in conflict
with any provisions of this License. The terms and conditions of this License shall not be amended
unless agreed to in writing by both parties and, if necessary, approved by the City Council of
Licensor.
IN WITNESS WHEREOF, the parties hereto have executed this License in multiples, this
2014.
3cdayof
LICENSE AGREEMENT WITH CITIZENS SUPPORT
GROUP FOR THE FORT WORTH MOUNTED PATROL
FOR A PORTION OF WEST COMMUNITY PARK
PAGE 13 of 16
LICENSOR:
CITY OF FORT WORTH:
By:
Assis . City Manager
"Peactoecee
APPROVED AS TO FORM AND LEGALITY:
f,
By: i
Leann D. Guzman J
Senior Assistant City Attorney
LICENSE AGREEMENT WITH CITIZENS SUPPORT
GROUP FOR THE FORT WORTH MOUNTED PATROL
FOR A PORTION OF WEST COMMUNITY PARK
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
PAGE 14 of 16
ATTEST •
By: �� (1./(44-
Mary J. Kayser /-
City Secretary
M & C: C —24(943,
Approved: 3/4/2.014
CITIZENS SUPPORT GROUP FOR THE
FORT WORTH POLICE MOUNTED PATROL,
a Texas non-profit corporation
—*e
By:
Name: Br ford S. Barnes
Title: President
LICENSE AGREEMENT WITH CITIZENS SUPPORT
GROUP FOR THE FORT WORTH MOUNTED PATROL
FOR A PORTION OF \VEST COMMUNITY PARK
OFFICIAL RECORD
CITY SECRETARY
¢T. WORTH, TX
PAGE 15of16
EXHIBIT "A"
LICENSED PREMISES
SEE ATTACHED DOCUMENT
LICENSE AGREEMENT WITH CITIZENS SUPPORT
GROUP FOR THE FORT WORTH MOUNTED PATROL
FOR A PORTION OF WEST COMMUNITY PARK
PAGE 16 of 16
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M&C Review
I
COUNCIL ACTION: Approved on 3/4/2014
Page 1 of 2
Official site of the City of Fort Worth, Texas
FORT WORTH
DATE: 3/4/2014 REFERENCE NO.: C-26699 LOG NAME: 35MPEFDONATE
NON- PUBLIC
CODE: C TYPE• CONSENT HEARING: NO
SUBJECT: Authorize Execution of a License Agreement with the Citizens Support Group for the Fort
Worth Police Mounted Patrol to Construct a Mounted Patrol Equestrian Facility at West
Park Approve Development Fee Waivers, and Authorize Acceptance of a Gift Deed
Conveying to the City of Fort Worth All Interest in the Mounted Patrol Equestrian Facility
(COUNCIL DISTRICT 7)
RECOMMENDATION:
It is recommended that the City Council:
1. Authorize the execution of a License Agreement with the Citizens Support Group for the Fort
Worth Police Mounted Patrol to construct a Mounted Patrol Equestrian Facility at West Park•
2. Approve the waiver of all development fees associated with the project in the approximate amount
of $10,000.00;
3. Find that the waiver of such fees serves to carry out the public purpose of promotion of public
safety and the construction of a facility to be donated to the City of Fort Worth pursuant to the License
Agreement and that adequate controls are in place through the License Agreement to carry out such
public purpose; and
4. Authorize the acceptance of a gift deed conveying to the City of Fort Worth all interest in any real
property improvements fixtures and equipment at the Mounted Patrol Equestrian Facility.
DISCUSSION:
On October 23, 2012, (M&C L 15459) the City Council approved the use of approximately 10 acres of
West Park for construction of equestrian facilities for the Fort Worth Police Department.
The proposed project is needed to replace the existing facility used by the Mounted Patrol Unit in the
near northside/Stockyards area. The existing facility is more than 25 years old, lacks restroom and
locker room facilities and has inadequate storage and office areas. Since this facility was originally
built, the size of the Mounted Patrol Unit has more than doubled, and although temporary stalls were
added to house the additional animals, the current site does not provide sufficient exercise or turn -out
areas for the animals Construction of a new larger facility at West Park will allow the Police
Department to correct all of these deficiencies.
During 2013, the Citizens Support Group for the Fort Worth Police Mounted Patrol raised $3.2 million
from private sources to construct this facility and now desires to design and construct the equestrian
facility. The facility is projected to cost $3.2 million to design and construct and the projected
completion date is December 2014.
The City and the Citizens Support Group for the Fort Worth Police Mounted Patrol will enter into a
License Agreement outlining rules and requirements governing the relationship between the two
parties, allowing contractor access to the site for design and construction work, and providing for the
donation of the facility to the City upon completion of the improvements via a Gift Deed.
Staff recommends that the City Council agree to waive the following fees related to the project that
would otherwise be charged by the City: (i) all building permit, plan review, inspection, and re -
inspection fees, (ii) all zoning fees, (iii) all temporary encroachment fees, (iv) all platting fees and, (v)
all fire, sprinkler, and alarm permit fees. All other fees charged or assessed by the City, in
accordance with applicable federal state and local laws ordinances, rules and regulations, including,
http://apps.cfwnet.org/council_packet/mc_review.asp2lll=19475&councildate=3/4/2014 3/6/2014
M&C Review Page 2 of 2
but not limited to, transportation impact fees and water and sewer impact fees, are not waived and
shall be fully payable. The estimated value of the fees to be waived is in the amount of
$10,000.00. Staff recommends these fee waivers as an appropriate tool that incentivizes and
promotes private financial participation in City projects and maximizes the fiscal efficiency of the
financial participation. Construction of this facility will be overseen through the permitting processes
outlined in the City Code. The fee waivers will serve the public purpose of public safety and the
construction of a facility to be donated to the City pursuant to the License Agreement, which puts in
place adequate controls to carry out such public purpose.
The Police Department will budget for operating costs of this facility beginning in the City's Fiscal
Year 2015 annual budget. The Fort Worth Police Department and the Parks and Community
Services Department has executed an Interdepartmental Agreement that specifies the roles and
responsibilities of each department.
The Fort Worth Mounted Patrol Citizens Support Group retains the naming rights for this facility in
perpetuity, provided the exercise of this right does not negatively impact the reputation of the City.
West Park is located in COUNCIL DISTRICT 7, Mapsco 59F.
FISCAL INFORMATION/CERTIFICATION:
The Financial Management Services Director certifies that approval of the above recommendations
will have no material effect on City Funds.
TO Fund/Account/Centers FROM Fund/Account/Centers
Submitted for Citv Manaaer's Office bv: Charles Daniels (6199)
Originating Department Head: Jeffrey W. Halstead (4231)
Additional Information Contact: Joe Komisarz (4289)
ATTACHMENTS
mounted site.pdf
http://apps.cfwnet.org/council_packethnc_review. asp7ll)=19475&councildate=3/4/2014 3/6/2014
MAYOR AND COUNCIL COMMUNICATION
WEST COMMUNITY PARK
INSR
LTR TYPE OF INSURANCE
A GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE X OCCUR
X OCP
GEN'L AGGREGATE LIMIT APPLIES PER:
IPOLICY I I J CT ( LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED
AUTOS
HIRED AUTOS
UMBRELLA LIAB
EXCESS LIAB
DED
SCHEDULED
AUTOS
NON -OWNED
AUTOS
RETENTION $
OCCUR
CLAIMS -MADE
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
YIN
Client#: 80950 18CITIZSUP
JACORDTM CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDIYYYY)
04/24/2014
THIS CERTIFICATE IS ISSUED AS A MATTERIOF 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 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
Wortham Insurance & Risk Mgmt.
1600 West Seventh Street
Fort Worth, TX 76102-2505
817 336-3030
INSURED
Citizens Support Group for the Fort
Worth Mounted Patrol
P.O. Box 150
Fort Worth, TX 76101
CONTACT
NAME:
PHONE 817 336-3030
[A/C, No, Ext):
E-MAIL
ADDRESS:
FAX 817-336-8257
INSURER(S) AFFORDING COVERAGE
INSURER A: Cincinnati Specialty Underwrite
INSURER B :
INSURER C :
INSURER D
INSURER E :
INSURER F :
NAIC #
13037
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.
ADDL SUBR POLICY EFF POLICY EXP
INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY)
CSU0057235 04/21/2014 12/31/2014
N/A
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required)
CERTIFICATE HOLDER
City of Fort Worth
Fort Worth Police Dept.
Attn: Joe Komisarz
350 W Belknap
Fort Worth, TX 76102
CANCELLATION
LIMITS
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
PROPERTY DAMAGE
(Per accident)
EACH OCCURRENCE
AGGREGATE
WC STATU- OTH-
TORY LIMITS ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
$1,000,000
$
$
$2,000,000
$
$
$
$
$
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2010/05) 1 of 1
#S456874/M456873
1988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
18BKS
INSR LTR TYPE OF INSURANCE
A GENERAL LIABILITY
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE X I OCCUR
GENT. AGGREGATE LIMIT APPLIES PER:
POLICY X I PRO• I I LOC
AUTOMOBILE LIABILITY
X
X
ANY AUTO
ALL OWNED
AUTOS
HIRED AUTOS
SCHEDULED
AUTOS
NON -OWNED
AUTOS
$ UMBRELLA LIAB X OCCUR
EXCESS LIAB CLAIMS -MADE
DED I X RETENTION$ 10, 000
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
D BUILDERS ALL RISK
C
X
VALUE - SPECIAL FORM
N
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
04/15/2014
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 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 CA #0H64724 1-972-581-4400
IMA, Inc. (Dallas Division)
14185 Dallas Parkway
S uite 800
Dallas, TX 75254
INSURED
S EDALCO, Inc. & SEDALCO, LP
2554 E. Long Avenue
Fort Worth, TX 76137
FAX
(A/C. No):
michelle.saucedo@imacorp.com
INSURER(S) AFFORDING COVERAGE
INSURER A: AMERISURE INS CO
INSURER B: ST PAUL FIRE & MARINE INS CO
INSURER C : TEXAS MUT INS CO
INSURER D: TRAVELERS LLOYDS INS CO
INSURER E
INSURER F :
CONTACT Michelle Saucedo
NAME:
PHONE 972-581-4400
(A/C. No. Extl:
EMAIL
ADDRESS:
972-581-4490
NAIC 11
19488
24767
22945
41262
COVERAGES CERTIFICATE NUMBER: 39249108 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
INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
CPP2073835 12/31/12 12/31/14
N/A
CA207383600 12/31/12
ZUP12P2959413NF
12/31/14 COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
PROPERTY DAMAGE
(Per accident)
12/31/1_ 12/31/14
TSF0001207457 12/31/12 12/31/14
QT6608850L189
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
$ 1,000,000
$ 300,000
$ 10,000
$ 1,000,000
$ 2,000,000
PRODUCTS - COMP/OPAGG $ 2,000,000
$ 1,000,000
EACH OCCURRENCE $ 10,000,000
AGGREGATE $ 10,000,000
WC STATU- OTH-
TORY LIMITS FR
X
E.L. EACH ACCIDENT $ 1,000,000
E.L. DISEASE - EA EMPLOYEE $ 1, 000, 000
E.L. DISEASE- POLICY LIMIT $ 1,000,000
12/31/12 12/31/14 MAX ANY OCC 20,000,000
EXCEPT
FRAME/BV/JM 2,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Re: New Facility for the Fort Worth Police Mounted Patrol. Citizens Support Group and City of Fort Worth are included
as Additional Insured on the General and Auto Liability Policies if required by written contract or agreement subject to
the policy terms and conditions. This Insurance is Primary/Non-Contributory on the General and Auto Liabilty Policies
subject to the policy terms and conditions. A Waiver of Subrogation is provided in favor of "Additional Insured" on the
Worker's Compensation Policy if required by written contract or agreement subject to the policy terms and conditions.
CERTIFICATE HOLDER
Citizens Support Group for the Fort Worth Police
Mounted Patrol
P.O. Box 150
Fort Worth, TX 76101-0150
USA
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,
AUTHORIZED REPRESENTATIVE
ACORD 25 (2010/05)
msaucedo
39249108
1988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
•
Policy #:CA207383600
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
TEXAS ADVANTAGE
COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT
This endorsement modifies insurance provided under the
BUSINESS AUTO COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified
by the endorsement.
The premium for this endorsement is $
1. BROAD FORM INSURED
SECTION 11 - LIABILITY COVERAGE, Al. Who Is An Insured is amended by the addition of the following:
d. Any organization you newly acquire or form, other than a partnership, joint venture or limited liability
company, and over which you maintain ownership or a majority interest, will qualify as a Named Insured.
However,
(1) Coverage under this provision is afforded only until the end of the policy period;
(2) Coverage does not apply to "accidents" or "loss" that occurred before you acquired or formed the
organization; and
(3) Coverage does not apply to an organization that is an "insured" under any other policy or would be an
"insured' but for its termination or the exhausting of its limit of insurance.
e. Any "employee" of yours using:
(1) A covered "auto" you do not own, hire or borrow, or a covered "auto" not owned by the "employee" or
a member of his or her household while performing duties related to the conduct of your business or
your personal affairs; or
(2) An "auto" hired or rented under a contract or agreement in that "employee's" name, with your
permission while performing duties related to the conduct of your business. However your
'employee" does not qualify as an insured under this paragraph (2) while using a covered "auto"
rented from you or from any member of the "employee's" household.
f. Your members, if you area limited liability company, while using a covered "auto" you do not own, hire or
borrow and while performing duties related to the conduct of your business or your personal affairs.
Any person or organization with whom you agree in a written contract, written agreement or permit, to
provide insurance such as is afforded under this policy, but only with respect to your covered "autos".
This provision does not apply:
(1) Unless the written contract or agreement is executed or the permit is issued prior to the "bodily injury"
or ' property damage";
(2) To any person or organization included as an insured by an endorsement or in the Declarations; or
(3) To any lessor of "autos" unless:
(a) The lease agreement requires you to provide direct primary insurance for the lessor;
(b) The "auto" is leased without a driver; and
g•
Includes copyrighted material of Insurance Services Office, Inc.
CA 71 18 11 09 Page 1 of 5
rrnrr wi WII III IIIIII IIIIIIIIIIIIIIIIII IVI l IIIIIIII lI lPIIII I II IIIIII II I II I II II 111111 11111 III I It I I
II I
Policy #:CA207383600
(c) The lease had not expired.
Leased "autos' covered under this provision will be considered covered "autos" you own and not covered
'autos" you hire.
h. Any legally incorporated organization or subsidiary in which you own more than 50% of the voting stock on
the effective date of this endorsement.
This provision does not apply to "bodily injury" or "property damage" for which an "insured' is also an
insured under any other automobile policy or would be an insured under such a policy but for its
termination or the exhaustion of its limits of insurance, unless such policy was written to apply specifically
in excess of this policy.
2. COVERAGE EXTENSIONS - SUPPLEMENTARY PAYMENTS
Under Section II - LIABILITY COVERAGE, A.2.a. Supplementary Payments, paragraphs (2) and (4) are
deleted and replaced as follows;
(2) Up to $2,500 for the cost of bail bonds (including bonds for related traffic law violations) required because
of an "accident" we cover. We do not have to furnish these bonds.
(4) All reasonable expenses incurred by the "insured" at our request, including actual Toss of earnings up to
$500 a day because of time off from work.
3. AMENDED FELLOW EMPLOYEE EXCLUSION
Under SECTION II - LIABILITY COVERAGE, B. EXCLUSIONS, paragraph 5. Fellow Employee is deleted
and replaced by the following•
5. Fellow Employee
"Bodily injury' to:
a. Any fellow "employee" of the "insured" arising out of and in the course of the fellow "employee's"
employment or while performing duties related to the conduct of your business However, this
exclusion does not apply to your "employees" that are officers, managers, supervisors or above.
Coverage is excess over any other collectible insurance.
b. The spouse, child, parent, brother or sister of that fellow "employee" as a consequence of paragraph
a above.
4. HIRED AUTO PHYSICAL DAMAGE COVERAGE AND LOSS OF USE EXPENSE
A. Under SECTION III - PHYSICAL DAMAGE COVERAGE, A. COVERAGE, the following is added:
If any of your owned covered "autos" are covered for Physical Damage, we will provide Physical Damage
coverage to "autos" that you or your "employees" hire or borrow, under your name or the "employee's"
name, for the purpose of doing your work.
We will provide coverage equal to the broadest physical damage coverage applicable to any covered
"auto" shown in the Declarations, Item Three, Schedule of Covered Autos You Own, or on any
endorsements amending this schedule.
B. Under SECTION III - PHYSICAL DAMAGE COVERAGE, A.4. Coverage Extensions. paragraph b. Loss
Of Use Expenses is deleted and replaced with the following:
b. Loss Of Use Expenses
For Hired Auto Physical Damage, we will pay expenses for which an "insured" becomes legally
responsible to pay for loss of use of a vehicle rented or hired without a driver under a written rental
contract or agreement We will pay for loss of use expenses if caused by:
(1) Other than collision, only if the Declarations indicate that Comprehensive Coverage is provided
for any covered "auto";
Includes copyrighted material of Insurance Services Office, Inc.
Page2of5 CA71181109
Policy #:CA207383600
(2) Specified Causes of Loss, only if the Declarations indicate that Specified Causes Of Loss
Coverage is provided for any covered "auto"; or
(3) Collision, only if the Declarations indicate that Collision Coverage is provided for any covered
"auto".
However, the most we will pay for any expenses for loss of use is $30 per day, to a maximum of
$2,000.
C. Under SECTION IV — BUSINESS AUTO CONDITIONS, B. General Conditions, 5. Other Insurance,
paragraph b. is replaced by the following:
b. For Hired Auto Physical Damage, the following are deemed to be covered "autos" you own:
1. Any covered "auto' you lease, hire, rent or borrow; and
2. Any covered "auto" hired or rented by your 'employees" under a contract in that individual
"employee's" name, with your permission, while performing duties related to the conduct of your
business.
However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto", nor
is any "auto" you hire from any of your "employees", partners (if you are a partnership), members (if
you are a limited liability company), or members of their households.
5. LOAN OR LEASE GAP COVERAGE
Under SECTION III — PHYSICAL DAMAGE COVERAGE, A. COVERAGE, the following is added:
If a covered' auto" is owned or leased and if we provide Physical Damage Coverage on it, we will pay, in the
event of a covered total "loss", any unpaid amount due on the lease or loan for a covered "auto", less:
(a) The amount paid under the Physical Damage Section of the policy; and:
(b) Any:
(1) Overdue lease or loan payments including penalties, interest or other charges resulting from overdue
payments at the time of the "loss";
(2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high
mileage;
(3) Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance
purchased with the loan or lease;
(4) Security deposits not refunded by a lessor; and
(5) Carry-over balances from previous loans or leases.
6. RENTAL REIMBURSEMENT
Under SECTION III - PHYSICAL DAMAGE COVERAGE, A.4. Coverage Extensions, paragraph a.
Transportation Expenses is deleted and replaced by the following:
a. Transportation Expenses
(1) We will pay up to $75 per day to a maximum of $2,000 for transportation expense incurred by you
because of covered "loss". We will pay only for those covered "autos' for which you carry Collision
Coverage or either Comprehensive Coverage or Specified Causes of Loss Coverage. We will pay
for transportation expenses incurred during the period beginning 24 hours after the covered "loss"
and ending, regardless of the policy s expiration, when the covered "auto" is returned to use or we
pay for its ' loss'. This coverage is in addition to the otherwise applicable coverage you have on a
covered "auto". No deductibles apply to this coverage
Includes copyrighted material of Insurance Services Office, Inc.
CA71181109 Page3of5
1
Policy #:CA207383600
(2) This coverage does not apply while there is a spare or reserve "auto" available to you for your
operation.
7. AIRBAG COVERAGE
Under SECTION III - PHYSICAL DAMAGE, B. EXCLUSIONS, paragraph 3. is deleted and replaced by the
following:
3. We will not pay for "loss" caused by or resulting from any of the following unless caused by other "loss"
that is covered by this insurance:
(1) Wear and tear, freezing, mechanical or electrical breakdown. However, this exclusion does not
include the discharge of an airbag.
(2) Blowouts, punctures or other road damage to tires.
8. GLASS REPAIR — WAIVER OF DEDUCTIBLE
S ection III — PHYSICAL DAMAGE COVERAGE, D. Deductible is amended to add the following:
N o deductible applies to glass damage if the glass is repaired rather than replaced.
9. COLLISION COVERAGE — WAIVER OF DEDUCTIBLE
Under Section III - PHYSICAL DAMAGE COVERAGE, D. Deductible is amended to add the following:
When there is a loss to your covered "auto" insured for Collision Coverage, no deductible will apply if the loss
was caused by a collision with another "auto" insured by us.
10. KNOWLEDGE OF ACCIDENT
U nder SECTION IV - BUSINESS AUTO CONDITIONS, A. Loss Conditions 2 Duties In The Event Of
Accident, Claim, Suit Or Loss, paragraph a is deleted and replaced by the following:
a. You must see to it that we are notified as soon as practicable of an "accident", claim, "suit" or "loss".
Knowledge of an "accident", claim, "suit" or "loss" by your' employees" shall not, in itself, constitute
knowledge to you unless one of your partners, executive officers, directors managers, or members (if you
are a limited liability company) has knowledge of the 'accident", claim, 'suit" or "loss". Notice should
include:
(1) How, when and where the "accident" or "loss" occurred;
(2) The "insured's" name and address; and
(3) To the extent possible, the names and addresses of any injured persons and witnesses.
11. TRANSFER OF RIGHTS (BLANKET WAIVER OF SUBROGATION)
Under SECTION IV - BUSINESS AUTO CONDITIONS, A. Loss Conditions paragraph 5. Transfer Of Rights
Of Recovery Against Others To Us is deleted and replaced by the following:
5. Transfer Of Rights Of Recovery Against Others To Us
If any person or organization to or for whom we make payment under this Coverage Form has rights to
recover damages from another, those rights are transferred to us. That person or organization must do
everything necessary to secure our rights and must do nothing after "accident" or "loss" to impair them.
However, if the "insured' has waived rights to recover through a written contract, or if your work was
commenced under a letter of intent or work order, subject to a subsequent reduction in writing with
customers whose customary contracts require a waiver, we waive any right of recovery we may have
under this Coverage Form.
Includes copyrighted material of Insurance Services Office, Inc.
Page 4 of 5 CA 71 18 11 09
Policy #:CA207383600
12. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS
Under SECTION IV - BUSINESS AUTO CONDITIONS , B. General Conditions , paragraph 2.
Concealment, Misrepresentation Or Fraud is amended by the addition of the following:
We will not deny coverage under this Coverage Form if you unintentionally fail to disclose all hazards
existing as of the inception date of this policy. You must report to us any knowledge of an error or omission
in your representations as soon as practicable after its discovery. This provision does not affect our right to
collect additional premium or exercise our right of cancellation or non -renewal.
13. BLANKET COVERAGE FOR CERTAIN OPERATIONS IN CONNECTION WITH RAILROADS
When required by written contract or written agreement, the definition of insured contract" is amended
as follows:
The exception contained in paragraph H.3. relating to construction or demolition operations on or within
50 feet of a railroad; and
Paragraph H.a.
are deleted with respect to the use of a covered "auto" in operations for, or affecting, a railroad.
Includes copyrighted material of Insurance Services Office, Inc.
CA 71 18 11 09 Page 5 of S
.W�Wi,i1lluinuum4u 1 11 III 1 n 1 1 I I I
30
Policy #: CA207383600 Named Insured: SEDALCO, Inc
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
EARLIER NOTICE OF CANCELLATION
PROVIDED BY US
Number of Days Notice
For any statutorily permitted reason other than nonpayment of premium, the number of days required for notice of cancellatior is
increased to the number of days shown in the Schedule above.
If this policy is cancelled by us we will send the Named Insured and any party listed in the following schedule notice of canoe lation
based on the number of days notice shown above.
SCHEDULE
Name of Person or Organization
The Name of Person or Organization is any person or organization holding a certificate of insurance
issued for you, provided the certificate:
1. Refers to this policy;
2. States that notice of:
a. Cancellation;
b. Nonrenewal; or
c. Material change reducing or restricting coverage;
will be provided to that person or organization;
3. Is in effect at the time of the:
a. Cancellation;
b. Nonrenewal; or
c. Material change reducing or restricting coverage; and
4. Is on file at your agent or broker's office for this policy.
Mailing Address
The Mailing Address is the address shown for that person or organization in that certificate of
insurance.
IL 70 45 05 07
II I III II i II I II
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
TEXAS
CONTRACTOR'S BLANKET ADDITIONAL INSURED ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
P olicy Number
CPP2073835
P olicy Expiration/Cancellation Date
12/31/14
N amed Insured
SEDALCO, Inc.
Agency Number Policy Effective Date
12/31/13
Date Account Number
Agency
IMA, Inc.
Issuing Company
Amerisure Insurance Company
1. SECTION II - WHO IS AN INSURED is amended to add as an insured any person or organization whom you
are required to add as an additional insured on this policy under a written contract or written agreement relating
to your business. The written contract or written agreement must require additional Insured status for a time
period during the term of this policy and be executed prior to the 'bodily injury "property damage", or "personal
and advertising injury" giving rise to a claim under this policy. If, however, "your work' was commenced under
a letter of intent or work order, subject to a subsequent reduction to writing within 30 days from such
commencement and with customers whose customary contracts require they be named as additional insureds,
we will provide additional insured status as specified n this endorsement.
However, if your have entered into a construction corn -act subject to Subchapter C of Chapter 15.1 of Subtitle C
of Title 2 of the Texas Insurance Code with the additional insured, the insurance afforded to such person(s) or
organization(s) only applies to the extent permitted by Subchapter C of Chapter 151 of Subtitle C of Title 2 of
the Texas Insurance Code.
2. SECTION II - WHO IS AN INSURED is amended to add the following:
It the additional insured is:
An individual, their spouse is also an additional insured.
b. A partnership or joint venture, members, partners, and their spouses are also additional insureds.
c. A limited liability company, members and manacers are also additional insureds.
d. An organization other than a partnership, joint venture or limited liability company, executive officers and
directors of the organization are also additional nsureds. Stockholders are also additional Insureds, but
only with respect to their liability as stockholders.
e. A trust, trustees are also insureds, but only with respect to their duties as trustees.
The insurance provided to the additional insured under this endorsement is limited as follows:
a. That person or organization is only an additional insured with respect to liability arising out of:
(1) Premises you own, rent, lease, or occupy; or
(2) Yniir ongoing operations, unless the written contract or wrrften agreement also requires completed
operations coverage (or wording to the sarre effect), in which case the coverage provided shall
extend to your completed operations for that additional insured.
Premises, as respects this provision shall induce common or public areas about such premises if so
required in the written contract or written agreement.
Includes copyrighted material o- Insurance Services Office, Inc.
CG 70 851211 Page 1 of 2
Policy #.CPP2073835
Ongoing operations, as respects this provision, does not apply to "bodily injury" or "property damage"
occurring after:
(a) All work including materials, parts or equipment furnished in connection with such work on the project
(other than service, maintenance or repairs) to be performed by or on behalf of the additional
insured(s) at the site of the covered operations has been completed; or
(b) That portion of "your work" out of which the injury or damage arises has been put to its intended use
by any person or organization other than arother contractor or subcontractor engaged in performing
operations for a principal as a part of the same project.
The limits of insurance applicable to the additional insured are the least of those specified in the written
contract or written agreement or in the Declarations of this policy. The limits of insurance applicable to the
addtional insured are inrli isive nf and not in additinn to the limits nf insurance shnwn in the lienlaratinns
c. The additional insured status provided by this erdorsement does not extend beyond the expiration or
termination of a premises lease or rental agreement nor beyond the term of this policy.
ri. If a written nnntrant nr written agreement as ni itlined ahnve rani iires that adrlitinnal insi wed status he
provided by the use of CG 20 10 11 85, then the terms of that endorsement, which are shown below, are
incorporated into this endorsement as respects such additional insured, to the extent that such terms do
not restrict coverage otherwise provided by this endorsement:
ADDITIONAL INSURED -OWNERS, LESSEES OR
CONTRACTORS (FORM B)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART.
SCHEDULE
Name of Person or Organization: Blanket iNhere Required by Written Contract or
Agreement that the terms of CG 20 10 11 85 apply.
(If no entry appears above, Information required to complete this endorsement will
be shown in the Declarations as applicable to this endorsement.)
WHO IS AN INSURED (Section II) rs ameided to include as an insured the person
or organization shown in the Schedule, but only with respect to liability arising out of
"your work" for that insured by or for you.
Copyright, Insurance Services Office, Inc., 1984
CG 20 10 11 85
e. The insurance provided to the additional insured does not apply to "bodily injury", "property damage", or
personal and advertising injury" arising out of an architect's, engineer's, or surveyor's rendering of or
failure to render any professional services including but not limited to:
(1) The preparing, approving, or failing to prepare or approve maps, drawings, opinions, reports, surveys,
change orders, design specifications; and
(2) Supervisory, inspection, or engineering services.
f. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, paragraph 4. Other Insurance is
deleted and replaced with the following:
4. Other Insurance.
Any coverage provided in this endorsement is excess over any other valid and collectible insurance available to
the additional insured whether primary, excess, contingent or on any other basis unless the written contract or
wntten agreement requires that this insurance be primary, in which case this insurance will be primary without
contribution from such other insurance available to the additional insured
Includes copyrighted material o= Insurance Services Office, Inc.
CG 70 85 12 11 Page 2 of 2
Policy #:CPP2073835
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
TEXAS
CONTRACTOR'S GENERAL LIABILITY EXTENSION ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
Under SECTION I - COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY, paragraph 2.
EXCLUSIONS, provisions 1. through 6. of this ondorccmcnt amend the policy as follows:
1. LIQUOR LIABILITY
Exclusion c. Liquor Liability is deleted.
2. NONOWNED WATERCRAFT
Exclusion g. Aircraft, Auto or Watercraft, subparagiaph (2) is deleted and replaced with the following:
(2) A watercraft you do not own that is:
(a) Less than 51 feet long; and
(b) Not being used to cany persons or property for a charge.
3. PREMISES ALIENATED
A. Exclusion j. Damage to Property, subparagraph (2) is deleted.
B. The following paragraph is deleted from Exclusion j. Damage to Property;
Paragraph (2) of this exclusion does not apply if the premises are "your work" and were never occupied,
rented or held for rental by you.
4. PROPERTY DAMAGE LIABILITY - ELEVATORS AND SIDETRACK AGREEMENTS
A. Exclusion j. Damage to Property, paragraphs (3), (4), and (6) do not apply to the use of elevators.
B. Exclusion k. Damage to Your Product does no: apply to:
1. The use of elevators; or
2. Liability assumed under a sidetrack agreement.
6. PROPERTY DAMAGE LIABILITY - BORROWED EQUIPMENT
A. Exclusion J. Damage to Property, paragraph (4) does not apply to "property damage" to borrowed
equipment while at a jobsite and not being used to perform operations.
B. With respect to any one borrowed equipment item, provision 5.A. above does not apply to "property
damage" that exceeds $25,000 per occurrence or $25,000 annual aggregate.
6. PRODUCT RECALL EXPENSE
A. Exclusion n. Recall of Products, Work or Impaired Property does not apply to "product recall expenses"
that you incur for the "covered recall" of "your product'. This exception to the exclusion does not apply to
'product recall expenses" resulting from:
1. Failure of any products to accomplish their intended purpose;
2. Breach of warranties of fitness, quality, durability or performance;
3. Loss of customer approval or any cost incurred to regain customer approval;
4. Redistribution or replacement of "your product", which has been recalled, by like products or
substitutes;
5. Caprice or whim of the insured;
Includes copyrighted matenal o= Insurance Services Office, Inc.
CG 70 63 1211 Page 1 of 10
Policy #:CPP2073835
6. A condition likely to cause loss, about which any insured knew or had reason to know at the inception
of this insurance;
7. Asbestos, including loss, damage or clean up resulting from asbestos or asbestos containing
materials;
8. Recall of your product(s)" that have no known or suspected defect solely because a known or
suspected defect in another of "your product(s)" has been found.
B. Under SECTION III - LIMITS OF INSURANCE, paragraph 3. is replaced in its entirety as follows and
paragraph 8, is added:
3. The Products -Completed Operations Aggregate Limit is the most we will pay for the sum of.
a. Damages under COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY
because of 'bodily injury" and "property damage" included in the "products completed operations
hazard" and
b. 'Product recall expenses".
Subject to paragraph 5. above, $25,000 is the most we will pay for all "product recall expenses"
arising out of the same defect or deficiency
The insurance afforded by reason of provisions 1. through 6. of this endorsement is excess over any valid and
collectible Insurance (including any deductible) available to the insured whether primary, excess or contingent and
SECTION IV., paragraph 4 Other Insurance is changed accordingly.
7. BLANKET CONTRACTUAL LIABILITY - RAILROADS
When a written contract or written agreement requires Contractual Liability - Railroads, the definition of "insured
contract' in Section V - Definitions is replaced by the Following with respect to operations performed for, or
affecting, a railroad:
A. Except for any provision of a construction contract subject to Tex. Ins. Code § 151.102,
9. "Insured Contract" means:
a. A contr act for a lease of premises. However that portion of the contract for a lease of premises
that indemnifies any person or organization for damage by fire to premises while rented to you or
temporarily occupied by you with permission of the owner is not an "insured contract";
b. A sidetrack agreement;
Any easement or license agreement;
An obligation, as required by ordinance, to indemnify a municipality, except in connection with
work for a municipality;
e. An elevator maintenance agreement;
f. That part of any other contract or agreement pertaining to your business (including an
indemnification of a municipality in connection with work performed for a municipality) under
which you assume the tort liability of another party to pay for "bodily injury" or "property damage"
to a third person or organization provided the "bodily injury" or 'property damage" is caused, in
whole or in part, by you or by those acting on your behalf. Tort liability means a liability that
would be imposed by law in the absence of any contract or agreement.
Paragraph f. does not include that pars of any contract or agreement:
(1) That indemnifies an architect, engineer or surveyor for injury or damage arising out of:
(a) Preparing, approving or failing to prepare or approve, maps, shop drawings, opinions,
reports, surveys, field orders, change orders or drawings and specifications; or
(b) Giving directions or Instructions, or failing to give them;
Includes copyrighted material o= Insurance Services Office, Inc.
Page 2 of 10 CG 70 6312 11
Policy #:CPP2073835
(2) Under which the insured, if an architect, engineer or surveyor, assumes liability for an injury
or damage arising out of the insured's rendering or failure to render professional services,
including those listed in Paragrapi (1) above and supervisory, inspection, architectural or
engineering activities.
With respect to any provision of a construction contract subject to Tex. Ins. Code § 151.102,
9. "Insured Contract" means:
a. A contract for a lease of premises. However that portion of the contract for a lease of premises
that indemnifies any person or organization for damage by fire to premises while rented to you or
temporarily occupied by you with permission of the owner is not an "insured contract";
A sidetrack agreement;
c. Any easement or license agreement;
An obligation, as required by ordinance, to indemnify a municipality, except in connection with
work for a municipality;
e. An elevator maintenance agreement;
I. That part of any other contract or agreement pertaining to your business (including an
indemnification of a municipality in connection with work performed for a municipality) under
which you assume the tort liability of another party to pay for "bodily injury" or "property damage"
to a third person or organization but only to the extent that the "bodily injury" or "property
damage' is caused by your acts or omissions or by the acts or omissions of those acting on your
behalf. Tort liability means a liability that would be imposed by law in the absence of any
contract or agreement.
Paragraph f. does not include that part of any contract or agreement:
(1) That indemnifies an architect, engineer or surveyor for injury or damage arising out of:
(a) Preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions,
reports, surveys, field orders, change orders or drawings and specifications; or
(b) Giving directions or instructions, or failing to give them;
(2) Under which the insured, if an architect, engineer or surveyor, assumes liability for an injury
or damage arising out of the insured's rendering or failure to render professional services,
including those listed in f aragrapi (1) above and supervisory, inspection, architectural or
engineering activities.
8. CONTRACTUAL LIABILITY - PERSONAL AND ADVERTISING INJURY
Under SECTION 1 - COVERAGE B., paragraph 2. Exclusions, paragraph e. Contractual Liability is deleted.
9. SUPPLEMENTARY PAYMENTS
Under SECTION I - SUPPLEMENTARY PAYMENTS - COVERAGES A AND B, paragraph 1.b. is deleted and
replaced with the following•
1. b. Up to $2,500 for cost of bail bonds required because of accidents or traffic law violations arising out
of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to
furnish these bui ids
10. BROADENED WHO IS AN INSURED
SECTION II - WHO IS AN INSURED is deleted and replaced with the following:
1. If you are designated in the Declarations as:
a. An individual, you and your spouse are insureds, but only with respect to the conduct of a business of
which you are the sole owner.
b. A partnership or joint venture, you are an insured. Your members, your partners, and their spouses
are also insureds, but only with respect to the conduct of your business.
Includes copyrighted material o- Insurance Services Office, Inc.
CG 70 63 12 11 Page 3 of 10
Policy #:CPP2073835
c. A limited liability company, you are an insured. Your members are also insureds, but only with
respect to the conduct of your business. Your managers are insureds, but only with respect to their
duties as your managers.
d. An organization other than a partnership, joint venture or limited liability company, you aro an insured.
Your "executive officers" and directors are insureds, but only with respect to their duties as your
officers or directors. Your stockholders are also insureds, but only with respect to their liability as
stockholders.
Paragraphs (1)(a), (1)(b) and (1)(c) above do not apply to your "employees" who are:
(i) Managers;
(ri) Supervisors;
(ni) Directors; or
(iv) Officers;
with respect to "bodily injury" to a co -"employee".
2. Each of the following is also an insured:
a. Your "volunteer workers" only while pertorning duties related to the conduct of your business, or
your "employees," other than either your "executive officers," (if you are an organization other than a
partnership, joint venture or limited liability company) or your managers (if you are a limited liability
company), but only for acts within the scope of their employment by you or while performing duties
related to the conduct of your business. Hcwever, none of these 'employees" or "volunteer workers"
are insured for:
(1) "Bodily injury" or "personal and advertising injury":
(a)
To you, to your partners or members (if you are a partnership or joint venture), to your
members (if you are a limited liability company), to a co -"employee" while in the course of
his or her employment or performing duties related to the conduct of your business, or to
your other "volunteer workers" while performing duties related to the conduct of your
business;
(b) To the spouse, child, parent, brother or sister of that co -"employee" or volunteer worker as
a consequence of paragraph (1)(a) above;
For which there is any obligation io share damages with or repay someone else who must
pay damages because of the injury described in paragraphs (1)(a) or (b) above; or
(d) Arising out of his or her providing or failing to provide professional health care services
except as provided in Provision 11. of this endorsement.
(2) "Property damage" to property:
(c)
(a) Owned, occupied or used by;
(b) Rented to, in the care, custody or control of, or over which physical control is being
exercised for any purpose by
you, any of your "employees," "volunteer workers", any partner or member (if you are a
partnership or joint venture), or any member (if you are a limited liability company).
Any person (other than your "employee" or `volunteer worker"), or any organization while acting as
your real estate manager.
c. Any person or organization having proper temporary custody of your property if you die, but only;
(1) With respect to liability arising out of the maintenance or use of that property, and
(2) Until your legal representative has been appointed.
d. Your legal representative if you die, but only with respect to duties as such. That representative will
have all your rights and duties under this Coverage Form.
Includes copyrighted material o= Insurance Services Office, Inc.
Page 4 of 10 CG 70 63 12 11
Policy #:CPP2073835
e. Your subsidiaries if:
(1) They are legally incorporated entities; and
(2) You own more than 50% of the voting stock in such subsidiaries as of the effective date of this
policy.
If such subsidiaries are not shown in the Declarations, you must report them to us within 180 days of
the inception of your original policy
f. (1) Any person or organization, other than an architect, engineer or surveyor, required to be named
as an additional insured in a "work contract", letter of intent or work order. However, such
person or organization shall be an additional insured only with respect to covered "bodily injury,"
'property damage,' and 'personal and advertising injury" arising out of "your work" under that
'work contract", letter of intent or work order.
(2) We will provide additional insured coverage to such person or organization only:
(a) for a period of 30 days after the effective date of the applicable "work contract", letter of
intent or work order; or
(b) until the end of the policy term in effect at the inception of the applicable "wnrk contract",
letter of intent or work order;
whichever is earlier.
Coverage provided under this paragraph f. is excess over any other valid and collectible
insurance available to the additional insured whether primary, excess, contingent or on any
other basis unless the 'work contract'. letter of intent or work order requires this insurance be
primary, in which case this insurance will be pnmary without contribution from such other
insurance available to the additional insured.
(4) This paragraph f. does not apply if form CG 70 85, Texas Contractors Blanket Additional Insured
Endorsement, is attached to the policy.
Any person or organization to whom you are obligated by virtue of a written contract to provide
insurance such as is afforded by this policy, but only with respect to liability arising out of the
maintenance or use of that part of any premises leased to you, including common or public areas
about such premises if so required in the contract.
However, no such person or organization is an insured with respect to:
(1) Any "occurrence" that takes place after you cease to occupy those premises; or
(2) Structural alterations, new construction or demolition operations performed by or on behalf of
such person or organization.
h. Any state or political subdivision but only as respects legal liability incurred by the state or political
subdivision solely because it has issued a permit with respect to operations performed by you r nr on
your behalf.
However, no state or political subdivision is an insured with respect to:
(3)
9•
(1)
"Bodily injury", "property damage', "personal and advertising injury" arising out of operations
performed for the state or municipality; or
(2) 'Bodily injury" or "property damage" included within the "products -completed operations hazard."
i. Any person or organization who is the lessor of equipment leased to you to whom you are obligated
by virtue of a written contact to provide insurance such as is afforded by this policy, but only with
respect to their liability arising out of the maintenance operation or use of such equipment by you or
a subcontractor on your behalf with your permission and under your supervision. However if you
have entered into a construction contract subject to Subchapter C ot Chapter 151 ot Subtitle C ot Title
2 of the Texas Insurance Code with the adcitional insured, the insurance afforded to such person(s)
or organization(s) only applies to the extent permitted by Subchapter C of Chapter 151 of Subtitle C
of Title 2 of the Texas Insurance Code.
No such person or organization, however, is an insured with respect to any "occurrence" that takes
place ditel the equiplrielit Iedbe explies.
Includes copyrighted material o' Insurance Services Office, Inc.
CG 70 63 12 11 Page 5 of 10
Policy #:CPP2073835
j. Any architect, engineer, or surveyor engaged by you but only with respect to liability arising out of
your premises or "your work." However if you have entered into a construction contract subject to
Subchapter C of Chapter 151 of Subtitle C of Title 2 of the Texas Insurance Code with the additional
insured, the insurance afforded to such person only applies to the extent permitted by Subchapter C
of the Chapter 151 of Subtitle C of Title 2 of the Texas Insurance Code.
No architect, engineer, or surveyor, however, is an insured with respect to "bodily injury," "property
damage," or "personal and advertising injury" arising out of the rendering of or the failure to render
any professional services by or for you, including:
(1) The preparing, approving, or failing to prepare or approve maps, drawings, opinions, reports,
surveys change orders, designs or specifications; or
(2) Supervisory, inspection, or engineering services.
This paragraph j. does not apply if form CG 70 85, Texas Contractors Blanket Additional Insured
Endorsement, is attached to the policy.
k. Any manager, owner, lessor, mortgagee, assignee or receiver of premises, including land leased to
you, but only with respect to liability arising out of the ownership maintenance or use of that part of
the premises or land leased to you.
However, no such person or organization is an insured with respect to:
(1) Any "occurrence" that takes place after you cease to occupy that premises, or cease to lease the
land; or
(2) Structural alteration, new construction or demolition operations performed by or on behalf of that
person or organization.
3. Any organization you newly acquire or form, other than a partnership, joint venture or limited liability
company and over which you maintain ownership or majority interest, will qualify as a Named Insured if
there is no other similar insurance available to that organization. However:
a. Coverage cinder this provision is afforded only until the end of the policy period;
b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired
or formed the organization;
c. Coverage B does not apply to ' personal and advertising injury" arising out of an offense committed
before you acquired or formed the organization
d. Coverage A does not apply to "product recall expense" arising out of any withdrawal or recall that
occurred before you acquired or formed the organization.
4. Any person or organization (referred to below as vendor) with whom you agreed, because of a written
contract or agreement to provide insurance is an insured, but only with respect to "bodily injury" or
"property damage" arising out of ' your products" that are distributed or sold in the regular course of the
vendor's business.
However, no such person or organization is an insured with respect to:
a. 'Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of
the assumption of liability in a contract or agreement. This exclusion does not apply to liability for
damages that the vendor would have in the absence of the contract or agreement_
b. Any express warranty unauthorized by you;
c. Any physical or chemical change in "your product" made intentionally by the vendor;
Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or
the substitution of parts under instructions from the manufacturer, and then repackaged in the onginai
container;
e. Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to
make or normally undertakes to make in the usual course of business, in connection with the
distribution or sale of "your products";
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Page 6 of 10 CG 70 63 12 11
Policy #:CPP2073835
f. Demonstration, installation, servicing or repair operations, except such operations performed at the
vendor's premises in connection with the sale of the 'your product",
"Your products" which, after distribution or sale by you, have been labeled or relabeled or used as a
container part or ingredient of any other thug or substance by or for tho vendor.
h. "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or
omissions or those of its employees or anyone else acting on its behalf. However, this exclusion
does not apply to:
(1) The exceptions contained in subparagraphs d. or f.; or
(2) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally
undertakes to make in the usual course of business, in connection with the distribution or sale of
the products.
This insurance does not apply to any insured person or organization from which you have acquired "your
products", or any ingredient, part, or container, entering into, accompanying or containing "your products".
No person or organization is an insured with respect lo the conduct of any current or past partnership, joint
venture or limited liability company that is not shown as a Named Insured in the Declarations.
11. INCIDENTAL MALPRACTICE LIABILITY
9•
As respects provision 10., SECTION II — WHO IS AN INSURED, paragraph 2.a.(1)(d) does not apply to any
nurse, emergency medical technician or paramedic employed by you to provide medical or paramedical
services, provided that you arc not engaged in the business or occupation of providing such services, and your
"employee" does not have any other insurance that would also cover claims arising under this provision,
whether the other insurance is primary, excess, contingent or on any other basis.
Under SECTION III - LIMITS OF INSURANCE, provisions 12. through 14. of this endorsement amend the policy as
follows:
12. AGGREGATE LIMITS PER PROJECT
The General Aggregate Limit applies separately to each of your construction projects away from premises
owned by or rented to you.
13. INCREASED MEDICAL PAYMENTS LIMITS AND REPORTING PERIOD
Al The requirement under SECTION I — COVERAGE C MEDICAL PAYMENTS that expenses be incurred
and reported to us within one year of the date of the accident is changed to three years.
B. SECTION III - LIMITS OF INSURANCE, paragraph 7., the Medical Expense Limit, is subject to all the
terms of SECTION III — LIMITS OF INSURANCE and is the greater of:
1. $10,000; or
2. The amount shown in the Declarations for Medical Expense Limit.
C. This provision 13. does not apply if COVERAGE C MEDICAL PAYMENTS is excluded either by the
provisions of the Coverage Form or by endorsement.
14. DAMAGE TO PREMISES RENTED TO YOU — SPECIFIC PERILS
A. The word fire is changed to "specific perils" where it appears in:
1. The last paragraph of SECTION I — COVERAGE A, paragraph 2. Exclusions;
2_ SECTION IV, paragraph 4.h. Excess Insurance.
B. The Limits of Insurance shown in the Declarations will apply to all damage proximately caused by the
same event, whether such damage results from a "specific peril" or any combination of "specific perils."
C. The Damage To Premises Rented To You Limit described in SECTION III - LIMITS OF INSURANCE,
paragraph 6., is replaced by a new limit, which is the greater of
1. $1,000,000; or
2. The amount shown in the Declarations for Damage To Premises Rented To You Limit.
Includes copyrighted matenal o' Insurance Services Office, Inc.
CG 70 63 12 11 Page 7 of 10
Policy #:CPP2073835
D. This provision 14. does not apply if the Damage To Premises Rented To You Limit of SECTION I -
COVERAGE A is excluded either by the provisions of the Coverage Form or by endorsement.
Under SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, provisions 15. through 17. of this
ondorsomont amend the policy as follows:
15. KNOWLEDGE OF OCCURRENCE
Under 2. Duties In The Event Of Occurrence, Offense, Claim, Or Suit, paragraph a. is deleted and replaced
and paragraphs e. and f. are added as follows:
a. You must see to it that we are notified as soon as practicable of an "occurrence" or an offense, regardless
of the amount, which may result in a claim. Knowledge of an "occurrence" or an offense by your
"employee(s)' shall not, in itself constitute know edge to you unless one of your partners members,
"executive offlceis ' dii ectors, ur managers has knowledge of the 'occurrence" or offense. To the extent
possible, notice should include:
(1) How, when and where the "occurrence" or offense took place;
(2) The names and addresses of any injured persons and witnesses; and
(3) The nature and location of any injury or damage arising out of the "occurrence" or offense.
e. If you report an "occurrence" to your workers compensation carrier that develops into a liability claim for
which coverage is provided by the Coverage Form, failure to report such an "occurrence' to us at the time
of the "occurrence' shall not be deemed a violation of paragraphs a., b. and c. above. However you shall
give written notice of this "occurrence" to us as soon you become aware that this "occurrence" may be a
liability claim rather than a workers compensatioi claim.
f. You must see to it that the following are done in the event of an actual or anticipated "covered recall" that
may result in "product recall expense":
(1)
Give us prompt notice of any discovery or notification that "your product" must be withdrawn or
recalled. Include a description of "your product" and the reason for the withdrawal or recall;
(2) Cease any further release, shipment, consignment or any other method of distribution of like or
similar products until It has been determined that all such products are free from defects that could be
a cause of loss under the insurance.
16. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS
Paragraph 6. Representations is deleted and replaced with the following:
6. Representations
By accepting this policy, you agree:
a. The statements in the Declarations are accurate and complete;
b. Those statements are based upon representations you made to us; and
c. We have issued this policy in reliance upon your representations.
We will not deny coverage under this coverage part if you unintentionally fail to disclose all hazards
existing as of the inception date of this policy. You must report to us any knowledge of an error or
omission in the description of any premises or operations intended to be covered by the Coverage
Form as soon as practicable after its discovery. However, this provision does not affect our right to
collect additional premium or exercise our right of cancellation or nonrenewal.
17. TRANSFER OF RIGHTS (BLANKET WAIVER OF SUBROGATION)
Paragraph 8. Transfer of Rights Of Recovery Against Others To Us is deleted and replaced with the
following:
Includes copyrighted matenal o- Insurance Services Office, Inc.
Page 8of10 CG70631211
Policy #:CPP2073835
8. If the insured has rights to recover all or part of sny payment we have made under this Coverage Form,
those rights al e transferred to us. The insured must do nothing after loss to impair them. At our request,
the insured will bring 'suit" or transfer those rights to us and help us enforce them. However, if the insured
has waived rights to recover through a written contract, or if ' your work" was commenced under a letter of
intent or work order, subject to a subsequent reduction to writing with customers whose customary
contracts require a waiver, we waive any right of recovery we may have under this Coverage Form.
18. EXTENDED NOTICE OF CANCELLATION AND NONRENEWAL
Paragraph 2.b. of A. Cancellation of the COMMON POLICY CONDITIONS is deleted and replaced with the
following:
b. 60 days before the effective date of the cancellation if we cancel for any other reason.
Under SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 9. When We Do Not
Renew is deleted and replaced with the following:
9. When We Do Not Renew
a. We may elect not to renew this policy except, that under the provisions of the Texas Insurance Code,
we may not refuse to renew this policy soley because the policyholder is an elected official.
b. If we elect not to renew this policy, we may do so by mailing or delivering to the first Named Insured,
at the last mailing address known to us, written notice of nonrenewal, stating the reason for
nonrenewal, at least 60 days before the expiration date. If notice is mailed or delivered less than 60
days before the expiration date, this policy will remain in effect until the 61st day after the date on
which the notice is mailed or delivered. Earned premium for any period of coverage that extends
beyond the expiration date will be computed pro rata based on the previous year's premium.
c. If notice is mailed, proof of mailing will be sufficient proof of notice.
d. The transter of a policyholder between admitted companies within the same insurance group is not
considered a refusal to renew.
19. MOBILE EQUIPMENT REDEFINED
Under SECTION V - DEFINITIONS, paragraph 12. "Mobile equipment", paragraph I. (1) does riot apply to self-
propelled vehicles of less than 1 000 pounds gross vehicle weight that are not designed for highway use.
20. DEFINITIONS
1. SECTION V DEFINITIONS, paragraph 4. "Co'.orage territory" is replaced by the following definition:
"Coverage territory" means anywhere in the world with respect to liability arising out of "bodily injury,"
"property damage," or "personal and advertising injury," including "personal and advertising injury"
offenses that take place through the Internet or similar electronic means of communication provided the
insured's responsibility to pay damages is determined in a settlement to which we agree or in a "suit' on
the merits, in the United States of America (including its territories and possessions) Puerto Rico and
Canada.
2. SECTION V — DEFINITIONS is amended by the addition of the following definitions:
"Covered recall' means a recall made necessary because you or a government body has determined that
a known or suspected defect, deficiency, inadeq.iacy, or dangerous condition in "your product" has
resulted or will result in "bodily injury" or "property damage".
"Product Recall expenses" mean only reasonable and necessary extra costs, which result from or are
related to the recall or withdrawal of "your product" for:
a. Telephone and telegraphic communication, radio or television announcements, computer time and
newspaper advertising;
b. Stationery, envelopes, production of announcements and postage or facsimiles;
c. Remuneration paid to regular employees for necessary overtime or authorized travel expense;
d. Temporary hiring by you or by agents designated by you of persons, other than your regular
employees, to perform necessary tasks;
Includes copyrighted material o= Insurance Services Office, Inc.
CG 70 63 12 11 Page 9 of 10
Policy #:CPP2073835
e. Rental of necessary additional warehouse or storage space;
f. Packaging of or transportation or shipping of defective products to the location you designate; and
g. Disposal of "your products' that cannot be reused. Disposal expenses do not include:
(1)
Expenses that exceed the original cost of the materials incurred to manufacture or process such
product; and
(2) Expenses that exceed the cost of normal trash discarding or disposal, except as are necessary
to avoid "bodily injury" or "property damage".
"Specific Perils" means fire; lightning; explosion; windstorm or hail; smoke; aircraft or vehicles, not or civil
commotion; vandalism; leakage from fire extinguishing equipment; weight of snow, ice or sleet; or "water
damage."
"Water damage" means accidental discharge or leakage of water or steam as the direct result of the
breaking or cracking of any part of a system or appliance containing water or steam.
'Work contract" means a written agreement between you and one or more parties for work to be
performed by you or on your behalf.
Includes copyrighted material o- Insurance Services Office, Inc.
Page 10 of 10 CG 70 63 12 11
Policy #. CPP2073835 Named Insured: SEDALCO, Inc
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
Number of Days Notice
EARLIER NOTICE OF CANCELLATION
PROVIDED BY US
30
For any statutorily permitted reason other than nonpayment of premium, the number of days required for notice of cancellatior is
increased to the number of days shown in the Schedule above.
If this policy is cancelled by us we will send the Named Insured and any party listed in the following schedule notice of cance lation
based on the number of days notice shown above.
SCHEDULE
Name of Person or Organization
The Name of Person or Organization is any person or organization holding a certificate of insurance
issued for you, provided the certificate:
1. Refers to this policy;
States that notice of:
a. Cancellation;
b. Nonrenewal; or
c. Material change reducing or restricting coverage;
will be provided to that person or organization;
3. Is in effect at the time of the:
a. Cancellation;
b. Nonrenewal; or
c. Material change reducing or restricting coverage; and
4. Is on file at your agent or broker's office for this policy.
Mailing Address
The Mailing Address is the address shown for that person or organization in that certificate of
insurance.
IL 70 45 05 07
Policy #. TSF0001207457
WORKERS' COMPENSATION AND EMPLOYERS
LIABILITY INSURANCE POLICY
InsuranceCceipany WC 42 06 01
TEXAS NOTICE OF MATERIAL CHANGE ENDORSEMENT
This endorsement applies only to the insurance provided by the policy because Texas is shown in Item 3.A. of the
Information Page.
In the event of cancellation or other material change of the policy, we will mail advance notice to the person or
organization named in the Schedule. The number of days advance notice is shown in the Schedule.
This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
1. Number of days advance notice: 30
2. Notice will be mailed to:
PER LIST ON FILE
This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is Indicated below.
(The following "attaching clause" need be completed only when this endorsement Is issued subsequent to preparation of the policy.)
This endorsement, effective on 2/31 / 13
at 12:01 A.M. standard time, forms a part of
Policy No. TSF-0001207457 20111231 of the Texas Mutual Insurance Company
Issued to SEDALCO I NC
Premium $ 0 , 00
WC420801 (ED. 1-94)
INSURED'S COPY
Endorsement No. 1
f
Authorized Representative
WASENDRS
**
WORKERS' COMPENSATION AND EMPLOYERS
LIABILITY INSURANCE POLICY
Insurance Company
WC 42 03 04 A
TEXAS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
This endorsement applies only to the insurance provided by the policy because Texas is shown in Item 3.A. of the
Information Page.
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our
right against the person or organization named in the Schedule, but this waiver applies only with respect to bodily injury
arising out of the operations described in the Schedule where you are required by a written contract to obtain this waiver
from us.
This endorsement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
The premium for this endorsement is shown in the Schedule.
Schedule
1. ( ) Specific Waiver
Name of person or organization
( X ) Blanket Waiver
Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver.
2. Operations: ALL TEXAS OPERATIONS
3. Premium
The premium charge for this endorsement shall be 2 . 00 percent of the premium developed on payroll in
connection with work performed for the above person(s) or organization(s) arising out of the operations descnbed.
4. Advance Premium INCLUDED , SEE INFORMATION PAGE
This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below.
(The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy.)
This endorsement, effective on 12/31 / 14
at 12:01 A.M. standard time, forms a part of
Policy No. TSF-0001207457 20121231 of the Texas Mutual Insurance Company
Issued to SEDALCO I NC
Premium $
WC420304A (ED. 1-01-2000)
Endorsement No.
Authorized Representative
AGENT'S COPY
QUSER 12-13-2012
SUPPLEMENT TO CERTIFICATE OF INSURANCE
NAME OF INSURED: sEDALco, Inc. & SEDALCO, LP
DATE
04/15/2014
SUPP (10/00)
PAY
TO THE
ORDER OF
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PO BOX 150 PH 817-877-2400
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