Loading...
HomeMy WebLinkAboutContract 45953-CA1sic M C TRACT f co\ 2 5 2016 (a ITOP FORT WORT11 SaLi ciA STATE OF TEXAS KNOW ALL MEN BY THESE PRESENTS: COUNTY OF TARRANT § ASSIGNMENT OF ENCROACHMENT AGREEMENT [City Secretary Contract No. 45953] WHEREAS, on the 23rd day of September, 2014, the City of Fort Worth, acting by and through its duly authorized Planning and Development Department Director, hereinafter referred to as the "City," entered into an Encroachment Agreement with Fort Worth VHP, LLC, a Texas limited liability company, acting by and through its duly authorized Manager, hereinafter referred to as "Grantee," Owner of the property located at 606 South Main Street, Fort Worth, Texas 76105 ("Property"); WHEREAS, a copy of the Encroachment Agreement ("Agreement") is attached hereto as Exhibit "A" and incorporated herein by reference as if set forth in full; WHEREAS, the current Grantee under the Agreement, FORT WORTH VHP, LLC, a Texas limited liability company, "Assignor," desires to assign the Agreement to BOARD OF REGENTS OF THE UNIVERSITY OF TEXAS SYSTEM, "Assignee": NOW, THEREFORE, the City of Fort Worth does hereby consent to the assignment of the Agreement from Assignor to Assignee. As consideration for the Assignment of the Agreement, Assignee hereby expressly accepts and assumes all obligations and liabilities of Assignor under the terms of the Agreement and agrees to be bound by all the terms, provisions and covenants therein. • nee OFFICIAL RECORD NW SECRETARY r"� WORTH, i��' • • APPROVED AS TO FORM AND LEGALITY: ., iscu A sistantity Attorney • OR: r of Fort WoAh andle H. +' ood, '.� irect4ser $ Planning . d Development • [Signature Page to Assignment and Assumption of Encroachment Agreement] OFFICIAL RECORD ©17117 SECRETARY [No M&C Required] 1 • • • [Signature Page to Assignment and Assumption ofEncroachment Agreement] • vroCIIAL L3 ISO { ) .:;f,E•I tit' ;11.i ` • Y aeP :„�• jam . '-;• .�.,• _ fr-�inN1i ASSIGNOR: FORT WORTH VHP, LLC, a Texas limited liability company By: _ Name: "�� a-, 1- P r s �� Title: Authorized Signatory STATE OF TEXAS finfitomgry COUNTY OF cog This instrument was acknowledged before me on the lo day of October, r, by 1I4O&W . s a Q 1 5� , Authorized Signatory of Fort Worth VHTP, LLC, a Texas limited liability company, for the consideration stated and as the act and deed thereof. 1- My commission expires 11-Urn. . _....ir_;�..hrt -ae: CAROL BUNTON f Texas tti) n� 00A,eataal Notary Public in and for The State of Texas [Signature Page to Assignment and Assumption ofEncroaclunent Agreement] Notary PutDIIC, State o My Commission Expires ASSIGNEE: BOARD OF REGENTS OF THE UNIVERSITY OF TEXAS SYST By: STATE OF TEXAS COUNTY OF TRAVIS Kirk S. Tames Executive Director of Real Estate The University of Texas System BEFORE ME, the undersigned authority, a Notary Public in and for the State of Texas, on this day personally appeared Kirk S. Tames, Executor Director of Real Estate, known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that he executed the same for the purposes and consideration therein expressed, as the act and deed of the Board of Regents of The University of Texas System, and in the capacity therein stated. GIVEN UNDER MY HAND AND SEAL OF OFFICE thisPSekday of December, 2015. • Notary Public in and for the State of Texas •PaY:P�9.., �rLISA O'SRYAItf-BASQUEZ S 4:et., ` �o_ NOTARY PUBLIC • ' State of Texas .' of Y f Comm. Exp 11-25-201 II . NOTARY WITHOUT BOND EXHIBIT A RIGHT OF WAY ENCROACHMENT AGREEMENT [See attached] Page 1 of 23 CITY SE L CONTRACT _q5-g-I5 %- RIGHT OF WAY ENCROACHMENT AGREEMENT (COL) THIS AGREEMENT is made and entered into by and between the City of Fort Worth, a municipal corporation of Tarrant County, Texas, acting herein by and through its duly authorized City Manager or its duly authorized Assistant City Manager or Planning and Development Department Director, hereinafter referred to as the ' City", and FORT WORTH VHF, LLC, acting herein by and through its duly authorized Manager, hereinafter referred to as "Licensee", Owner of the property located at 606 South Main Street, Fort Worth, Texas 76104 ("Property"). AGREEMENT 1. For and in consideration of the payment by Licensee of the fee set out below and the true and faithful performance of the mutual covenants herein contained, City hereby grants to Licensee permission to construct/install and/or allow to remain, Improvement(s) ("Improvement") that encroaches upon, uses and/or occupies portions of the space under, on and/or above the streets, alleys, sidewalks and other public rights -of -way, such Improvement(s) are described as follows: • The encroachment is for 82 linear feet of sewer line with 6 cleanouts, 1 grease trap (250 gallons), 1 oil water separator (150 gallons), 21 square feet of backflow preventer vault, 1,016 linear feet of electrical conduit, 8 llghted bollards, 3 directional signs, 21 linear feet of storm drain, 144 square feet of ramp and wall, and 2,337 linear feet of PVC irrigation pipe and heads along Pennsylvania Avenue, Galveston Avenue, and West Annie Street. The location and description of said Improvement and the encroachment is more particularly described in Exhibit "A" through Exhibit "G", attached hereto, mcorporated herein and made a part hereof for all purposes. 2012 ROW Encroachment Agreement -Commercial RECEIVED SEP 2,-2 2014 Page 1 of 10 County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 1 of 23 • Page 2 of 23 2. All construction, maintenance and operation in connection with such Improvement, use and occupancy shall be performed m strict compliance with this Agreement and the Charter, Ordinances and Codes of the City and in accordance with the directions of the Director of Transportation and Public Works of City, or his duly authorized representative. All plans and specifications thereof shall be subject to the prior written approval of the Director of Transportation and Public Works, or his duly authorized representative, but such approval shall not relieve Licensee of responsibility and liability for concept, design and computation m preparation of such plans and specifications. 3. Upon completion of construction and installation of said Improvement and thereafter, there shall be no encroachments in, under, on or above the surface area of the streets, alleys, sidewalks and other public rights -of -way involved, except as described herein and shown on the hereinabove referred to Exhibit "A" through Exhibit "G". 4. Licensee, at no expense to the City, shall make proper provisions for the relocation and installation of any existing or Mute utilities affected by such encroachment use and occupancy, including the securing of approval and consent from the utility companies and the appropriate agencies of the State and its political subdivisions. In the event that any installation, reinstallation, relocation or repair of any existing or future utility or improvements owned by, constructed by or on behalf of the public or at public expense is made more costly by virtue of the construction, maintenance or existence of such encroachment and use, Licensee shall pay to City an additional amount equal to such . additional cost as determined by the Director of Transportation and Public Works of the City, or his duly authorized representative. 5. 2012 ROW Encroachment Aft -Commercial Page 2 of 10 County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 2 of 23 Page 3 of 23 City may enter and utilize the referenced areas at any time for the purpose of installing or maintaining improvements necessary for the health, safety and welfare of the public or for any other public purpose In this regard, Licensee understands and agrees that City shall bear no responsibility or liability for damage or disruption of improvements installed by Licensee or its successors, but City will make reasonable efforts to minim»e such damage. 6. Application fee for this Agreement is waived based on NZ13-00258 (NEZ Certification). Upon execution of this Agreement and annually thereafter, Licensee agrees to pay a fee in the amount of $.56 per square/linear foot of the encroachment area. 7. The term of this Agreement shall be for thirty (30) years, commencing on the date this Agreement is executed by the City of Fort Worth. Provided however, this Agreement shall terminate upon the non-compliance of any of' the terms of this Agreement by the Licensee. City shall notify Licensee of the non-compliance and if not cured within thirty days this Agreement shall be deemed terminated. 8. Upon termination of this Agreement, Licensee shall, at the option of City and at no expense to City, restore the public right -of --way and remove the Improvement encroaching into the public right-of-way, to a condition acceptable to the Director of Transportation and Public Works, or his duly authorized representative, and in accordance with then existing City specifications. It is understood and agreed to by Licensee that if this Agreement terminates and Licensee fails to remove the Improvement, Owner hereby gives City permission to remove the Improvement and any supporting structures and assess a lien on the Property for the costs expended by the City to remove such Improvement. 2012 ROW Encroachment A ft -CommeMal Page 3 of 10 County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 3 of 23 • Page 4 of 23 It is further understood and agreed upon between the parties hereto that the public rights -of -way, alleys, sidewalks ("public right-of-way") to be used and encroached upon as descnbed herein, are held by City as trustee for the public; that City exercises such powers over the public right -of way as have been delegated to it by the Constitution of the State of Texas or by the Legislature; and that City cannot contract away its duty and its legislative power to control the public right-of-way for the use and benefit of the public. It is accordingly agreed that if the governing body of City may at any time during the term hereof determine in its sole discretion to use or cause or permit the right of way to be used for any other public purpose, including but not being limited to underground, surface of overhead communication, drainage, sanitary sewerage, transmission of natural or electricity, or any other pubhc purpose, whether presently contemplated or not, that this Agreement shall automatically terminate. 10. Licensee agrees and acknowledges that this Agreement is solely for the purpose of permitting Licensee to construct, maintain and locate the Improvements over or within the descnbed public right of way and is not a conveyance of any right, title or interest in or to the public right of way nor is it meant to convey any right to use or occupy property in which a third party may have an interest. Licensee agrees that it will obtain all necessary permission before occupying such property. 11. Licensee agrees to comply fully with all applicable federal, state and local laws, statutes, ordinances, codes or regulations in connection with the construction, operation and maintenance of said Improvement, encroachment and uses. 12. Licensee agrees to pay promptly when due all fees, taxes or rentals provided for by this Agreement or by any federal, state or local statute, law or regulation. 13. 2012 ROW Encroachment Agreement -Commercial Page 4 of 10 County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 4 of 23 Page S of 23 Licensee covenants and agrees that it shall operate hereunder as an independent contractor as to all rights and privileges granted hereunder and not as an officer, agent, servant or employee of City and Licensee small have exclusive control of and the exclusive right to control the details of its operations, and all persons performing same, and shall be solely responsible for the acts and omissions of its officers, agents, servants, employees, contractors, subcontractors, licensees and invitees. The doctrine of respondeat superior shall not apply as between City and Licensee, its officers, agents, servants, employees, contractors and subcontractors, and nothing herem shall be construed as creating a partnership or joint enterprise between City and Licensee. 14. LICENSEE COVENANTS AND AGREES TO INDEMNIFY, AND DOES HEREBY INDEMNIFY, HOLD HARMLESS AND DEFEND CITY, ITS OFFICERS, AGENTS, SERVANTS AND EMPLOYEES, FROM AND AGAINST ANY AND ALL CLAIMS OR SUITS FOR PROPERTY DAMAGE OR LOSS AND/OR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, OF WHATSOEVER KIND OR CHARACTER, WHE MER REAL OR ASSERTED, ARISING OUT OF OR IN CONNECTION WITH, DIRECTLY OR INDIRECTLY, THE CONSTRUCTION, MAINTENANCE, OCCUPANCY, USE, EXISTENCE OR LOCATION OF SAID IMPROVEMENT AND ENCROACHMENT AND USES GRANTED HEREUNDER, WHETHER OR NOT CAUSED, IN WHOLE OR IN PART, BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, LICENSEES OR INVITEES OF THE CITY; AND LICENSEE HEREBY ASSUMES ALL LIABIITTY AND RESPONSIBILITY FOR SUCH CLAIMS OR SUITS. LICENSEE SHALL LIKEWISE ASSUME ALL LIABILITY AND RESPONSIBILITY AND SHALL INDEMNIFY CITY FOR ANY AND ALL INJURY OR DAMAGE TO CITY PROPERTY ARISING OUT OF OR IN CONNECTION WITH ANY AND ALL ACTS OR OMISSIONS OF LICENSEE, ITS OFFICERS, AGENTS, SERVANTS, EMPLOYEES, 2012 Row Encroachment Agreement -Commercial Pages of 10 County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 5 of 23 Page 6 of 23 • • CONTRACTORS, SUBCONTRACTORS, LICENSEES, INVITEES, OR TRESPASSERS. 15. While this Agreement is in effect, Licensee agrees to fiirnish City with a Certificate of Insurance, naming City as certificate holder, as proof that it has secured and paid for a pohcy of' public habihty insurance covering all pubhc risks related to the proposed use and occupancy of public property as located and described in Exhibit "A" through Exhibit "G". The amounts of such insurance shall be not less than the following: $1,000,000 Commercial General Liabllity with the understanding of and agreement by Licensee that such insurance amounts shall be revised upward at City's option and that Licensee . shall so revise such amounts immediately following notice to Licensee of such requirement. Such insurance policy shall provide that it cannot be canceled or amended without at least ten (10) days prior written notice to the Building Official of the City of Fort Worth. A copy of such Certificate of Insurance is attached as Exhibit "H". Licensee agrees to submit a similar Certificate of Insurance annually to City on the anniversary date of the execution of this Agreement. Licensee agrees, binds and obligates itself, its successors and assigns, to maintain and keep in force such pubhc hability insurance at all times during the term of this Agreement and until the removal of all encroachments and the cleaning and restoration of the city streets. All insurance coverage required herein shall include coverage of all Licensees' contractors. 16. Licensee agrees to deposit with the City when this Agreement is executed a sufficient sum of money to be used to pay necessary fees to record this Consent Agreement m its entirety in the deed records of Tarrant County, Texas. After being 2012 ROW Encroachment Agreement -Commercial Page 6 of 10 County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 6 of 23 Page 7 of 23 recorded, the original shall be returned to the City Secretary of the City of Fort Worth, Texas. 17. In any action brought by the City for the enforcement of the obhgations of Licensee, City shall be entitled to recover interest and reasonable attomey's fees. 18. Licensee covenants and agrees that it will not assign all or any of its rights, privileges or duties under this contract without the prior wntten approval of the City Manager or designee Any attempted assignment without prior written approval will be void. 19. 1'HE PARTIES AGREE THAT THE DUTIES AND OBLIGATION CONTAINED IN PARAGRAPH 8 SHALL SURVIVE THE TERMINATION OF THIS AGREEMENT. 20. This Agreement shall be binding upon the parties hereto, their successors and assigns. EXECUTED thisday of 2012 ROW Encroachment Agreement -Commercial Page 7 of 10 County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 7 of 23 Page 8 of 23 City City of Fort Worth By Rand Harwood Director Planning and Development ATTEST: Licensee Fort Worth VJIP, LLC By: Name:s J. Rs-% ( c Title: ell K b j Approved As To Fowl and Legality Assistant City Attorney 2012 ROW Encroachment Agreement -Commercial Page 8 of 10 County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 8 of 23 • • 3 Page 9 of 23 STATE OF TEXAS COUNTY OF TARRANT BEFORE ME, the undersigned authority, a Notary Public in and for the State of Texas, on this day personally appeared Randle Harwood, known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that he/she executed the same for the purposes and consideration therein expressed, as the act and deed of the Clty of Fort Worth, and in the capacity therein stated. rfVEN UNDER MY HAND AND SEAL OF OFFICE this 161 day of 20 I MARYBEL PINA Notary Public, State of Texas My Commission Expires *Mambo; 10, 2018 agelleillial III Widow 1 II" 2012 ROW Encroachment Agreement -Commercial Notdry`�ublic in and for the State of Texas Page 9 of 10 County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 9 of 23 • Page 10 of 23 STATE OF TEXAS COUNTY OF "t'AIUtAffr § Mb N r6 D:i e/et BEFORE ME, the undersigned authority, a Notary Public in and for the State of Texas, on this day personally appeared Tom Pisuia, Manager, known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that he executed the same for the purposes and consideration therein expressed, as the act and deed of Fort Worth VET, LLC, and in the capacity therein stated. GIVEN UNDER MY HAND AND SEAL OF OFFICE this /9 5 day of ,20 /y-. tad .,a'WY!::. t;:r'38 itks i��'' �RI 1. di'{ cow? Kt we 6.44'40l o,{,� 29_114t•, II Mt °. • Notary `' blic in and for the State of Texas , 2012 ROW Encroachment Agreement -Commercial Page 10 of 10 County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 10 of 23 -wi leopiaatat l `x $ ISITE tutmot ark '4 D• pair-m6AT►UH F r 1i:i re r. l7'i'3 a an gottt i antr arai \ '�" A 13 ''Sill =+ i r•SRE 3. _a - EllC1R KAL r/ SDVNAWAY VICTORY MEDICAL CENTER ENCROACHMENT EXHIBIT OVERALL SITE ;ar SOUTH taw. sTRECT Ck-ATL' �����C�•A7_,: f .I I PENNSYLVANIAAVENUEter NIMI-6-4110) 6 f * - ED4STW-SOVER PROPOSED BUILDING FFE=650.00 r MSS ISM INISI NO7E Ftetit R•aW AND SDU7N MAW McROVE EN7S 7E1 BE DMZ 9r SEPARATE C N7RACT. Exiirrr'W-WATER II t'.Ie amen" b'- RAW aft a® WR'/p 1• S • Ftw017/ler Cnriw H)14 EXHIBIT A 11Jgll�_-�.4��1 l it SCALE: P> 60 R. DATE- 05,29.2014 i CD 06.1 Isa O Z 0 0 0 0 O co 0 0 CJ O w N 0 4 O 0 O O O 0 0 -o (0 0 0 0 0 O 0 EXHIBIT 'A' r-----------INN Mill IRO — Mil — RIM —111 1 1 1 SANITARY 4+• MIME MAHOUT 1.$ ■ 7t ra {� 1 Em?SW 0 12. NR7Et LI 01-41003) CM14475t SEPARArat PROPOSED BUILDING nsa DAWNS) ISO' X .uo• FFE=650.00 $M E IIk2L Z040 &DREARY SERERPROPOSED suxa ...::as:.R.�.- 1' `.-.-- .-pt-*1 OrtASE' PUP soya WELL „1%v, (230 G41.0 S) 200 1 .k.$ 3sr A. 2AM' 1 Funm r solve L (tY U11' Fp i ARY 'Lamar OW OTY FORCES) 4.may --- vim — mom Imo mom Imo — ise ----- ma 10 — SANITARY 1 FIeOPOSFD 4' 1 1"<"11 0 20 40 ttttt. I SOLE:1'.2O ft. PENNSYLVANIA AVENUE arounr.v..imy) 650 ------ 33 S _ ry - --1 640 D051W0 •- wet MCI mat Pawl 635 SCALE: H0R12:1 :=40' VERT:1 OVCROACHLIE DIS1'NC GRADE �L l' SANITA1t-' SEDER aEANOeIT (1YPP)-' 1 —0+30 0+00 1250 CACLQYS) SS SERVICE LINE 'B' Daum Pea --I Ai U WAy VICTORY MEDICAL CENTER ENCROACHMENT EXHIBIT EXHIBIT A - SEWER MMOtIdgMytttA • St0M4:0. NI w.dh.100070 ► 100017.111.1111 • MC107.3/1707 OX r-tn4 650 j,/''• 6 SANITARY SERER SSRIECE PROA SED GRADE s• SANTARY S!1#Je SERI CC SAND?L SO'ARATER 1+001+20 640 635 DATE 05 29.2014 • 01 hD 0 (n0 I 0 0 z 0 0 co tV 03 W co a) co co 41. O 0 O O 0 O m tO P. co O O co O EXHIBIT 'B' f--------� ®ii — INS 111111 !MN 111 Emilie 4' war SFRWCE Ah0 WATER VAULT 4 4 (eT COTY FORGES) n i `1 1 STA 0t0000 )41 -� OO t S0C MDRSFRHCE 8 \' v �� COIecCT 70 1R/R/RF 4' PIA10 sits Our11 ! 3 �! n x 1 STA 04-0400 DOMESTIC 11517 R SERWC' R 1 (PARR ROOM a'4 at APPROVED EOM ) 1111 I 1 1 STA 040100 • DO EES-C WAIF), SERHC£ U1 �.. t( 1 11 it I 1 NSTALL 333 1 ir (I) - 4` 90' OEMD i II 1 _jII if1 1 STA 0+11.S5 - OOMES11C *MR SRWG£B-' REF YEP FOR C:ON1N(1A110N 1 R157ALb ro ii 1 1 `l 1 1 L—NMI INN --- MIN —UML NM -la-- a SCMF 1'=10 ft 650 1640 635 DOMESTIC WATER LINE 1B' ENCR+ MCJNEI FUTUJN Y[?LT VA4.T.-1 908-we i-#105r (sr aTr YOKES) SCALE: HORIZ.' 1'=40' VERT.1 .-4' i PROPOSED CRAW 650 e�LE' C7�iCK DACTOLOW wo� —0+25 0+000+20 ��`�NAWAY VICTORY MEDICAL CENTER ENCROACHMENT EXHIBIT EXHIBIT B - WATER iskinZ3311.1121• Fee187. 1LT437 .� 640 635 DATE: 05.292014 j CD 0 :f1 Z 1 0 0 0 N CO CAI CJ 0 fl1 0 (4 0 0 0 0 0 0 0 0 0 m 0 0 0 0 0 0 -O a7 0 0 0 W C4- e — all SSI S® — SIM IMM1, es MI MIS NMI _ SST MI ISM PROPOSED r sns army tQWX$T IA STEEL sty-.. _____ PROPOSED FRANCHISE UMWCONDtsT-% 1 1 1 1 1 meanono SCALE Pai10 R. INN Ik dtkf 1 I 1 I 1 I I I F—Ans T COMM fj 11 rir ��j�j11111 NRR I 24'RCP -F� INN Nil En la am nee de Ia. tem sr ram si tom, CO IRACTLM TO ADHERE TD THE FOLLDMNIG: I. BE AN ACME PARflanANT CF HIE TEXAS EXCAVATTQY SAFETY SYSTEM (IESS) FLXI THE DURAAON OF THE ENLROAan+ENT. 2 UTIUZA110N OF A LTL`E115Fa 00.10E0 ULClTN CONDUCTOR THAT MEE1S THE arts M,St*PANCE IS REWIRED er ME FORT KM RATER DEPARTMENT FOR ANY AND ALL KOK WORN Dr taw .X MOTIF' THE FORT SCAN WATER DEPARTMENT M ADVANCE TV NAVE STAFF POEIOIT FOR ANY WORK PERFORMS/ 4 ALL COST *WOWED Or Ms £NLSCOAanWLWT Wu Or THE CCW RENT O11NER'S S A 3f-INOI SWUM CLEARANCE BEIREEN THE PUBLIC UTRITY AND 77 E PRIVATE STEEL CASIND/CO CREIE ENCASED cwo fTs IMLL BE REQUIRED. 6. INSTALL WARt,WC TAPE al TOP Or COIATUITB IN ALL EXCAVATED AREAS DUNAWAy lints n ra • lIu.A1a • r l['ts Sa1�1V atSI7 11l1 • rwc[a73$U47 H F-11I, IRRIGATION & SITE ELECTRICAL (650 Ong r CAS bit `640 ?LOW PROPOSED CONDIAIS,-...„ RI Mit Sint 1635 SCALE: HOR1Z 7 =40' t'ERT• COSRNO fStdW ikW 1"---PROPOSFD. GRADE PRIME N-PROPOSED 24" enter i „man, 1RfM, I 0+00 VICTORY MEDICAL CENTER ENCROACHMENT EXHIBIT EXHIBIT C - IRRIGATION & SITE ELECTRICAL 0+50 PROPOSED r wk�te-cam 650 640 635 OA 1E.• 07.16.2014 no to 0 � I r-- ®e.n...........--- PROPOSED BUILDING 1 FFE=650.00 1 1 1 r VMS ® VIM ®— v WM Ma NM O OM -® ®—® O OMB VAX MB RAMP s ®a UM la la suzItt 650 650 spusuc awn. • PENH$YLVANA AVENUE R.ON 5' SOLE 1 10 it 635 I ; 0+Q01 I DUNAWAY VICTORY MEDICAL CENTER ENCROACHMENT EXHIBIT i umkIrmuirsipmrmAm EXHIBIT D - RAMP & STORM DRAIN g EXIS WC 4' SPRINT MIME 1 0+22 635 SCALE HORIZ.-1"=20' VERr. 9 "=2. QA 1Ei 05.29.2014 11 0 c .z 217 --I 0 :O.S. SEE PLAN 0 CO O'1 PAVING RE_ CM. b -D W 10 0 a CD 0 9V W coosis234 p 16' O.C.wre00T12s-64 CONT.TOP & Yon HSSOODO 2 S4 DCMIELS 24"o.C. SEE PLAN FOR REIWORCING WALL SECTION 3/8" = *ILO" DENAEEEPLAN SCOSIE2.64 p w o.c. wre00T12S54 oaif.TOP &,eon 414 DOWELS 24'OC. SEE PUkti FOR RENFORCING VOID SOXSEE MAW VAPOR RETARDER. SCHEDULED RENFOROM EXHIBIT 'D-1' T.O.S. SEE FLAN ast ►�►51 VOID =CaLj (2)oscow. wr us ®ID o.c. 414 p 16"U.c. x2'-e' Y COWEI S T•417 ro WALL SECTION 3/8" =1'-0" II — II- 111=111 A PAVNG' RE: CM . AredNled 4 r :-.Z1 rw. 1 s ,i w \ ,.1< 11 C1atG br nIII , far q�enc .. id► III 1 £Z jO 91 abed C3 0 713 73 1 rt Z --1 0 0 O O Tv ca w 0 0 0 0 O w N 0 a O O Cr O O 0 Cr Cr LQ 0 O O O O 0 a- S r r itzTIII inow®MI MEI lir/*sM NMI aMI=SION 1 1 1 APROPOSED 1-1 li• SHE tZ-CRC COY T IY STEEL SZEEbE'J I-2' SHE E!-"CRTC CONDUIT ry STEEL static is 1 1- r tut aaa Rm. a Ant 'Er -IMOD aOla 1 Ji •µ ille PRDPQ, ii 2• sic wean cLYoLRT — ,•Z. ,= ,� SLEET stct _-_. `!'11 $SIruset.—mall—IAS rumasr rR!i'ii:a ----- 1�1 at U€ 1 II 11 II 1 504.E.1 Y-10ft. SITE ELECTRICAL 650 645 �Icw i 640 1 635 SCALE 630 HCVWZ T'=40 —u tout u YERT T'=4'� 635 630 ut Jo NOT CONTRACTOR 70 ADHERE TD THE rouoWTNC: t. BE AN ACM' PARTICIPANT OF ME TEXAS EXCAVATION SAFETY 5757E1/ (LESS) FOR THE DUTADON OF DC ENCROACHMENT. 2 UTRIZATION of A LCENSED, BONDED UTILITY CONTRACTOR THAT mEETS THE (NYS INSURANCE IS MUSED BY TIC FORT NQ17N RATER DEPARTMENT FOR ANY AND ALL NOW NTTHIN THE A:O.W. 3: NOTTFY TIC FORT HORN WATER DEPARTMENT /N ADVANCE' TO HAVE STAFF PRESENT FOR ANY WORK PERFORMED. 4. ALL Cost INCURRED BY MS ENCROACHMENT TALL BE THE CURRENT OWNER$ RESPONSIBILITY: 5. A 36-R CIi waits f1EARANLI RETNEEN 7T+E PUBLIC um/TY AND RC PRIVATE STEEL tASIYC/CONCRETE ENCASED CaC6TIs NQL et REOUMPED. B. INSTALL WARING TAPE ON ran o COVOUITs tN ALL EXCAVATED AREAS ettilkilAWAy VICTORY MEDICAL CENTER ENCROACHMENT EXHIBIT ""'""�"•"" �'•""""" "�71°' EXHIBIT E - SITE ELECTRICAL DATE 0Z 16.2014 ICI CD 0 ?AT a 1 1 PMSIC 4ncnw1++u... uI41V Xu Wuat ' j 'Mica? i LYACMt1i itgirmn rdautiest RiLVt4Y.91 tor"—-:4! • r 1 Page 18 of 23 • -- 11140 s4014 • :_N3a-7097071' • r•?o ai,s. wit �t' :� I I ri I 'pit t €R Rr it gig dibi I ff .j tUi IE I: --1: ; I t -I/ gl •I g: I I / a9 l lea'', FL, H 4l Fi >4 County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 18 of 23 AiFor I :111gig 4. J. • • J • -rr.j... .RI n'h.: I L 41. N Page 19 of 23 iI114.4u 4II —Tr __ -_vtt •�ii� 1�_e7irwittra`9 t MSS SR! l J y11f1 t lbw 133013 NNW 7 L1111ro:rwu4Cuhsihu9llW'Jl,,dQfitd/i 3f NNAV%40S$'3AWO 1' 181133H S 53S 31d(1HJ1V W rem raga 1,1 • 11/4� tit d 1 \ 1/4 • I ', 1 1 1 • • • • ti w z CC CC W 0- CC 0 O W N tb • County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 19 of 23 0 0 z 0 0 O O 0,+ CO GO V1 a) 0 O W YV O 0 0 O m .0 Iv CO 0 0 0 ca • 1. Y rrnn W ar ` WEST ANN1E STREET 7 M .T.tl road d•}pcNn: btviant l*fl -t--4c \vj '4-,,, ;g • :-- :3 NNSYWANIAAYENUE---- w 3 6 NAV IRRIGATION SCHEDULE fat . - .., ...... AHD v.snarmetanyeloommosmo taellertilliteoliwilittltitlaillnoHint Ma.Or ......l.yanr.. 1.111.401.001taintlitiK My[041.11 wc,.roaM1M.NaY.a.ro.1.COCall a.1a66 -�-R ,t O ,t sy�M" 1 r �• .if '.1.M.ima ...rC .,7't,Q�;; .aAII...aM.a1oatiollamlf.Yt... ..I affeb • wrwLlrlw,•.�1��l..{{�� • __ ..1_4rM. ww� • .1..1.. W M1tel ✓ l.l.lwO.lrt. Y.,.11lilgA w1l,w �.owr.o11% M.tP..IVe.r bus e+n.lnovnlcn.mvam ~ utrelliticrtlimt ...r♦an�.Miw..iau�i. vostlimippmaartilli .c YIr.fYiAM K mots. •.L .4ao.n.w.w .v.lw.ww..wl.Pal.. mormetowµ �Voliceno.anP =Le, sami.1_ ewae±ew w+il aroreloi.a.re I1�AA vitatt m Y11.VR1..,WMCO ,'. Wahl i ic1i11`c. arsila ,ur 10.1:w�.IMIiaV elt&it MM tre Ras W+awn+....r.+ ® ...a.u..1.a.N.laba.l... 1.IudYPcrr.CW.rwM aka%��ws lytlialtegilyittand ==ilattritIlt. PP* :ri...a a+r....r -- aar....rWA.MCM..1.. Page 21 of 23 CERTIFICATE OF LIABILITY INSURANCE DATE„ 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 CONSTITI TE A CONTRACT BETWEEN THE ISSUING INSURERIS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. to the IMPORTANT: tani and a dk[mns ftcertificate holder ADDITIONAL may � r an stud .mD, the wt. A must b• endorsed. If statement on this certificate does net � IS WAIVED, � the certificate holder In lieu of such endoresmsnt(s). PRODUCER C8 C Insurance, Inc. 1921 NN750/a Ste.101 PerrixoIte Pines FL33028 INSURED HINTING PAN PAIMEIS, LP(see named IrTsurst9 POBC0C13255T THE VYOODLANDS 1 X 77393 ge(954) 431 �008 I fa,. (954) 704-0507 INSURBUSI AFFORDING COVERAGE opesup)ilt A : Travelers Lloyds Instance Comp<Yr, INl1R$R N . Was ITIdenillly Company "SURERCe INSURER D : WORM F : COVERAGES CERTIFICATE NUMBER• REVISION NUMBER: THIS S SST O ErutFY TtiAT THE POLICES OF NOTWITHSTANDING REQUIREMENT, OR AN TERM ABELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIDO CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY WtHIAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY NAVE BEEN REDUCED BY PAID CLAIMS. NAIL # 2411 TYPE OF W45 RlANCE ADM -AIM MINERAL LIABarr A X COMMERCIAL CLAIMS -MADE ©OCCUR X V1w4t tERCFSaOC.4TION X IRA INCLule POLICY I IOr I 1 PER OC AUTOMOBILE UADIUTY A _ ANY AUTO ALL OWNED _ AUTOS X teem Aimee SCHEDULED AUTOS AUTOS In LN8 OCCUR 0 EXCESS LineCLAINS-SLADIt I DBD 1 i RETeanON = . Yroasi COMPENSATION Alp ISPLOYtRS' LIABILITY ANY PROPRETORIPARTIlERIffXECUTiViT OFH EXCLUDED? ((���J rr NIA OF OPERATIONS bib* 030.11304 13-42 660-7C4343968-13-42 C PiD6447091342 MyrNUtl[n J P F I PQ1 1f_ tams Q� �� gC►+ E TU RENfim s 00 %300A00ZOOQ0 10118r2013 1011812014 MED IDCP /Amran email s 5.000 PERSONAL8ADV INJURY I s 1A00,0O0 GENERALAGGREGATE 1 s 10,0O01000 PRowUCTS- oarigP AGG I 12,000,000 Is BODILY *JJURY (Papsrni) I S ROOMY RLURY(Per =Met)II+ i asolrbren i 10/18a13 10f18W2114 11911812013 10,11Y2014 AGGREGATE DESCRIPTION orOPERATIONS ILOCATIONS !VEHICLESMich ACORD1M,Ala11oRYAmrbfelnilityNMOM WOMT kiq See Slsdled list of Property Locations CERTIFICATE HOLDER CITY OF FORTWRTH 1000THROCKNIOR,Q4ST F10RTIM RTH, TX76102 1 ACORD 26 (2010105) CANCELLATION Ii EACH OCCURRENCE I s 5.000,000 I s 5:000:000 Is ( V" I I% I ilk I $ E.L. pinkie - EA EAIPLOYEd s Et DISEASE- POLICY EMIT 1 s SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORED REPRESENTATIVE 014S11-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 21 of 23 • Aca Page 22 of 23 AGENCY CUSTOMER ID:10517 LOCL 1 ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGFACY NAMED INSURED C&CInsurance. ic !UMW PAIN P LP POLrcY su&scR PO BOX 13255i7 6 7D6 13-02 THEVUOCDLANDSTX77393 GAMER MCCO TRAVELERS I nrecrnme m 1018f2013 ADDITIONAL REMARKS THIS ADDRIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TM r• comical* of Insurance ,t tarred tnsweck Hurting Path Par revs, LP; Pineadt Center It, LP, LYB, LLC, Cypress Shun ProPalles, LLC, liusioandatitMedcal Pima Patners, LLC FS Coaxae, LLC; Modal MOB, LLC, Kingwood Acx sltions Medea PahMa LLC, KPR, LLC, Banta 16) MOB, LLC, Lav►isvdie ® WA LLC, HHP Land, LLC, Hurst Hospital investors, LLC, HSREPusula HA, US, HSREPisuiail, LLD, CoppaI ED MOB, LLC, Six Pines d Resewoh LLC, 2920 NE D DEV Patrraa LLo, Mmsfteid ® MOE, LLC KPFE, LLC, St( Pity Plea 4 LLC, Sidt Luke's Way Partners, LLC, 93119 Piside Fir, 4 1*184 errata MA, LLC, Furthihbrth VHP, LLC Loadicrw: 9301 Pinerro t Dr, Its V4bodends,1X 77380 22598 Professiall Dr, Huntley TX77339 3251 IH 451 Correa, TX 77304 10847I0ykendalrt Rd, 1freV4badards,17(77382 9303 &neadt Dr, The V4bodards, 7X 77380 8703 Benders Rd; Serf i&3 a 1o, TX 78250 11840 FM 1960 RD v44 }kxrstor7 TX 77064 • 1699 Research Forrest Dr, The Wrodands, TC 77380 17191 St Luker VI0y, Conroe, TX77304 10857Kcrykendahl 101 The&bodends, TX77392 1710 N US H Y287, Menstield, TX756063 8845 Six Pines DR, Shenandoah, TX 77380 720 Data, Tap Rct C7PP4B, TX 75019 803%last Harwood Dr, Hurst, TX76054 Corner of Research Forest Drive, The V4bodends, TX 77380 3825Dow4en, Eduard, 17C77706 20575:20631 Kuyiterxiahl, Spring, 1X77388 13325 Dotson Road, Houstoon, 7X77070 Ku iaendehi & flirlritige, The VUbodiends, TX 77380 2828 37329201 Si307317(77388 Lot3 Block Lewisville, 77C 75029 600 S. Mein Street, Fort %bit , TX EXHIBIT B ACORD 101 (20011/01) 0 200S ACORD CORPORATION. All rights nerve The ACORD name and logs are registered marks of ACORD County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 22 of 23 • Page 23 of 23 MARY LOUISE GARCIA COUNTY CLERK 100 West Weatherford Fort Worth, TX 76196-0401 PHONE (817) 884-1195 CITY OF FORT WORTH 1000 THROCKMORTON ST FT WORTH TX 76102 Submitter: CITY OF FORT WORTH/DEVELOPMENT & PLANNING DO NOT DESTROY WARNING THIS /S PART OF THE OFFICIAL RECORD., Filed For Registration: 10/3/2014 3:10 PM Instrument #: D214218305 E 23 PGS $100.00 D214218305 4 ANY PROVISION WHICH RESTRICTS THE SALE RENTAL OR USE OF THE DESCRIBED REAL PROPERTY BECAUSE OF COLOR OR RACE IS INVALID AND UNENFORCEABLE UNDER FEDERAL LAW. County: TARRANT Doc: 000218305 Date: 10/03/2014 Vol: 0000000 Page: 00000 Page 23 of 23