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HomeMy WebLinkAboutContract 44761 (2)CITY SECRETARY CONTRACT NO. �yZ(P i RIGHT OF WAY ENCROACHMENT AGREEMENT (COMMERCIAL) 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 The Neil P at Burnett Park Condominium Association, Inc., , acting herein by and through its duly authorized The Neil P at Burnett Park Condominium Association, Inc., Board of Directors Treasurer hereinafter referred to as "Licensee", Owner of the property located at 411 W 7th Street, Fort Worth, Texas, 76102 ("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: Install new building canopy The location and description of said Improvement and the encroachment is more particularly described in Exhibit "A", attached hereto, incorporated herein and made a part hereof for all purposes. 2. All construction, maintenance and operation in connection with such Improvement, use and occupancy shall be performed in strict compliance with this Agreement and the Charter, Ordinances and Codes of the City and in accord RECEIVED AUG 302013 2012 ROW Encroachment Agreement -Commercial OFFICIAL RECORD CITY SECRETARY FT. INORTHIfflaSe1 h the f 10 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 in 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". 4. Licensee, at no expense to the City, shall make proper provisions for the relocation and installation of any existing or future 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 detertnined by the Director of Transportation and Public Works of the City, or his duly authorized representative. 5. City inay 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 2012 ROW Encroachment Agreement -Commercial Page 2 of 10 improvements installed by Licensee or its successors, but City will make reasonable efforts to minimize such damage. 6. 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. 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. 9. 2012 ROW Encroachment Agreement -Commercial Page 3 of 10 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 described 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 public 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 described 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 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. 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, WHETHER 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 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 ANY AND ALL ACTS OR OMISSIONS OF LICENSEE, ITS OFFICERS, AGENTS, SERVANTS, EMPLOYEES, 2012 ROW Encroachment Agreement -Commercial Page 5 of 10 CONTRACTORS, SUBCONTRACTORS, LICENSEES, INVITEES, OR TRESPASSERS. 15. 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 "A". The amounts of such insurance shall be not less than the following: $1,000,000 Commercial General Liability 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 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. 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 in its entirety in the deed records of Tarrant County, Texas. After being 2012 ROW Encroachment Agreement -Commercial Page 6 of 10 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 obligations of Licensee, City shall be entitled to recover interest and reasonable attorney'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 written approval of the City Manager or designee. Any attempted assignment without prior written approval will be void. 19. THE 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 this day of /yam , 2013. 2012 ROW Encroachment Agreement -Commercial Page 7 of 10 City Licensee City of Fort Worth TYPE :The Neil P at Burnett Park Condominium Association, Inc. By: U;/► --A ' 11 l1 Randle Harwood Director Planning and Development ATTEST: /-)/ City Secretary) 2012 ROW Encroachment Agreement -Commercial By: Name: Karen Armstrong Title: Board of Directors Treasu Approved As To Form and Legality ^, OA . J1l ,gyp Assistant City Attorney OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Page 8 o 1 STATE OF TEXAS COUNTY OF TARRANT BEFORE ME, the undersigne on this day personally appeared name fs subscribed to the �rf authority, a Notary Public in and for the State of Texas, 1.a., known to me to be the person whose foregoing instrument, and acknowledged to me that he/she exec uted the same for the purposes and consideration therein expressed, as the act and deed of the City of Fort Worth, and in the capacity therein stated. GIVE UNDER EAND AND SEAL OF OFFICE thi ,20 .0;74 CASSANDRA F. FOREMAN � "'PI Notary Pubilc, State of Texas "` l+Ff` My Commission Expires `g�'„�April 2b, 2017 Notary Public in and for the State of Texas 2012 ROW Encroachment Agreement ..Commercial Page 9 of 10 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 Karen Armstrong, Board of Directors Treasurer , 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 Neil P at Burnett Park Condominium Association, Inc., and in the capacity therein stated. GIVEN UNDER MY HAND AND SEAL OF OFFICE this , ,I (p day of &Jr U.5 �-- , 20 13 . DOUGLAS $ GUESS Notary Public STATE OF TEXAS My Comm. Exp. 07-21-15 Note blic in and for the Sta of Texas 2012 ROW Encroachment Agreement -Commercial Page 10 of 10 3/4" FACE OF CANOPY — 8'-9 1/2" 8 3/4- 8'-0" 4'-2" 3'-10 3/4" PROPERTY LINE — •• la 83f4" RIGHT SIDE CANOPY SUPPORT 15-5" PROPERTY LINE +— — —'— GO -• - jJ12 X 14 CTYPICAL> "-VULCRAFT METAL DECK 1.5B22 __— T PLAN DETAIL OF CANOPY BEAMS FACE OF CANOPY 8'-9 1/2" 4'-1 3/8" 3'-113/8" PROPERTY LINE — 3/4" 18 3/4" e• 01 s i F N Z C 2 Z 01 o . 0 3 Al - U I CI LEFT SIDE CANOPY SUPPORT 3'-8 1/2" SUP PJn7R-T ROD 15-5" 1 » 0" 3'-81/2" 3/4" suPPO T �nn it HANGERS a 24' OC VLLCRAFT METAL DECK 1.5222 `TS 6X6Xa TYPICAL FRONT SIDE CANOPY Building — Canopy Neil P. Anderso 75 E 03 a E L3J Neil P. Anderson - Reconstructio SC iLE NTS DALE 08/15�/13 SME):T NUMBER 01 The Neil P. at Burnett Park, a Condominium PROPERTY DESCRIPTION BEING all of lot 5, Block 6 and a portion of Lot 4, Block 3 of the Hirshfield Addition to the City of Fort Worth, Tarrant County, Texas, • same being ail of that certain tract of land conveyed to TCDFW 411 West Seventh L.P., as recorded in Volume 14482, Page 288, Deed records, Tarrant County, Texas, and being further described as follows: BEGINNING at a tack in a plug found at the intersection of the southeasterly line of West Seventh street (60' Right—of—way) with the east line of Lamar Street (60' Right —of —Way); THENCE North 59'18'46" East, along the southeasterly line of said West Seventh Street, for a distance of 124.43 feet to a tack in a plug found for corner; THENCE South 00'41'46" East, departing said southeasterly line, for a distance of 164.51 feet to a crow foot cut in concrete found for corner; THENCE West, for a distance of 9.00 feet; THENCE South, for a distance of 10.13 feet to a pk nail found for comer; THENCE West, for a distance of 100.00 feet to a pk nail found for comer on the aforementioned east line of Lamar Street; THENCE North, for a distance of 111.13 feet to the POINT OF BEGINNING and containing 15,381 square feet or 0.353 acres of land, more or less. DATE 3/21/2008 File No. 04088 Page R3 Pibum & Partners, LLC 3445 Highland Road — Suite 205 Dallas, Texas 75228 ph:(214) 328-3500 fax: (214) 328-3512 emalcm a trosurveyor. com gae of Beginning tack 1n plug brae mon • brass mon Water Vault C141 wm sleet mh 0 0 �a 0 00 00 street sign f LJ Water Vault Parking-, Meter 3-1' 0 ix z 0.3' 2.3' 0. 23.5' The Neil P. at Burnett Park, a Condominium SITE ()crow foot pk fnd Vao' gas mh DAZE 3/21/2006 Flle No. 04088 tele 0mh s.sdk 9 Area of building over property line is subject to Consent Agreement in Volume 10169, Page 1014 and Volume 10797, Page 1202. Lot 5, Block 6 Hirshfiield Addition brass mon brass mon 1 3 n91*,1i7.00 S 411 W. Seventh Street 10 Story Brick Building 13,948 Sq. Ft. tr 15,381 square feet 0353 acres rLot Line of 16.9' WEST 0.9' x 6.9' Building Encroachment 66.5' Lot 4, Block 3 drain 100.00' `Building Along Property Line Page R4 Lot 4R, Block 3 Hirshfield Addition aa0 gas mite gm Ramp ' ok Ind crow foot :as Ton c WEST c(as mh 9.00' crow loot \SOUTH 10.13' AC CPR DATE (MMIOD/YYYY) 7/11/2013 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 thls certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Associations Insurance Agency, Inc. 5401 N Central Expressway Suite 200 Dallas INSURED The Neil P at Burnett Park Condominium Assoc, c/o Somerset Association Management, Inc. 5401 N. Central Expwy., Suite 360 Dallas TX 75205 TX 75205 CERTIFICATE OF LIABILITY INSURANCE CONTACT AIAI Vrgi i•MAIL co,. (866) 384-8579 I IAAIXC. Nnl: (214)751-2390 ADMRF$R:emajo8associationsinsuranceagency.com INSURERS) AFFORDING COVERAGE INSURER A :Philadelphia Indemnity INSURER B :Col umbi a INSURER C : INSURER 0 : INSURER E : INSURER F Casualty Company NAIL k j.8058 31127 COVERAGES CERTIFICATE NUMBER:13-14 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. JNq I TYPE OF INSURANCE ADDL'SUBR POLICY EFF POLICY EXP !WAR won POLICY NUMBER IMM/ODIYYYY) IMM/DD/YYYY1 LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FTC OCCUR PHPKG1,112013 GENL AGGREGATE LIMIT APPLIES PER X POLICY I IPIF ° I I LOC AUTOMOBILE LIABILITY A ANY AUTO ALL OWNED AUTOS A X HIRED AUTOS X UMBRELLA UAB EXCESS L1AB DED I X I RETENT ON $ WORKERS COMPENSATION AND EMPLOYERS' LIABIL TY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) dyes, describe under DESCRIPTION OF OPERATIONS below DIRECTORS & OFFICERS X SCHEDULED AUTOS NON -OWNED AUTOS 1. X I OCCUR CLAIMS -MADE 10,000 Y/N 11 NIA PHPKGL112013 PRLr8201333 739540-13 4/1/2013 4/1/2014 4/1/2013 4/1/2014 14 /1/2013 4/1/2014 /1/2013 4/1/2014 DESCRIPTION OF OPERATIONS) LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, U more space is required) CERTIFICATE HOLDER The City of Fort Worth Department of Development Att: David Schroeder, Planner 1000 Throckmorton Street Fort Worth, TX 76102 ACORD 25 (2010/05) INSn25 r'ninnct ni CANCELLATION EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) I PERSONAL & ADV INJURY I GENERAL AGGREGATE 3 PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) Is Is $ 1,000,000 S 100,000 S 5,000 i 1,000,000 2,000,000 2,000,000 s 1,000,000 BODILY INJURY (Per accident) 13 PROPERTY DAMAGE IS /Pera, denll EACH OCCURRENCE I AGGREGATE IS $ 5,000,000 $ 5,000,000I I1 I TQRY LIMITS I I FR I E L. EACH ACCIDENT Is E L DISEASE • EA EMPLOYE $ E.L. DISEASE POLICY LIMIT $ LIMIT DEDUCTIBLE EXHIBIT B $1,000,000 $2,500 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 Dana Hodge/EMM © 1988-2010 ACORD CORPORATION. All rights reserved. The A("r1Rf1 name. anti Innn ara ronic►arcrl marfc of ArrTRII ACO® DATE (MMIDDIYYYY) 1. CERTIFICATE OF PROPERTY INSURANCE I 7/11/2013 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. If this certificate Is being prepared for a party who has an insurable Interest In the property, do not use this form. Use ACORD 27 or ACORD 28. PRODUCER CONTACT Ai AI Associations Insurance Agency, Inc. WHONE 866) 384-8579 aC Nol: (21e)751-2390 5401 N Central Expressway WA;memaC No jo@associationsinsuranceagency.com Suite 200 D1 S,g.emajo@associationsinsuranceagency.com $RODUCER 00001383 Dallas TX 75205 CUSTOMER ID' INSURER(S) AFFORDING COVERAGE INSURED INSURER A :Columbia Casualty Company The Neil P at Burnett Park Condominium Assoc, Inc. INSURER B : c/o Somerset Association Management, Inc. INSURERC: 5401 N. Central Expwy. , Suite 360 INSURERD: Dallas TX 75205 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER:13-14 LOCATION OF PREMISES 1 DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) INSR LTR REVISION NUMBER: NAIC N 31127 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. POLICY EFFECTIVE POLICY EXPIRATION DATE (MMIDD/YYYY) DATE (MMIDDIYYYY) TYPE OF INSURANCE IPROPERTY CAUSES OF LOSS BASIC BROAD SPECIAL EARTHQUAKE WIND FLOOD INLAND MARINE CAU- SES OF LOSS NAMED PERILS A X CRIME DEDUCTIBLES BUILDING CONTENTS TYPE OF POLICY Cnme BOILER is MACHINERY 1 EQUIPMENT BREAKDOWN TOTAL # OF UNITS 57 POLICY NUMBER TYPE OF POLICY POLICY NUMBER 738540-13 COVERED PROPERTY BUILDING PERSONAL PROPERTY BUSINESS INCOME EXTRA EXPENSE RENTAL VALUE BLANKET BUILDING BLANKET PERS PROP BLANKET BLDG 8 PP 4/1/2013 4/1/2014 X FweNly/EmployeeTheft X - Deductible SPECIAL CONDITIONS / OTHER COVERAGES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. The City of Fort Worth Department of Development Att: David Schroeder, Planner 1000 Throekmorton Street Fort Worth, TX 76102 LIMITS $ 1 s I � I E S E E S $ $ S I S $ $ 150.00c S 1.000 5 $ a $ Is AUTHORIZED REPRESENTATIVE Dana Hodge/EM2d "Q " � � >6"4't ACORD 24 (2009/09) ©1995-2009 ACORD CORPORATION. All rights reserved. INS024 (200909) The ACORD name and logo are registered marks of ACORD