HomeMy WebLinkAboutContract 45436 (2)EASEMENT ENCROACHMENT LICENSE AGREEMENT
Commercial 1
THIS AGREEMENT is made and entered into by and. between },THE CITY OF FORT
WORTH, a home rule municipal corporation of Tarrant Co`u ity "Texas ("City"), acting
by and through its duly authorized City Manager or its duly dexignated Assistant City
Manager ("City") or Planning and Development Director, and, Texas Christian University
hereinafter referred to as "Licensee", owner of the ro ertlocated at Frog Alley just
p p y
north of Daniel -Meyer Coliseum (Texas Christian University -Sanitary Sewer and Storm
Drain).
RECITALS
WHEREAS, Licensee is the owner of certain real property described as Lot 1 R,
Block 1, TCU Addition, an addition to the City of Fort Worth, Tarrant County, Texas as
recorded in County Clerks Document No.D198206440 of the Real Property Records of
Tarrant County ("Property"); and
WHEREAS, the City has a 20 foot wide Sewer Easement (the "Easement") in the
property as shown on the map attached to this Agreementas Exhibit- 1-Water
Encroachment, Exhibit 2- Storm Encroachment, Exhibit c3rfJaectric Encroachment and
incorporated herein; and
1
•
WHEREAS, Licensee desires to construct new electric - lines and keep existing
water and storm drains (the "Encroachment") and which will encroach onto the City's
Easement as shown on the attached survey and only to the extent shown thereon; and
WHEREAS, to accommodate the needs of the Licensee, the City will allow the
Encroachment under the terms and conditions as set forth in this Agreement.
NOW, THEREFORE, the City and Licensee agree as follows:
AGREEMENT
1.
• OFFICIAL, RECORD
c$ry !EcREhJARY
.‘
nRr� TX
•
•
The City, in consideration of the payment by the Licenseeof the fee set out below
and covenants and agreements hereinafter contained, to beepV and performed by the
Licensee, hereby grants permission to the Licensee to encroach upon and occupy a
portion of the City's Easement as described in and at the location shown Exhibit 1-Water-
Encroachment, Exhibit 2-Storm Encroachment, Exhibit 3- Electric Encroachment for the
purpose of constructing new electric lines and keep existing water
2012 Easement Encroachment Agreement -Commercial
Page 1 of 9
RECEIVED MAR 19 7014
and storm drains (the "Encroachment"). Upon completion of the Encroachment,
Licensee agrees to be responsible for maintaining any and all structures and buildings
within and above the Easement. Licensee shall not expand or otherwise cause the
Encroachment to further infringe in or on the City's Easement beyond what is
specifically described in the exhibit(s) attached hereto.
2.
All construction, maintenance and operation in connection with such
Encroachment, use and occupancy shall comply and be performed in strict compliance
with the Charter, Ordinance and Codes of the City and in accordance with the directions
of the Director of the Transportation and Public Works Department or the Director of the
Water Department of City, or his duly authorized representative. Prior to the
construction of the Encroachment, Licensee shall submit all plans and specifications to
the applicable Director or his duly authorized representative Licensee shall not
commence construction of the Encroachment until such approval shall be indicated in
writing by the Director. However, such approval shall not relieve Licensee of
responsibility and liability for concept, design and computation in the preparation of such
plans and specifications.
3.
Licensee agrees that City may enter and utilize the referenced areas at any time
for the purpose of installing, repairing, replacing or maintaining improvements to its
public facilities or utilities necessary for the health, safety and welfare of the public for
any other public purpose. City shall bear no responsibility or liability for any damage or
disruption or other adverse consequences resulting from the Encroachment installed by
Licensee, but City will make reasonable efforts to minimize such damage. In the event
that any installation, reinstallation, relocation or repair of any existing or future utility or
improvements owned by, constructed by or on behalf of the public or at public expense is
made more costly by virtue of the construction, maintenance or existence of the
Encroachment and use, Licensee shall pay to City an additional amount equal to such
additional cost as reasonably determined by the Director of Transportation and Public
2012 Easement Encroachment Agreement -Commercial Page 2 of 9
Works or the Director of the Water Department of the City, or his duly authorized
representative.
4.
In order to defray all costs of inspection and supervision which City has incurred
or will incur as a result of the construction, maintenance, inspection or management of
the encroachments and uses provided for by this Agreement, Licensee agrees to pay to
City at the time this Agreement is requested an application fee in the sum of Two
Hundred and Seventy Five Dollars ($275.00). 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.
5.
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.
6.
It is further understood and agreed upon between the parties hereto that the
easements to be used and encroached upon as described herein, are held by City as
trustee for the public; that City exercises such powers over the easement as have been
delegated to it by the Constitution of the State of Texas or by the Legislature; and that
City cannot contract away its duty and its legislative power to control the easement for
the use and benefit of the public. It is accordingly agreed that if the governing body of
City may at any time during the term hereof determine in its sole discretion to use or
cause or permit the right of way to be used for any other public purpose, that does not
preclude the use of the Encroachment on the Property for a office building or activities
related thereto, including but not being limited to underground, surface of overhead
communication, drainage, sanitary sewerage, transmission of natural or electricity, or any
other public purpose, whether presently contemplated or not, that the parties agree to
2012 Easement Encroachment Agreement -Commercial Page 3 of 9
negotiate in good faith in order to accommodate the Encroachment and the public
purpose.
7.
LICENSEE COVENANTS AND AGREES TO INDEMNIFY, AND DOES
HEREBY INDEMNIFY, HOLD HARMLESS AND DEFEND CITY, ITS
OFFICERS, AGENTS, SERVANTS, EMPLOYEES AND ELECTED OFFICIALS
FROM AND AGAINST ANY AND ALL CLAIMS OR SUITS FOR PROPERTY
DAMAGE OR LOSS AND/OR PERSONAL INJURY, INCLUDING DEATH, TO
ANY AND ALL PERSONS, OF WHATSOEVER KIND OR CHARACTER,
ARISING OUT OF OR IN CONNECTION WITH, THE CONSTRUCTION,
MAINTENANCE, OCCUPANCY, USE, EXISTENCE OR LOCATION OF SAID
ENCROACHMENTS AND USES GRANTED HEREUNDER, WHETHER OR
NOT CAUSED, IN WHOLE OR IN PART, BY THE NEGLIGENCE OF
OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS,
SUBCONTRACTORS, LICENSEES, ELECTED OFFICIALS OR INVITEES OF
THE CITY AND LICENSEE HEREBY ASSUMES ALL LIABILITY AND
RESPONSIBILITY FOR SUCH CLAIMS OR SUITS. LICENSEE SHALL
LIKEWISE ASSUME ALL LIABILITY AND RESPONSIBILITY AND SHALL
INDEMNIFY CITY FOR ANY AND ALL INJURY OR DAMAGE TO CITY
PROPERTY ARISING OUT OF OR IN CONNECTION WITH THE
ENCROACHMENTS AND ANY AND ALL ACTS OR OMISSIONS OF
LICENSEE, ITS OFFICERS, AGENTS, SERVANTS, EMPLOYEES,
CONTRACTORS, SUBCONTRACTORS, LICENSEES, OR INVITEES.
8.
While this Agreement is in effect, Licensee agrees to furnish City with a
Certificate of Insurance, naming City as certificate holder, as proof that it has secured and
paid for a policy of public liability insurance covering all public risks related to the
proposed use and occupancy of public property as located and described in Exhibit 1 -
Water Encroachment, Exhibit 2 — Storm Encroachment, Exhibit 3 — Electric
Encroachment. The amounts of such insurance shall be not less than the following:
$1,000,000 Commercial General Liability
2012 Easement Encroachment Agreement -Commercial Page 4 of 9
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 Grantee 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 attached as Exhibit "B". Licensee agrees to submit
a similar Certificate of Insurance annually to City on the anniversary date of the
execution of this Agreement.
Licensee agrees, binds and obligates itself, its successors and assigns to maintain
and keep in force such public liability insurance at all times during the term of this
Agreement and until the removal of all encroachments and the cleaning and restoration of
the city streets. All insurance coverage required herein shall include coverage of all
Licensees contractors.
9.
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 Encroachment on
Easement Agreement in its entirety in the deed records of Tarrant County, Texas. After
being recorded, the original shall be returned to the City Secretary of the City of Fort
Worth, Texas.
10.
Licensee agrees to comply fully with all applicable federal, state and local laws,
statutes, ordinances, codes or regulations in connection with the construction, operation
and maintenance of said Encroachment and uses.
11.
Licensee agrees to pay promptly when due all fees, taxes or rentals provided for
by this Agreement or by any federal, state or local statute, law or regulation.
2012 Easement Encroachment Agreement -Commercial Page 5 of 9
12.
Licensee covenants and agrees that it shall operate hereunder as an independent
contractor as to all rights and privileges granted hereunder and not as an officer, agent,
servant or employee of City, and Licensee shall have exclusive control of and the
exclusive right to control the details of its operations, and all persons performing same,
and shall be solely responsible for the acts and omissions of its officers, agents, servants,
employees, contractors subcontractors, licensees and invitees. The doctrine of
respondeat superior shall not apply as between City and Licensee, its officers, agents,
servants, employees, contractors and subcontractors and nothing herein shall be
construed as creating a partnership or Joint enterprise between City and Licensee.
13.
Licensee agrees and acknowledges that this Agreement is solely for the purpose
of permitting Licensee to construct, maintain and locate the Encroachment over or within
the described Easement and is not a conveyance of any right, title or interest in or to the
Easement nor is it meant to convey any right to use or occupy property in which a third
party may have an interest. Licensee agrees that it will obtain all necessary permission
before occupying such property.
14.
In any action brought by the City for the enforcement of the obligations of the
Licensee, City shall be entitled to recover interest and reasonable attorney's fees.
15.
The parties agree that the duties and obligation contained paragraphs 3 and 4 shall
survive the termination of this Agreement.
2012 Easement Encroachment Agreement -Commercial Page 6 of 9
16.
Licensee covenants and agrees that it will not assign all or any of its rights,
privileges or duties under this contract without the written approval of City, and any
attempted assignment without such written approval should be void.
17.
Any cause of action for breach of this Agreement shall be brought in Tarrant
County, Texas. This Agreement shall be governed by the laws of the State of Texas.
18.
This agreement shall be binding upon the parties hereto, their successors and
assigns.
EXECUTED this day of
City
City of Fort Worth
By:
Ferna o Costa,
Asst. City
ATTEST:
anager
, 20 .
Licensee:
Texas Christian University
TCU Box 297800
3589 Bellaire Drive
Fort Worth, TX 86129
By:
Name: Brian Gutierre
Title: Vice Chancter for Finance and
Administration
Approved As To Form and Legality
City Secretar Assistant City Attorn
2012 Easement Encroachment Agreement -Commercial Page 7 of 9
OFFICIAI RECORD
16. CITY SECRETARY
Ftru !NORTH, TX
Licensee covenants and agrees that it will not assign al a or�anv^n
privileges or duties under this contract without the written approval of City, and any
attempted assignment without such written approval should be void.
•
17.
Any cause of action for breach of this Agreement shall be brought in Tarrant
County, Texas. This Agreement shall be governed by the laws of the State of Texas.
18.
This agreement shall be binding upon the parties hereto, their successors and
assigns.
EXECUTED this
City
City of Fort Worth
By:
R 'ndle Harwo • d
Director
Planning and Development
ATTEST:
AKGkr j.LaWeir H !tve /Lt
2012 Easement fficroachment Agreement -Commercial
3
Licensee:
4
•
1._I. ' )%i
Texas Christian University
CU Box 29780'0 1!
389 Bellaire Drivel
Fo Worth TX 76129
'• ' .?'.'
By:
Name:Brian Guti: Tez
Title: Vice Chancello or Finance and . .
Administration
V e•
ed As -To :#For..nz and Legality
•
Page 7 of 9
STATE OF TEXAS
COUNTY OF TARRANT
BEFORE,the undersigned au : rity, a 14 •'to �P
r3' b� �c in and for � = State
day personally appeared # to of
Texas, on this a
Set,g
t•
Ito bethe person whose name is subscribed to
the foregoing instrument, and ac
me that he/she g zl{no�vl
executed the same thefor edged to
purposes and consideration therein ex
the act and deed o expressed, f the City of Fort Worth, p sed, as
rth, and In the capacity •
p ty therein stated.
GI DER MY
ND AND SEAL OF OFFICE this
, 20
i
AIMPISIESSIIII
�4 :t�_kzerz9s
•/ 'r •Afe
CASSANDRA F. FOREMAN
Notory Public, State of Texas
My Commission Expires I,
April 26, 2017
2012 Easement Encroachment Agreement -Commercial
ublic in and for the State of Texas
day of
Page 8 of 9
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 Brian Gutierrez, 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 Texas Christian University, and in the capacity therein stated.
GIVEN UNDER MY HAND AND SEAL OF OFFICE this 11 day of
fekw , 20 \.
* ` .S • • P`o NOTARY PUBLIC
*° rs :�: State of Texas
•• . }P; 11-12-2015
'•'.� �F<�� Comm. Exp. _ �..
Notary thablic in and for t
State of Texas
2012 Easement Encroachment Agreement -Commercial Page 9 of 9
TCU - SANITARY SEWER AND STORM DRAIN
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Certificate of Authorization # F-000044
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EXHIBIT 1
BHB PROJECT NO.
2013.150.000
60' 30' 0
60' 120'
a1•111111.
GRAPHIC SCALE IN FEET
WATER ENCROACHMENT
DATE
02/11/14
TCU - SANITARY SEWER AND STORM DRAIN
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Engineering 8c Surveying
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Certificate of Authorization # F-000044
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PUBLIC 60" SD
60' 30' 0
aPPIPMINIP
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GRAPHIC SCALE IN FEET
EXHIBIT 2 — STORM ENCROACHMENT
BHB PROJECT NO. DATE
2013.150.000
02/11/14
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Certificate of Authorization # F-000044
20' PROPOSED
ELECTRIC LINES
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GRAPHIC SCALE IN FEET
EXHIBIT 3 - ELECTRIC ENCROACHMENT
BHB PROJECT NO. DATE
2013.150.000
02/11/14
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it -'
SS A STA 2+15.39
CONST STD 4' SSMH
@ CONN TO EXIST SS
StsIEM TO THE NE
INSTALL CONCRETE COLLAR
TOP-633.36
FL NEW 12"-615.98
SS A STA 1+43.74
CONST STD 4' SSMH
INSTALL CONCRETE COLLAR
TOP-627.61
FL NEW 12"-61
w_- PROV'•SED 12"
SSS,,,,A_STA-TY 0! 0 55 LINE A
'CONN TO EX SSMH 0
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E-2316953.31
• TOP-626.05 0 ___
FL NEW 12"-611.22
FL E( 12""ab}t2Z -
AMON G. CARTER PRIVATE-.,
STADIUM
7
SANITARY SEWER
635
634
633
632
631
630
629
628
627
626
625
624
623
622
621
620
619
618
617
616
615
614
613
612
611-caSI1NG 12"., '+QK 26
610 -sill-SI- df-'
609 1.0% t
608
607
0+50
EXST GRND-®
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4411116 r
REMOVED AND CASINO' 1, "1
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\ ss
\
EX ,SSMH TO REMAIN
EXISTING PRIVATE ELECTRIC SERVICE
UNE TO BE REMOVED AND CASING TO
BE ABANDONED PRIOR TO ALL PUBLIC
IMPROVEMENT CONSTRUCTION (BY
SEPARATE CONTRACT)
635
634
n 633
632
631
630
629
626
627
626
625
624
623
622
621
620
619
TRENCH 618
617
STOPI/ - 616
�r'�r -' 615
614
„ 613
S AABeUZEDva 612
611
610
e 609
6 608
607
2+00
1+50
642
641
640
639
638
637
636
635
634
628
627 -
626
625
624
623
622
621
620
619
618
617
616
615
614
2+00 2+50
SS A STA 4+31.27
CONST NEW 4' SSMH
INSTALL CONCRETE COLLAR
TOP-639.54
FL NEW 12"-623.20
-Ov „;LIE l-WATEPI
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BACKFILL;./TI � -
3+{00
SS A STA 3+78.47
CONST STD 4' SSMH
INSTALL CONCRETE COLLAR - - -
TOP-638.77
frL &W 12-Ita.12 F
EX8'FIRE
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Fy 14 DOM
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CAUTION: '11
FIBER OPTIC UNE
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ANT
BY SEPARATE
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SANITARY SEWER LINE A (GLINT)
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CL OF PIPE
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GRAPHIC SCALE W FEET
CROSSINGS RY "0" SYMBOL
1. EXIST. PRIVATE ELECTRIC
2. EXIST. 4" PRIVATE WATER
3. EXIST. 12" PRIVATE STORM DRAIN
4. EXIST. 24" PRIVATE STORM DRAIN
5. EXIST. 12" PRIVATE WATER
6. EXIST. PRIVATE ELECTRIC
7. FUTURE PRIVATE ELECTRIC
8. PROP. 54" PUBUC STORM
9. EXIST CHILLED WATER PIPING
TO BE RECONSTRUCTED
10. EXIST. 4" PRIVATE WATER
11. EXIST. PRIVATE FIBER OPTIC
12. EXIST. B. PRIVATE WATER
w______13. EXIST. 54 PUBLIC STORM DRAIN
1
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5S A STA 7+87.67 N.
CONST STD 4' SSW N
OVER EX 12" SS I It I' ,
1 INSTALL CONCRETE CI 11A8,
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TOP1•639.28 iH
FL NEW 12"-828.39
` FL EX 12"-626.39 �i
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ENCH WATER STC'
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- -- ----. ; COEICRt7E-ENCASEMENT
!1iSr ,.n t' INI'
,REIL DETAILS ^
6+50
6
1 it
-_s
n+
7+00 7+50
'642
I641
1640
. 639
638
637
636
-_ _--_- 635
634
633
632
631
630
629
-•- -- 628
_ _-- 627
_ y.E�- 626
y 8 9%-t- 625
624
623
622
621
Z20
819
318
617
616
615
614
8+50
u
z
0 -
z
SANITARY SEWER IMPROVEMENTS
THIS DOCUMENT IS
RFI EASED FOR THE
PURPOSE OF INTERIM
REVIEW UNDER THE
AUTHORITY OF
TRACY E. STREVEY III
P.E. Tx No, 69487
IT IS NOT INTENDED
FOR CONSTRUCTION,
BIDDING OR PERMIT
PURPOSES.
02/07/14
BHB PROJECT NO:
2013.150.002
SHEET NO:
12
EXIST 54" SD
TO REMAIN
a
SD A STA 2+89.48
CONNECT TO EXIST 54" SD
INSTALL CONCRETE COLLAR
FL NEW 54"-±623.14
MATCH EXIST
•
EXISTING PRIVATE ELECTRIC SERVICE
LINE TO BE REMOVED AND CASING
TO BE ABANDONED PRIOR TO ALL
PUBUC IMPROVEMENT CONSTRUCTION
(BY SEPARATE CONTRACT)
647
641
640
6391 ---
638
637
636
633
63'
63'S
632
631
630 _
629
628 - --
627
626
625
624
623
622
621
620 -
619
618
617
616
615
614 -
0+00
•
0+50
EXIST
SD
REMAIN
1
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-- SS-UNE A
2+00
2+50
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CENTERLINE CURVE
FROM STA 2+89.15
TO STA 4+25.07
A=38'56'18•
R.4200.00'
T..70.70'
L=135.92'
EXISTING 54" SD
TO BE ABANDONED
CENTERLINE CURVE
FROM STA 4+25.07
TO STA 5+55.97
e=3T30'00'
R=200.00'
T"67.89'
=130.90'
CENTERLINE CURVE
FROM STA 6+08.99
TO STA 6+62.62
.S 3412'28'
R=90.00'
T=27.89'
L=53.73'
STORM DRAIN LINE A
--- ` EXST-_bRNO o-,- --
CL OF PIPE
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5+00
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ABAND?NUU
6+00
6+50
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TO REMAIN
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GRAPHIC SCALE IN FEET
CROP. 12" BY PUBLIC
5' 4ROL
1. PROP. 12" PUBUC SAN SEWER
• 2. EXIST. 4" PRIVATE WATER
3. EXIST. PRIVATE FIBER OPTIC
_ 4. EXIST. PRIVATE CHILLED WATER
5. EXIST. 8" PRIVATE WATER
•
•
♦
SD A,iTA 6+67.62
CONNE TO EXIST 54" SD
INSTALL ONCRETE COLLAR
FL NEW 5 "-3627.85
MATCH EXIST,
SD A STA
HORIZ PT
FL NEW 54"-
0
7.78
EXISONG BAN--- d
RCP'e t - -- -I
PROPQ$1`D 12"
SS UNE A
7+00 7+50
M
512
641
640
539
638
537
636
635
334
533
632
631
630
629
628
627
626
625
624
623
622
621
620
619
618
617
616
615
614
8+00 8+50
g
Rugg
STORM DRAIN IMPROVEMENTS
z
DANIEL-MEYER COLISEUM REDEVELOPMENT
0
w
THIS DOCUMENT IS
RELEASED FOR THE
PURPOSE OF INTERIM
REVIEW UNDER THE
AUTHORITY OF
TRACY E. STREVEY III
P.E Tx No. 89487
IT IS NOT INTENDED
FOR CONSTRUCTOR,
BIDDING OR PERMIT
PURPOSES.
02/07/14
BNB PROJECT NO:
2013.150.002
SHEET NO:
23
+62.62
ACORD®
DATE (MM/DD/YYYY)
02/13/2014
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
Arthur J. Gallagher
CERTIFICATE OF LIABILITY INSURANCE
1-972-991-3700
Risk Mngmt. Services, Inc.
Two Lincoln Centre
5420 LBJ Fwy, Suite 400
Dallas, TX 75240
Daniel M. Tropp
INSURED
Texas Christian University
TCU Box 297110
Fort Worth, TX 76129
INAME: Barbara Murray
PHONE
(A/C, No. Ext1
IE-MAIL
ADDRESS:
1
972-663-6127
barbara_murray@ajg.com
INSURER(S) AFFORDING COVERAGE
INSURER A: UNITED EDUCATORS INS RRG INC
INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
FAX
(A/C, No):
NAIC #
10020
COVERAGES CERTIFICATE NUMBER: 38465356 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP
LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) I IMMIDD/YYYY) LIMITS
A GENERAL LIABILITY CGL201300070600 06/O1/1J 06/01/14
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE X OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
X I POLICY I I.1 I I LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED
AUTOS
HIRED AUTOS
UMBRELLA LIAB
SCHEDULED
AUTOS
NON -OWNED
AUTOS
EXCESS LIAB
DED I I RETENT ON $
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
OCCUR
CLAIMS -MADE
Y/N
N/A
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
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
$ 1,000,000
$ 1,000,000
$ 5,000
$ 1,000,000
$ 3,000,000
$
$
$
$
$
I$
I$
I$
I TORY LIA ITS I IGER
E.L. EACH ACCIDENT $
$
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
The Producer will endeavor to mail 10 days written notice to the Certificate Holder named on the certificate if any
policy listed on the certificate is cancelled prior to the expiration date. Failure to do so shall impose no obligation
or liability of any kind upon the Producer or otherwise alter the policy terms.
Real property described as Lot 1R, Block 1, TCU, an addition to the City of Fort Worth, Tarrant County, Texas as
recorded in County Clerks Document No. A-4481-A-4485 of the Real Property records of Tarrant County ('Property')
CERTIFICATE HOLDER
City of Fort Worth
1000 Throckmorton Street
Fort Worth, TX 76102
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
ILO
ACORD 25 (2010/05)
bprice
otnsernre
1988-2010 A EXHIBIT B
The ACORD name and logo are registered marks of ACOF