HomeMy WebLinkAboutContract 58889-PM1FORT WORTH
CSC No. 58889-PM1
PROJECT MANUAL
FOR
THE CONSTRUCTION OF
BRIX BARBECUE
IPRC Record No. 22-0051
City Project No. 104032
FID No. 30114-0200431-E07685
X#27290
Mattie Parker David Cooke
Mayor City Manager
Christopher P. Harder, P.E.
Director, Water Department
William Johnson
Director, Transportation and Public Works Department
Prepared for
The City of Fort Worth
Development Services Department
May 2022
2022
Carter Associates Inc
1708 21st Street
Vero Beach FL 32960
TBPE No. F-22072
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05/10/22
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
00 00 00
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Page 1 of 8
SECTION 00 00 10
TABLE OF CONTENTS
DEVELOPER AWARDED PROJECTS
Division 00 - General Conditions
00 11 13 Invitation to Bidders
00 21 13 Instructions to Bidders
00 41 00 Bid Form
00 42 43 Proposal Form Unit Price
00 43 13
00 45 11 Bidders Preaualification's
00 45 12 Preaualification Statement
00 45 13 Bidder Prequalification Amlioaian
00 45 26 Contractor Compliance with Workers' Compensation Law
00 45 40 Minority Business Enterprise Goal
00 52 43 Agreement
00 61 25 Certificate of Insurance
00 62 13 Performance Bond
00 62 14 Payment Bond
00 62 19 Maintenance Bond
00 72 00 General miens
00 73 00 Supplementary Conditions
00 73 10 Standard City Conditions of the Construction Contract for Developer
Awarded Projects
Last Revised
03/20/2020
03/20/2020
04/02/2014
05/22/2019
04/02/2014
04/02/2014
09/01/2015
03/09/2020
04/02/2014
08/21/2018
06/16/2016
07/01/2011
01/31/2012
01/31/2012
01/31/2012
11/15/2017
07/01/2011
01/10/2013
Division 01- General Requirements Last Revised
01 11 00 Summary of Work 12/20/2012
01 25 00 Substitution Procedures 08/30/2013
01 31 19 Preconstruction Meeting 08/30/2013
01 31 20 Project Meeting) 07/01/2011
01 32 33 Preconstruction Video 08/30/2013
01 33 00 Submittals 08/30/2013
01 35 13 Special Project Procedures 08/30/2013
01 45 23 Testing and Inspection Services 03/20/2020
01 50 00 Temporary Facilities and Controls 07/01/2011
01 55 26 Street Use Permit and Modifications to Traffic Control 07/01/2011
01 57 13 Storm Water Pollution Prevention Plan 07/01/2011
01 60 00 Product Requirements 03/20/2020
01 66 00 Product Storage and Handling Requirements 04/07/2014
01 70 00 Mobilization and Remobilization (Required) 04/07/2014
01 71 23 Construction Staking (Required) 04/07/2014
01 74 23 Cleaning 04/07/2014
01 77 19 Closeout Requirements 04/07/2014
01 78 23 Operation and Maintenance Data 04/07/2014
01 78 39 Project Record Documents 04/07/2014
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised March 20, 2020
BRIX BARBECUE
IPRC22-0051
00 00 00
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Page 2 of 8
Technical Specifications which have been modified by the Engineer specifically for this
Project; hard copies are included in the Project's Contract Documents
Date
Dim ' 02 Existing Conditions Modified
02 41 13 Selective Site Demolition
02 11 11 Utility Removal/Abandonment
02 41 15 Paving Removal
Division—C—encrete
03 30 00 Cter ill ce Concrete
03 34 13 Controlled Low Strength Material (CLSM)
03 34 16 Concrete Base Material for Txx' h Repair
03 80 00 Modifications to F' acing Concrete Structures
26 05 00 COPPATXXI Work Results for Electrical
26 05 10 Demolition for Electrical Systems
26 05 33 Raceways and Boxes for Electrical Systems
26 05 13 Underground Ducts and Raceways for Electrical Systems
Division-31 Earthwork
31 10 00 Site Clearing
31 23 16 Unclassified Excavation
31 23 23 BeffeW
31 24 00 Etnk-a :kr Its
31 25 00 Erosion and Sediment Control
31 36 00 Gabions
31 37 00 Riprap
32 01 17
32 01 18
32 01 29
32 11 23
32 11 29
32 11 33
32 11 37
32 12 16
32 12 73
32 13 13
32 13 20
32 13 73
32 14 16
32 16 13
32 17 23
32 17 25
32 31 13
32 31 26
Permanent Asphalt Paving Roimi:
Temporary A & t Pa vixg R pa r
Concrete Paving Repair
Flexible Base Courses
Lime Treated Base Courses
Cement Treated Base Courses
Liquid Treated Soil Stabilizer
� ?t Pawing
Aorktalt 1k';ing Crack P✓nk is
Concrete Paving
Concrete Sid✓rn/VI, Driveways and Barr` Fie Ramps
Concrete Paving Joint Sealants
Ptah Urrt Paving
Concrete Curb and Gutters and Valley Gutters
Pavement Markings
Curb Addraaa Pai t'ng
Chain Fences and Gates
\Vim F'oios and Gates
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised March 20, 2020
BRIX BARBECUE
IPRC22-0051
32 31 29
32 32 13
32 91 19
32 92 13
32 93 43
00 00 00
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Page 3 of 8
Wood Fences and Gate:,
Cast in Place Concrete Retaining Walla
1opeoi? FiniGNong of Parkways
Hydro blukkiv , Eccding, and Sodding
Trees and Shrubs
mvsion33— I}kties
33 01 30 Sewer and Manhole Testing
33 01 31 Closed Circuit Television (CCTV) ,r,,.o:
33 03 10 Bypaw, lktmping of Existing Sewer Systems
33 01 10 Joint Bonding and Elootrfzal. TroJr�tiel�
33 04 11 Ccrrcciaw Control Test Stations
33 04 12 l a, =yeiavn Anode Cathodic Protection System
33 01 30 Temporary Water Services
33 01 10 Gloanirr nwid epiaMo T' o i:rg of Water Mains
33 01 50 Cleaning of Sewer Mains
33 05 10 Utility Trench Excavation, Embedment, and Backfill
33 05 12 Wat. line r owering
33 05 13 Frame, Cover and Grade Rings Cast Iron
33 05 13.10 Frame, Cover and Grad° Rir1gO Composite
Adjusting Manholes, Inlets, Valve Bexes and Other Structures to
33 05 11 Grade
33 05 16 Concrete Water Vaults
33 05 17 Concrete Collars
33 05 20 Auger Boring
33 05 21 Tunnc1 Tifner Pk o
33 05 22 Steel ✓wing Pipe
33 05 23 I -Cam Tung
33 05 24 Installation of Carrier Casing ar Tunnel g ate
33 05 26 Utility Markers/Locators
33 05 30 Location of Existing Utilities
33 11 05 Bela, natiz, and Gaskets
33 11 10 Ductile Iron Pipe
33 11 11 Ductile Iron Fittings
33 11 ? 2 Polyvinyl Chloride (PVC) Pressure Pipe
11 Concrete lk-oaaln Pipe, Bar Wrapped, Steel Cylinder Type
3L 11 11 Buried Steel Pipe and Fittings
33 11 15 Pre Stressed Concrete Cylinder Pipe
33 12 10 Watcr Servicco 1 irx k 2 inch
11 Large Water Meters
33 12 20 Resilient S ated Gate Valve
33 12 21 AWWA Rubber Seated Butterfly Valves
33 12 25 Connection to Existing Water Mains
33 12 30 Cm41:rraon Air Valve Assemblies for Potable Water Systems
33 1210 Fire Hydrants
33 12 50 Water Sample Stations
33 12 60 Standard Blow off Valve Assembly
33 31 12 Curad in Piace Pipe (CIPP)
33 31 13 Fib.rgla i Reinforced Pipe for Gravity Sanitary Sewers
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised March 20, 2020
BRIX BARBECUE
IPRC22-0051
00 00 00
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Page 4of8
33 31 15 high Dor-mot,- Polyethylene (HDPE) Dire €o Ea 1itary Sewer
33 31 20 Polyvinyl Chloride (PVC) Gravity Sanitary Sewer Pipe
33 31 21 Polyvinyl Chloride (PVC) Closed Profile Gravity Sanitary Sewer
Pipe
33 31 22 Sanitary Sever Pair 1-..41 11g
33 31 23 Sanitary Sew r Piro Enlargement
33 31 50 Sanita-Sewer-Serviee-Conneetions-and-,Serviee-hine
33 31 70 Combination Air Valve for Sanitary Sewer Force Mains
33 39 10 Ciac in Mace Concrete Manholes
33 39 20 Precast Concrete Manholes
33 39 30 Fiberglass Manholes
33 3910 Wastewater Access Chamber (WAC)
33 39 60 Epoxy r ; s f r Sanitary Sewer Structures
33 11 10 Reinforced Concrete Storm Sewer Pipe/Culverts
33 11 11 High Dc ity Polyethylene (HDPE) Pipe for StotkrnYkain
33 11 12 Reinforced Polyethlene (&DE) Pie
33 46 00 Subdrainage
33 46 01 Slotted -Storm Drains
33 16 02 Trawh Dreeim
33 19 10 CLv-in PkIce Manholes and Junction Boxes
33 49 20 Garb and Drop Inlets
33 49 40 Stom Drainage Headwalls and Wingwalls
Division-34-Transportation
31 11 10 fr\I ✓rgrx'
34 11 10.01 Attachment A Controller Cabinet
31 11 10.02 Attachment B Controller Specification
34 41 10.03 Attachment C Software Specification
34 41 11 Temporary Traffic Signals
?/1 11 13 Removing Traffic Signals
3-1 11 15 Rectangul� d F, lira Beaeon
31 11 16 Pedestrian Hybrid Signal
34 41 20 Roadway I11urnitx...kon Assemblies
34 41 20.01 Arter 1 LW Rux way annirrires
31 11 20.02 Freeway LED Roadway la1.1 r
31 11 20.03 Residentira;113D Roadway Trjn xres
31 11 30 A1urlxurs Signs
34 71 13 Traffic Control
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS - DEVELOPER AWARDED PROJECTS
Revised March 20, 2020
BRIX BARBECUE
IPRC22-0051
00 00 00
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Page 8 of 8
Appendix
GR-01 60 00 Product Requirements
END OF SECTION
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised March 20, 2020
BRIX BARBECUE
IPRC22-0051
00 42 43
DAP- BID PROPOSAL
Page I of 7
SECTION 00 42 43
Developer Awarded Projects - PROPOSAL FORM
UNIT PRICE BID Bidder's Application
Item
Project Item information Bidder's Proposal
Description
UNIT 1:
1 3311 001 Ductile Iron Water Fittings w/ Restraint
2 3311.0161 6" C900 DR14 CL 305 Gasket Water Main
3 =3112.3002 6" Resilient Seat Gate Valve
4 3201.0112 5' Permanent Asphalt Pvmt Repair
5 3216 0101 6" Concrete Curb and Gutter
6 3471.0001 Traffic Control
7 3291 0100 Topsoil
8 3292.0100 Sod
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
Env
Specification Section Unit of I Quant Unit Price I Bid Value
No. Measure
WATER IM 'RQVEMENTS
33 11 11 TON 1 $7,000 00 $7,000.00
Pipe 33 11 12 LF 25 $275.00 $6,875 00
33 12 20 EA 1 $2,600 00 $2,600.00
32 01 17 LF 16 $275 00 $4,400 00
321613 LF 5 $475.00 $2,375.00
34 71 13 MO 1 $2,000.00 $2,000.00
32 91 19 SQFT 10 $15 00 $150 00
32 92 13 SQFT 10 $10 00 $100.00
TOTAL UNIT I: WATER IMPROVEMENTS
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS - DEVELOPER AWARDED PROJECTS
Form Version May 22, 2019
S2S, 500.00
Copy of 00 42 43_131d Proposal_DAP xis
00 42 43
DAP - BID PROPOSAL
Page 7 of7
SECTION 00 42 43
Developer Awarded Projects - PROPOSAL FORM
UNIT PRICE BID Bidder's Application
Item
Project Item Information Bidder's Proposal
Description
Specification Section
No
Bid Suinmarn
UNIT I: WATER IMPROVEMENTS
UNIT II: SANITARY SEWER IMPROVEMENTS
UNIT III: DRAINAGE IMPROVEMENTS
UNIT IV: PAVING IMPROVEMENTS
UNIT V: STREET LIGHTING IMPROVEMENTS
UNIT VI: TRAFFIC SIGNAL IMPROVEMENTS
This Bid is submitted by the entity named below:
BIDDER:
Capko (uncrcle Structures 14(
P.O. Bos 426
Unit of 1 oiu
Measure Quant Unit Price Bid Value
$25.500.00
Total Construction llid $25.500.00
BY: John J Capko IN
TITLE: Prr' shlent, tl,++i<<
Azle. I X 76098 DATE: 2/3/21123
Contractor agrees to complete WORK for FINAL. ACCEPTANCE within 10 working days after the date when the
CONTRACT commences to run as provided in the General Conditions.
END OF SECTION
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS - DEVELOPER AWARDED PROJECTS
Form Version May 22, 2019
Copy oF00 42 43_Bid Proposal_DAP xis
00 45 12
DAP PREQUALIFICATION STATEMENT
Page 1 of 1
SECTION 00 45 12
DAP — PREQUALIFICATION STATEMENT
Each Bidder is required to complete the information below by identifying the prequalified contractors
and/or subcontractors whom they intend to utilize for the major work type(s) listed. In the "Major Work
Type" box provide the complete maior work type and actual description as provided bv_ the Water
Department for water and sewer and TPW for paving.
Major Work Type
Connect to Water Main and
Install 6" water Line
Contractor/Subcontractor Company Name Prequalification
Expiration Date
Capko Concrete Structures 4/30/2023
The undersigned hereby certifies that the contractors and/or subcontractors described in the table above
are currently prequalified for the work types listed.
BIDDER:
Capko Concrete Structures LLC BY: John J Capko IV
P.O. Box 426
Azle, TX 76098
7.
(Si nature)
TITLE: President / Owner
DATE: 2/20/2023
END OF SECTION
CITY OF FORT WORTH
STANDARD CONSTRUCTION PREQUALIFICATION STATEMENT— DEVELOPER AWARDED PROJECTS 0045 12_Prequalification Statement 2015_DAP.docx
Form Version September 1, 2015
Work Category — Water Dept - Water/sewer
i ohn. kasavichnn,FortW orthTexas. gov
Fort Worth Water Department Engineering and
Fiscal Services Division 200 Texas St. Fort
Worth, TX 76102
FORT WORTH
SECTION 00 45 13
PREQUALIFICATION APPLICATION
Date of Balance Sheet
Name under which you wish to qualify
Post Office Box City
Street Address (required) City
( ) ( )
Telephone Fax
Mark only one:
Individual
Limited Partnership
General Partnership
Corporation
Limited Liability Company
State Zip Code
State Zip Code
Email
Texas Taxpayer Identification No.
Federal Employers Identification No.
DUNS No. (if applicable)
Email/mail this questionnaire along with financial statements to the appropriate group below. A separate
submittal is required for water/sewer, paving, and lighting:
Work Category — TPW Ped/Rdw
Work Category — TPW Paving
Alicia.Garcianfortworthtexas. gov
City of Fort Worth Transportation and Public
Works Dept. 8851 Camp Bowie West Blvd. Fort
Worth, Texas 76116 Attn: Alicia Garcia
Lighting
clint.hoover( fortworthtexas.gov
City of Fort Worth TPW Transportation
Management Attn: Clint Hoover, P.E. 5001
James Ave. Fort Worth, TX 76115
*Financial Statements must be mailed. Mark the envelope: "Bidder Prequalification Application"
00 45 13 - 2
BIDDER PREQUALIFICATION APPLICATION
Page 2 of 9
BUSINESS CLASSIFICATION
The following should be completed in order that we may properly classify your firm:
(Check the block(s) which are applicable — Block 3 is to be left blank if Block 1 and/or Block 2 is
checked)
Has fewer than 100 employees
and/or
Has less than $6,000,000.00 in annual gross receipts
OR
nDoes not meet the criteria for being designated a small business as provided in Section
2006.001 of the Texas Government Code.
The classification of your firm as a small or large business is not a factor in determining eligibility to
become prequalified.
Select major work categories for which you would like to be prequalified (City may deem you are not
qualified for selected category or may approve you at a lesser size/length and maximum size may
not be listed specifically under a major work category):
MAJOR WORK CATEGORIES
Water Department
Augur Boring - 24-inch diameter casing and less
Augur Boring - Greater than 24-inch diameter casing and greater
Tunneling — 36-Inches — 60 —inches, and 350 LF or less
_ Tunneling - 36-Inches — 60 —inches, and greater than 350 LF
_ Tunneling — 66" and greater, 350 LF and greater
_ Tunneling — 66" and greater, 350 LF or Less
_ Cathodic Protection
Water Distribution, Development, 8-inch diameter and smaller
Water Distribution, Urban and Renewal, 8-inch diameter and smaller
Water Distribution, Development, 12-inch diameter and smaller
Water Distribution, Urban and Renewal, 12-inch diameter and smaller
_ Water Transmission, Development, 24-inches and smaller
_ Water Transmission, Urban/Renewal, 24-inches and smaller
_ Water Transmission, Development, 42-inches and smaller
_ Water Transmission, Urban/Renewal, 42-inches and smaller
Water Transmission, Development, All Sizes
Water Transmission, Urban/Renewal, All Sizes
Sewer Bypass Pumping, 18-inches and smaller
Sewer Bypass Pumping, 18-inches — 36-inches
_ Sewer Bypass Pumping 42-inches and larger
_ CCTV, 8-inches and smaller
_ CCTV, 12-inches and smaller
— CCTV, 18-inches and smaller
CCTV, 24-inches and smaller
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Revised August 13, 2021
BRIX BARBECUE
IPRC22-0051
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Revised August 13, 2021
00 45 13 - 3
BIDDER PREQUALIFICATION APPLICATION
Page 3 of 9
BRIX BARBECUE
IPRC22-0051
00 45 13 - 4
BIDDER PREQUALIFICATION APPLICATION
Page 4 of 9
MAJOR WORK CATEGORIES, CONTINUED
_ CCTV, 42-inches and smaller
_ CCTV, 48-inches and smaller
_ Sewer CIPP, 12-inches and smaller
_ Sewer CIPP, 24-inches and smaller
_ Sewer CIPP, 42-inches and smaller
_ Sewer CIPP, All Sizes
_ Sewer Collection System, Development, 8-inches and smaller
_ Sewer Collection System, Urban/Renewal, 8-inches and smaller
_ Sewer Collection System, Development, 12-inches and smaller
_ Sewer Collection System, Urban/Renewal, 12-inches and smaller
_ Sewer Interceptors, Development, 24-inches and smaller
Sewer Interceptors, Urban/Renewal, 24-inches and smaller
Sewer Interceptors, Development, 42-inches and smaller
Sewer Interceptors, Urban/Renewal, 42-inches and smaller
Sewer Interceptors, Development, 48-inches and smaller
_ Sewer Interceptors, Urban/Renewal, 48-inches and smaller
_ Sewer Pipe Enlargement 12-inches and smaller
_ Sewer Pipe Enlargement 24-inches and smaller
_ Sewer Pipe Enlargement, All Sizes
Sewer Cleaning , 24-inches and smaller
Sewer Cleaning , 42-inches and smaller
Sewer Cleaning , All Sizes
Sewer Cleaning, 8-inches and smaller
_ Sewer Cleaning, 12-inches and smaller
_ Sewer Siphons 12-inches or less
_ Sewer Siphons 24-inches or less
_ Sewer Siphons 42-inches or less
Sewer Siphons All Sizes
Transportation Public Works
Asphalt Paving Construction/Reconstruction (LESS THAN 15,000 square yards)
Asphalt Paving Construction/Reconstruction (15,000 square yards and GREATER)
_ Asphalt Paving Heavy Maintenance (UNDER $1,000,000)
_ Asphalt Paving Heavy Maintenance ($1,000,000 and OVER)
_ Concrete Paving Construction/Reconstruction (LESS THAN 15,000 square yards)*
Concrete Paving Construction/Reconstruction (15,000 square yards and GREATER)*
Roadway and Pedestrian Lighting
NOTE *There is not a prequalification requirement for installation of concrete sidewalk, curb & gutter,
driveways, and panel replacement, only concrete paving
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Revised August 13, 2021
BRIX BARBECUE
IPRC22-0051
00 45 13 - 5
BIDDER PREQUALIFICATION APPLICATION
Page 5 of 9
1. List equipment you do not own but which is available by renting
DESCRIPTION OF EQUIPMENT NAME AND DETAILED ADDRESS OF OWNER
2. How many years has your organization been in business as a general contractor under your present
name?
List previous business names:
3. How many years of experience in construction work has your organization
had:
(a) As a General Contractor: (b) As a Sub -Contractor:
4. *What projects has your organization completed in Texas and elsewhere?
CLASS LOCATION NAME AND DETAILED
CONTRACT OF DATE CITY -COUNTY- ADDRESS OF OFFICIAL TO
AMOUNT WORK COMPLETED STATE WHOM YOU REFER
*If requalifying only show work performed since last statement.
5. Have you ever failed to complete any work awarded to you?
If so, where and why?
6. Has any officer or owner of your organization ever been an officer of another organization that failed to
complete a contract?
If so, state the name of the individual, other organization and reason.
7. Has any officer or owner of your organization ever failed to complete a contract executed in his/her
name?
If so, state the name of the individual, name of owner and reason.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Revised August 13, 2021
BRIX BARBECUE
IPRC22-0051
00 45 13 - 6
BIDDER PREQUALIFICATION APPLICATION
Page 6 of 9
8. In what other lines of business are you financially interested?
9. Have you ever performed any work for the City?
If so, when and to whom do you refer?
10. State names and detailed addresses of all producers from whom you have purchased principal
materials during the last three years.
NAME OF FIRM OR COMPANY DETAILED ADDRESS
11. Give the names of any affiliates or relatives currently debarred by the City. Indicate your relationship
to this person or firm.
12. What is the construction experience of the principal individuals in your organization?
PRESENT MAGNITUDE
POSITION OR YEARS OF AND TYPE OF IN WHAT
NAME OFFICE EXPERIENCE WORK CAPACITY
13. If any owner, officer, director, or stockholder of your firm is an employee of the City, or shares the
same household with a City employee, please list the name of the City employee and the relationship. In
addition, list any City employee who is the spouse, child, or parent of an owner, officer, stockholder, or
director who does not live in the same household but who receives care and assistance from that person as
a direct result of a documented medical condition. This includes foster children or those related by
adoption or marriage.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Revised August 13, 2021
BRIX BARBECUE
IPRC22-0051
00 45 13 - 7
BIDDER PREQUALIFICATION APPLICATION
Page 7 of 9
CORPORATION BLOCK PARTNERSHIP BLOCK
If a corporation: If a partnership:
Date of Incorporation State of Organization
Charter/File No. Date of organization
President Is partnership general, limited, or registered limited
liability partnership?
Vice Presidents
Secretary
Treasurer
LIMITED LIABILITY COMPANY BLOCK
If a corporation:
State of Incorporation
Date of organization
File No.
Officers or Managers (with titles, if any)
File No. (if Limited
Partnership)
General Partners/Officers
Limited Partners (if applicable)
Individuals authorized to sign for Partnership
Except for limited partners, the individuals listed in the blocks above are presumed to have full
signature authority for your firm unless otherwise advised. Should you wish to grant signature
authority for additional individuals, please attach a certified copy of the corporate resolution,
corporate minutes, partnership agreement, power of attorney or other legal documentation which
grants this authority.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Revised August 13, 2021
BRIX BARBECUE
IPRC22-0051
00 45 13 - 8
BIDDER PREQUALIFICATION APPLICATION
Page 8 of 9
14. Equipment $
TOTAL
Similar types of equipment may be lumped together. If your firm has more than 30 types of equipment,
you may show these 30 types and show the remainder as "various". The City, by allowing you to show
only 30 types of equipment, reserves the right to request a complete, detailed list of all your equipment.
The equipment list is a representation of equipment under the control of the firm and which is related to
the type of work for which the firm is seeking qualification. In the description include, the manufacturer,
model, and general common description of each.
BALANCE SHEET
ITEM QUANTITY ITEM DESCRIPTION VALUE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Various -
TOTAL
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Revised August 13, 2021
BRIX BARBECUE
IPRC22-0051
00 45 13 - 9
BIDDER PREQUALIFICATION APPLICATION
Page 9 of 9
BIDDER PREQUALIFICATION AFFIDAVIT
STATE OF
COUNTY OF
The undersigned hereby declares that the foregoing is a true statement of the financial condition of the
entity herein first named, as of the date herein first given; that this statement is for the express purpose of
inducing the party to whom it is submitted to award the submitter a contract; and that the accountant who
prepared the balance sheet accompanying this report as well as any depository, vendor or any other
agency herein named is hereby authorized to supply each party with any information, while this statement
is in force, necessary to verify said statement.
, being duly sworn, deposes and says that
he/she is the of , the entity
described in and which executed the foregoing statement that he/she is familiar with the books of the said
entity showing its financial condition; that the foregoing financial statement taken from the books of the
said entity as of the date thereof and that the answers to the questions of the foregoing Bidder
Prequalification Application are correct and true as of the date of this affidavit.
Firm Name:
Signature:
Sworn to before me this
day of
Notary Public
Notary Public must not be an officer, director, or stockholder or relative thereof.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Revised August 13, 2021
BRIX BARBECUE
IPRC22-0051
00 45 26 - 1
CONTRACTOR COMPLIANCE WITH WORKER'S COMPENSATION LAW
Page 1 of 1
1 SECTION 00 45 26
2 CONTRACTOR COMPLIANCE WITH WORKER'S COMPENSATION LAW
3 [Text in Blue is for information or guidance. Remove all blue text in the project final document.]
4 Pursuant to Texas Labor Code Section 406.096(a), as amended, Contractor certifies that it
5 provides worker's compensation insurance coverage for all of its employees employed on City
6 Project No. 104032. Contractor further certifies that, pursuant to Texas Labor Code, Section
7 406.096(b), as amended, it will provide to City its subcontractor's certificates of compliance with
8 worker's compensation coverage.
9
10 CONTRACTOR:
11 Capko Concrete Structures LLC John J Capko IV
12 By:
13 Company
14 P.O. Box 426
16 Signature: �.
16 Address
17 Azle, TX 76098
18 Title:
19 City/State/Zip
20
21
22 THE STATE OF TEXAS §
23
24 COUNTY OF TARRANT §
25
26 BEFORE ME, the undersigned authority, on this day personally appeared
27 J a i1 i . lri�� IV . known to me to be the person whose name is
28 subscribed to the I re ping rihnstrument. and acknowledged to me that he/she executed the same as
29 the act and deed of G � fl hi/ra f I}GtU {i (, LLfi for the purposes and
30 consideration therein expressed and in the capacity therein stated.
31
32 GIVEN IUNDER MY HAND AND SEAL OF OFFICE this
33 C1IYIY '[V, 2034
34
(Please Print)
35
36
37
38
39
40
President / Owner
(Please Print)
UAW day of
htuail
Notary Public in and for the State of Texas
END OF SECTION
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS
Revised April 2, 2014
1
Shande Capko
0+
My Commission Expires
8130/2026
Notary ID131705485
BRIX BARBECUE
IPRC22-0051
005243-1
Developer Awarded Project Agreement
Page 1 of 4
SECTION 00 52 43
AGREEMENT
/ I ext in Blue is for information or guidance. Remove all blue text in the project final document. /
THIS AGREEMENT, authorized on MARCH 6 2023 is made by and between
the Developer, (Brix Barbecue LLC), authorized to do business in Texas ("Developer")
and , Caoko Concrete Structures LLC
authorized to do business in Texas. acting by and th;ough its duly authorized representative,
("Contractor").
Developer and Contractor, in consideration of the mutual covenants hereinafter set forth, agree as
follows:
Article 1. WORK
Contractor shall complete all Work as specified or indicated in the Contract Documents for the
Project identified herein.
Article 2. PROJECT
The project for which the Work under the Contract Documents may be the whole or only a part
is generally described as follows:
BRA' BA
Name—
C ` -1N 10-1032 Insert Protect
Numbers) >
Article 3. CONTRACT TIME
3.1 Time is of the essence.
All time limits for Milestones, if any, and Final Acceptance as stated in the Contract
Documents are of the essence to this Contract.
3.2 Final Acceptance.
The Work will be complete for Final Acceptance within (10) working days ensure the
days shown match the days shown in the Proposal after the date when the Contract
Time commences to run as provided in Paragraph 12.04 of the Standard City Conditions
of the Construction Contract for Developer Awarded Projects.
3.3 Liquidated damages
Contractor recognizes that time is of the essence of this Agreement and that Developer
will suffer financial loss if the Work is not completed within the times specified in
Paragraph 3.2 above, plus any extension thereof allowed in accordance with Article 10 of
the Standard City Conditions of the Construction Contract for Developer Awarded
Projects. The Contractor also recognizes the delays, expense and difficulties involved in
proving in a legal proceeding the actual loss suffered by the Developer if the Work is not
completed on time. Accordingly, instead of requiring any such proof , Contractor agrees
that as liquidated damages for delay (but not as a penalty), Contractor shall pay
Developer 7.ero Dollars (WOO_ for each day that expires after the time specified in
Paragraph 3.2 for Final Acceptance until the City issues the Final Letter of Acceptance.
Article 4. CONTRACT PRICE
CITY OF FORT WORTH jJ m...4--« ,+-1,,,,,.4r04/ 1 H. ,W E+'t
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised June 16, 2016
005243-2
Developer Awarded Project Agreement
Page 2 of 4
Developer agrees to pay Contractor for perform ce of the Work in accordancewith the Contract
Documents an amount in current funds o wR► .► ` k f ,"Sz„�� F�A.,\k Polfars
(S i3,), CKr- y.
Article 5. CONTRACT DOCUMENTS
5.1 CONTENTS:
A.The Contract Documents which comprise the entire agreement between Developer and
Contractor concerning the Work consist of the following:
1. This Agreement.
2. Attachments to this Agreement:
a. Bid Form (As provided by Developer)
1) Proposal Form (DAP Version)
2) Prequalification Statement
3) State and Federal documents (project specific)
b. Insurance ACORD Form(s)
c. Payment Bond (DAP Version)
d. Performance Bond (DAP Version)
e. Maintenance Bond (DAP Version)
f. Power of Attorney for the Bonds
g. Worker's Compensation Affidavit
h. MBE and/or SBE Commitment Form (If required)
3. Standard City General Conditions of the Construction Contract for Developer
Awarded Projects.
4. Supplementary Conditions.
5. Specifications specifically made a part of the Contract Documents by attachment
or, if not attached, as incorporated by reference and described in the Table of
Contents of the Project's Contract Documents.
6. Drawings.
7. Addenda.
8. Documentation submitted by Contractor prior to Notice of Award.
9. The following which may be delivered or issued after the Effective Date of the
Agreement and, if issued, become an incorporated part of the Contract Documents:
a. Notice to Proceed.
b. Field Orders.
c. Change Orders.
d. Letter of Final Acceptance.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PkUJEI-' is
wl
Revised June 16, 2016
„i 1 H. i,tr;h'. Y L.
005243-3
Developer Awarded Project Agreement
Page 3 of 4
Article 6. INDEMNIFICATION
6.1 Contractor covenants and agrees to indemnify, hold harmless and defend, at its own
expense, the city, its officers, servants and employees, from and against any and all
claims arising out of, or alleged to arise out of, the work and services to be performed
by the contractor, its officers, agents, employees, subcontractors, licenses or invitees
under this contract. This indemnification provision is snecifically intended to operate
and be effective even if it is alleged or proven that all or some of the damages being
sought were caused. in whole or in nart. bv anv act. omission or neegtnrl of the citv..
This indemnity provision is intended to include, without limitation, indemnity for
costs, expenses and legal fees incurred by the city in defending against such claims and
causes of actions.
6.2 Contractor covenants and agrees to indemnify and hold harmless, at its own expense,
the city, its officers, servants and employees, from and against any and all loss, damage
or destruction of property of the city, arising out of, or alleged to arise out of, the work
and services to be performed by the contractor, its officers, agents, employees,
subcontractors, licensees or invitees under this contract. This indemnification
provision is suecifcally intended to nnerate and be effective even if it is alleged or
proven that all or some of the damages being sought were caused. in whole or in part.
bv anv act. omission or negligence of the city.
Article 7. MISCELLANEOUS
7.1 Terms.
Terms used in this Agreement are defined in Article 1 of the Standard City Conditions of
the Construction Contract for Developer Awarded Projects.
7.2 Assignment of Contract.
This Agreement, including all of the Contract Documents may not be assigned by the
Contractor without the advanced express written consent of the Developer.
7.3 Successors and Assigns.
Developer and Contractor each binds itself, its partners, successors, assigns and legal
representatives to the other party hereto, in respect to all covenants, agreements and
obligations contained in the Contract Documents.
7.4 Severability.
Any provision or part of the Contract Documents held to be unconstitutional, void or
unenforceable by a court of competent jurisdiction shall be deemed stricken, and all
remaining provisions shall continue to be valid and binding upon DEVELOPER and
CONTRACTOR.
7.5 Governing Law and Venue.
This Agreement, including all of the Contract Documents is performable in the State of
Texas. Venue shall be Tarrant County, Texas, or the United States District Court for the
Northern District of Texas, Fort Worth Division.
7.6 Authority to Sign.
CITY OF FORT WORTH / -,„
STANDARD CONSTRUCTION SPECIFICAI ION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised June 16, 2016
00 52 43 - 4
Developer Awarded Project Agreement
Page 4 of 4
121
122 7.6 Authority to Sign.
123 Contractor shall attach evidence of authority to sign Agreement, if other than duly
124 authorized signatory of the Contractor.
125
126 IN WITNESS WHEREOF, Developer and Contractor have executed this Agreement in multiple
127 counterparts.
128
129 This Agreement is effective as of the last date signed by the Parties ("Effective Date").
130
131
Contractor:
Cua.D.CoPc.ile4ce SAiox.lcurc_Sl LLG
Tt-?1.vt
(ggnature)'
.apko —
Developer:
By:
q(Af C
` CC ( ignature)
C.) Q
(Printed Name) `` (Printed Name)
Title: OW h C� I PCes: c e. Title: O A (�S
Company Name: / L Company name: (� %o\
Address: Ca.ptc-t, Co t &I rue -t1fc$ t ddress: cj 1�
a 9R fir - ��� ` `l 16k\
City/State/Zip: City/State/Zip: Fc) C' \ a0 C‘Vt\ :7'11 hlq�
Date Date
CITY OF FORT WORTH (I;, ;=rajeei4iten.JBRIX BARBECUE
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS/7PRC22-005Theetv4420eiireA4mberi
Revised June 16, 2016
006219-1
MAINTENANCE BOND
Page 1 of3
1 SECTION 00 62 19
2 MAINTENANCE BOND
3 BOND NUMBER: SUR0007390
4 THE STATE OF TEXAS §
5 § KNOW ALL BY THESE PRESENTS:
6 COUNTY OF TARRANT §
7 That we Cauko Concrete Structures, LLC, known as "Principal" herein and Frantenmuth
8 Insurance Conlnanv, a corporate surety (sureties, if more than one) duly authorized to do business
9 in the State of Texas, known as "Surety" herein (whether one or more), are held and firmly bound
10 unto the Developer, (BRIX BARBECUE LLC), authorized to do business in Texas ("Developer")
11 and the City of Fort Worth, a Texas municipal corporation ("City"), in the sum of Twenty Five
12 Thousand Five Hundred and no/100 Dollars 025.500.00), lawful money of the United States, to
13 be paid in Fort Worth, Tarrant County, Texas, for payment of which sum well and truly be made
14 jointly unto the Developer and the City as dual obligees and their successors, we bind ourselves,
15 our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these
16 presents.
17
18 WHEREAS, Developer and City have entered into an Agreement for the construction of
l9 community facilities in the City of Fort Worth by and through a Community Facilities
20 Agreement, CFA Number <CFA22-0139>;and
21 WHEREAS, the Principal has entered into a certain written contract with the Developer
22 awarded the 6 th day of MARCH . 20 23 , which Contract is
23 hereby referred to and a made part hereof for all purposes as if fully set forth herein, to furnish all
24 materials, equipment labor and other accessories as defined by law, in the prosecution of the
25 Work, including any Work resulting from a duly authorized Change Order (collectively herein,
26 the "Work") as provided for in said Contract and designated as <BRIX BARBECUE>; and
27
28 WHEREAS, Principal binds itself to use such materials and to so construct the Work in
29 accordance with the plans, specifications and Contract Documents that the Work is and will
30 remain free from defects in materials or workmanship for and during the period of two (2) years
31 after the date of Final Acceptance of the Work by the City ("Maintenance Period"); and
32
CITY OF FORT WORTH
STANDARD CITY CONDITIONS — DEVELOPER AWARDED PROJECTS
Revised January 31, 2012
[BRIX BARBECUE]
[IPRC22-005 I ]
0062 19 -2
MAINTENANCE BOND
Page 2 of 3
1 WHEREAS, Principal binds itself to repair or reconstruct the Work in whole or in part
2 upon receiving notice from the Developer and/or City of the need thereof at any time within the
3 Maintenance Period.
4
5 NOW THEREFORE, the condition of this obligation is such that if Principal shall
6 remedy any defective Work, for which timely notice was provided by Developer or City, to a
7 completion satisfactory to the City, then this obligation shall become null and void; otherwise to
8 remain in full force and effect.
9
10 PROVIDED, HOWEVER, if Principal shall fail so to repair or reconstruct any timely
11 noticed defective Work, it is agreed that the Developer or City may cause any and all such
12 defective Work to be repaired and/or reconstructed with all associated costs thereof being borne
13 by the Principal and the Surety under this Maintenance Bond; and
14
15 PROVIDED FURTHER, that if any legal action be filed on this Bond, venue shall lie in
16 Tarrant County, Texas or the United States District Court for the Northern District of Texas, Fort
17 Worth Division; and
18
19 PROVIDED FURTHER, that this obligation shall be continuous in nature and
20 successive recoveries may be had hereon for successive breaches.
21
22
23
CITY OFFOR I WORIK
STANDARD CITY CONDITIONS — DEVELOPER AWARDED PROJECTS
Revised January 31, 2012
[BRIX BARBECUE)
[IPRC22-00511
00 62 19 - 3
MAINTENANCE BOND
Page 3 of 3
I IN WITNESS WHEREOF, the Principal and the Surety have each SIGNED and SEALED this
2 instrument by duly authorized agents and officers on this the
3 .20,
4
5
6
7
8
9 BY:
I0
11
12
13 ��! �"�1
14 (Principal) Secretary
15
16
17
18
19
20 Witness as to Principal
21
22
23
24
25 BY:
26
27
28
29 ATTEST:
30
31 erlatife%- C/t*
32 (Surety) Secretary (Melissa Jtt
33
34
35 W itnes o Surety (Jo dan Pitts)
36
37 *Note:
38
39
40
41 The date of the bond shall not be prior to the date the Contract is awarded.
j72( day of /jtiiG'
42
ATTEST:
PRINCIPAL:
Canko Concrete Structures. LLC
Signature
4a1-4-.1r,
etI cac
Name and Title
Address: PO Box 426
Azle, TX 76098
SURETY:
Frankenmuth Insurance Company
CI I Y OF FORT WORTH
STANDARD CITY CONDITIONS — DEVELOPER AWARDED PROJECTS
Revised January 31, 2012
Lloyd Rav Pitts Jr AttorreIn-Fact
Name and Title
Address: 1 Mutual Avenue
Frankenmuth. Michiean, 48787
Telephone Number: 469-661-0314
If signed by an officer of the Surety Company, there must be on file a certified extract
from the by-laws showing that this person has authority to sign such obligation. If
Surety's physical address is different from its mailing address, both must be provided.
[BRIXBARBECUE]
[1PRC22-0051]
STANDARD CITY CONDITIONS
OF THE CONSTRUCTION CONTRACT
FOR DEVELOPER AWARDED PROJECTS
CITY OF FORT WORTH
STANDARD CITY CONDITIONS — DEVELOPER AWARDED PROJECTS
Revised: January 10, 2013
STANDARD CITY CONDITIONS OF THE
CONSTRUCTION CONTRACT
FOR DEVELOPER AWARDED PROJECTS
TABLE OF CONTENTS
Page
Article 1 — Definitions and Terminology 1
1.01 Defined Terms 1
1.02 Terminology 5
Article 2 — Preliminary Matters 6
2.01 Before Starting Construction 6
2.02 Preconstruction Conference 6
2.03 Public Meeting 6
Article 3 — Contract Documents and Amending 6
3.01 Reference Standards 6
3.02 Amending and Supplementing Contract Documents 6
Article 4 — Bonds and Insurance 7
4.01 Licensed Sureties and Insurers 7
4.02 Performance, Payment, and Maintenance Bonds 7
4.03 Certificates of Insurance 7
4.04 Contractor's Insurance 9
4.05 Acceptance of Bonds and Insurance; Option to Replace 12
Article 5 — Contractor's Responsibilities 12
5.01 Supervision and Superintendent 12
5.02 Labor; Working Hours 13
5.03 Services, Materials, and Equipment 13
5.04 Project Schedule 14
5.05 Substitutes and "Or -Equals" 14
5.06 Pre -Qualification of Bidders (Prime Contractors and Subcontractors) 16
5.07 Concerning Subcontractors, Suppliers, and Others 16
5.08 Wage Rates 18
5.09 Patent Fees and Royalties 19
5.10 Laws and Regulations 19
5.11 Use of Site and Other Areas 19
5.12 Record Documents 20
5.13 Safety and Protection 21
5.14 Safety Representative 21
5.15 Hazard Communication Programs 22
5.16 Submittals 22
5.17 Contractor's General Warranty and Guarantee 23
CITY OF FORT WORTH
STANDARD CITY CONDITIONS — DEVELOPER AWARDED PROJECTS
Revised: January 10, 2013
5.18 Indemnification 24
5.19 Delegation of Professional Design Services 24
5.20 Right to Audit: 25
5.21 Nondiscrimination 25
Article 6 - Other Work at the Site 26
6.01 Related Work at Site 26
Article 7 - City's Responsibilities 26
7.01 Inspections, Tests, and Approvals 26
7.02 Limitations on City's Responsibilities 26
7.03 Compliance with Safety Program 27
Article 8 - City's Observation Status During Construction 27
8.01 City's Project Representative 27
8.02 Authorized Variations in Work 27
8.03 Rejecting Defective Work 27
8.04 Determinations for Work Performed 28
Article 9 - Changes in the Work
9.01 Authorized Changes in the Work
9.02 Notification to Surety
Article 10 -
10.01
10.02
10.03
Article 11-
11.01
11.02
11.03
11.04
11.05
11.06
11.07
11.08
Article 12 -
12.01
12.02
12.03
12.04
28
28
28
Change of Contract Price; Change of Contract Time 28
Change of Contract Price 28
Change of Contract Time 28
Delays 28
Tests and Inspections; Correction, Removal or Acceptance of Defective Work 29
Notice of Defects 29
Access to Work 29
Tests and Inspections 29
Uncovering Work 30
City May Stop the Work 30
Correction or Removal of Defective Work 30
Correction Period 30
City May Correct Defective Work 31
Completion 32
Contractor's Warranty of Title 32
Partial Utilization 32
Final Inspection 32
Final Acceptance 33
Article 13 - Suspension of Work 33
13.01 City May Suspend Work 33
Article 14 - Miscellaneous 34
14.01 Giving Notice 34
CITY OF FORT WORTH
STANDARD CITY CONDITIONS - DEVELOPER AWARDED PROJFCTS
Revised: January 10, 2013
14.02 Computation of Times 34
14.03 Cumulative Remedies 34
14.04 Survival of Obligations 35
14.05 Headings 35
CITY OF FORT WORTH
STANDARD CITY CONDITIONS — DEVELOPER AWARDED PROJECTS
Revised: January 10, 2013
00 73 10- 1
Standard City Conditions Of The Construction Contract For Developer Awarded Projects
Page 1 of 35
ARTICLE 1— DEFINITIONS AND TERMINOLOGY
1.01 Defined Terms
A. Wherever used in these General Conditions or in other Contract Documents, the terms listed
below have the meanings indicated which are applicable to both the singular and plural thereof,
and words denoting gender shall include the masculine, feminine and neuter. Said terms are
generally capitalized or written in italics, but not always. When used in a context consistent with
the definition of a listed -defined term, the term shall have a meaning as defined below whether
capitalized or italicized or otherwise. In addition to terms specifically defined, terms with initial
capital letters in the Contract Documents include references to identified articles and paragraphs,
and the titles of other documents or forms.
1. Agreement - The written instrument which is evidence of the agreement between Developer
and Contractor covering the Work
2. Asbestos —Any material that contains more than one percent asbestos and is friable or is
releasing asbestos fibers into the air above current action levels established by the United
States Occupational Safety and Health Administration.
3. Business Day — A business day is defined as a day that the City conducts normal business,
generally Monday through Friday, except for federal or state holidays observed by the City.
4. Buzzsaw — City's on-line, electronic document management and collaboration system.
5. Calendar Day — A day consisting of 24 hours measured from midnight to the next midnight.
6. City— The City of Fort Worth, Texas, a Texas home -rule municipal corporation, acting by,
its governing body through its City Manager, his designee, or agents authorized pursuant to
its duly authorized charter on his behalf
7. Community Facilities Agreement (CFA) —A Contract between the Developer and the City
for the Construction of one or more following public facilities within the City public right-of-
way or easement: Water, Sanitary Sewer, Street, Storm Drain, Street Light, and Street Signs.
A CFA may include private facilities within the right-of-way dedicated as private right-of-
way or easement on a recorded plat.
8. Contract —The entire and integrated written document incorporating the Contract
Documents between the Developer, Contractor, and/or City concerning the Work. The
Contract supersedes prior negotiations, representations, or agreements, whether written or
oral.
9. Contract Documents —Those items that make up the contract and which must include the
Agreement, and it's attachments such as standard construction specifications, standard City
Conditions, other general conditions of the Developer, including:
a. An Agreement
CITY OF FORT WORTH
STANDARD CITY CONDITIONS — DEVELOPER AWARDED PROJECTS
Revised: January 10, 2013
00 73 10- 2
Standard City Conditions Of The Construction Contract For Developer Awarded Projects
Page 2 of 35
b. Attachments to the Agreement
i. Bid Form
ii. Vendor Compliance with State Law Non -Resident Bidder
iii. Prequalification Statement
c. Current Prevailing Wage Rates Table (if required by City)
d. Insurance Accord Form
e. Payment Bond
f. Performance Bond
g. Maintenance Bond
h. Power of Attorney for Bonds
i. Workers Compensation Affidavit
j. MWBE Commitment Form( If required by City)
k. General Conditions
1. Supplementary Conditions
m. The Standard City Conditions
n. Specifications specifically made part of the Contract Documents by attachment, if
not attached, as incorporated by reference and described in the Table of Contents of
the Project's Contract Documents
o. Drawings
p. Documentation submitted by contractor prior to Notice of Award.
q. The following which may be delivered or issued after the effective date if the
Agreement and, if issued become an incorporated part of the Contract Documents
i. Notice to Proceed
ii. Field Orders
iii. Change Orders
iv. Letters of Final Acceptance
r. Approved Submittals, other Contractor submittals, and the reports and drawings of
subsurface and physical conditions are not Contract Documents.
10. Contractor —The individual or entity with whom Developer has entered into the Agreement.
11. Day or day — A day, unless otherwise defined, shall mean a Calendar Day.
12. Developer — An individual or entity that desires to make certain improvements within the
City of Fort Worth
13. Drawings —That part of the Contract Documents prepared or approved by Engineer which
graphically shows the scope, extent, and character of the Work to be performed by
Contractor. Submittals are not Drawings as so defined.
14. Engineer —The licensed professional engineer or engineering firm registered in the State of
Texas performing professional services for the Developer.
15. Final Acceptance — The written notice given by the City to the Developer and/or Contractor
that the Work specified in the Contract Documents has been completed to the satisfaction of
the City.
CITY OF FORT WORTH
STANDARD CITY CONDITIONS — DEVELOPER AWARDED PROJECTS
Revised: January 10, 2013
00 73 10- 3
Standard City Conditions Of The Construction Contract For Developer Awarded Projects
Page 3 of 35
16. Final Inspection — Inspection carried out by the City to verify that the Contractor has
completed the Work, and each and every part or appurtenance thereof, fully, entirely, and in
conformance with the Contract Documents.
17. General Requirements —A part of the Contract Documents between the Developer and a
Contractor.
18. Laws and Regulations Any and all applicable laws, rules, regulations, ordinances, codes,
and orders of any and all governmental bodies, agencies, authorities, and courts having
jurisdiction.
19. Liens —Charges, security interests, or encumbrances upon Project funds, real property, or
personal property.
20. Milestone —A principal event specified in the Contract Documents relating to an
intermediate Contract Time prior to Final Acceptance of the Work.
21. Non -Participating Change Order —A document, which is prepared for and reviewed by the
City, which is signed by Contractor, and Developer, and authorizes an addition, deletion, or
revision in the Work or an adjustment in the Contract Price or the Contract Time, issued on
or after the Effective Date of the Agreement.
22. Participating Change Order —A document, which is prepared for and approved by the City,
which is signed by Contractor, Developer, and City and authorizes an addition, deletion, or
revision in the Work or an adjustment in the Contract Price or the Contract Time, issued on
or after the Effective Date of the Agreement.
23. Plans — See definition of Drawings.
24. Project Schedule —A schedule, prepared and maintained by Contractor, in accordance with
the General Requirements, describing the sequence and duration of the activities comprising
the Contractor's plan to accomplish the Work within the Contract Time.
25. Project —The Work to be performed under the Contract Documents.
26. Project Representative —The authorized representative of the City who will be assigned to
the Site.
27. Public Meeting — An announced meeting conducted by the Developer to facilitate public
participation and to assist the public in gaining an informed view of the Project.
28. Regular Working Hours — Hours beginning at 7: 00 a.m. and ending at 6:00 p.m., Monday
thru Friday (excluding legal holidays).
29. Samples Physical examples of materials, equipment, or workmanship that are
representative of some portion of the Work and which establish the standards by which such
portion of the Work will be judged.
CITY OF FORT WORTH
STANDARD CITY CONDITIONS — DEVELOPER AWARDED PROJECTS
Revised: January 10, 2013
00 73 10- 4
Standard City Conditions Of The Construction Contract For Developer Awarded Projects
Page 4 of 35
30. Schedule of Submittals —A schedule, prepared and maintained by Contractor, of required
submittals and the time requirements to support scheduled performance of related
construction activities.
31. Site —Lands or areas indicated in the Contract Documents as being furnished by City or
Developer upon which the Work is to be performed, including rights -of -way, permits, and
easements for access thereto, and such other lands furnished by City or Developer which are
designated for the use of Contractor.
32. Specifications —That part of the Contract Documents consisting of written requirements for
materials, equipment, systems, standards and workmanship as applied to the Work, and
certain administrative requirements and procedural matters applicable thereto.
Specifications may be specifically made a part of the Contract Documents by attachment or,
if not attached, may be incorporated by reference as indicated in the Table of Contents
(Division 00 00 00) of each Project.
33. Standard City Conditions — That part of the Contract Documents setting forth requirements
of the City.
34. Subcontractor —An individual or entity having a direct contract with Contractor or with any
other Subcontractor for the performance of a part of the Work at the Site.
35. Submittals All drawings, diagrams, illustrations, schedules, and other data or information
which are specifically prepared or assembled by or for Contractor and submitted by
Contractor to illustrate some portion of the Work.
36. Superintendent — The representative of the Contractor who is available at all times and able
to receive instructions from the City and/or Developer and to act for the Contractor.
37. Supplementary Conditions —That part of the Contract Documents which amends or
supplements the General Conditions.
38. Supplier —A manufacturer, fabricator, supplier, distributor, materialman, or vendor having
a direct contract with Contractor or with any Subcontractor to furnish materials or
equipment to be incorporated in the Work by Contractor or Subcontractor.
39. Underground Facilities All underground pipelines, conduits, ducts, cables, wires,
manholes, vaults, tanks, tunnels, or other such facilities or attachments, and any
encasements containing such facilities, including but not limited to, those that convey
electricity, gases, steam, liquid petroleum products, telephone or other communications,
cable television, water, wastewater, storm water, other liquids or chemicals, or traffic or
other control systems.
40. Weekend Working Hours — Hours beginning at 9:00 a.m. and ending at 5: 00 p.m., Saturday,
Sunday or legal holiday, as approved in advance by the City.
CITY OF FORT WORTH
STANDARD CITY CONDITIONS — DEVELOPER AWARDED PROJECTS
Revised: January 10, 2013
00 73 10- 5
Standard City Conditions Of The Construction Contract For Developer Awarded Projects
Page 5 of 35
41. Work —The entire construction or the various separately identifiable parts thereof required
to be provided under the Contract Documents. Work includes and is the result of performing
or providing all labor, services, and documentation necessary to produce such construction
including any Participating Change Order, Non -Participating Change Order, or Field
Order, and furnishing, installing, and incorporating all materials and equipment into such
construction, all as required by the Contract Documents.
42. Working Day — A working day is defined as a day, not including Saturdays, Sundays, or
legal holidays authorized by the City for contract purposes, in which weather or other
conditions not under the control of the Contractor will permit the performance of the
principal unit of work underway for a continuous period of not less than 7 hours between 7
a.m. and 6 p.m.
1.02 Terminology
A. The words and terms discussed in Paragraph 1.02.B through D are not defined but, when used in
the Bidding Requirements or Contract Documents, have the indicated meaning.
B. Defective:
1. The word "defective," when modifying the word "Work," refers to Work that is
unsatisfactory, faulty, or deficient in that it:
a. does not conform to the Contract Documents; or
b. does not meet the requirements of any applicable inspection, reference standard, test, or
approval referred to in the Contract Documents; or
c. has been damaged prior to City's written acceptance.
C. Furnish, Install, Perform, Provide:
1. The word "Furnish" or the word "Install" or the word "Perform" or the word "Provide" or
the word "Supply," or any combination or similar directive or usage thereof, shall mean
furnishing and incorporating in the Work including all necessary labor, materials, equipment,
and everything necessary to perform the Work indicated, unless specifically limited in the
context used.
D. Unless stated otherwise in the Contract Documents, words or phrases that have a well-known
technical or construction industry or trade meaning are used in the Contract Documents in
accordance with such recognized meaning.
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ARTICLE 2 — PRELIMINARY MATTERS
2.01 Before Starting Construction
Baseline Schedules: Submit to City in accordance with the Contract Documents, and prior to starting
the Work. New schedules will be submitted to City when Participating Change Orders or Non -
Participating Change Orders occur.
2.02 Preconstruction Conference
Before any Work at the Site is started, the Contractor shall attend a Preconstruction Conference as
specified in the Contract Documents.
2.03 Public Meeting
Contractor may not mobilize any equipment, materials or resources to the Site prior to Contractor
attending the Public Meeting as scheduled by the City.
ARTICLE 3 — CONTRACT DOCUMENTS AND AMENDING
3.01 Reference Standards
A. Standards, Specifications, Codes, Laws, and Regulations
1. Reference to standards, specifications, manuals, or codes of any technical society,
organization, or association, or to Laws or Regulations, whether such reference be specific or
by implication, shall mean the standard, specification, manual, code, or Laws or Regulations
in effect at the time of opening of Bids (or on the Effective Date of the Agreement if there
were no Bids), except as may be otherwise specifically stated in the Contract Documents.
2. No provision or instruction shall be effective to assign to City, or any of its officers,
directors, members, partners, employees, agents, consultants, or subcontractors, any duty or
authority to supervise or direct the performance of the Work or any duty or authority to
undertake responsibility inconsistent with the provisions of the Contract Documents.
3.02 Amending and Supplementing Contract Documents
A. The Contract Documents may be amended to provide for additions, deletions, and revisions in
the Work or to modify the terms and conditions thereof by a Participating Change Order or a
Non -Participating Change Order.
B. The requirements of the Contract Documents may be supplemented, and minor variations and
deviations in the Work not involving a change in Contract Price or Contract Time, may be
authorized, by one or more of the following ways:
1. A Field Order;
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1. City's or Engineer's review of a Submittal (subject to the provisions of Paragraph 5.16.C); or
2. City's written interpretation or clarification.
ARTICLE 4 — BONDS AND INSURANCE
4.01 Licensed Sureties and Insurers
All bonds and insurance required by the Contract Documents to be purchased and maintained by
Contractor shall be obtained from surety or insurance companies that are duly licensed or authorized
in the State of Texas to issue bonds or insurance policies for the limits and coverage so required.
Such surety and insurance companies shall also meet such additional requirements and qualifications
as may be provided Section 4.04.
4.02 Performance, Payment, and Maintenance Bonds
A. Contractor shall furnish performance and payment bonds in the name of Developer and City, in
accordance with Texas Government Code Chapter 2253 or successor statute, each in an amount
equal to the Contract Price as security for the faithful performance and payment of all of
Contractor's obligations under the Contract Documents.
B. Contractor shall furnish maintenance bonds in the name of Developer and City in an amount
equal to the Contract Price as security to protect the City against any defects in any portion of the
Work described in the Contract Documents. Maintenance bonds shall remain in effect for two
(2) years after the date of Final Acceptance by the City.
C. All bonds shall be in the form prescribed by the Contract Documents except as provided
otherwise by Laws or Regulations, and shall be executed by such sureties as are named in the list
of "Companies Holding Certificates of Authority as Acceptable Sureties on Federal Bonds and
as Acceptable Reinsuring Companies" as published in Circular 570 (amended) by the Financial
Management Service, Surety Bond Branch, U.S. Department of the Treasury. All bonds signed
by an agent or attorney -in -fact must be accompanied by a sealed and dated power of attorney
which shall show that it is effective on the date the agent or attorney -in -fact signed each bond.
D. If the surety on any bond furnished by Contractor is declared bankrupt or becomes insolvent or
its right to do business is terminated in the State of Texas or it ceases to meet the requirements of
Paragraph 4.02.C, Contractor shall promptly notify City and shall, within 30 days after the event
giving rise to such notification, provide another bond and surety, both of which shall comply
with the requirements of Paragraphs 4.01 and 4.02.C.
4.03 Certificates of Insurance
Contractor shall deliver to Developer and City, with copies to each additional insured and loss payee
identified in these Standard City Conditions certificates of insurance (and other evidence of
insurance requested by City or any other additional insured) which Contractor is required to
purchase and maintain.
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1. The certificate of insurance shall document the City, an as "Additional Insured" on all
liability policies.
2. The Contractor's general liability insurance shall include a, "per project" or "per location",
endorsement, which shall be identified in the certificate of insurance provided to the City.
3. The certificate shall be signed by an agent authorized to bind coverage on behalf of the
insured, be complete in its entirety, and show complete insurance carrier names as listed in
the current A.M. Best Property & Casualty Guide
4. The insurers for all policies must be licensed and/or approved to do business in the State of
Texas. Except for workers' compensation, all insurers must have a minimum rating of A-:
VII in the current A. M. Best Key Rating Guide or have reasonably equivalent financial
strength and solvency to the satisfaction of Risk Management. If the rating is below that
required, written approval of City is required.
5. All applicable policies shall include a Waiver of Subrogation (Rights of Recovery) in favor
of the City. In addition, the Contractor agrees to waive all rights of subrogation against the
Engineer (if applicable), and each additional insured identified in these Standard City
Conditions. Failure of the City to demand such certificates or other evidence of full
compliance with the insurance requirements or failure of the City to identify a deficiency
from evidence that is provided shall not be construed as a waiver of Contractor's obligation
to maintain such lines of insurance coverage.
6. If insurance policies are not written for specified coverage limits, an Umbrella or Excess
Liability insurance for any differences is required. Excess Liability shall follow form of the
primary coverage.
7. Unless otherwise stated, all required insurance shall be written on the "occurrence basis". If
coverage is underwritten on a claims -made basis, the retroactive date shall be coincident with
or prior to the date of the effective date of the agreement and the certificate of insurance shall
state that the coverage is claims -made and the retroactive date. The insurance coverage shall
be maintained for the duration of the Contract and for three (3) years following Final
Acceptance provided under the Contract Documents or for the warranty period, whichever is
longer. An annual certificate of insurance submitted to the City shall evidence such
insurance coverage.
8. Policies shall have no exclusions by endorsements, which, neither nullify or amend, the
required lines of coverage, nor decrease the limits of said coverage unless such endorsements
are approved in writing by the City. In the event a Contract has been bid or executed and the
exclusions are determined to be unacceptable or the City desires additional insurance
coverage, and the City desires the contractor/engineer to obtain such coverage, the contract
price shall be adjusted by the cost of the premium for such additional coverage plus 10%.
9. Any self -insured retention (SIR), in excess of $25,000.00, affecting required insurance
coverage shall be approved by the City in regards to asset value and stockholders' equity. In
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lieu of traditional insurance, alternative coverage maintained through insurance pools or risk
retention groups, must also be approved by City.
10. Any deductible in excess of $5,000.00, for any policy that does not provide coverage on a
first -dollar basis, must be acceptable to and approved by the City.
11. City, at its sole discretion, reserves the right to review the insurance requirements and to
make reasonable adjustments to insurance coverage's and their limits when deemed
necessary and prudent by the City based upon changes in statutory law, court decision or the
claims history of the industry as well as of the contracting party to the City. The City shall
be required to provide prior notice of 90 days, and the insurance adjustments shall be
incorporated into the Work by Change Order.
12. City shall be entitled, upon written request and without expense, to receive copies of policies
and endorsements thereto and may make any reasonable requests for deletion or revision or
modifications of particular policy terms, conditions, limitations, or exclusions necessary to
conform the policy and endorsements to the requirements of the Contract. Deletions,
revisions, or modifications shall not be required where policy provisions are established by
law or regulations binding upon either party or the underwriter on any such policies.
13. City shall not be responsible for the direct payment of insurance premium costs for
Contractor's insurance.
4.04 Contractor's Insurance
A. Workers Compensation and Employers' Liability. Contractor shall purchase and maintain such
insurance coverage with limits consistent with statutory benefits outlined in the Texas Workers'
Compensation Act (Texas Labor Code, Ch. 406, as amended), and minimum limits for
Employers' Liability as is appropriate for the Work being performed and as will provide
protection from claims set forth below which may arise out of or result from Contractor's
performance of the Work and Contractor's other obligations under the Contract Documents,
whether it is to be performed by Contractor, any Subcontractor or Supplier, or by anyone directly
or indirectly employed by any of them to perform any of the Work, or by anyone for whose acts
any of them may be liable:
1. claims under workers' compensation, disability benefits, and other similar employee benefit
acts;
2. claims for damages because of bodily injury, occupational sickness or disease, or death of
Contractor's employees.
3. The limits of liability for the insurance shall provide the following coverages for not less
than the following amounts or greater where required by Laws and Regulations
a. Statutory limits
b. Employer's liability
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1) $100,000 each accident/occurrence
2) $100,000 Disease - each employee
3) $500,000 Disease - policy limit
B. Commercial General Liability. Coverage shall include but not be limited to covering liability
(bodily injury or property damage) arising from: premises/operations, independent contractors,
products/completed operations, personal injury, and liability under an insured contract. Insurance
shall be provided on an occurrence basis, and as comprehensive as the current Insurance
Services Office (ISO) policy. This insurance shall apply as primary insurance with respect to
any other insurance or self-insurance programs afforded to the City. The Commercial General
Liability policy, shall have no exclusions by endorsements that would alter of nullify
premises/operations, products/completed operations, contractual, personal injury, or advertising
injury, which are normally contained with the policy, unless the City approves such exclusions
in writing.
1. For construction projects that present a substantial completed operation exposure, the City
may require the contractor to maintain completed operations coverage for a minimum of no
less than three (3) years following the completion of the project
2. Contractor's Liability Insurance under this Section which shall be on a per project basis
covering the Contractor with minimum limits of:
a. $1,000,000 each occurrence
b. $2,000,000 aggregate limit
3. The policy must have an endorsement (Amendment — Aggregate Limits of Insurance)
making the General Aggregate Limits apply separately to each job site.
4. The Commercial General Liability Insurance policies shall provide "X", "C", and "U"
coverage's. Verification of such coverage must be shown in the Remarks Article of the
Certificate of Insurance.
C. Automobile Liability. A commercial business auto policy shall provide coverage on "any auto",
defined as autos owned, hired and non -owned and provide indemnity for claims for damages
because bodily injury or death of any person and or property damage arising out of the work,
maintenance or use of any motor vehicle by the Contractor, any Subcontractor or Supplier, or by
anyone directly or indirectly employed by any of them to perform any of the Work, or by anyone
for whose acts any of them may be liable.
1. Automobile Liability, Contractor's Liability Insurance under this Section, which shall be in
an amount not less than the following amounts:
a. Automobile Liability - a commercial business policy shall provide coverage on "Any
Auto", defined as autos owned, hired and non -owned.
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1) $1, 000, 000 each accident on a combined single limit basis. Split limits are
acceptable if limits are at least:
2) $250,000 Bodily Injury per person
3) $500,000 Bodily Injury per accident /
4) $100,000 Property Damage
D. Railroad Protective Liability. If any of the work or any warranty work is within the limits of
railroad right-of-way, the Contractor shall comply with the following requirements:
1. The Contractor's construction activities will require its employees, agents, subcontractors,
equipment, and material deliveries to cross railroad properties and tracks owned and
operated by: NONE
Write the name of the railroad company. (If none, then write none)
2. The Contractor shall conduct its operations on railroad properties in such a manner as not to
interfere with, hinder, or obstruct the railroad company in any manner whatsoever in the use
or operation of its/their trains or other property. Such operations on railroad properties may
require that Contractor to execute a "Right of Entry Agreement" with the particular railroad
company or companies involved, and to this end the Contractor should satisfy itself as to the
requirements of each railroad company and be prepared to execute the right -of -entry (if any)
required by a railroad company. The requirements specified herein likewise relate to the
Contractor's use of private and/or construction access roads crossing said railroad company's
properties.
3. The Contractual Liability coverage required by Paragraph 5.04D of the General Conditions
shall provide coverage for not less than the following amounts, issued by companies
satisfactory to the City and to the Railroad Company for a term that continues for so long as
the Contractor's operations and work cross, occupy, or touch railroad property:
a. General Aggregate: NONE
Enter limits provided by Railroad Company (If none, write none)
b. Each Occurrence:: NONE
Enter limits provided by Railroad Company (If none, write none)
4. With respect to the above outlined insurance requirements, the following shall govern:
a. Where a single railroad company is involved, the Contractor shall provide one insurance
policy in the name of the railroad company. However, if more than one grade separation
or at -grade crossing is affected by the Project at entirely separate locations on the line or
lines of the same railroad company, separate coverage may be required, each in the
amount stated above.
b. Where more than one railroad company is operating on the same right-of-way or where
several railroad companies are involved and operated on their own separate rights -of -
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way, the Contractor may be required to provide separate insurance policies in the name
of each railroad company.
c. If, in addition to a grade separation or an at -grade crossing, other work or activity is
proposed on a railroad company's right-of-way at a location entirely separate from the
grade separation or at -grade crossing, insurance coverage for this work must be included
in the policy covering the grade separation.
d. If no grade separation is involved but other work is proposed on a railroad company's
right-of-way, all such other work may be covered in a single policy for that railroad, even
though the work may be at two or more separate locations.
5. No work or activities on a railroad company's property to be performed by the Contractor
shall be commenced until the Contractor has furnished the City with an original policy or
policies of the insurance for each railroad company named, as required above. All such
insurance must be approved by the City and each affected Railroad Company prior to the
Contractor's beginning work.
6. The insurance specified above must be carried until all Work to be performed on the railroad
right-of-way has been completed and the grade crossing, if any, is no longer used by the
Contractor. In addition, insurance must be carried during all maintenance and/or repair work
performed in the railroad right-of-way. Such insurance must name the railroad company as
the insured, together with any tenant or lessee of the railroad company operating over tracks
involved in the Project.
E. Notification of Policy Cancellation: Contractor shall immediately notify City upon cancellation
or other loss of insurance coverage. Contractor shall stop work until replacement insurance has
been procured. There shall be no time credit for days not worked pursuant to this section.
4.05 Acceptance of Bonds and Insurance; Option to Replace
If City has any objection to the coverage afforded by or other provisions of the bonds or insurance
required to be purchased and maintained by the Contractor in accordance with Article 5 on the basis
of non-conformance with the Contract Documents, the Developer and City shall so notify the
Contractor in writing within 10 Business Days after receipt of the certificates (or other evidence
requested). Contractor shall provide to the City such additional information in respect of insurance
provided as the Developer or City may reasonably request. If Contractor does not purchase or
maintain all of the bonds and insurance required by the Contract Documents, the Developer or City
shall notify the Contractor in writing of such failure prior to the start of the Work, or of such failure
to maintain prior to any change in the required coverage.
ARTICLE 5 — CONTRACTOR'S RESPONSIBILITIES
5.01 Supervision and Superintendent
A. Contractor shall supervise, inspect, and direct the Work competently and efficiently, devoting
such attention thereto and applying such skills and expertise as may be necessary to perform the
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Work in accordance with the Contract Documents. Contractor shall be solely responsible for the
means, methods, techniques, sequences, and procedures of construction.
B. At all times during the progress of the Work, Contractor shall assign a competent, English-
speaking, Superintendent who shall not be replaced without written notice to City. The
Superintendent will be Contractor's representative at the Site and shall have authority to act on
behalf of Contractor. All communication given to or received from the Superintendent shall be
binding on Contractor.
C. Contractor shall notify the City 24 hours prior to moving areas during the sequence of
construction.
5.02 Labor; Working Hours
A. Contractor shall provide competent, suitably qualified personnel to perform construction as
required by the Contract Documents. Contractor shall at all times maintain good discipline and
order at the Site.
B. Except as otherwise required for the safety or protection of persons or the Work or property at
the Site or adjacent thereto, and except as otherwise stated in the Contract Documents, all Work
at the Site shall be performed during Regular Working Hours. Contractor will not permit the
performance of Work beyond Regular Working Hours or for Weekend Working Hours without
City's written consent (which will not be unreasonably withheld). Written request (by letter or
electronic communication) to perform Work:
1. for beyond Regular Working Hours request must be made by noon at least two (2) Business
Days prior
2. for Weekend Working Hours request must be made by noon of the preceding Thursday
3. for legal holidays request must be made by noon two Business Days prior to the legal
holiday.
5.03 Services, Materials, and Equipment
A. Unless otherwise specified in the Contract Documents, Contractor shall provide and assume full
responsibility for all services, materials, equipment, labor, transportation, construction
equipment and machinery, tools, appliances, fuel, power, light, heat, telephone, water, sanitary
facilities, temporary facilities, and all other facilities and incidentals necessary for the
performance, Contractor required testing, start-up, and completion of the Work.
B. All materials and equipment incorporated into the Work shall be as specified or, if not specified,
shall be of good quality and new, except as otherwise provided in the Contract Documents. All
special warranties and guarantees required by the Specifications shall expressly run to the benefit
of City. If required by City, Contractor shall furnish satisfactory evidence (including reports of
required tests) as to the source, kind, and quality of materials and equipment.
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C. All materials and equipment to be incorporated into the Work shall be stored, applied, installed,
connected, erected, protected, used, cleaned, and conditioned in accordance with instructions of
the applicable Supplier, except as otherwise may be provided in the Contract Documents.
5.04 Project Schedule
A. Contractor shall adhere to the Project Schedule established in accordance with Paragraph 2.01
and the General Requirements as it may be adjusted from time to time as provided below.
1. Contractor shall submit to City for acceptance (to the extent indicated in Paragraph 2.01 and
the General Requirements) proposed adjustments in the Project Schedule.
2. Proposed adjustments in the Project Schedule that will change the Contract Time shall be
submitted in accordance with the requirements of Article 9. Adjustments in Contract Time
for projects with City participation shall be made by participating change orders.
5.05 Substitutes and "Or -Equals"
A. Whenever an item of material or equipment is specified or described in the Contract Documents
by using the name of a proprietary item or the name of a particular Supplier, the specification or
description is intended to establish the type, function, appearance, and quality required. Unless
the specification or description contains or is followed by words reading that no like, equivalent,
or "or -equal" item or no substitution is permitted, other items of material or equipment of other
Suppliers may be submitted to City for review under the circumstances described below.
1. "Or -Equal" Items: If in City's sole discretion an item of material or equipment proposed by
Contractor is functionally equal to that named and sufficiently similar so that no change in
related Work will be required, it may be considered by City as an "or -equal" item, in which
case review and approval of the proposed item may, in City's sole discretion, be
accomplished without compliance with some or all of the requirements for approval of
proposed substitute items. For the purposes of this Paragraph 5.05.A.1, a proposed item of
material or equipment will be considered functionally equal to an item so named if:
a. City determines that:
1) it is at least equal in materials of construction, quality, durability, appearance,
strength, and design characteristics;
2) it will reliably perform at least equally well the function and achieve the results
imposed by the design concept of the completed Project as a functioning whole; and
3) it has a proven record of performance and availability of responsive service; and
b. Contractor certifies that, if approved and incorporated into the Work:
1) there will be no increase in cost to the City or increase in Contract Time; and
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2) it will conform substantially to the detailed requirements of the item named in the
Contract Documents.
2. Substitute Items:
a. If in City's sole discretion an item of material or equipment proposed by Contractor does
not qualify as an "or -equal" item under Paragraph 5.05.A.1, it may be submitted as a
proposed substitute item.
b. Contractor shall submit sufficient information as provided below to allow City to
determine if the item of material or equipment proposed is essentially equivalent to that
named and an acceptable substitute therefor. Requests for review of proposed substitute
items of material or equipment will not be accepted by City from anyone other than
Contractor.
c. Contractor shall make written application to City for review of a proposed substitute item
of material or equipment that Contractor seeks to furnish or use. The application shall
comply with Section 01 25 00 and:
1) shall certify that the proposed substitute item will:
i. perform adequately the functions and achieve the results called for by the general
design;
ii. be similar in substance to that specified;
iii. be suited to the same use as that specified; and
2) will state:
i. the extent, if any, to which the use of the proposed substitute item will prejudice
Contractor's achievement of final completion on time;
ii. whether use of the proposed substitute item in the Work will require a change in
any of the Contract Documents (or in the provisions of any other direct contract
with City for other work on the Project) to adapt the design to the proposed
substitute item;
iii. whether incorporation or use of the proposed substitute item in connection with
the Work is subject to payment of any license fee or royalty; and
3) will identify:
i. all variations of the proposed substitute item from that specified;
ii. available engineering, sales, maintenance, repair, and replacement services; and
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4) shall contain an itemized estimate of all costs or credits that will result directly or
indirectly from use of such substitute item, including costs of redesign and Damage
Claims of other contractors affected by any resulting change.
B. Substitute Construction Methods or Procedures: If a specific means, method, technique,
sequence, or procedure of construction is expressly required by the Contract Documents,
Contractor may furnish or utilize a substitute means, method, technique, sequence, or procedure
of construction approved by City. Contractor shall submit sufficient information to allow City, in
City's sole discretion, to determine that the substitute proposed is equivalent to that expressly
called for by the Contract Documents. Contractor shall make written application to City for
review in the same manner as those provided in Paragraph 5.05.A.2.
C. City's Evaluation: City will be allowed a reasonable time within which to evaluate each
proposal or submittal made pursuant to Paragraphs 5.05.A and 5.05.B. City may require
Contractor to furnish additional data about the proposed substitute. City will be the sole judge of
acceptability. No "or -equal" or substitute will be ordered, installed or utilized until City's review
is complete, which will be evidenced by a Change Order in the case of a substitute and an
accepted Submittal for an "or -equal." City will advise Contractor in writing of its determination.
D. Special Guarantee: City may require Contractor to furnish at Contractor's expense a special
performance guarantee, warranty, or other surety with respect to any substitute. Contractor shall
indemnify and hold harmless City and anyone directly or indirectly employed by them from and
against any and all claims, damages, losses and expenses (including attorneys fees) arising out
of the use of substituted materials or equipment.
E. City's Cost Reimbursement: City will record City's costs in evaluating a substitute proposed or
submitted by Contractor pursuant to Paragraphs 5.05.A.2 and 5.05.B. Whether or not City
approves a substitute so proposed or submitted by Contractor, Contractor may be required to
reimburse City for evaluating each such proposed substitute. Contractor may also be required to
reimburse City for the charges for making changes in the Contract Documents.
F. Contractor's Expense: Contractor shall provide all data in support of any proposed substitute or
"or -equal" at Contractor's expense.
G. Substitute Reimbursement: Costs (savings or charges) attributable to acceptance of a substitute
shall be incorporated to the Contract by Participating Change Order.
5.06 Pre -Qualification of Bidders (Prime Contractors and Subcontractors)
A. The Contractor and any subcontractors are required to be prequalified for the work types
requiring pre -qualification
5.07 Concerning Subcontractors, Suppliers, and Others
A. Minority and Women Owned Business Enterprise Compliance:
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❑ Required for this Contract.
(Check this box if there is any City Participation)
Not Required for this Contract.
EN
It is City policy to ensure the full and equitable participation by Minority and Women Business
Enterprises (MWBE) in the procurement of goods and services on a contractual basis. If the
Contract Documents provide for a MWBE goal, Contractor is required to comply with the intent
of the City's MWBE Ordinance (as amended) by the following:
1. Contractor shall, upon request by City, provide complete and accurate information regarding
actual work performed by a MWBE on the Contract and payment therefor.
2. Contractor will not make additions, deletions, or substitutions of accepted MWBE without
written consent of the City. Any unjustified change or deletion shall be a material breach of
Contract and may result in debarment in accordance with the procedures outlined in the
Ordinance.
3. Contractor shall, upon request by City, allow an audit and/or examination of any books,
records, or files in the possession of the Contractor that will substantiate the actual work
performed by an MWBE. Material misrepresentation of any nature will be grounds for
termination of the Contract. Any such misrepresentation may be grounds for disqualification
of Contractor to bid on future contracts with the City for a period of not less than three years.
B. Contractor shall be fully responsible to City for all acts and omissions of the Subcontractors,
Suppliers, and other individuals or entities performing or furnishing any of the Work just as
Contractor is responsible for Contractor's own acts and omissions. Nothing in the Contract
Documents:
1. shall create for the benefit of any such Subcontractor, Supplier, or other individual or entity
any contractual relationship between City and any such Subcontractor, Supplier or other
individual or entity; nor
2. shall create any obligation on the part of City to pay or to see to the payment of any moneys
due any such Subcontractor, Supplier, or other individual or entity except as may otherwise
be required by Laws and Regulations.
C. Contractor shall be solely responsible for scheduling and coordinating the Work of
Subcontractors, Suppliers, and other individuals or entities performing or furnishing any of the
Work under a direct or indirect contract with Contractor.
D. All Subcontractors, Suppliers, and such other individuals or entities performing or furnishing
any of the Work shall communicate with City through Contractor.
E. All Work performed for Contractor by a Subcontractor or Supplier will be pursuant to an
appropriate agreement between Contractor and the Subcontractor or Supplier which specifically
binds the Subcontractor or Supplier to the applicable terms and conditions of these Contract
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Documents, Contractor shall provide City contract numbers and reference numbers to the
Subcontractors and/or Suppliers.
5.08 Wage Rates
❑ Required for this Contract.
® Not Required for this Contract.
A. Duty to pay Prevailing Wage Rates. The Contractor shall comply with all requirements of
Chapter 2258, Texas Government Code (as amended), including the payment of not less than the
rates determined by the City Council of the City of Fort Worth to be the prevailing wage rates in
accordance with Chapter 2258. Such prevailing wage rates are included in these Contract
Documents.
B. Penalty for Violation. A Contractor or any Subcontractor who does not pay the prevailing wage
shall, upon demand made by the City, pay to the City $60 for each worker employed for each
calendar day or part of the day that the worker is paid less than the prevailing wage rates
stipulated in these contract documents. This penalty shall be retained by the City to offset its
administrative costs, pursuant to Texas Government Code 2258.023.
C. Complaints of Violations and City Determination of Good Cause. On receipt of information,
including a complaint by a worker, concerning an alleged violation of 2258.023, Texas
Government Code, by a Contractor or Subcontractor, the City shall make an initial
determination, before the 31 st day after the date the City receives the information, as to whether
good cause exists to believe that the violation occurred. The City shall notify in writing the
Contractor or Subcontractor and any affected worker of its initial determination. Upon the
City's determination that there is good cause to believe the Contractor or Subcontractor has
violated Chapter 2258, the City shall retain the full amounts claimed by the claimant or
claimants as the difference between wages paid and wages due under the prevailing wage rates,
such amounts being subtracted from successive progress payments pending a final determination
of the violation.
D. Arbitration Required if Violation Not Resolved. An issue relating to an alleged violation of
Section 2258.023, Texas Government Code, including a penalty owed to the City or an affected
worker, shall be submitted to binding arbitration in accordance with the Texas General
Arbitration Act (Article 224 et seq., Revised Statutes) if the Contractor or Subcontractor and any
affected worker does not resolve the issue by agreement before the 15th day after the date the
City makes its initial determination pursuant to Paragraph C above. If the persons required to
arbitrate under this section do not agree on an arbitrator before the 11th day after the date that
arbitration is required, a district court shall appoint an arbitrator on the petition of any of the
persons. The City is not a party in the arbitration. The decision and award of the arbitrator is
final and binding on all parties and may be enforced in any court of competent jurisdiction.
E. Records to be Maintained. The Contractor and each Subcontractor shall, for a period of three (3)
years following the date of acceptance of the work, maintain records that show (i) the name and
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occupation of each worker employed by the Contractor in the construction of the Work provided
for in this Contract; and (ii) the actual per diem wages paid to each worker. The records shall be
open at all reasonable hours for inspection by the City. The provisions of Paragraph 6.23, Right
to Audit, shall pertain to this inspection.
F. Progress Payments. With each progress payment or payroll period, whichever is less, the
Contractor shall submit an affidavit stating that the Contractor has complied with the
requirements of Chapter 2258, Texas Government Code.
G. Posting of Wage Rates. The Contractor shall post prevailing wage rates in a conspicuous place at
all times.
H. Subcontractor Compliance. The Contractor shall include in its subcontracts and/or shall
otherwise require all of its Subcontractors to comply with Paragraphs A through G above.
5.09 Patent Fees and Royalties
A. To the fullest extent permitted by Laws and Regulations, Contractor shall indemnify and hold
harmless City, from and against all claims, costs, losses, and damages (including but not limited
to all fees and charges of engineers, architects, attorneys, and other professionals and all court
or arbitration or other dispute resolution costs) arising out of or relating to any infringement of
patent rights or copyrights incident to the use in the performance of the Work or resulting from
the incorporation in the Work of any invention, design, process, product, or device not specified
in the Contract Documents.
5.10 Laws and Regulations
A. Contractor shall give all notices required by and shall comply with all Laws and Regulations
applicable to the performance of the Work. Except where otherwise expressly required by
applicable Laws and Regulations, the City shall not be responsible for monitoring Contractor's
compliance with any Laws or Regulations.
B. If Contractor performs any Work knowing or having reason to know that it is contrary to Laws
or Regulations, Contractor shall bear all claims, costs, losses, and damages (including but not
limited to all fees and charges of engineers, architects, attorneys, and other professionals and all
court or arbitration or other dispute resolution costs) arising out of or relating to such Work.
However, it shall not be Contractor's responsibility to make certain that the Specifications and
Drawings are in accordance with Laws and Regulations, but this shall not relieve Contractor of
Contractor's obligations under Paragraph 3.01.
5.11 Use of Site and Other Areas
A. Limitation on Use of Site and Other Areas:
1. Contractor shall confine construction equipment, the storage of materials and equipment, and
the operations of workers to the Site and other areas permitted by Laws and Regulations, and
shall not unreasonably encumber the Site and other areas with construction equipment or
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other materials or equipment. Contractor shall assume full responsibility for any damage to
any such land or area, or to the owner or occupant thereof, or of any adjacent land or areas
resulting from the performance of the Work.
2. At any time when, in the judgment of the City, the Contractor has obstructed or closed or is
carrying on operations in a portion of a street, right-of-way, or easement greater than is
necessary for proper execution of the Work, the City may require the Contractor to finish the
section on which operations are in progress before work is commenced on any additional
area of the Site.
3. Should any Damage Claim be made by any such owner or occupant because of the
performance of the Work, Contractor shall promptly attempt to resolve the Damage Claim.
4. Pursuant to Paragraph 5.18, Contractor shall indemnifi, and hold harmless City, from and
against all claims, costs, losses, and damages arising out of or relating to any claim or
action, legal or equitable, brought by any such owner or occupant against City.
B. Removal of Debris During Performance of the Work: During the progress of the Work
Contractor shall keep the Site and other areas free from accumulations of waste materials,
rubbish, and other debris. Removal and disposal of such waste materials, rubbish, and other
debris shall conform to applicable Laws and Regulations.
C. Site Maintenance Cleaning: 24 hours after written notice is given to the Contractor that the
clean-up on the job site is proceeding in a manner unsatisfactory to the City or Developer, if the
Contractor fails to correct the unsatisfactory procedure, the City may take such direct action as
the City deems appropriate to correct the clean-up deficiencies cited to the Contractor in the
written notice (by letter or electronic communication), and shall be entitled to recover its cost in
doing so. The City may withhold Final Acceptance until clean-up is complete and cost are
recovered.
D. Final Site Cleaning: Prior to Final Acceptance of the Work Contractor shall clean the Site and
the Work and make it ready for utilization by City or adjacent property owner. At the completion
of the Work Contractor shall remove from the Site all tools, appliances, construction equipment
and machinery, and surplus materials and shall restore to original condition or better all property
disturbed by the Work.
E. Loading Structures: Contractor shall not load nor peiiiut any part of any structure to be loaded
in any manner that will endanger the structure, nor shall Contractor subject any part of the Work
or adjacent property to stresses or pressures that will endanger it.
5.12 Record Documents
A. Contractor shall maintain in a safe place at the Site or in a place designated by the Contractor
and approved by the City, one (1) record copy of all Drawings, Specifications, Addenda, Change
Orders, Field Orders, and written interpretations and clarifications in good order and annotated
to show changes made during construction. These record documents together with all approved
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Samples and a counterpart of all accepted Submittals will be available to City for reference.
Upon completion of the Work, these record documents, any operation and maintenance manuals,
and Submittals will be delivered to City prior to Final Inspection. Contractor shall include
accurate locations for buried and imbedded items.
5.13 Safety and Protection
A. Contractor shall be solely responsible for initiating, maintaining and supervising all safety
precautions and programs in connection with the Work. Such responsibility does not relieve
Subcontractors of their responsibility for the safety of persons or property in the performance of
their work, nor for compliance with applicable safety Laws and Regulations. Contractor shall
take all necessary precautions for the safety of, and shall provide the necessary protection to
prevent damage, injury or loss to:
1. all persons on the Site or who may be affected by the Work;
2. all the Work and materials and equipment to be incorporated therein, whether in storage on
or off the Site; and
3. other property at the Site or adjacent thereto, including trees, shrubs, lawns, walks,
pavements, roadways, structures, utilities, and Underground Facilities not designated for
removal, relocation, or replacement in the course of construction.
B. Contractor shall comply with all applicable Laws and Regulations relating to the safety of
persons or property, or to the protection of persons or property from damage, injury, or loss; and
shall erect and maintain all necessary safeguards for such safety and protection. Contractor shall
notify owners of adjacent property and of Underground Facilities and other utility owners when
prosecution of the Work may affect them, and shall cooperate with them in the protection,
removal, relocation, and replacement of their property.
C. Contractor shall comply with the applicable requirements of City's safety programs, if any.
D. Contractor shall inform City of the specific requirements of Contractor's safety program, if any,
with which City's employees and representatives must comply while at the Site.
E. All damage, injury, or loss to any property referred to in Paragraph 5.13.A.2 or 5.13.A.3 caused,
directly or indirectly, in whole or in part, by Contractor, any Subcontractor, Supplier, or any
other individual or entity directly or indirectly employed by any of them to perform any of the
Work, or anyone for whose acts any of them may be liable, shall be remedied by Contractor.
F. Contractor's duties and responsibilities for safety and for protection of the Work shall continue
until such time as all the Work is completed and City has accepted the Work.
5.14 Safety Representative
Contractor shall inform City in writing of Contractor's designated safety representative at the Site.
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5.15 Hazard Communication Programs
Contractor shall be responsible for coordinating any exchange of material safety data sheets or other
hazard communication information required to be made available to or exchanged between or
among employers in accordance with Laws or Regulations.
5.16 Submittals
A. Contractor shall submit required Submittals to City for review and acceptance. Each submittal
will be identified as required by City.
1. Submit number of copies specified in the General Requirements.
2. Data shown on the Submittals will be complete with respect to quantities, dimensions,
specified performance and design criteria, materials, and similar data to show City the
services, materials, and equipment Contractor proposes to provide and to enable City to
review the information for the limited purposes required by Paragraph 5.16.C.
3. Submittals submitted as herein provided by Contractor and reviewed by City for
conformance with the design concept shall be executed in conformity with the Contract
Documents unless otherwise required by City.
4. When Submittals are submitted for the purpose of showing the installation in greater detail,
their review shall not excuse Contractor from requirements shown on the Drawings and
Specifications.
5. For -Information -Only submittals upon which the City is not expected to conduct review or
take responsive action may be so identified in the Contract Documents.
6. Submit required number of Samples specified in the Specifications.
7. Clearly identify each Sample as to material, Supplier, pertinent data such as catalog numbers,
the use for which intended and other data as City may require to enable City to review the
submittal for the limited purposes required by Paragraph 5.16.C.
B. Where a Submittal is required by the Contract Documents or the Schedule of Submittals, any
related Work performed prior to City's review and acceptance of the pertinent submittal will be
at the sole expense and responsibility of Contractor.
C. City's Review:
1. City will provide timely review of required Submittals in accordance with the Schedule of
Submittals acceptable to City. City's review and acceptance will be only to determine if the
items covered by the submittals will, after installation or incorporation in the Work, conform
to the information given in the Contract Documents and be compatible with the design
concept of the completed Project as a functioning whole as indicated by the Contract
Documents.
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2. City's review and acceptance will not extend to means, methods, techniques, sequences, or
procedures of construction (except where a particular means, method, technique, sequence,
or procedure of construction is specifically and expressly called for by the Contract
Documents) or to safety precautions or programs incident thereto. The review and
acceptance of a separate item as such will not indicate approval of the assembly in which the
item functions.
3. City's review and acceptance shall not relieve Contractor from responsibility for any
variation from the requirements of the Contract Documents unless Contractor has complied
with the requirements of Section 01 33 00 and City has given written acceptance of each
such variation by specific written notation thereof incorporated in or accompanying the
Submittal. City's review and acceptance shall not relieve Contractor from responsibility for
complying with the requirements of the Contract Documents.
5.17 Contractor's General Warranty and Guarantee
A. Contractor warrants and guarantees to City that all Work will be in accordance with the Contract
Documents and will not be defective. City and its officers, directors, members, partners,
employees, agents, consultants, and subcontractors shall be entitled to rely on representation of
Contractor's warranty and guarantee.
B. Contractor's warranty and guarantee hereunder excludes defects or damage caused by:
1. abuse, modification, or improper maintenance or operation by persons other than Contractor,
Subcontractors, Suppliers, or any other individual or entity for whom Contractor is
responsible; or
2. normal wear and tear under normal usage.
C. Contractor's obligation to perform and complete the Work in accordance with the Contract
Documents shall be absolute. None of the following will constitute an acceptance of Work that is
not in accordance with the Contract Documents or a release of Contractor's obligation to
perform the Work in accordance with the Contract Documents:
1. observations by City;
2. recommendation or payment by City or Developer of any progress or final payment;
3. the issuance of a certificate of Final Acceptance by City or any payment related thereto by
City;
4. use or occupancy of the Work or any part thereof by City;
5. any review and acceptance of a Submittal by City;
6. any inspection, test, or approval by others; or
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7. any correction of defective Work by City.
D. The Contractor shall remedy any defects or damages in the Work and pay for any damage to
other work or property resulting therefrom which shall appear within a period of two (2) years
from the date of Final Acceptance of the Work unless a longer period is specified and shall
furnish a good and sufficient maintenance bond, complying with the requirements of Article
4.02.B. The City will give notice of observed defects with reasonable promptness.
5.18 Indemnification
A. Contractor covenants and agrees to indemnify, hold harmless and defend, at its own expense, the
City, its officers, servants and employees, from and against any and all claims arising out of, or
alleged to arise out of, the work and services to be performed by the Contractor, its officers,
agents, employees, subcontractors, licenses or invitees under this Contract. THIS
INDEMNIFICATION PROVISION IS SPECIFICALLY INTENDED TO OPERATE
AND BE EFFECTIVE EVEN IF IT IS ALLEGED OR PROVEN THAT ALL OR SOME
OF THE DAMAGES BEING SOUGHT WERE CAUSED, IN WHOLE OR IN PART, BY
ANY ACT, OMISSION OR NEGLIGENCE OF THE CITY. This indemnity provision is
intended to include, without limitation, indemnity for costs, expenses and legal fees incurred by
the City in defending against such claims and causes of actions.
B. Contractor covenants and agrees to indemnify and hold harmless, at its own expense, the City, its
officers, servants and employees, from and against any and all loss, damage or destruction of
property of the City, arising out of, or alleged to arise out of, the work and services to be
performed by the Contractor, its officers, agents, employees, subcontractors, licensees or invitees
under this Contract. THIS INDEMNIFICATION PROVISION IS SPECIFICALLY
INTENDED TO OPERATE AND BE EFFECTIVE EVEN IF IT IS ALLEGED OR
PROVEN THAT ALL OR SOME OF THE DAMAGES BEING SOUGHT WERE
CAUSED, IN WHOLE OR IN PART, BY ANY ACT, OMISSION OR NEGLIGENCE OF
THE CITY.
5.19 Delegation of Professional Design Services
A. Contractor will not be required to provide professional design services unless such services are
specifically required by the Contract Documents for a portion of the Work or unless such
services are required to carry out Contractor's responsibilities for construction means, methods,
techniques, sequences and procedures.
B. If professional design services or certifications by a design professional related to systems,
materials or equipment are specifically required of Contractor by the Contract Documents, City
will specify all performance and design criteria that such services must satisfy. Contractor shall
cause such services or certifications to be provided by a properly licensed professional, whose
signature and seal shall appear on all drawings, calculations, specifications, certifications, and
Submittals prepared by such professional. Submittals related to the Work designed or certified
by such professional, if prepared by others, shall bear such professional's written approval when
submitted to City.
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C. City shall be entitled to rely upon the adequacy, accuracy and completeness of the services,
certifications or approvals performed by such design professionals, provided City has specified
to Contractor performance and design criteria that such services must satisfy.
D. Pursuant to this Paragraph 5.19, City's review and acceptance of design calculations and design
drawings will be only for the limited purpose of checking for conformance with performance
and design criteria given and the design concept expressed in the Contract Documents. City's
review and acceptance of Submittals (except design calculations and design drawings) will be
only for the purpose stated in Paragraph 5.16.C.
5.20 Right to Audit:
A. The City reserves the right to audit all projects utilizing City funds
B. The Contractor agrees that the City shall, until the expiration of three (3) years after final
payment under this Contract, have access to and the right to examine and photocopy any directly
pertinent books, documents, papers, and records of the Contractor involving transactions relating
to this Contract. Contractor agrees that the City shall have access during Regular Working Hours
to all necessary Contractor facilities and shall be provided adequate and appropriate work space
in order to conduct audits in compliance with the provisions of this Paragraph. The City shall
give Contractor reasonable advance notice of intended audits.
C. Contractor further agrees to include in all its subcontracts hereunder a provision to the effect that
the subcontractor agrees that the City shall, until the expiration of three (3) years after final
payment under this Contract, have access to and the right to examine and photocopy any directly
pertinent books, documents, papers, and records of such Subcontractor, involving transactions to
the subcontract, and further, that City shall have access during Regular Working Hours to all
Subcontractor facilities, and shall be provided adequate and appropriate work space in order to
conduct audits in compliance with the provisions of this Paragraph. The City shall give
Subcontractor reasonable advance notice of intended audits.
D. Contractor and Subcontractor agree to photocopy such documents as may be requested by the
City. The City agrees to reimburse Contractor for the cost of the copies as follows at the rate
published in the Texas Administrative Code in effect as of the time copying is performed.
5.21 Nondiscrimination
A. The City is responsible for operating Public Transportation Programs and implementing transit -
related projects, which are funded in part with Federal financial assistance awarded by the U.S.
Department of Transportation and the Federal Transit Administration (FTA), without
discriminating against any person in the United States on the basis of race, color, or national
origin.
B. Title VI, Civil Rights Act of 1964 as amended: Contractor shall comply with the requirements of
the Act and the Regulations as further defined in the Supplementary Conditions for any project
receiving Federal assistance.
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ARTICLE 6 — OTHER WORK AT THE SITE
6.01 Related Work at Site
A. City may perform other work related to the Project at the Site with City's employees, or other
City contractors, or through other direct contracts therefor, or have other work performed by
utility owners. If such other work is not noted in the Contract Documents, then written notice
thereof will be given to Contractor prior to starting any such other work; and
B. Contractor shall afford each other contractor who is a party to such a direct contract, each utility
owner, and City, if City is performing other work with City's employees or other City
contractors, proper and safe access to the Site, provide a reasonable opportunity for the
introduction and storage of materials and equipment and the execution of such other work, and
properly coordinate the Work with theirs. Contractor shall do all cutting, fitting, and patching of
the Work that may be required to properly connect or otherwise make its several parts come
together and properly integrate with such other work. Contractor shall not endanger any work of
others by cutting, excavating, or otherwise altering such work; provided, however, that
Contractor may cut or alter others' work with the written consent of City and the others whose
work will be affected.
C. If the proper execution or results of any part of Contractor's Work depends upon work
performed by others under this Article 7, Contractor shall inspect such other work and promptly
report to City in writing any delays, defects, or deficiencies in such other work that render it
unavailable or unsuitable for the proper execution and results of Contractor's Work. Contractor's
failure to so report will constitute an acceptance of such other work as fit and proper for
integration with Contractor's Work except for latent defects in the work provided by others.
ARTICLE 7 — CITY'S RESPONSIBILITIES
7.01 Inspections, Tests, and Approvals
City's responsibility with respect to certain inspections, tests, and approvals is set forth in Paragraph
11.03.
7.02 Limitations on City's Responsibilities
A. The City shall not supervise, direct, or have control or authority over, nor be responsible for,
Contractor's means, methods, techniques, sequences, or procedures of construction, or the safety
precautions and programs incident thereto, or for any failure of Contractor to comply with Laws
and Regulations applicable to the performance of the Work. City will not be responsible for
Contractor's failure to perform the Work in accordance with the Contract Documents.
B. City will notify the Contractor of applicable safety plans pursuant to Paragraph 5.13.
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7.03 Compliance with Safety Program
While at the Site, City's employees and representatives shall comply with the specific applicable
requirements of Contractor's safety programs of which City has been informed pursuant to
Paragraph 5.13.
ARTICLE 8 — CITY'S OBSERVATION STATUS DURING CONSTRUCTION
8.01 City's Project Representative
City will provide one or more Project Representative(s) during the construction period. The duties
and responsibilities and the limitations of authority of City's representative during construction are
set forth in the Contract Documents.
A. City's Project Representative will make visits to the Site at intervals appropriate to the various
stages of construction as City deems necessary in order to observe the progress that has been
made and the quality of the various aspects of Contractor's executed Work. Based on
information obtained during such visits and observations, City's Project Representative will
determine, in general, if the Work is proceeding in accordance with the Contract Documents.
City's Project Representative will not be required to make exhaustive or continuous inspections
on the Site to check the quality or quantity of the Work. City's Project Representative's efforts
will be directed toward providing City a greater degree of confidence that the completed Work
will conform generally to the Contract Documents.
B. City's Project Representative's visits and observations are subject to all the limitations on
authority and responsibility in the Contract Documents.
8.02 Authorized Variations in Work
City's Project Representative may authorize minor variations in the Work from the requirements of
the Contract Documents which do not involve an adjustment in the Contract Price or the Contract
Time and are compatible with the design concept of the completed Project as a functioning whole as
indicated by the Contract Documents. These may be accomplished by a Field Order and will be
binding on City Developer, and also on Contractor, who shall perform the Work involved promptly.
8.03 Rejecting Defective Work
City will have authority to reject Work which City's Project Representative believes to be defective,
or will not produce a completed Project that conforms to the Contract Documents or that will
prejudice the integrity of the design concept of the completed Project as a functioning whole as
indicated by the Contract Documents. City will have authority to conduct special inspection or
testing of the Work as provided in Article 11, whether or not the Work is fabricated, installed, or
completed.
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8.04 Determinations for Work Performed
Contractor will determine the actual quantities and classifications of Work performed. City's Project
Representative will review with Contractor the preliminary determinations on such matters before
rendering a written recommendation. City's written decision will be final (except as modified to
reflect changed factual conditions or more accurate data).
ARTICLE 9 — CHANGES IN THE WORK
9.01 Authorized Changes in the Work
A. Without invalidating the Contract and without notice to any surety, City may, at any time or
from time to time, order Extra Work. Upon notice of such Extra Work, Contractor shall
promptly proceed with the Work involved which will be performed under the applicable
conditions of the Contract Documents (except as otherwise specifically provided). Extra Work
shall be memorialized by a Participating Change Order which may or may not precede an order
of Extra work.
B. For minor changes of Work not requiring changes to Contract Time or Contract Price on a
project with City participation, a Field Order may be issued by the City.
9.02 Notification to Surety
If the provisions of any bond require notice to be given to a surety of any change affecting the
general scope of the Work or the provisions of the Contract Documents (including, but not limited
to, Contract Price or Contract Time), the giving of any such notice will be Contractor's
responsibility. The amount of each applicable bond will be adjusted by the Contractor to reflect the
effect of any such change.
ARTICLE 10 — CHANGE OF CONTRACT PRICE; CHANGE OF CONTRACT TIME
10.01 Change of Contract Price
A. The Contract Price may only be changed by a Participating Change Order for projects with City
participation.
10.02 Change of Contract Time
A. The Contract Time may only be changed by a Participating Change Order for projects with City
participation.
10.03 Delays
A. If Contractor is delayed, City shall not be liable to Contractor for any claims, costs, losses, or
damages (including but not limited to all fees and charges of engineers, architects, attorneys, and
other professionals and all court or arbitration or other dispute resolution costs) sustained by
Contractor on or in connection with any other project or anticipated project.
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ARTICLE 11— TESTS AND INSPECTIONS; CORRECTION, REMOVAL OR ACCEPTANCE OF
DEFECTIVE WORK
11.01 Notice of Defects
Notice of all defective Work of which City has actual knowledge will be given to Contractor.
Defective Work may be rejected, corrected, or accepted as provided in this Article 13.
11.02 Access to Work
City, independent testing laboratories, and governmental agencies with jurisdictional interests will
have access to the Site and the Work at reasonable times for their observation, inspection, and
testing. Contractor shall provide them proper and safe conditions for such access and advise them of
Contractor's safety procedures and programs so that they may comply therewith as applicable.
11.03 Tests and Inspections
A. Contractor shall give City timely notice of readiness of the Work for all required inspections,
tests, or approvals and shall cooperate with inspection and testing personnel to facilitate required
inspections or tests.
B. If Contract Documents, Laws or Regulations of any public body having jurisdiction require any
of the Work (or part thereof) to be inspected, tested, or approved, Contractor shall assume full
responsibility for arranging and obtaining such independent inspections, tests, retests or
approvals, pay all costs in connection therewith, and furnish City the required certificates of
inspection or approval; excepting, however, those fees specifically identified in the
Supplementary Conditions or any Texas Department of Licensure and Regulation (TDLR)
inspections, which shall be paid as described in the Supplementary Conditions.
C. Contractor shall be responsible for arranging and obtaining and shall pay all costs in connection
with any inspections, tests, re -tests, or approvals required for City's acceptance of materials or
equipment to be incorporated in the Work; or acceptance of materials, mix designs, or equipment
submitted for approval prior to Contractor's purchase thereof for incorporation in the Work.
Such inspections, tests, re -tests, or approvals shall be performed by organizations approved by
City.
D. City may arrange for the services of an independent testing laboratory ("Testing Lab") to
perform any inspections or tests ("Testing") for any part of the Work, as determined solely by
City.
1. City will coordinate such Testing to the extent possible, with Contractor;
2. Should any Testing under this Section 11.03 D result in a "fail", "did not pass" or other
similar negative result, the Contractor shall be responsible for paying for any and all retests.
Contractor's cancellation without cause of City initiated Testing shall be deemed a negative
result and require a retest.
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3. Any amounts owed for any retest under this Section 11.03 D shall be paid directly to the
Testing Lab by Contractor. City will forward all invoices for retests to
Developer/Contractor.
4. If Contractor fails to pay the Testing Lab, City will not issue a letter of Final Acceptance
until the Testing Lab is Paid
E. If any Work (or the work of others) that is to be inspected, tested, or approved is covered by
Contractor without written concurrence of City, Contractor shall, if requested by City, uncover
such Work for observation.
11.04 Uncovering Work
A. If any Work is covered contrary to the Contract Documents or specific instructions by the City, it
must, if requested by City, be uncovered for City's observation and replaced at Contractor's
expense.
11.05 City May Stop the Work
If the Work is defective, or Contractor fails to supply sufficient skilled workers or suitable materials
or equipment, or fails to perform the Work in such a way that the completed Work will conform to
the Contract Documents, City may order Contractor to stop the Work, or any portion thereof, until
the cause for such order has been eliminated; however, this right of City to stop the Work shall not
give rise to any duty on the part of City to exercise this right for the benefit of Contractor, any
Subcontractor, any Supplier, any other individual or entity, or any surety for, or employee or agent
of any of them.
11.06 Correction or Removal of Defective Work
A. Promptly after receipt of written notice, Contractor shall correct all defective Work pursuant to
an acceptable schedule, whether or not fabricated, installed, or completed, or, if the Work has
been rejected by City, remove it from the Project and replace it with Work that is not defective.
Contractor shall pay all claims, costs, additional testing, losses, and damages (including but not
limited to all fees and charges of engineers, architects, attorneys, and other professionals and all
court or arbitration or other dispute resolution costs) arising out of or relating to such correction
or removal (including but not limited to all costs of repair or replacement of work of others).
Failure to require the removal of any defective Work shall not constitute acceptance of such
Work.
B. When correcting defective Work under the terms of this Paragraph 11.06 or Paragraph 11.07,
Contractor shall take no action that would void or otherwise impair City's special warranty and
guarantee, if any, on said Work.
11.07 Correction Period
A. If within two (2) years after the date of Final Acceptance (or such longer period of time as may
be prescribed by the terms of any applicable special guarantee required by the Contract
CITY OF FORT WORTH
STANDARD CITY CONDITIONS — DEVELOPER AWARDED PROJECTS
Revised: January 10, 2013
007310-31
Standard City Conditions Of The Construction Contract For Developer Awarded Projects
Page 31 of 35
Documents), any Work is found to be defective, or if the repair of any damages to the land or
areas made available for Contractor's use by City or permitted by Laws and Regulations as
contemplated in Paragraph 5.10.A is found to be defective, Contractor shall promptly, without
cost to City and in accordance with City's written instructions:
1. repair such defective land or areas; or
2. correct such defective Work; or
3. if the defective Work has been rejected by City, remove it from the Project and replace it
with Work that is not defective, and
4. satisfactorily correct or repair or remove and replace any damage to other Work, to the work
of others or other land or areas resulting therefrom.
B. If Contractor does not promptly comply with the terms of City's written instructions, or in an
emergency where delay would cause serious risk of loss or damage, City may have the defective
Work corrected or repaired or may have the rejected Work removed and replaced. All claims,
costs, losses, and damages (including but not limited to all fees and charges of engineers,
architects, attorneys, and other professionals and all court or other dispute resolution costs)
arising out of or relating to such correction or repair or such removal and replacement (including
but not limited to all costs of repair or replacement of work of others) will be paid by Contractor.
C. Where defective Work (and damage to other Work resulting therefrom) has been corrected or
removed and replaced under this Paragraph 11.07, the correction period hereunder with respect
to such Work may be required to be extended for an additional period of one year after the end
of the initial correction period. City shall provide 30 days written notice to Contractor and
Developer should such additional warranty coverage be required. Contractor's obligations under
this Paragraph 11.07 are in addition to any other obligation or warranty. The provisions of this
Paragraph 11.07 shall not be construed as a substitute for, or a waiver of, the provisions of any
applicable statute of limitation or repose.
11.08 City May Correct Defective Work
A. If Contractor fails within a reasonable time after written notice from City to correct defective
Work, or to remove and replace rejected Work as required by City in accordance with Paragraph
11.06.A, or if Contractor fails to perform the Work in accordance with the Contract Documents,
or if Contractor fails to comply with any other provision of the Contract Documents, City may,
after seven (7) days written notice to Contractor and the Developer, correct, or remedy any such
deficiency.
B. In exercising the rights and remedies under this Paragraph 11.09, City shall proceed
expeditiously. In connection with such corrective or remedial action, City may exclude
Contractor from all or part of the Site, take possession of all or part of the Work and suspend
Contractor's services related thereto, and incorporate in the Work all materials and equipment
incorporated in the Work, stored at the Site or for which City has paid Contractor but which are
CITY OF FORT WORTH
STANDARD CITY CONDITIONS — DEVELOPER AWARDED PROJECTS
Revised: January 10, 2013
007310-32
Standard City Conditions Of The Construction Contract For Developer Awarded Projects
Page 32 of 35
stored elsewhere. Contractor shall allow City, City's representatives, agents, consultants,
employees, and City's other contractors, access to the Site to enable City to exercise the rights
and remedies under this Paragraph.
C. All claims, costs, losses, and damages (including but not limited to all fees and charges of
engineers, architects, attorneys, and other professionals and all court or other dispute resolution
costs) incurred or sustained by City in exercising the rights and remedies under this Paragraph
13.09 will be charged against Contractor, and a Change Order will be issued incorporating the
necessary revisions in the Contract Documents with respect to the Work; and City shall be
entitled to an appropriate decrease in the Contract Price.
D. Contractor shall not be allowed an extension of the Contract Time because of any delay in the
performance of the Work attributable to the exercise of City's rights and remedies under this
Paragraph 11.09.
ARTICLE 12 — COMPLETION
12.01 Contractor's Warranty of Title
Contractor warrants and guarantees that title to all Work, materials, and equipment covered by any
Application for Payment will pass to City no later than the time of Final Acceptance and shall be
free and clear of all Liens.
12.02 Partial Utilization
A. Prior to Final Acceptance of all the Work, City may use or occupy any substantially completed
part of the Work which has specifically been identified in the Contract Documents, or which
City, determines constitutes a separately functioning and usable part of the Work that can be
used by City for its intended purpose without significant interference with Contractor's
performance of the remainder of the Work. City at any time may notify Contractor in writing to
permit City to use or occupy any such part of the Work which City determines to be ready for its
intended use, subject to the following conditions:
1. Contractor at any time may notify City in writing that Contractor considers any such part of
the Work ready for its intended use.
2. Within a reasonable time after notification as enumerated in Paragraph 14.05.A.1, City and
Contractor shall make an inspection of that part of the Work to determine its status of
completion. If City does not consider that part of the Work to be substantially complete, City
will notify Contractor in writing giving the reasons therefor.
3. Partial Utilization will not constitute Final Acceptance by City.
12.03 Final Inspection
A. Upon written notice from Contractor that the entire Work is complete in accordance with the
Contract Documents:
CITY OF FORT WORTH
STANDARD CITY CONDITIONS — DEVELOPER AWARDED PROJECTS
Revised: January 10, 2013
007310-33
Standard City Conditions Of The Construction Contract For Developer Awarded Projects
Page 33 of 35
1. within 10 days, City will schedule a Final Inspection with Contractor.
2. City will notify Contractor in writing of all particulars in which this inspection reveals that
the Work is incomplete or defective. Contractor shall immediately take such measures as are
necessary to complete such Work or remedy such deficiencies.
12.04 Final Acceptance
A. Upon completion by Contractor to City's satisfaction, of any additional Work identified in the
Final Inspection, City will issue to Contractor a letter of Final Acceptance upon the satisfaction
of the following:
1. All documentation called for in the Contract Documents, including but not limited to the
evidence of insurance required by Paragraph 5.03;
2. consent of the surety, if any, to Final Acceptance;
3. a list of all pending or released Damage Claims against City that Contractor believes are
unsettled; and
4. affidavits of payments and complete and legally effective releases or waivers (satisfactory to
City) of all Lien rights arising out of or Liens filed in connection with the Work.
5. after all Damage Claims have been resolved:
a. directly by the Contractor or;
b. Contractor provides evidence that the Damage Claim has been reported to Contractor's
insurance provider for resolution.
6. Issuing Final Acceptance by the City shall not relieve the Contractor of any guarantees or
other requirements of the Contract Documents which specifically continue thereafter.
ARTICLE 13 — SUSPENSION OF WORK
13.01 City May Suspend Work
A. At any time and without cause, City may suspend the Work or any portion thereof by written
notice to Contractor and which may fix the date on which Work will be resumed. Contractor
shall resume the Work on the date so fixed. During temporary suspension of the Work covered
by these Contract Documents, for any reason, the City will stop contract time on City
participation projects.
B. Should the Contractor not be able to complete a portion of the Project due to causes beyond the
control of and without the fault or negligence of the Contractor, and should it be determined by
mutual consent of the Contractor and City that a solution to allow construction to proceed is not
CITY OF FORT WORTH
STANDARD CITY CONDITIONS — DEVELOPER AWARDED PROJECTS
Revised: January 10, 2013
007310-34
Standard City Conditions Of The Construction Contract For Developer Awarded Projects
Page 34 of 35
available within a reasonable period of time, Contractor may request an extension in Contract
Time, directly attributable to any such suspension.
C. If it should become necessary to suspend the Work for an indefinite period, the Contractor shall
store all materials in such a manner that they will not obstruct or impede the public unnecessarily
nor become damaged in any way, and he shall take every precaution to prevent damage or
deterioration of the work performed; he shall provide suitable drainage about the work, and erect
temporary structures where necessary.
ARTICLE 14 — MISCELLANEOUS
14.01 Giving Notice
A. Whenever any provision of the Contract Documents requires the giving of written notice, it will
be deemed to have been validly given if:
1. delivered in person to the individual or to a member of the firm or to an officer of the
corporation for whom it is intended; or
2. delivered at or sent by registered or certified mail, postage prepaid, to the last business
address known to the giver of the notice.
B. Business address changes must be promptly made in writing to the other party.
C. Whenever the Contract Documents specifies giving notice by electronic means such electronic
notice shall be deemed sufficient upon confirmation of receipt by the receiving party.
14.02 Computation of Times
When any period of time is referred to in the Contract Documents by days, it will be computed to
exclude the first and include the last day of such period. If the last day of any such period falls on a
Saturday or Sunday or on a day made a legal holiday the next Working Day shall become the last
day of the period.
14.03 Cumulative Remedies
The duties and obligations imposed by these General Conditions and the rights and remedies
available hereunder to the parties hereto are in addition to, and are not to be construed in any way as
a limitation of, any rights and remedies available to any or all of them which are otherwise imposed
or available by Laws or Regulations, by special warranty or guarantee, or by other provisions of the
Contract Documents. The provisions of this Paragraph will be as effective as if repeated specifically
in the Contract Documents in connection with each particular duty, obligation, right, and remedy to
which they apply.
CITY OF FORT WORTH
STANDARD CITY CONDITIONS — DEVELOPER AWARDED PROJECTS
Revised: January 10, 2013
007310-35
Standard City Conditions Of The Construction Contract For Developer Awarded Projects
Page 35 of 35
14.04 Survival of Obligations
All representations, indemnifications, warranties, and guarantees made in, required by, or given in
accordance with the Contract Documents, as well as all continuing obligations indicated in the
Contract Documents, will survive final payment, completion, and acceptance of the Work or
termination or completion of the Contract or termination of the services of Contractor.
14.05 Headings
Article and paragraph headings are inserted for convenience only and do not constitute parts of these
General Conditions.
CITY OF FORT WORTH
STANDARD CITY CONDITIONS — DEVELOPER AWARDED PROJECTS
Revised: January 10, 2013
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
Various provisions in this Coverage Part restrict
this insurance. Read the entire Coverage Part
carefully to determine rights, duties and what is
and is not covered.
Throughout this Coverage Part the words "you"
and "your" refer to the Named Insured shown in
the Dedarations, and any other person or organi-
zation qualifying as a Named Insured under this
Coverage Part. The words "we", "us" and "our"
refer to the Company providing this insurance.
The word "insured" means any person or organiza-
tion qualifying as such under SECTION II - WHO
IS AN INSURED.
Other words and phrases that appear in quotation
marks have special meaning. Refer to SECTION V
- DEFINITIONS.
SECTION I - COVERAGES
COVERAGE A. BODILY INJURY AND PROP-
ERTY DAMAGE LIABILITY
1. Insuring Agreement
a. We will pay those sums that the insured
becomes legally obligated to pay as dam-
ages because of "bodily injury" or "prop-
erty damage" to which this insurance ap-
plies. We will have the right and duty to
defend the insured against any "suit"
seeking those damages. However, we will
have no duty to defend the insured
against any "suit" seeking damages for
"bodily injury" or "property damage" to
which this insurance does not apply. We
may, at our discretion, investigate any
"occurrence" and settle any daim or "suit"
that may result. But:
(1) The amount we will pay for damages
is limited as described in SECTION
III - LIMITS OF INSURANCE; and
(2) Our right and duty to defend ends
when we have used up the applica-
ble limit of insurance in the payment
of judgments or settlements under
SECTION I - COVERAGES, COV-
ERAGE A. BODILY INJURY AND
PROPERTY DAMAGE LIABILITY;
SECTION I - COVERAGES, COV-
ERAGE B. PERSONAL AND AD-
VERTISING INJURY LIABILITY; or
medical expenses under SECTION
- COVERAGES, COVERAGE C.
MEDICAL PAYMENTS.
No other obligation or liability to pay sums
or perform acts or services is covered
unless expressly provided for under
SUPPLEMENTARY PAYMENTS - COV-
ERAGES A AND B.
b. This insurance applies to "bodily injury"
and "property damage" only if:
(1) The "bodily injury" or "property dam-
age" is caused by an "occurrence"
that takes place in the "coverage ter-
ritory";
(2) The "bodily injury" or "property dam-
age" occurs during the policy period;
and
(3)
Prior to the "coverage term" in which
"bodily injury" or "property damage"
occurs, you did not know, per Para-
graph 1.d. below, that the "bodily in-
jury" or "property damage" had oc-
curred or had begun to occur, in
whole or in part.
c. "Bodily injury" or "property damage"
which:
(1) Occurs during the "coverage term";
and
(2) Was not, prior to the "coverage
term", known by you, per Paragraph
1.d. below, to have occurred;
includes any continuation, change or re-
sumption of that "bodily injury" or "prop-
erty damage" after the end of the "cover-
age term" in which it first became known
by you.
d. You will be deemed to know that "bodily
injury" or "property damage" has occurred
at the earliest time when any "authorized
representative":
(1) Reports all, or any part, of the "bodily
injury" or "property damage" to us or
any other insurer;
(2) Receives a written or verbal demand
or claim for damages because of the
"bodily injury" or "property damage";
First observes, or first observed, the
"bodily injury" or "property damage";
(4) Becomes aware, or become aware,
by any means other than as de-
scribed in (3) above, that "bodily in-
jury" or "property damage" had oc-
curred or had begun to occur; or
Becomes aware, or become aware,
of a condition from which "bodily in-
jury" or "property damage" is sub-
stantially certain to occur.
(3)
(5)
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e. Damages because of "bodily injury" in-
clude damages daimed by any person or
organization for care, loss of services or
death resulting at any time from the "bod-
ily injury'.
2. Exclusions
This insurance does not apply to:
a. Expected or Intended Injury
"Bodily injury" or "property damage"
which results from the intentional or
criminal acts of the insured or which is in
fact expected or intended by the insured,
even if the injury or damage is of a differ-
ent degree or type than actually expected
or intended. This exclusion does not ap-
ply to "bodily injury" resulting from the use
of reasonable force to protect persons or
property.
b. Contractual Liability
"Bodily injury" or "property damage" for
which the insured 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:
(1)
That the insured would have in the
absence of the contract or agree-
ment; or
(2) Assumed in a contract or agreement
that is an "insured contract", provided
the "bodily injury" or "property dam-
age" occurs subsequent to the exe-
cution of the contract or agreement.
When a daim for such "bodily injury"
or "property damage" is made, we
will defend that claim provided the
insured has assumed the obligation
to defend such daim in the "insured
contract". Such defense payments
will not reduce the limits of insur-
ance.
c. Liquor Liability
"Bodily injury" or "property damage" for
which any insured may be held liable by
reason of:
(1) Causing or contributing to the intoxi-
cation of any person;
(2) The fumishing of alcoholic beverages
to a person under the legal drinking
age or under the influence of alcohol;
or
(3)
Any statute, ordinance or regulation
relating to the sale, gift, distribution
or use of alcoholic beverages.
This exclusion applies only if you are in
the business of manufacturing, distribut-
ing, selling, serving or furnishing alcoholic
beverages.
d. Workers' Compensation and Similar
Laws
Any obligation of the insured under a
workers' compensation, disability benefits
or unemployment compensation law or
any similar law.
e. Employer's Liability
"Bodily injury" to:
(1)
An "employee" of the insured sus-
tained in the "workplace";
(2) An "employee" of the insured arising
out of the performance of duties re-
lated to the conduct of the insured's
business; or
The spouse, child, parent, brother or
sister of that "employee" as a conse-
quence of Paragraphs (1) or (2)
above.
(3)
This exdusion applies:
(1) Whether the insured may be liable as
an employer or in any other capacity;
and
(2) To any obligation to share damages
with or repay someone else who
must pay damages because of the
injury.
This exclusion does not apply to liability
assumed by the insured under an "in-
sured contract".
f. Pollutant
(1)
"Bodily injury' or "property damage"
arising out of the actual, alleged or
threatened discharge, dispersal,
seepage, migration, release, escape
or emission of "pollutants":
(a) At or from any premises, site or
location which is or was at any
time owned or occupied by, or
rented or loaned to, any insured.
However, Paragraph (a) does
not apply to:
1) "Bodily injury" to any person
injured while on any prem-
ises, site or location owned
or occupied by, or rented or
loaned to, you provided:
a) The injury is caused by
the inadequate ventila-
tion of vapors;
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b) The person injured is
first exposed to such
vapors during the policy
period; and
c) Within 30 days of such
first exposure, the per-
son injured is clinically
diagnosed or treated by
a physician for the
medical condition
caused by the expo-
sure to such vapors.
However, Paragraph c)
does not apply if the
"bodily injury" is caused
by vapors produced by
or originating from
equipment that is used
to heat, cool or dehu-
midify the building, or
equipment that is used
to heat water for per-
sonal use, by the build-
ing's occupants or their
guests.
This exception 1) shall ap-
ply only to Named Insureds;
we shall have no duty to de-
fend or pay damages for
any person or organization
that is not a Named Insured.
However, this paragraph
does not apply if the "bodily
injury" is caused by vapors
produced by or originating
from equipment that is used
to heat, cool or dehumidify
the building, or equipment
that is used to heat water
for personal use, by the
building's occupants or their
guests.
For the purpose of the ex-
ception granted in Para-
graph 1) only, vapors
means any gaseous or air-
borne irritant or airborne
contaminant, including
smoke, fumes, vapor or
soot, but exduding asbes-
tos, which is discharged,
dispersed, emitted, released
or escapes from materials,
machinery or equipment
used in the service or main-
tenance of the premises.
Vapors does not mean any
gaseous or airborne irritants
or contaminants used in a
manufacturing process or
which is the product or by-
product of any manufactur-
ing process;
2) "Bodily injury" or "property
damage" for which you may
be held liable, if you are a
contractor, and the owner or
lessee of such premises,
site or location has been
added to this Coverage Part
as an additional insured
with respect to your ongoing
operations or "your work"
performed for that additional
insured at that premises,
site or location and such
premises, site or location is
not and never was owned or
occupied by, or rented or
loaned to, any insured,
other than that additional in-
sured; or
3) "Bodily injury" or "property
damage" arising out of heat,
smoke or fumes from a
"hostile fire";
(b) At or from any premises, site or
location which is or was at any
time used by or for any insured
or others for the handling, stor-
age, disposal, processing or
treatment of waste;
(c) Which are or were at any time
transported, handled, stored,
treated, disposed of, or proc-
essed as waste by or for:
1) Any insured; or
2) Any person or organization
for whom you may be le-
gally responsible;
(d) At or from any premises, site or
location on which any insured or
any contractors or subcontrac-
tors working directly or indirectly
on any insureds behalf are per-
forming operations if the "pollut-
ants" are brought on or to the
premises, site or location in con-
nection with such operations by
such insured, contractor or sub-
contractor. However, Paragraph
(d) does not apply to:
1) "Bodily injury" or "property
damage" arising out of the
discharge, dispersal, seep-
age, migration, release, es-
cape or emission of fuels,
lubricants or other operating
fluids, or exhaust gases,
which are needed to per -
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form, or are the result of,
the normal electrical, hy-
draulic or mechanical func-
tions necessary for the op-
eration of "mobile equip-
ment" or its parts, if such
fuels, lubricants or other
operating fluids, or exhaust
gases, escape, seep or mi-
grate, or are discharged,
dispersed, released or emit-
ted from a vehicle part de-
signed to hold, store or re-
ceive them. This exception
does not apply if the fuels,
lubricants or other operating
fluids, or exhaust gases,
escape, seep or migrate, or
are discharged, dispersed,
released or emitted with the
intent to cause "bodily in-
jury" or "property damage"
or with the knowledge that
"bodily injury" or "property
damage" is substantially
certain to occur, or if such
fuels, lubricants or other
operating fluids, or exhaust
gases, are brought on or to
the premises, site or loca-
tion with such intent to es-
cape, seep or migrate, or be
discharged, dispersed, re-
leased or emitted as part of
the operations being per-
formed by such insured,
contractor or subcontractor;
2) "Bodily injury" or "property
damage" sustained within a
building and caused by the
release of gases, fumes or
vapors from materials
brought into that building in
connection with operations
being performed by you or
on your behalf by a contrac-
tor or subcontractor; or
3) "Bodily injury" or "property
damage" arising out of heat,
smoke or fumes from a
"hostile fire"; or
(e) At or from any premises, site or
location on which any insured or
any contractors or subcontrac-
tors working directly or indirectly
on any insureds behalf are per-
forming operations if the opera-
tions are to test for, monitor,
clean up, remove, contain, treat,
detoxify or neutralize, or in any
way respond to, or assess the
effects of, "pollutants".
9.
(2) Any loss, cost or expense arising out
of any:
(a) Request, demand, order or
statutory or regulatory require-
ment that any insured or others
test for, monitor, clean up, re-
move, contain, treat, detoxify or
neutralize, or in any way re-
spond to, or assess the effects
of, "pollutants"; or
(b) Claim or suit by or on behalf of a
governmental authority for dam-
ages because of testing for,
monitoring, cleaning up, remov-
ing, containing, treating, detoxi-
fying or neutralizing, or in any
way responding to, or assessing
the effects of, "pollutants".
However, Paragraphs (2)(a) and (b)
do not apply to liability for damages
because of "property damage" that
the insured would have in the ab-
sence of such request, demand, or-
der or statutory or regulatory re-
quirement, or such claim or "suit" by
or on behalf of a governmental au-
thority.
Aircraft, Auto or Watercraft
"Bodily injury" or "property damage" aris-
ing out of the ownership, maintenance,
use or entrustment to others of any air-
craft, "auto" or watercraft owned or oper-
ated by or rented or loaned to any in-
sured. Use indudes operation and "load-
ing or unloading".
This exdusion applies even if the daims
against any insured allege negligence or
other wrongdoing in the supervision, hir-
ing, employment, training or monitoring of
others by that insured, if the "occurrence"
which caused the "bodily injury" or "prop-
erty damage" involved the ownership,
maintenance, use or entrustment to oth-
ers of any aircraft, "auto" or watercraft
that is owned or operated by or rented or
loaned to any insured.
This exdusion does not apply to:
(1)
A watercraft while ashore on prem-
ises you own or rent;
(2) A watercraft you do not own that is:
(a) Less than 51 feet long; and
(b) Not being used to carry persons
or property for a charge;
Parking an "auto" on, or on the ways
next to, premises you own or rent,
provided the "auto" is not owned by
(3)
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or rented or loaned to you or the in-
sured;
(4) Liability assumed under any "insured
contract" for the ownership, mainte-
nance or use of aircraft or watercraft;
or
(5) "Bodily injury" or "property damage"
arising out of:
(a) The operation of machinery or
equipment that is on, attached
to, or part of, a land vehicle that
would qualify under the definition
of "mobile equipment" if it were
not subject to a compulsory or
financial responsibility law or
other motor vehicle insurance
law in the state where it is li-
censed or principally garaged; or
(b) The operation of any of the ma-
chinery or equipment listed in
Paragraph f.(2) or f.(3) of the
definition of "mobile equipment".
h. Mobile Equipment
"Bodily injury" or "property damage" aris-
ing out of:
(1) The transportation of "mobile equip-
ment" by an "auto" owned or oper-
ated by or rented or loaned to any in-
sured; or
(2) The use of "mobile equipment" in, or
while in practice for, or while being
prepared for, any prearranged rac-
ing, speed, demolition, or stunting
activity.
i. War
"Bodily injury" or "property damage", how-
ever caused, arising, directly or indirectly,
out of:
(1) War, including undeclared or civil
war;
(2) Warlike action by a military force, in-
cluding action in hindering or defend-
ing against an actual or expected at-
tack, by any government, sovereign
or other authority using military per-
sonnel or other agents; or
Insurrection, rebellion, revolution,
usurped power, or action taken by
governmental authority in hindering
or defending against any of these.
Damage to Property
"Property damage" to:
(3)
(1) Property you own, rent or occupy, in-
cluding any costs or expenses in-
curred by you, or any other person,
organization or entity, for repair, re-
placement, enhancement, restoration
or maintenance of such property for
any reason, including prevention of
injury to a person or damage to an -
other's property;
(2) Premises you sell, give away or
abandon, if the "property damage"
arises out of any part of those prem-
ises;
(3)
Property loaned to you;
(4) Personal property in the care, cus-
tody or control of an insured;
That particular part of real property
on which you or any contractors or
subcontractors working directly or in-
directly on your behalf are performing
operations, if the "property damage"
arises out of those operations; or
(6) That particular part of any property
that must be restored, repaired or re-
placed because "your work" was in-
correctly performed on it.
Paragraphs (1), (3) and (4) of this exclu-
sion do not apply to "property damage"
(other than damage by fire or explosion)
to premises, including the contents of
such premises, rented to you for a period
of 7 or fewer consecutive days, for which
the amount we will pay is limited to the
Damage To Premises Rented To You
Limit as described in SECTION III - LIM-
ITS OF INSURANCE.
(5)
Paragraph (2) of this exdusion does not
apply if the premises are "your work" and
were never occupied, rented or held for
rental by you.
Paragraphs (3), (4), (5) and (6) of this ex-
clusion do not apply to liability assumed
under a sidetrack agreement.
Paragraph (6) of this exdusion does not
apply to "property damage" included in
the "products -completed operations haz-
ard".
k. Damage to Your Product
"Property damage" to "your product" aris-
ing out of it or any part of it.
I. Damage to Your Work
"Property damage" to "your work" arising
out of it or any part of it and included in
the "products -completed operations haz-
ard".
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This exclusion does not apply if the dam-
aged work or the work out of which the
damage arises was performed on your
behalf by a subcontractor.
m. Damage to Impaired Property or Prop-
erty Not Physically Injured
"Property damage" to "impaired property"
or property that has not been physically
injured, arising out of:
(1)
A defect, deficiency, inadequacy or
dangerous condition in "your prod-
uct" or "your work"; or
(2) A delay or failure by you or anyone
acting on your behalf to perform a
contract or agreement in accordance
with its terms.
This exdusion does not apply to the loss
of use of other property arising out of
sudden and accidental physical injury to
"your product" or "your work" after it has
been put to its intended use.
n. Recall of Products, Work or Impaired
Property
Any liability or damages claimed for any
loss, cost or expense incurred by you or
others for the loss of use, withdrawal, re-
call, inspection, repair, replacement, ad-
justment, removal or disposal of:
(1) "Your product";
(2) "Your work"; or
(3) "Impaired property";
if such product, work or property is with-
drawn or recalled from the market or from
use by any person or organization be-
cause of a known or suspected defect,
deficiency, inadequacy or dangerous con-
dition in it.
o. Personal and Advertising Injury
"Bodily injury" arising out of "personal and
advertising injury".
p. Asbestos
"Bodily injury" or "property damage" aris-
ing out of, attributable to, or any way re-
lated to asbestos in any form or transmit-
ted in any manner.
Employment -Related Practices
"Bodily injury" to:
(1) A person arising out of any:
(a) Refusal to employ that person;
(b) Termination of that person's em-
ployment; or
q•
(c) Other employment -related prac-
tices, policies, acts or omissions
including but not limited to coer-
cion, criticism, demotion, evalua-
tion, failure to promote, reas-
signment, discipline, defamation,
harassment, humiliation or dis-
crimination directed at that per-
son; or
(2) The spouse, child, parent, brother or
sister of that person as a conse-
quence of "bodily injury" to that per-
son at whom any of the employment -
related practices described in Para-
graphs (a), (b) or (c) above is di-
rected.
This exdusion applies:
(1)
Whether the insured may be liable as
an employer or in any other capacity;
and
(2) To any obligation to share damages
with or repay someone else who
must pay damages because of the
irjury.
r. Additional Insured Prior Knowledge
An additional insured added by attach-
ment of an endorsement to this Coverage
Part that is seeking coverage for a claim
or "suit", if that additional insured knew,
per the following paragraph, that "bodily
injury" or "property damage" had occurred
or had begun to occur, in whole or in part,
prior to the "coverage term" in which such
"bodily injury" or "property damage" oc-
curs or begins to occur.
An additional insured added by attach-
ment of an endorsement to this Coverage
Part will be deemed to have known that
"bodily injury" or "property damage" has
occurred or has begun to occur at the
earliest time when that additional insured,
or any one of its owners, members, part-
ners, managers, executive officers, "em-
ployees" assigned to manage that addi-
tional insured's insurance program, or
"employees" assigned to give or receive
notice of an "occurrence", "personal and
advertising injury" offense, claim or "suit":
(1) Reports all, or any part, of the "bodily
injury" or "property damage" to us or
any other insurer;
(2) Receives a written or verbal demand
or daim for damages because of the
"bodily injury" or "property damage";
First observes, or first observed, the
"bodily injury" or "property damage";
(3)
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(4) Becomes aware, or become aware,
by any means other than as de-
scribed in (3) above, that "bodily in-
jury" or "property damage" had oc-
curred or had begun to occur; or
(5) Becomes aware, or become aware,
of a condition from which "bodily in-
jury" or "property damage" is sub-
stantially certain to occur.
s. Electronic Data
Damages arising out of the loss of, loss of
use of, damage to, corruption of, inability
to access, or inability to manipulate "elec-
tronic data".
t. Distribution of Material in Violation of
Statutes
"Bodily injury" or "property damage" aris-
ing directly or indirectly out of any action
or omission that violates or is alleged to
violate:
a. The Telephone Consumer Protection
Act (TCPA), induding any amendment
of or addition to such law; or
b. The CAN-SPAM Act of 2003, includ-
ing any amendment of or addition to
such law; or
c. Any statute, ordinance or regulation,
other than the TCPA or CAN-SPAM
Act of 2003, that prohibits or limits the
sending, transmitting, communicating
or distribution of material or informa-
tion.
Exclusions c. through q. do not apply to "prop-
erty damage" by fire or explosion to premises
while rented to you or temporarily occupied by
you with permission of the owner, for which
the amount we will pay is limited to the Dam-
age to Premises Rented To You Limit as de-
scribed in SECTION III - LIMITS OF INSUR-
ANCE.
COVERAGE B. PERSONAL AND ADVERTISING
INJURY LIABILITY
1. Insuring Agreement
a. We will pay those sums that the insured
becomes legally obligated to pay as dam-
ages because of "personal and advertis-
ing injury" to which this insurance applies.
We will have the right and duty to defend
the insured against any "suit" seeking
those damages. However, we will have
no duty to defend the insured against any
"suit" seeking damages for "personal and
advertising injury" to which this insurance
does not apply. We may, at our discre-
tion, investigate any offense and settle
any claim or "suit" that may result. But:
(1) The amount we will pay for damages
is limited as described in SECTION
III - LIMITS OF INSURANCE; and
(2) Our right and duty to defend ends
when we have used up the applica-
ble limit of insurance in the payment
of judgments or settlements under
SECTION I - COVERAGES, COV-
ERAGE A. BODILY INJURY AND
PROPERTY DAMAGE LIABILITY;
SECTION I - COVERAGES, COV-
ERAGE B. PERSONAL AND AD-
VERTISING INJURY LIABILITY; or
medical expenses under SECTION
- COVERAGES, COVERAGE C.
MEDICAL PAYMENTS.
No other obligation or liability to pay sums
or perform acts or services is covered
unless expressly provided for under
SUPPLEMENTARY PAYMENTS - COV-
ERAGES A AND B.
b. This insurance applies to "personal and
advertising injury" only if:
(1) The "personal and advertising injury"
is caused by an offense arising out of
your business; and
(2) The "personal and advertising injury"
offense was committed in the "cover-
age territory' during the policy period;
and
(3)
Prior to the "coverage term" in which
the "personal and advertising injury"
offense is committed, you did not
know, per Paragraph 1.d. below, that
the offense had been committed or
had begun to be committed, in whole
or in part.
c. "Personal and advertising injury" caused
by an offense which:
(1) Was committed during the "coverage
term"; and
(2) Was not, prior to the "coverage
term", known by you, per Paragraph
1.d. below, to have been committed;
includes any continuation, change or re-
sumption of that offense after the end of
the "coverage term" in which it first be-
came known by you.
d. You will be deemed to know that a "per-
sonal and advertising injury" offense has
been committed at the earliest time when
any "authorized representative":
(1) Reports all, or any part, of the "per-
sonal and advertising injury" to us or
any other insurer;
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(2) Receives a written or verbal demand
or claim for damages because of the
"personal and advertising injury";
First observes, or first observed, the
offense that caused the "personal
and advertising injury";
(4) Becomes aware, or become aware,
by any means, other than as de-
scribed in (3) above, that the offense
had been committed or had begun to
be committed; or
Becomes aware, or become aware,
of a condition from which "personal
and advertising injury" is substantially
certain to occur.
(3)
(5)
2. Exclusions
This insurance does not apply to:
a. Knowing Violation of Rights of An-
other
"Personal and advertising injury" caused
by or at the direction of the insured with
the knowledge that the act would violate
the rights of another and would inflict
"personal and advertising ir>jury".
b. Material Published With Knowledge of
Falsity
"Personal and advertising injury" arising
out of oral or written publication of mate-
rial, if done by or at the direction of the in-
sured with knowledge of its falsity.
c. Material Published Prior to Coverage
Term
"Personal and advertising injury" arising
out of oral or written publication of mate-
rial whose first publication took place be-
fore the later of the following:
(1)
The inception of this Coverage Part;
or
(2) The "coverage term" in which insur-
ance coverage is sought.
d. Criminal Acts
"Personal and advertising injury" arising
out of a criminal act committed by or at
the direction of the insured.
e. Contractual Liability
"Personal and advertising injury" for
which the insured 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:
(1) That the insured would have in the
absence of the contract or agree-
ment; or
(2) Assumed in a contract or agreement
that is an "insured contract", provided
the "personal and advertising injury"
is caused by or arises out of an of-
fense committed subsequent to the
execution of the contract or agree-
ment. When a claim for such "per-
sonal and advertising injury" is made,
we will defend that claim, provided
the insured has assumed the obliga-
tion to defend such claim in the "in-
sured contract". Such defense pay-
ments will not reduce the limits of in-
surance.
f. Breach of Contract
g.
"Personal and advertising injury" arising
out of a breach of contract, except an im-
plied contract to use another's advertising
idea in your "advertisement".
Quality or Performance of Goods -
Failure to Conform to Statements
"Personal and advertising injury" arising
out of the failure of goods, products or
services to conform with any statement of
quality or performance made in your "ad-
vertisement".
h. Wrong Description of Prices
"Personal and advertising injury" arising
out of the wrong description of the price
of goods, products or services stated in
your "advertisement".
i. Infringement of Copyright, Patent,
Trademark or Trade Secret
"Personal and advertising injury" arising
out of the infringement of copyright, pat-
ent, trademark, trade secret or other intel-
lectual property rights.
However, this exclusion does not apply to
infringement, in your "advertisement", of
copyright, trade dress or slogan.
Insureds in Media and Internet Type
Businesses
"Personal and advertising injury" commit-
ted by an insured whose business is:
(1) Advertising, broadcasting, publishing
or telecasting;
(2) Designing or determining content of
web -sites for others; or
An Internet search, access, content
or service provider.
(3)
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However, this exclusion does not apply to
Paragraphs 17. a., b. and c. of "personal
and advertising injury" under SECTION V
- DEFINITIONS.
For the purposes of this exdusion, the
placing of frames, borders or links, or ad-
vertising, for you or others anywhere on
the Internet is not, by itself, considered
the business of advertising, broadcasting,
publishing or telecasting.
k. Electronic Chatrooms or Bulletin
Boards
"Personal and advertising injury" arising
out of an electronic chatroom or bulletin
board any insured hosts, owns, or over
which any insured exercises control.
I. Unauthorized Use of Another's Name
or Product
"Personal and advertising injury" arising
out of the unauthorized use of another's
name or product in your e-mail address,
domain name or metatag, or any other
similar tactics to mislead another's poten-
tial customers.
m. Employment Related Practices
"Personal and advertising injury" to:
(1) A person arising out of any:
(a) Refusal to employ that person;
(b) Termination of that person's em-
ployment; or
(c) Other employment -related prac-
tices, policies, acts or omissions
including but not limited to coer-
cion, criticism, demotion, evalua-
tion, failure to promote, reas-
signment, discipline, defamation,
harassment, humiliation or dis-
crimination directed at that per-
son; or
(2) The spouse, child, parent, brother or
sister of that person as a conse-
quence of "personal and advertising
injury" to that person at whom any of
the employment -related practices
described in Paragraphs (a), (b) or
(c) above is directed.
This exdusion applies:
(1) Whether the insured may be liable as
an employer or in any other capacity;
and
(2) To any obligation to share damages
with or repay someone else who
must pay damages because of the
injury.
n. Pollutant
"Personal and advertising injury" arising
out of the actual, alleged or threatened
discharge, dispersal, seepage, migration,
release, escape or emission of "pollut-
ants" at any time.
o. Pollutant -Related
p.
q•
Any loss, cost or expense arising out of
any:
(1)
Request, demand, order or statutory
or regulatory requirement that any
insured or others test for, monitor,
clean up, remove, contain, treat, de-
toxify or neutralize, or in any way re-
spond to, or assess the effects of,
"pollutants"; or
(2) Claim or suit by or on behalf of a
governmental authority for damages
because of testing for, monitoring,
cleaning up, removing, containing,
treating, detoxifying or neutralizing,
or in any way responding to, or as-
sessing the effects of, "pollutants".
Asbestos
"Personal and advertising injury" arising
out of, attributable to, or any way related
to asbestos in any form or transmitted in
any manner.
Additional Insured Prior Knowledge
An additional insured added by attach-
ment of an endorsement to this Coverage
Part that is seeking coverage for a claim
or "suit", if that additional insured knew,
per the following paragraph, that a "per-
sonal and advertising injury" offense had
been committed or had begun to be
committed, in whole or in part, prior to the
"coverage term" in which such offense
was committed or began to be committed.
An additional insured added by attach-
ment of an endorsement to this Coverage
Part will be deemed to have known that a
"personal and advertising injury" offense
has been committed or has begun to be
committed at the earliest time when that
additional insured, or any one of its own-
ers, members, partners, managers, ex-
ecutive officers, "employees" assigned to
manage that additional insured's insur-
ance program, or "employees" assigned
to give or receive notice of an "occur-
rence", "personal and advertising injury"
offense, claim or "suit":
(1) Reports all, or any part, of the "per-
sonal and advertising injury" to us or
any other insurer;
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(2) Receives a written or verbal demand
or daim for damages because of the
"personal and advertising injury";
First observes, or first observed, the
offense that caused the "personal
and advertising injury";
(4) Becomes aware, or become aware,
by any means other than as de-
scribed in (3) above, that the "per-
sonal and advertising injury" offense
had been committed or had begun to
be committed; or
Becomes aware, or become aware,
of a condition from which "personal
and advertising injury" is substantially
certain to occur.
(3)
(5)
r. War
"Personal and advertising injury', how-
ever caused, arising, directly or indirectly,
out of:
(1)
War, including undeclared or civil
war;
(2) Warlike action by a military force, in-
cluding action in hindering or defend-
ing against an actual or expected at-
tack, by any government, sovereign
or other authority using military per-
sonnel or other agents; or
Insurrection, rebellion, revolution,
usurped power, or action taken by
governmental authority in hindering
or defending against any of these.
(3)
s. Distribution of Material in Violation of
Statutes
"Personal and advertising injury" arising
directly or indirectly out of any action or
omission that violates or is alleged to vio-
late:
a. The Telephone Consumer Protection
Act (TCPA), including any amendment
of or addition to such law; or
b. The CAN-SPAM Act of 2003, includ-
ing any amendment of or addition to
such law; or
c. Any statute, ordinance or regulation,
other than the TCPA or CAN-SPAM
Act of 2003, that prohibits or limits the
sending, transmitting, communicating
or distribution of material or informa-
tion.
COVERAGE C. MEDICAL PAYMENTS
1. Insuring Agreement
a. We will pay medical expenses as de-
scribed below for "bodily injury' caused
by an accident:
(1) On premises you own or rent;
(2) On ways next to premises you own
or rent; or
(3) Because of your operations;
provided that:
(1) The accident takes place in the "cov-
erage territory" and during the policy
period;
(2) The expenses are incurred and re-
ported to us within three years of the
date of the accident; and
(3) The injured person submits to ex-
amination, at our expense, by physi-
cians of our choice as often as we
reasonably require.
b. We will make these payments regardless
of fault. These payments will not exceed
the applicable limit of insurance. We will
pay reasonable expenses for:
(1) First aid administered at the time of
an accident;
(2) Necessary medical, surgical, x-ray
and dental services, induding pros-
thetic devices; and
Necessary ambulance, hospital, pro-
fessional nursing and funeral ser-
vices.
(3)
2. Exclusions
We will not pay expenses for "bodily irjury":
a. Any Insured
To any insured, except "volunteer work-
ers".
b. Hired Person
To a person hired to do work for or on
behalf of any insured or a tenant of any
insured.
c. Injury on Normally Occupied Premises
To a person injured on that part of prem-
ises you own or rent that the person nor-
mally occupies.
d. Workers' Compensation and Similar
Laws
To a person, whether or not an "em-
ployee" of any insured, if benefits for the
"bodily injury" are payable or must be pro-
vided under a workers' compensation or
disability benefits law or a similar law.
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e. Athletic Activities
To any person injured while officiating,
coaching, practicing for, instructing or
participating in any physical exercises or
games, sports, or athletic contests or ex-
hibitions of an athletic or sports nature.
f. Products -Completed Operations Haz-
ard
g.
Included within the "products -completed
operations hazard".
Coverage A Exclusions
Exduded under COVERAGE A. BODILY
INJURY AND PROPERTY DAMAGE LI-
ABILITY.
SUPPLEMENTARY PAYMENTS - COVERAGES
A AND B
We will pay, with respect to any claim we investi-
gate or settle, or any "suit" against an insured we
defend:
1. All expenses we incur.
2. Up to $250 for cost of bail bonds required be-
cause 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 bonds.
3. The cost of bonds to release attachments, but
only for bond amounts within the applicable
limit of insurance. We do not have to furnish
these bonds.
4. All reasonable expenses incurred by the in-
sured at our request to assist us in the investi-
gation or defense of the claim or "suit", includ-
ing actual loss of earnings up to $250 a day
because of time off from work.
5. All costs taxed against the insured in the
"suit".
6. Prejudgment interest awarded against the in-
sured on that part of the judgment we become
obligated to pay and which falls within the ap-
plicable limit of insurance. If we make an offer
to pay the applicable limit of insurance, we will
not pay any prejudgment interest based on
that period of time after the offer.
7. All interest on the full amount of any judgment
that accrues after entry of the judgment and
before we have paid, offered to pay, or depos-
ited in court the part of the judgment that is
within the applicable limit of insurance.
These payments will not reduce the limits of insur-
ance.
SECTION II - WHO IS AN INSURED
1. If you are designated in the Declarations as:
a. An individual, you and your spouse are
insureds, but only with respect to the con-
duct 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.
c. A limited liability company, you are an in-
sured. Your members are also insureds,
but only with respect to the conduct of
your business. Your managers are insur-
eds, but only with respect to their duties
as your managers.
d. An organization other than a partnership,
joint venture or limited liability company,
you are an insured. Your "executive offi-
cers" and directors are insureds, but only
with respect to their duties as your offi-
cers or directors. Your stockholders are
also insureds, but only with respect to
their liability as stockholders.
e. A trust, you are an insured. Your trustees
are also insureds, but only with respect to
their duties as trustees.
2. Each of the following is also an insured:
a. Your "volunteer workers" only while per-
forming 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. However,
none of these "employees" or "volunteer
workers" are insureds for:
(1) "Bodily injury" or "personal and ad-
vertising injury":
(a) To you, to your partners or
members (if you are a partner-
ship or joint venture), to your
members (if you are a limited li-
ability company), to a co -
"employee" while in the course
of his or her employment or per-
forming 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
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worker" as a consequence of
Paragraph (1)(a) above;
(c) For which there is any obligation
to 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 provid-
ing or failing to provide profes-
sional health care services.
(2) "Property damage" to property:
(a) Owned, occupied or used by; or
(b) Rented to, in the care, custody
or control of, or over which
physical control is being exer-
cised for any purpose by,
you, any of your "employees", "volun-
teer workers", any partner or member
(if you are a partnership or joint ven-
ture), or any member (if you are a
limited liability company).
b. Any person (other than your "employee"
or "volunteer worker"), or any organiza-
tion while acting as your real estate man-
ager.
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 prop-
erty; 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 Part.
3. Any organization you newly acquire or form,
other than a partnership, joint venture or lim-
ited 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 organiza-
tion. However:
a. Insurance under this provision is afforded
only until the 90th day after you acquire or
form the organization or the end of the
policy period, whichever is earlier;
b. COVERAGE A. BODILY INJURY AND
PROPERTY DAMAGE LIABILITY does
not apply to "bodily injury" or "property
damage" that occurred before you ac-
quired or formed the organization; and
c. COVERAGE B. PERSONAL AND AD-
VERTISING INJURY LIABILITY does not
apply to "personal and advertising injury"
arising out of an offense committed be-
fore you acquired or formed the organiza-
tion.
No person or organization is an insured with re-
spect to the conduct of any current or past partner-
ship, joint venture or limited liability company that
is not shown as a Named Insured in the Dedara-
tions.
SECTION III - LIMITS OF INSURANCE
1. The Limits of Insurance shown in the Declara-
tions and the rules below fix the most we will
pay regardless of the number of:
a. Insureds;
b. Claims made or "suits" brought; or
c. Persons or organizations making daims
or bringing "suits".
2. a. The General Aggregate Limit is the most
we will pay for the sum of:
(1)
Medical expenses under COVER-
AGE C. MEDICAL PAYMENTS;
(2) Damages under COVERAGE A.
BODILY INJURY AND PROPERTY
DAMAGE LIABILITY, except dam-
ages because of "bodily injury" or
"property damage" included in the
"products -completed operations haz-
ard"; and
Damages under COVERAGE B.
PERSONAL AND ADVERTISING
INJURY LIABILITY.
(3)
This General Aggregate Limit will not ap-
ply if either the Location General Aggre-
gate Limit of Insurance, Paragraph 2.b.,
or the Construction Project General Ag-
gregate Limit of Insurance, Paragraph
2.c. applies.
b. A separate Location General Aggregate
Limit of Insurance, equal to the amount of
the General Aggregate Limit shown in the
Declarations, shall apply to each location
owned by, or rented or leased to you and
is the most we will pay for the sum of:
(1)
Damages under COVERAGE A.
BODILY INJURY AND PROPERTY
DAMAGE LIABILITY, except dam-
ages because of "bodily injury" or
"property damage" included in the
"products -completed operations haz-
ard"; and
(2) Medical expenses under COVER-
AGE C. MEDICAL PAYMENTS,
GA 101 TX 09 10
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which can be attributed to operations at
only a single location owned by, or rented
or leased to you.
c. A separate Construction Project General
Aggregate Limit of Insurance, equal to the
amount of the General Aggregate Limit
shown in the Dedarations, shall apply to
each construction project and is the most
we will pay for the sum of:
(1)
Damages under COVERAGE A.
BODILY INJURY AND PROPERTY
DAMAGE LIABILITY, except dam-
ages because of "bodily injury" or
"property damage" included in the
"products -completed operations haz-
ard"; and
(2) Medical expenses under COVER-
AGE C. MEDICAL PAYMENTS;
which can be attributed only to ongoing
operations and only at a single construc-
tion project.
d. Only for the purpose of determining which
General Aggregate Limit of Insurance,
2.a., 2.b., or 2.c., applies:
(1) Location means premises involving
the same or connecting lots, or prem-
ises, whose connection is interrupted
only by a street, roadway, waterway
or right-of-way of a railroad.
(2) Construction project means a loca-
tion you do not own, rent or lease
where ongoing improvements, altera-
tions, installation, demolition or main-
tenance work is performed by you or
on your behalf. All connected ongo-
ing improvements, alterations, instal-
lation, demolition or maintenance
work performed by you or on your
behalf at the same location for the
same persons or organizations, no
matter how often or under how many
different contracts, will be deemed to
be a single construction project.
3. The Products -Completed Operations Aggre-
gate Limit is the most we will pay under COV-
ERAGE A. BODILY INJURY AND PROP-
ERTY DAMAGE LIABILITY for damages be-
cause of "bodily injury" and "property damage"
included in the "products -completed opera-
tions hazard".
4. Subject to 2.a. above, the Personal and Ad-
vertising Injury Limit is the most we will pay
under COVERAGE B. PERSONAL AND AD-
VERTISING INJURY LIABILITY for the sum
of all damages because of all "personal and
advertising injury" sustained by any one per-
son or organization.
5. Subject to 2. or 3. above, whichever applies,
the Each Occurrence Limit is the most we will
pay for the sum of:
a. Damages under COVERAGE A. BODILY
INJURY AND PROPERTY DAMAGE LI-
ABILITY; and
b. Medical expenses under COVERAGE C.
MEDICAL PAYMENTS;
because of all "bodily injury" and "property
damage" arising out of any one "occurrence".
6. Subject to 5. above, the Damage to Premises
Rented to You Limit is the most we will pay
under COVERAGE A. BODILY INJURY AND
PROPERTY DAMAGE LIABILITY for dam-
ages because of "property damage" to any
one premises, while rented to you, or in the
case of damage by fire or explosion, while
rented to you or temporarily occupied by you
with permission of the owner.
7. Subject to 5. above, the Medical Expense
Limit is the most we will pay under COVER-
AGE C. MEDICAL PAYMENTS for all medical
expenses because of "bodily injury" sustained
by any one person.
The Limits of Insurance of this Coverage Part ap-
ply separately to each "coverage term".
SECTION IV - COMMERCIAL GENERAL LIABIL-
ITY CONDITIONS
1. Bankruptcy
Bankruptcy or insolvency of the insured or of
the insured's estate will not relieve us of our
obligations under this Coverage Part.
2. Duties in the Event of Occurrence, Offense,
Claim or Suit
a. You must see to it that we are notified as
soon as practicable of an "occurrence" or
a "personal and advertising injury" of-
fense which may result in a daim. To the
extent possible, notice should include:
(1) How, when and where the "occur-
rence" or offense took place;
(2) The names and addresses of any in-
jured persons and witnesses; and
The nature and location of any injury
or damage arising out of the "occur-
rence" or offense.
(3)
b. If a daim is made or "suit" is brought
against any insured, you must:
(1) Immediately record the specifics of
the daim or "suit' and the date re-
ceived; and
(2) Notify us as soon as practicable.
GA 101 TX 09 10
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Services Office, Inc., with its permission. Page 13 of 22
You must see to it that we receive written
notice of the claim or "suit" as soon as
practicable.
c. You and any other involved insured must:
(1)
Immediately send us copies of any
demands, notices, summonses or le-
gal papers received in connection
with the claim or "suit";
(2) Authorize us to obtain records and
other information;
Cooperate with us in the investiga-
tion or settlement of the claim or de-
fense against the "suit"; and
(4) Assist us, upon our request, in the
enforcement of any right against any
person or organization which may be
liable to the insured because of injury
or damage to which this insurance
may also apply.
d. No insured will, except at that insured's
own cost, voluntarily make a payment,
assume any obligation, or incur any ex-
pense, other than for first aid, without our
consent.
(3)
3. Legal Action Against Us
No person or organization has a right under
this Coverage Part:
a. To join us as a party or otherwise bring us
into a "suit" asking for damages from an
insured; or
b. To sue us on this Coverage Part unless
all of its terms have been fully complied
with.
A person or organization may sue us to re-
cover on an agreed settlement or on a final
judgment against an insured; but we will not
be liable for damages that are not payable un-
der the terms of this Coverage Part or that are
in excess of the applicable limit of insurance.
An agreed settlement means a settlement and
release of liability signed by us, the insured
and the claimant or the claimant's legal repre-
sentative.
4. Liberalization
If, within 60 days prior to the beginning of this
Coverage Part or during the policy period, we
make any changes to any forms or endorse-
ments of this Coverage Part for which there is
currently no separate premium charge, and
that change provides more coverage than this
Coverage Part, the change will automatically
apply to this Coverage Part as of the latter of:
a. The date we implemented the change in
your state; or
b. The date this Coverage Part became ef-
fective; and
will be considered as included until the end of
the current policy period. We will make no ad-
ditional premium charge for this additional
coverage during the interim.
5. Other Insurance
If other valid and collectible insurance is avail-
able to the insured for a loss we cover under
COVERAGE A. BODILY INJURY AND
PROPERTY DAMAGE LIABILITY or COV-
ERAGE B. PERSONAL AND ADVERTISING
INJURY LIABILITY of this Coverage Part, our
obligations are limited as follows:
a. Primary Insurance
This insurance is primary except when b.
below applies. If this insurance is primary,
our obligations are not affected unless
any of the other insurance is also primary.
Then, we will share with all that other in-
surance by the method described in c.
below.
b. Excess Insurance
This insurance is excess over:
(1)
Any of the other insurance, whether
primary, excess, contingent or on
any other basis:
(a) That is Fire, Extended Cover-
age, Builder's Risk, Installation
Risk or similar insurance for
"your work";
(b) That is Fire or Explosion insur-
ance for premises rented to you
or temporarily occupied by you
with permission of the owner;
(c) That is insurance purchased by
you to cover your liability as a
tenant for "property damage" to
premises rented to you or tem-
porarily occupied by you with
permission of the owner; or
(d) If the loss arises out of the main-
tenance or use of aircraft,
"autos" or watercraft to the ex-
tent not subject to SECTION I -
COVERAGES, COVERAGE A.
BODILY INJURY AND PROP-
ERTY DAMAGE LIABILITY, 2.
Exclusions, g. Aircraft, Auto
or Watercraft.
(2) Any other primary insurance avail-
able to the insured covering liability
for damages arising out of the prem-
ises or operations, or the products
and completed operations, for which
GA 101 TX 09 10
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GA 101 TX 09 10
the insured has been added as an
additional insured by attachment of
an endorsement.
(3) Any other insurance:
(a) Whether primary, excess, con-
tingent or on any other basis,
except when such insurance is
written specifically to be excess
over this insurance; and
(b) That is a consolidated (wrap-up)
insurance program which has
been provided by the prime con-
tractor/project manager or owner
of the consolidated project in
which you are involved.
When this insurance is excess, we will
have no duty under COVERAGE A.
BODILY INJURY AND PROPERTY
DAMAGE LIABILITY or COVERAGE B.
PERSONAL AND ADVERTISING IN-
JURY LIABILITY to defend the insured
against any "suit" if any other insurer has
a duty to defend the insured against that
"suit". If no other insurer defends, we will
undertake to do so, but we will be entitled
to the insureds rights against all those
other insurers.
When this insurance is excess over other
insurance, we will pay only our share of
the amount of the loss, if any, that ex-
ceeds the sum of:
(1) The total amount that all such other
insurance would pay for the loss in
the absence of this insurance; and
(2) The total of all deductible and self -
insured amounts under all that other
insurance.
We will share the remaining loss, if any,
with any other insurance that is not de-
scribed in this Excess Insurance provision
and was not bought specifically to apply
in excess of the Limits of Insurance
shown in the Declarations of this Cover-
age Part.
c. Method of Sharing
If all of the other insurance permits con-
tribution by equal shares, we will follow
this method also. Under this approach
each insurer contributes equal amounts
until it has paid its applicable limit of
insurance or none of the loss remains,
whichever comes first.
If any of the other insurance does not
permit contribution by equal shares, we
will contribute by limits. Under this
method, each insurer's share is based on
the ratio of its applicable limit of insurance
Includes copyrighted material of Insurance
Services Office, Inc., with its permission.
to the total applicable limits of insurance
of all insurers.
6. Premium Audit
a. We will compute all premiums for this
Coverage Part in accordance with our
rules and rates.
b. Premium shown in this Coverage Part as
advance premium is a deposit premium
only. At the close of each audit period we
will compute the earned premium for that
period and send notice to the first Named
Insured. The due date for audit and retro-
spective premiums is the date shown as
the due date on the bill. If:
(1) The earned premium is less than the
deposit premium, we will return the
excess to the first Named Insured; or
(2) The earned premium is greater than
the deposit premium, the difference
will be due and payable to us by the
first Named Insured upon notice from
us.
c. The first Named Insured must keep re-
cords of the information we need for pre-
mium computation, and send us copies at
such times as we may request.
7. Representations
By accepting this Coverage Part, you agree:
a. The statements in the Declarations are
accurate and complete;
b. Those statements are based upon repre-
sentations you made to us; and
c. We have issued this Coverage Part in re-
liance upon your representations.
8. Separation of Insureds
Except with respect to the Limits of Insurance,
and any rights or duties specifically assigned
in this Coverage Part to the first Named In-
sured, this insurance applies:
a. As if each Named Insured were the only
Named Insured; and
b. Separately to each insured against whom
claim is made or "suit" is brought.
9. Transfer of Rights of Recovery Against
Others to Us
If the insured has rights to recover all or part
of any payment we have made under this
Coverage Part, those rights are 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.
Page 15 of 22
GA 101 TX 09 10
10. Two or More Coverage Forms or Policies
Issued by Us
If this Coverage Part and any other Coverage
Form or Coverage Part forming a part of this
policy apply to the same "occurrence" or "per-
sonal and advertising injury" offense, the ag-
gregate maximum Limit of Insurance under all
the Coverage Forms or Coverage Parts shall
not exceed the highest applicable Limit of In-
surance under any one Coverage Form or
Coverage Part. This condition does not apply
to any Coverage Form or Coverage Part is-
sued by us specifically to apply as excess in-
surance over this Coverage Part.
11. When We Do Not Renew
If we decide not to renew this Coverage Part,
we will mail or deliver to the first Named In-
sured shown in the Dedarations written notice
of the nonrenewal not less than 30 days be-
fore the expiration date.
If notice is mailed, proof of mailing will be suf-
ficient proof of notice.
SECTION V - DEFINITIONS
1. "Advertisement" means a notice that is broad-
cast, telecast or published to the general pub-
lic or specific market segments about your
goods, products or services for the purpose of
attracting customers or supporters. "Adver-
tisement" includes a publicity article. For pur-
poses of this definition:
a. Notices that are published include mate-
rial placed on the Internet or on similar
electronic means of communication; and
b. Regarding web -sites, only that part of a
web -site that is about your goods, prod-
ucts or services for the purposes of at-
tracting customers or supporters is con-
sidered an "advertisement".
2. "Authorized representative" means:
a. If you are designated in the Dedarations
as:
(1) An individual, you and your spouse
are "authorized representatives".
(2) A partnership or joint venture, your
members, your partners, and their
spouses are "authorized representa-
tives".
(3)
A limited liability company, your
members and your managers are
"authorized representatives".
(4) An organization other than a partner-
ship, joint venture or limited liability
company, your "executive officers"
and directors are "authorized repre-
sentatives". Provided you are not a
Includes copyrighted material of Insurance
Services Office, Inc., with its permission. Page 16 of 22
publicly traded organization, your
stockholders are also "authorized
representatives".
A trust, your trustees are "authorized
representatives".
b. Your "employees":
(1) Assigned to manage your insurance
program; or
(2) Responsible for giving or receiving
notice of an "occurrence", "personal
and advertising injury" offense, claim
or "suit";
(5)
are also "authorized representatives".
3. "Auto" means:
a. A land motor vehicle, trailer or semitrailer
designed for travel on public roads, in-
cluding any attached machinery or
equipment; or
b. Any other land vehicle that is subject to a
compulsory or financial responsibility law
or other motor vehicle insurance law in
the state where it is licensed or principally
garaged.
However, "auto" does not include "mobile
equipment".
4. "Bodily injury" means bodily injury, sickness or
disease sustained by a person, including
death resulting from any of these at any time.
5. "Coverage term" means the following individ-
ual increment, or if a multi -year policy period,
increments, of time, which comprise the policy
period of this Coverage Part:
a. The year commencing on the Effective
Date of this Coverage Part at 12:01 AM
standard time at your mailing address
shown in the Dedarations, and if a multi-
year policy period, each consecutive an-
nual period thereafter, or portion thereof if
any period is for a period of less than 12
months, constitute individual "coverage
terms". The last "coverage term" ends at
12:00 AM standard time at your mailing
address shown in the Declarations on the
earlier of:
(1)
The day the policy period shown in
the Declarations ends; or
(2) The day the policy to which this Cov-
erage Part is attached is terminated
or cancelled.
b. However, if after the issuance of this Cov-
erage Part, any "coverage term" is ex-
tended for an additional period of less
than 12 months, that additional period of
time will be deemed to be part of the last
preceding "coverage term".
6. "Coverage territory" means:
a. The United States of America (including
its territories and possessions), Puerto
Rico and Canada;
b. International waters or airspace, but only
if the injury or damage occurs in the
course of travel or transportation between
any places included in a. above; or
c. All other parts of the world if the injury or
damage arises out of:
(1)
Goods or products made or sold by
you in the territory described in a.
above;
(2) The activities of a person whose
home is in the territory described in
a. above, but is away for a short time
on your business; or
"Personal and advertising injury" of-
fenses that take place through the
Internet or similar electronic means
of communication,
provided the insured's responsibility to
pay damages is determined in a "suit" on
the merits, in the territory described in a.
above or in a settlement to which we
agree.
7. "Electronic data" means information, facts or
programs stored as or on, created or used on,
or transmitted to or from computer software,
including systems and applications software,
hard or floppy disks, CD-ROMs, tapes, drives,
cells, data processing devices or any other
media which are used with electronically con-
trolled equipment.
8. "Employee" includes a "leased worker". "Em-
ployee" does not include a "temporary
worker".
(3)
9. "Executive officer" means a person holding
any of the officer positions created by your
charter, constitution, by-laws or any other
similar governing document.
10. "Hostile fire" means one which becomes un-
controllable or breaks out from where it was
intended to be.
11. "Impaired property' means tangible property,
other than "your product" or "your work", that
cannot be used or is less useful because:
a. It incorporates "your product" or "your
work" that is known or thought to be de-
fective, deficient, inadequate or danger-
ous; or
b. You have failed to fulfill the terms of a
contract or agreement;
if such property can be restored to use by:
a. The repair, replacement, adjustment or
removal of "your product" or "your work";
or
b. Your fulfilling the terms of the contract or
agreement.
12. "Insured contract" means:
a. A contract for a lease of premises. How-
ever, that portion of the contract for a
lease of premises that indemnifies any
person or organization for "property dam-
age" by fire or explosion to premises
while rented to you or temporarily occu-
pied by you with permission of the owner
is not an "insured contract";
b. A sidetrack agreement;
c. Any easement or license agreement, ex-
cept in connection with construction or
demolition operations on or within 50 feet
of a railroad;
d. An obligation, as required by ordinance,
to indemnify a municipality, except in con-
nection with work for a municipality;
e. An elevator maintenance agreement;
f. That part of any other contract or agree-
ment pertaining to your business (includ-
ing 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", "property damage" or "per-
sonal and advertising injury" to a third
person or organization. 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 a railroad for "bodily
injury", "property damage" or "per-
sonal and advertising injury" arising
out of construction or demolition op-
erations, within 50 feet of any rail-
road property and affecting any rail-
road bridge or trestle, tracks, road-
beds, tunnel, underpass or crossing;
(2) That indemnifies an architect, engi-
neer or surveyor for injury or damage
arising out of:
(a) Preparing, approving, or failing
to prepare or approve, maps,
shop drawings, opinions, re-
ports, surveys, field orders,
GA 101 TX 09 10
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Services Office, Inc., with its permission. Page 17 of 22
(3)
change orders or drawings and
specifications; or
(b) Giving directions or instructions,
or failing to give them, if that is
the primary cause of the injury or
damage;
Under which the insured, if an archi-
tect, engineer or surveyor, assumes
liability for an injury or damage aris-
ing out of the insured's rendering or
failure to render professional ser-
vices, induding those listed in Para-
graph (2) above and supervisory, in-
spection, architectural or engineering
activities;
(4) That indemnifies an advertising, pub-
lic relations or media consulting firm
for "personal and advertising injury"
arising out of the planning, execution
or failure to execute marketing com-
munications programs. Marketing
communications programs include
but are not limited to comprehensive
marketing campaigns; consumer,
trade and corporate advertising for all
media; media planning, buying,
monitoring and analysis; direct mail;
promotion; sales materials; design;
presentations; point -of -sale materi-
als; market research; public relations
and new product development;
Under which the insured, if an adver-
tising, public relations or media con-
sulting firm, assumes liability for "per-
sonal and advertising injury" arising
out of the insured's rendering or fail-
ure to render professional services,
including those services listed in
Paragraph (4), above;
(6) That indemnifies a web -site designer
or content provider, or Internet
search, access, content or service
provider for injury or damage arising
out of the planning, execution or fail-
ure to execute Internet services.
Internet services include but are not
limited to design, production, distribu-
tion, maintenance and administration
of web -sites and web -banners; host-
ing web -sites; registering domain
names; registering with search en-
gines; marketing analysis; and pro-
viding access to the Internet or other
similar networks; or
Under which the insured, if a web -
site designer or content provider, or
Internet search, access, content or
service provider, assumes liability for
injury or damage arising out of the
insured's rendering or failure to ren-
(5)
(7)
der Internet services, including those
listed in Paragraph (6), above.
13. "Leased worker" means a person leased to
you by a labor leasing firm under an agree-
ment between you and the labor leasing firm,
to perform duties related to the conduct of
your business. "Leased worker" includes su-
pervisors furnished to you by the labor leasing
firm. "Leased worker" does not indude a
"temporary worker".
14. "Loading or unloading" means the handling of
property:
a. After it is moved from the place where it is
accepted for movement into or onto an
aircraft, watercraft or "auto";
b. While it is in or on an aircraft, watercraft
or "auto"; or
c. While it is being moved from an aircraft,
watercraft or "auto" to the place where it
is finally delivered;
but "loading or unloading" does not indude the
movement of property by means of a me-
chanical device, other than a hand truck, that
is not attached to the aircraft, watercraft or
"auto".
15. "Mobile equipment" means any of the follow-
ing types of land vehicles, including any at-
tached machinery or equipment:
a. Bulldozers, farm machinery, forklifts and
other vehicles designed for use principally
off public roads;
b. Vehicles maintained for use solely on or
next to premises you own or rent;
c. Vehicles that travel on crawler treads;
d. Vehicles, whether self-propelled or not,
maintained primarily to provide mobility to
permanently mounted:
e.
Power cranes, shovels, loaders, dig-
gers or drills; or
(2) Road construction or resurfacing
equipment such as graders, scrapers
or rollers;
Vehicles not described in a., b., c. or d.
above that are not self-propelled and are
maintained primarily to provide mobility to
permanently attached equipment of the
following types:
(1) Air compressors, pumps and genera-
tors, including spraying, welding,
building cleaning, geophysical explo-
ration, lighting and well servicing
equipment; or
(1)
GA 101 TX 09 10
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Services Office, Inc., with its permission. Page 18 of 22
(2) Cherry pickers and similar devices
used to raise or lower workers;
f. Vehicles not described in a., b., c. or d.
above maintained primarily for purposes
other than the transportation of persons
or cargo.
However, self-propelled vehicles with the
following types of permanently attached
equipment are not "mobile equipment" but
will be considered "autos":
(1) Equipment designed primarily for:
(a) Snow removal;
(b) Road maintenance, but not con-
struction or resurfacing; or
(c) Street cleaning;
(2) Cherry pickers and similar devices
mounted on automobile or truck
chassis and used to raise or lower
workers; and
Air compressors, pumps and genera-
tors, including spraying, welding,
building deaning, geophysical explo-
ration, lighting and well servicing
equipment.
However, "mobile equipment" does not in-
clude any land vehicles that are subject to a
compulsory or financial responsibility law or
other motor vehicle insurance law in the state
where it is licensed or principally garaged.
Land vehicles subject to a compulsory or fi-
nancial responsibility law or other motor vehi-
cle insurance law are considered "autos".
(3)
16. "Occurrence" means an accident, including
continuous or repeated exposure to substan-
tially the same general harmful conditions.
17. "Personal and advertising injury" means injury,
including consequential "bodily injury", arising
out of one or more of the following offenses:
a. False arrest, detention or imprisonment;
b. Malicious prosecution;
c. The wrongful eviction from, wrongful entry
into, or invasion of the right of private oc-
cupancy of a room, dwelling or premises
that a person occupies, committed by or
on behalf of its owner, landlord or lessor;
d. Oral or written publication, in any manner,
of material that slanders or libels a person
or organization or disparages a person's
or organization's goods, products or ser-
vices;
e. Oral or written publication, in any manner,
of material that violates a person's right of
privacy;
f. The use of another's advertising idea in
your "advertisement"; or
g. Infringing upon another's copyright, trade
dress or slogan in your "advertisement".
18. "Pollutant" means any solid, liquid, gaseous or
thermal irritant or contaminant, including
smoke, vapor, soot, fumes, acids, alkalis,
chemicals, petroleum, petroleum products and
petroleum by-products, and waste. Waste in-
cludes materials to be recycled, reconditioned
or reclaimed.
19. "Products -completed operations hazard":
a. Includes all "bodily injury" and "property
damage" occurring away from premises
you own or rent and arising out of "your
product" or "your work" except:
(1)
Products that are still in your physical
possession; or
(2) Work that has not yet been com-
pleted or abandoned. However, "your
work" will be deemed completed at
the earliest of the following times:
(a) When all of the work called for in
your contract has been com-
pleted; or
(b) When all of the work to be done
at the job site has been com-
pleted if your contract calls for
work at more than one job site;
or
(c) When that part of the work done
at a job site has been put to its
intended use by any person or
organization other than another
contractor or subcontractor
working on the same project.
Work that may need service, mainte-
nance, correction, repair or replace-
ment, but which is otherwise com-
plete, will be treated as completed.
b. Does not include "bodily injury" or "prop-
erty damage" arising out of:
(1) The transportation of property, un-
less the injury or damage arises out
of a condition in or on a vehide not
owned or operated by you, and that
condition was created by the "loading
or unloading" of that vehicle by any
insured;
(2) The existence of tools, uninstalled
equipment or abandoned or unused
materials; or
Products or operations for which the
classification, listed in the Declara-
tions or in a schedule, states that
(3)
GA 101 TX 09 10
Includes copyrighted material of Insurance
Services Office, Inc., with its permission. Page 19 of 22
products -completed operations are
included.
20. "Property damage" means:
a. Physical injury to tangible property, in-
cluding all resulting loss of use of that
property. All such loss of use shall be
deemed to occur at the time of the physi-
cal injury that caused it; or
b. Loss of use of tangible property that is not
physically injured. All such loss of use
shall be deemed to occur at the time of
the "occurrence" that caused it.
For the purposes of this insurance, "electronic
data" is not tangible property.
21. "Suit" means a civil proceeding in which
money damages because of "bodily injury",
"property damage" or "personal and advertis-
ing injury" to which this insurance applies are
alleged. "Suit" includes:
a. An arbitration proceeding in which such
damages are claimed and to which the
insured must submit or does submit with
our consent;
b. Any other alternative dispute resolution
proceeding in which such damages are
claimed and to which the insured submits
with our consent; or
c. An appeal of a civil proceeding.
22. 'Temporary worker" means a person who is
furnished to you to substitute for a permanent
"employee" on leave or to meet seasonal or
short-term workload conditions.
23. 'Volunteer worker" means a person who is not
your "employee", and who donates his or her
work and acts at the direction of and within the
scope of duties determined by you, and is not
paid a fee, salary or other compensation by
you or anyone else for their work performed
for you.
24. 'Workplace" means that place and during
such hours to which the "employee" sustaining
"bodily injury" was assigned by you, or any
other person or entity acting on your behalf, to
work on the date of "occurrence".
25. 'Your product":
a. Means:
(1)
Any goods or products, other than
real property, manufactured, sold,
handled, distributed or disposed of
by:
(a) You;
(b) Others trading under your name;
or
(c) A person or organization whose
business or assets you have ac-
quired; and
(2) Containers (other than vehicles), ma-
terials, parts or equipment furnished
in connection with such goods or
products.
b. Includes:
(1) Warranties or representations made
at any time with respect to the fit-
ness, quality, durability, performance
or use of "your product"; and
(2) The providing of or failure to provide
warnings or instructions.
c. Does not include vending machines or
other property rented to or located for the
use of others but not sold.
26. "Your work":
a. Means:
(1)
Work or operations performed by you
or on your behalf; and
(2) Materials, parts or equipment fur-
nished in connection with such work
or operations.
b. Includes:
(1) Warranties or representations made
at any time with respect to the fit-
ness, quality, durability, performance
or use of "your work"; and
(2) The providing of or failure to provide
warnings or instructions.
GA 101 TX 09 10
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Services Office, Inc., with its permission. Page 20 of 22
NUCLEAR ENERGY LIABILITY EXCLUSION
(Broad Form)
1. The insurance does not apply:
A. Under any Liability Coverage, to "bodily
injury" or "property damage":
(1)
With respect to which an insured un-
der this Coverage Part is also an in-
sured under a nuclear energy liability
policy issued by Nuclear Energy Li-
ability Insurance Association, Mutual
Atomic Energy Liability Underwriters,
Nuclear Insurance Association of
Canada, or any of their successors,
or would be an insured under any
such policy but for its termination
upon exhaustion of its limit of liability;
or
(2) Resulting from the "hazardous prop-
erties" of "nuclear material" and with
respect to which (a) any person or
organization is required to maintain
financial protection pursuant to the
Atomic Energy Act of 1954, or any
law amendatory thereof, or (b) the
insured is, or had this Coverage Part
not been issued would be, entitled to
indemnity from the United States of
America, or any agency thereof, un-
der any agreement entered into by
the United States of America, or any
agency thereof, with any person or
organization.
B. Under any Medical Payments coverage,
to expenses incurred with respect to
"bodily injury" resulting from the "hazard-
ous properties" of "nuclear material" and
arising out of the operation of a "nuclear
facility" by any person or organization.
C. Under any Liability Coverage, to "bodily
injury" or "property damage" resulting
from the "hazardous properties" of "nu-
clear material", if.
(1)
The "nuclear material" (a) is at any
"nuclear facility" owned by, or oper-
ated by or on behalf of, an insured,
or (b) has been discharged or dis-
persed therefrom;
(2) The "nuclear material" is contained in
"spent fuel" or "waste" at any time
possessed, handled, used, proc-
essed, stored, transported or dis-
posed of, by or on behalf of an in-
sured; or
(3)
The "bodily injury" or "property dam-
age" arises out of the furnishing by
an insured of services, materials,
parts or equipment in connection with
the planning, construction, mainte-
nance, operation or use of any "nu-
clear facility", but if such fadlity is lo-
cated within the United States of
America, its territories or posses-
sions or Canada, this Exclusion (3)
applies only to "property damage" to
such "nuclear facility" and any prop-
erty thereat.
2. As used in this exdusion:
"Hazardous properties" includes radioactive,
toxic or explosive properties.
"Nuclear material" means "source material",
"special nuclear material" or "by-product mate-
rial".
"Source material", "special nudear material",
and "by-product material" have the meanings
given them in the Atomic Energy Act of 1954
or in any law amendatory thereof.
"Spent fuel" means any fuel element or fuel
component, solid or liquid, which has been
used or exposed to radiation in a "nuclear re-
actor".
'Waste" means any waste material (a) con-
taining "by-product material" other than the
tailings or wastes produced by the extraction
or concentration of uranium or thorium from
any ore processed primarily for its "source
material" content, and (b) resulting from the
operation by any person or organization of any
"nuclear facility" included under the first two
paragraphs of the definition of "nuclear facil-
ity'.
"Nuclear facility" means:
A. Any "nuclear reactor";
B. Any equipment or device designed or
used for (1) separating the isotopes of
uranium or plutonium, (2) processing or
utilizing "spent fuel", or (3) handling, proc-
essing or packaging "waste";
C. Any equipment or device used for the
processing, fabricating or alloying of "spe-
cial nuclear material" if at any time the to-
tal amount of such material in the custody
of the insured at the premises where such
equipment or device is located consists of
or contains more than 25 grams of pluto-
nium or uranium 233 or any combination
thereof, or more than 250 grams of ura-
nium 235;
GA 101 TX 09 10
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Services Office, Inc., with its permission. Page 21 of 22
D. Any structure, basin, excavation, prem-
ises or place prepared or used for the
storage or disposal of "waste";
and includes the site on which any of the fore-
going is located, all operations conducted on
such site and all premises used for such op-
erations.
"Nuclear reactor" means any apparatus de-
signed or used to sustain nuclear fission in a
self-supporting chain reaction or to contain a
critical mass of fissionable material.
"Property damage" includes all forms of radio-
active contamination of property.
GA 101 TX 09 10
Includes copyrighted material of Insurance
Services Office, Inc., with its permission. Page 22 of 22
exasMutua1®
WORKERS' COMPENSATION INSURANCE
WORKERS' COMPENSATION AND
EMPLOYERS LIABILITY POLICY
WC420304B
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 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 described.
4. Advance Premium:
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 at 12:01 a.m. standard time, forms a part of:
Policy no. 0002013416 of effective on
Issued to: Capko Concrete Structures, LLC
4/Le
Authorized representative
PO Box 12058, Austin, TX 78711-2058
1 of 1 texasmutual.com I (800) 859-5995 I Fax (800) 359-0650
WC 42 03 04 B
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
TEXAS - CONTRACTORS' COMMERCIAL GENERAL LIABILITY
BROADENED ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. Endorsement - Table of Contents:
Coveraae: Begins on Paae:
1. Employee Benefit Liability Coverage 3
2. Unintentional Failure to Disclose Hazards 9
3. Damage to Premises Rented to You 9
4. Supplementary Payments 10
5. Medical Payments 10
6. 180 Day Coverage for Newly Formed or Acquired organizations 10
7. Waiver of Subrogation 11
8. Automatic Additional Insured - Specified Relationships: 11
• Managers or Lessors of Premises;
• Lessor of Leased Equipment;
• Vendors;
• State or Governmental Agency or Subdivision or Political Subdivision - Permits
or Authorizations Relating to Premises; and
• Mortgagee, Assignee or Receiver
9. Property Damage to Borrowed Equipment 14
10. Employees as Insureds - Specified Health Care Services and Good Samaritan
Services 15
11. Broadened Notice of Occurrence 15
12. Nonowned Aircraft 15
13. Bodily Injury Redefined 15
14. Expected or Intended Injury Redefined 15
15. Former Employees as Insureds 15
16. Voluntary Property Damage Coverage and Care, Custody or Control Liability
Coverage 16
17. Broadened Contractual Liability - Work Within 50' of Railroad Property 17
18. Alienated Premises 17
B. Limits of Insurance:
The Commercial General Liability Limits of Insurance apply to the insurance provided by this endorse-
ment, except as provided below:
1. Employee Benefit Liability Coverage
Each Employee Limit: $1,000,000
Aggregate Limit: $3,000,000
Deductible Amount: $ 1,000
3. Damage to Premises Rented to You
The lesser of:
a. The Each Occurrence Limit shown in the Declarations; or
b. $500,000 unless otherwise stated $
4. Supplementary Payments
a. Bail Bonds: $ 2,500
GA 233 TX 09 17
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Services Office, Inc., with its permission. Page 1 of 17
b. Loss of Earnings: $ 500
5. Medical Payments
Medical Expense Limit: $ 10,000
9. Property Damage to Borrowed Equipment
Each Occurrence Limit: $10,000
Deductible Amount: $ 250
16. Voluntary Property Damage Coverage (Coverage a.) And Care,
Coverage (Coverage b.)
Limits of Insurance
Coverage a.
$1,000 Each Occurrence
$5,000 Aggregate
Coverage b. $5,000 Each Occurrence unless otherwise stated $
Deductible Amount (Each Occurrence)
Coverage a. $250
Coverage b. $250 unless otherwise stated $
COVERAGE
b. Care, Custody or
Control
PREMIUM BASIS
(a) Area
(b) Payroll
(c) Gross Sales
(d) Units
(e) Other
RATE
Custody or Control Liability
ADVANCE PREMIUM
(For Limits in Excess of (For Limits in Excess of
$5,000)
TOTAL ANNUAL PREMIUM $
$5,000)
GA 233 TX 09 17
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Services Office, Inc., with its permission. Page 2 of 17
C. Coverages
1. Employee Benefit Liability Coverage
a. The following is added to Section I -
Coverages:
Employee Benefit Liability Cover-
age
(1) Insuring Agreement
(a) We will pay those sums that
the insured becomes legally
obligated to pay as damag-
es caused by any act, error
or omission of the insured,
or of any other person for
whose acts the insured is
legally liable, to which this
insurance applies. We will
have the right and duty to
defend the insured against
any "suit" seeking those
damages. However, we will
have no duty to defend
against any "suit" seeking
damages to which this in-
surance does not apply. We
may, at our discretion, in-
vestigate any report of an
act, error or omission and
settle any claim or "suit" that
may result. But:
1) The amount we will pay
for damages is limited
as described in Section
III - Limits of Insur-
ance; and
2) Our right and duty to
defend ends when we
have used up the appli-
cable limit of insurance
in the payment of judg-
ments or settlements.
No other obligation or liabil-
ity to pay sums or perform
acts or services is covered
unless explicitly provided for
under Supplementary
Payments.
(b) This insurance applies to
damages only if the act, er-
ror or omission, is negligent-
ly committed in the "admin-
istration" of your "employee
benefit program"; and
1) Occurs during the policy
period; or
2) Occurred prior to the
"first effective date" of
this endorsement pro-
vided you did not have
knowledge of a claim or
"suit" on or before the
"first effective date" of
this endorsement.
You will be deemed to
have knowledge of a
claim or "suit" when any
"authorized representa-
tive";
a) Reports all, or any
part, of the act, er-
ror or omission to
us or any other in-
surer;
b) Receives a written
or verbal demand
or claim for dam-
ages because of
the act, error or
omission.
(2) Exclusions
This insurance does not apply to:
(a) Bodily Injury, Property
Damage or Personal and
Advertising Injury
"Bodily injury", "property
damage" or "personal and
advertising injury'.
(b) Dishonest, Fraudulent,
Criminal or Malicious Act
Damages arising out of any
intentional, dishonest,
fraudulent, criminal or mali-
cious act, error or omission,
committed by any insured,
including the willful or reck-
less violation of any statute.
(c) Failure to Perform a Con-
tract
Damages arising out of fail-
ure of performance of con-
tract by any insurer.
(d) Insufficiency of Funds
Damages arising out of an
insufficiency of funds to
meet any obligations under
any plan included in the
"employee benefit program".
GA 233 TX 09 17
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Services Office, Inc., with its permission. Page 3 of 17
(e) Inadequacy of Perfor-
mance of Invest-
ment/Advice Given With
Respect to Participation
Any claim based upon:
1) Failure of any invest-
ment to perform;
2) Errors in providing in-
formation on past per-
formance of investment
vehicles; or
3) Advice given to any
person with respect to
that person's decision to
participate or not to par-
ticipate in any plan in-
cluded in the "employee
benefit program".
(f) Workers' Compensation
and Similar Laws
Any claim arising out of your
failure to comply with the
mandatory provisions of any
workers' compensation, un-
employment compensation
insurance, social security or
disability benefits law or any
similar law.
(g) ERISA
Damages for which any in-
sured is liable because of li-
ability imposed on a fiduci-
ary by the Employee Re-
tirement Income Security
Act of 1974, as now or
hereafter amended, or by
any similar federal, state or
local laws.
(h) Available Benefits
Any claim for benefits to the
extent that such benefits are
available, with reasonable
effort and cooperation of the
insured, from the applicable
funds accrued or other col-
lectible insurance.
(i) Taxes, Fines or Penalties
Taxes, fines or penalties, in-
cluding those imposed un-
der the Internal Revenue
Code or any similar state or
local law.
(j) Employment -Related Prac-
tices
Any liability arising out of
any:
(1) Refusal to employ;
(2) Termination of employ-
ment;
(3) Coercion, demotion,
evaluation, reassign-
ment, discipline, defa-
mation, harassment,
humiliation, discrimina-
tion or other employ-
ment - related practices,
acts or omissions; or
(4) Consequential liability
as a result of (1), (2) or
(3) above.
This exclusion applies
whether the insured may be
held liable as an employer
or in any other capacity and
to any obligation to share
damages with or repay
someone else who must pay
damages because of the in-
jury.
(3) Supplementary Payments
Section I - Coverages, Sup-
plementary Payments - Cover-
ages A and B also apply to this
Coverage.
b. Who Is An Insured
As respects Employee Benefit Lia-
bility Coverage, Section II - Who is
an Insured is replaced by the follow-
ing:
(1) If you are designated in the Dec-
larations as:
(a) An individual, you and your
spouse are insureds, but on-
ly with respect to the con-
duct of a business of which
you are the sole owner.
(b) A partnership or joint ven-
ture, you are an insured.
Your members, your part-
ners, and their spouses are
also insureds but only with
respect to the conduct of
your business.
(c) A limited liability company,
you are an insured. Your
GA 233 TX 09 17
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Services Office, Inc., with its permission. Page 4 of 17
members are also insureds,
but only with respect to the
conduct of your business.
Your managers are in-
sureds, but only with respect
to their duties as your man-
agers.
(d) An organization other than a
partnership, joint venture or
limited liability company, you
are an insured. Your "execu-
tive 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 re-
spect to their liability as
stockholders.
(e) A trust, you are an insured.
Your trustees are also in-
sureds, but only with respect
to their duties as trustees.
(2) Each of the following is also an
insured:
(3)
(a) Each of your "employees"
who is or was authorized to
administer your "employee
benefit program";
(b) Any persons, organizations
or "employees" having prop-
er temporary authorization
to administer your "employ-
ee benefit program" if you
die, but only until your legal
representative is appointed;
or
(c) Your legal representative if
you die, but only with re-
spect to duties as such. That
representative will have all
your rights and duties under
this Coverage Part.
Any organization you newly ac-
quire or form, other than a part-
nership, joint venture or limited
liability company, and over which
you maintain ownership or major-
ity interest, will qualify as a
Named Insured if no other similar
insurance applies to that organi-
zation. However, coverage under
this provision:
(a) Is afforded only until the
180th day after you acquire
or form the organization or
the end of the policy period,
whichever is earlier; and
(b) Does not apply to any act,
error or omission that was
committed before you ac-
quired or formed the organi-
zation.
c. Limits of Insurance
As respects Employee Benefit Lia-
bility Coverage, Section III - Limits
of Insurance is replaced by the fol-
lowing:
(1) The Limits of Insurance shown in
Section B. Limits of Insurance,
1. Employee Benefit Liability
Coverage and the rules below fix
the most we will pay regardless
of the number of:
(a) Insureds;
(b) Claims made or "suits"
brought;
(c) Persons or organizations
making claims or bringing
"suits";
(d) Acts, errors or omissions; or
(e) Benefits included in your
"employee benefit program".
(2) The Aggregate Limit shown in
Section B. Limits of Insurance,
1. Employee Benefit Liability
Coverage of this endorsement is
the most we will pay for all dam-
ages because of acts, errors or
omissions negligently committed
in the "administration" of your
"employee benefit program".
Subject to the limit described in
(2) above, the Each Employee
Limit shown in Section B. Limits
of Insurance, 1. Employee
Benefit Liability Coverage of
this endorsement is the most we
will pay for all damages sus-
tained by any one "employee",
including damages sustained by
such "employee's" dependents
and beneficiaries, as a result of:
(3)
(a) An act, error or omission; or
(b) A series of related acts, er-
rors or omissions, regard-
less of the amount of time
that lapses between such
acts, errors or omissions;
GA 233 TX 09 17
Includes copyrighted material of Insurance
Services Office, Inc., with its permission. Page 5 of 17
negligently committed in the
"administration" of your "employ-
ee benefit program".
However, the amount paid under
this endorsement shall not ex-
ceed, and will be subject to the
limits and restrictions that apply
to the payment of benefits in any
plan included in the "employee
benefit program."
(4) Deductible Amount
(a) Our obligation to pay dam-
ages on behalf of the in-
sured applies only to the
amount of damages in ex-
cess of the Deductible
Amount stated in the Decla-
rations as applicable to
Each Employee. The limits
of insurance shall not be re-
duced by the amount of this
deductible.
(b) The Deductible Amount
stated in the Declarations
applies to all damages sus-
tained by any one "employ-
ee", including such "employ-
ee's" dependents and bene-
ficiaries, because of all acts,
errors or omissions to which
this insurance applies.
(c) The terms of this insurance,
including those with respect
to:
1) Our right and duty to
defend the insured
against any "suits"
seeking those damag-
es; and
2) Your duties, and the du-
ties of any other in-
volved insured, in the
event of an act, error or
omission, or claim;
apply irrespective of the ap-
plication of the Deductible
Amount.
(d) We may pay any part or all
of the Deductible Amount to
effect settlement of any
claim or "suit" and, upon no-
tification of the action taken,
you shall promptly reim-
burse us for such part of the
Deductible Amount as we
have paid.
d. Additional Conditions
As respects Employee Benefit Lia-
bility Coverage, Section IV - Com-
mercial General Liability Condi-
tions is amended as follows:
(1) Item 2. Duties in the Event of
Occurrence, Offense, Claim or
Suit is replaced by the following:
2. Duties in the Event of An
Act, Error or Omission, or
Claim or Suit
a. You must see to it that
we are notified as soon
as practicable of an act,
error or omission which
may result in a claim.
To the extent possible,
notice should include:
(1) What the act, error
or omission was
and when it oc-
curred; and
(2) The names and
addresses of any-
one who may suf-
fer damages as a
result of the act,
error or omission.
b. If a claim is made or
"suit" is brought against
any insured, you must:
(1) Immediately record
the specifics of the
claim or "suit" and
the date received;
and
(2) Notify us as soon
as practicable.
You must see to it that
we receive written no-
tice of the claim or "suit"
as soon as practicable.
c. You and any other in-
volved insured must:
(1) Immediately send
us copies of any
demands, notices,
summonses or le-
gal papers re-
ceived in connec-
tion with the claim
or "suit";
GA 233 TX 09 17
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(2) Authorize us to ob-
tain records and
other information;
Cooperate with us
in the investigation
or settlement of the
claim or defense
against the "suit";
and
(3)
(4) Assist us, upon our
request, in the en-
forcement of any
right against any
person or organi-
zation which may
be liable to the in-
sured because of
an act, error or
omission to which
this insurance may
also apply.
d. No insured will, except
at that insured's own
cost, voluntarily make a
payment, assume any
obligation, or incur any
expense without our
consent.
(2) Item 5. Other Insurance is re-
placed by the following:
5. Other Insurance
GA 233 TX 09 17
If other valid and collectible
insurance is available to the
insured for a loss we cover
under this Coverage Part,
our obligations are limited as
follows:
a. Primary Insurance
This insurance is prima-
ry except when c. below
applies. If this insurance
is primary, our obliga-
tions are not affected
unless any of the other
insurance is also prima-
ry. Then, we will share
with all that other insur-
ance by the method de-
scribed in b. below.
contributes equal
amounts until it has
paid its applicable limit
of insurance or none of
the loss remains,
whichever comes first.
If any of the other in-
surance does not permit
contribution by equal
shares, we will contrib-
ute by limits. Under this
method, each insurer's
share is based on the
ratio of its applicable
limit of insurance to the
total applicable limits of
insurance of all insur-
ers.
c. Excess Insurance
This insurance is ex-
cess over any of the
other insurance, wheth-
er primary, excess, con-
tingent or on any other
basis that is insurance
purchased by you to
coverage damages for
acts, errors or omis-
sions that occurred prior
to the "first effective
date".
e. Additional Definitions
As respects Employee Benefit Lia-
bility Coverage, Section V - Defini-
tions is amended as follows:
(1) The following definitions are
added:
1. "Administration" means:
b. Method of Sharing
If all of the other insur-
ance permits contribu-
tion by equal shares,
we will follow this meth-
od also. Under this ap-
proach each insurer
Includes copyrighted material of Insurance
Services Office, Inc., with its permission.
a. Providing information to
"employees", including
their dependents and
beneficiaries, with re-
spect to eligibility for or
scope of "employee
benefit programs";
b. Interpreting the "em-
ployee benefit pro-
grams";
c. Handling records in
connection with the
"employee benefit pro-
grams"; or
d. Effecting, continuing or
terminating any "em-
ployee's" participation in
Page 7 of 17
any benefit included in
the "employee benefit
program".
However, "administration"
does not include:
a. Handling payroll deduc-
tions; or
b. The failure to effect or
maintain any insurance
or adequate limits of
coverage of insurance,
including but not limited
to unemployment insur-
ance, social security
benefits, workers' com-
pensation and disability
benefits.
2. "Cafeteria plans" means
plans authorized by applica-
ble law to allow "employees"
to elect to pay for certain
benefits with pre-tax dollars.
3. "Employee benefit pro-
grams" means a program
providing some of all of the
following benefits to "em-
ployees", whether provided
through a "cafeteria plan" or
otherwise:
a. Group life insurance;
group accident or health
insurance; dental, vision
and hearing plans; and
flexible spending ac-
counts; provided that no
one other than an "em-
ployee" may subscribe
to such benefits and
such benefits are made
generally available to
those "employees" who
satisfy the plan's eligibil-
ity requirements;
b. Profit sharing plans,
employee savings
plans, employee stock
ownership plans, pen-
sion plans and stock
subscription plans, pro-
vided that no one other
than an "employee"
may subscribe to such
benefits and such bene-
fits are made generally
available to all "employ-
ees" who are eligible
under the plan for such
benefits;
c. Unemployment insur-
ance, social security
benefits, workers' com-
pensation and disability
benefits; and
d. Vacation plans, includ-
ing buy and sell pro-
grams; leave of ab-
sence programs, includ-
ing military, maternity,
family, and civil leave;
tuition assistance plans;
transportation and
health club subsidies.
4. "First effective date" means
the date upon which cover-
age was first effected in a
series of uninterrupted re-
newals of insurance cover-
age.
(2) The following definitions are de-
leted in their entirety and re-
placed by the following:
8. "Employee" means a person
actively employed, formerly
employed, on leave of ab-
sence or disabled, or retired.
"Employee" includes a
"leased worker". "Employee"
does not include a 'tempo-
rary worker'.
21. "Suit" means a civil proceed-
ing in which money damag-
es because of an act, error
or omission to which this in-
surance applies are alleged.
"Suit" includes:
a. An arbitration proceed-
ing in which such dam-
ages are claimed and to
which the insured must
submit or does submit
with our consent;
b. Any other alternative
dispute resolution pro-
ceeding in which such
damages are claimed
and to which the in-
sured submits with our
consent; or
c. An appeal of a civil pro-
ceeding.
GA 233 TX 09 17
Includes copyrighted material of Insurance
Services Office, Inc., with its permission. Page 8 of 17
2. Unintentional Failure to Disclose Haz-
ards
Section IV - Commercial General Liabil-
ity Conditions, 7. Representations is
amended by the addition of the following:
Based on our dependence upon your rep-
resentations as to existing hazards, if un-
intentionally you should fail to disclose all
such hazards at the inception date of your
policy, we will not reject coverage under
this Coverage Part based solely on such
failure.
3. Damage to Premises Rented to You
a. The last Paragraph of 2. Exclusions
under Section I - Coverage A - Bod-
ily Injury and Property Damage Li-
ability is replaced by the following:
Exclusions c. through q. do not apply
to "property damage" by fire, explo-
sion, lightning, smoke or soot to
premises while rented to you or tem-
porarily occupied by you with permis-
sion of the owner, for which the
amount we will pay is limited to the
Damage to Premises Rented to
You Limit as described in Section III
- Limits of Insurance.
b. The insurance provided under Sec-
tion I - Coverage A - Bodily Injury
and Property Damage Liability ap-
plies to "property damage" arising out
of water damage to premises that are
both rented to and occupied by you.
(1) As respects Water Damage Le-
gal Liability, as provided in Para-
graph 3.b. above:
The exclusions under Section I -
Coverage A - Bodily Injury and
Property Damage Liability, 2.
Exclusions, other than i. War
and the Nuclear Energy Liabil-
ity Exclusion (Broad Form), are
deleted and the following are
added:
This insurance does not apply to:
(a) "Property damage":
(i) Assumed in any con-
tract or agreement; or
(ii) Caused by or resulting
from any of the follow-
ing:
1) Wear and tear;
2) Rust or other cor-
rosion, decay, de-
terioration, hidden
or latent defect or
any quality in
property that caus-
es it to damage or
destroy itself;
3) Smog;
4) Mechanical break-
down, including
rupture or bursting
caused by centrif-
ugal force;
5) Settling, cracking,
shrinking or ex-
pansion;
6) Nesting or infesta-
tion, or discharge
or release of waste
products or secre-
tions, by insects,
birds, rodents or
other animals; or
7) Presence, growth,
proliferation,
spread or any ac-
tivity of fungus, in-
cluding mold or
mildew, and any
mycotoxins,
spores, scents or
byproducts pro-
duced or released
by fungi.
(b) "Property damage" caused
directly or indirectly by any
of the following:
(i) Earthquake, volcanic
eruption, landslide or
any other earth move-
ment;
(ii) Water that backs up or
overflows or is other-
wise discharged from a
sewer, drain, sump,
sump pump or related
equipment;
(iii) Water under the ground
surface pressing on, or
flowing or seeping
through:
1) Foundations, walls,
floors or paved
surfaces;
GA 233 TX 09 17
Includes copyrighted material of Insurance
Services Office, Inc., with its permission. Page 9 of 17
2) Basements,
whether paved or
not; or
3) Doors, windows or
other openings.
(c) 'Property damage" caused
by or resulting from water
that leaks or flows from
plumbing, heating, air condi-
tioning, fire protection sys-
tems, or other equipment,
caused by or resulting from
freezing, unless:
(i) You did your best to
maintain heat in the
building or structure; or
(ii) You drained the equip-
ment and shut off the
water supply if the heat
was not maintained.
(d) 'Property damage" to:
(i)
Plumbing, heating, air
conditioning, fire protec-
tion systems, or other
equipment or applianc-
es; or
(ii) The interior of any
building or structure, or
to personal property in
the building or structure,
caused by or resulting
from rain, snow, sleet or
ice, whether driven by
wind or not.
c. Limit of Insurance
With respect to the insurance afford-
ed in Paragraphs 3.a. and 3.b. above,
the Damage to Premises Rented to
You Limit as shown in the Declara-
tions is amended as follows:
(1) Paragraph 6. of Section III -
Limits of Insurance is replaced
by the following:
6. Subject to Paragraph 5.
above, the Damage to
Premises Rented to You
Limit is the most we will pay
under Coverage A - Bodily
Injury and Property Dam-
age Liability for damages
because of "property dam-
age" to any one premises:
a. While rented to you, or
temporarily occupied by
you with permission of
the owner;
b. In the case of damage
by fire, explosion, light-
ning, smoke or soot,
while rented to you; or
c. In the case of damage
by water, while rented
to and occupied by you.
(2) The most we will pay is limited as
described in Section B. Limits of
Insurance, 3. Damage to Prem-
ises Rented to You of this en-
dorsement.
4. Supplementary Payments
Under Section I - Supplementary Pay-
ments - Coverages A and B:
a. Paragraph 2. is replaced by the fol-
lowing:
Up to the limit shown in Section B.
Limits of Insurance, 4.a. Bail Bonds
of this endorsement 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 ap-
plies. We do not have to furnish these
bonds.
b. Paragraph 4. is replaced by the fol-
lowing:
All reasonable expenses incurred by
the insured at our request to assist us
in the investigation or defense of the
claim or "suit", including actual loss of
earnings up to the limit shown in Sec-
tion B. Limits of Insurance, 4.b.
Loss Of Earnings of this endorsement
per day because of time off from
work.
5. Medical Payments
The Medical Expense Limit of Any One
Person as stated in the Declarations is
amended to the limit shown in Section B.
Limits of Insurance, 5. Medical Pay-
ments of this endorsement.
6. 180 Day Coverage for Newly Formed or
Acquired Organizations
Section II - Who is an Insured is
amended as follows:
Subparagraph a. of Paragraph 3. is re-
placed by the following:
GA 233 TX 09 17
Includes copyrighted material of Insurance
Services Office, Inc., with its permission. Page 10 of 17
a. Insurance under this provision is af-
forded only until the 180th day after
you acquire or form the organization
or the end of the policy period,
whichever is earlier;
7. Waiver of Subrogation
Section IV - Commercial General Liabil-
ity Conditions, 9. Transfer of Rights of
Recovery Against Others to us is
amended by the addition of the following:
We waive any right of recovery we may
have against any person or organization
against whom you have agreed to waive
such right of recovery in a written contract
or agreement because of payments we
make for injury or damage arising out of
your ongoing operations or "your work"
done under a written contract or agree-
ment with that person or organization and
included in the "products -completed oper-
ations hazard". However, our rights may
only be waived prior to the "occurrence"
giving rise to the injury or damage for
which we make payment under this Cov-
erage Part. The insured must do nothing
after a loss to impair our rights. At our re-
quest, the insured will bring "suit" or trans-
fer those rights to us and help us enforce
those rights.
8. Automatic Additional Insured - Speci-
fied Relationships
a. The following is added to Section II -
Who is an Insured:
(1) Any person(s) or organization(s)
described in Paragraph 8.a.(2) of
this endorsement (hereinafter re-
ferred to as additional insured)
whom you are required to add as
an additional insured under this
Coverage Part by reason of a
written contract, written agree-
ment, written permit or written
authorization.
(2) Only the following persons or or-
ganizations are additional in-
sureds under this endorsement,
and insurance coverage provided
to such additional insureds is lim-
ited as provided herein:
(a) Managers or Lessors of
Premises
The manager or lessor of a
premises leased to you with
whom you have agreed per
Paragraph 8.a.(1) of this en-
dorsement to provide insur-
ance, but only with respect
to liability arising out of the
ownership, maintenance or
use of that part of the prem-
ises leased to you, subject
to the following additional
exclusions:
This insurance does not ap-
ply to:
(i)
Any "occurrence" which
takes place after you
cease to be a tenant in
that premises;
(ii) Structural alterations,
new construction or
demolition operations
performed by or on be-
half of such additional
insured.
(b) Lessor of Leased Equip-
ment
Any person or organization
from whom you lease
equipment when you and
such person(s) or organiza-
tion(s) have agreed per Par-
agraph 8.a.(1) of this en-
dorsement to provide insur-
ance. Such person(s) or or-
ganization(s) are insureds
only with respect to liability
for "bodily injury", "property
damage" or "personal and
advertising injury' caused, in
whole or in part, by your
maintenance, operation or
use of equipment leased to
you by such person(s) or or-
ganization(s). A person's or
organization's status as an
additional insured under this
endorsement ends when
their contract or agreement
with you for such leased
equipment ends. However,
this insurance does not ap-
ply to any "occurrence"
which takes place after the
equipment lease expires.
(c) Vendors
Any person or organization
(referred to below as ven-
dor) with whom you have
agreed per Paragraph
8.a.(1) of this endorsement
to provide insurance, but on-
ly with respect to "bodily in-
jury" or "property damage"
GA 233 TX 09 17
Includes copyrighted material of Insurance
Services Office, Inc., with its permission. Page 11 of 17
arising out of "your products"
which are distributed or sold
in the regular course of the
vendor's business, subject
to the following additional
exclusions:
(i) The insurance afforded
the vendor does not
apply to:
1) "Bodily injury' or
"property damage"
for which the ven-
dor is obligated to
pay damages by
reason of the as-
sumption 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;
2) Any express war-
ranty unauthorized
by you;
3) Any physical or
chemical change in
the product made
intentionally by the
vendor;
4) Repackaging, ex-
cept when un-
packed solely for
the purpose of in-
spection, demon-
stration, testing, or
the substitution of
parts under in-
structions from the
manufacturer, and
then repackaged in
the original con-
tainer;
5) Any failure to make
such inspections,
adjustments, tests
or servicing as the
vendor has agreed
to make or normal-
ly undertakes to
make in the usual
course of busi-
ness, in connection
with the distribution
or sale of the
products;
6) Demonstration, in-
stallation, servicing
or repair opera-
tions, except such
operations per-
formed at the ven-
dor's premises in
connection with the
sale of the product;
7) Products which, af-
ter distribution or
sale by you, have
been labeled or re-
labeled or used as
a container, part or
ingredient of any
other thing or sub-
stance by or for the
vendor; or
8) "Bodily injury" or
"property damage"
arising out of the
sole negligence of
the vendor for its
own acts or omis-
sions or those of
its employees or
anyone else acting
on its behalf. How-
ever, this exclusion
does not apply to:
a) The excep-
tions contained
in Paragraphs
(c) (i) 4) or 6)
of this en-
dorsement; or
b) Such inspec-
tions, adjust-
ments, tests or
servicing as
the vendor has
agreed to
make or nor-
mally under-
takes to make
in the usual
course of
business, in
connection
with the distri-
bution or sale
of the prod-
ucts.
GA 233 TX 09 17
Includes copyrighted material of Insurance
Services Office, Inc., with its permission. Page 12 of 17
(ii) This insurance does not
apply to any insured
person or organization:
1) From whom you
have acquired
such products, or
any ingredient, part
or container, enter-
ing into, accompa-
nying or containing
such products; or
2) When liability in-
cluded within the
"products -
completed opera-
tions hazard" has
been excluded un-
der this Coverage
Part with respect to
such products.
(d) State or Governmental
Agency or Subdivision or
Political Subdivision -
Permits or Authorizations
Relating to Premises
Any state or governmental
agency or subdivision or po-
litical subdivision with which
you have agreed per Para-
graph 8.a.(1) of this en-
dorsement to provide insur-
ance, subject to the follow-
ing additional provision:
This insurance applies only
with respect to the following
hazards for which the state
or governmental agency or
subdivision or political sub-
division has issued a permit
or authorization in connec-
tion with premises you own,
rent or control and to which
this insurance applies:
(i)
The existence, mainte-
nance, repair, construc-
tion, erection or removal
of advertising signs,
awnings, canopies, cel-
lar entrances, coal
holes, driveways, man-
holes, marquees, hoist
away openings, side-
walk vaults, street ban-
ners or decorations and
similar exposures; or
(ii) The construction, erec-
tion or removal of eleva-
tors; or
(3)
(iii) The ownership, mainte-
nance or use of any el-
evators covered by this
insurance.
(e) Mortgagee, Assignee or
Receiver
Any person or organization
with whom you have agreed
per Paragraph 8.a.(1) of this
endorsement to provide in-
surance, but only with re-
spect to their liability as
mortgagee, assignee, or re-
ceiver and arising out of the
ownership, maintenance, or
use of the premises by you.
However, this insurance
does not apply to structural
alterations, new construction
and demolition operations
performed by or for that per-
son or organization.
The insurance afforded to addi-
tional insureds described in Par-
agraph 8.a.(1) of this endorse-
ment:
(a) Only applies to the extent
permitted by law; and
(b) Will not be broader than that
which you are required by
the written contract, written
agreement, written permit or
written authorization to pro-
vide for such additional in-
sured; and
(c) Does not apply to any per-
son, organization, vendor,
state, governmental agency
or subdivision or political
subdivision, specifically
named as an additional in-
sured under any other provi-
sion of, or endorsement
added to, this Coverage
Part, provided such other
provision or endorsement
covers the injury or damage
for which this insurance ap-
plies.
b. With respect to the insurance afford-
ed to the additional insureds de-
scribed in Paragraph 8.a.(1) of this
endorsement, the following is added
to Section III - Limits of Insurance:
The most we will pay on behalf of the
additional insured is the amount of in-
surance:
GA 233 TX 09 17
Includes copyrighted material of Insurance
Services Office, Inc., with its permission.
Page 13 of 17
(1) Required by the written contract,
written agreement, written permit
or written authorization described
in Paragraph 8.a.(1) of this en-
dorsement; or
(2) Available under the applicable
Limits of Insurance shown in the
Declarations;
whichever is less.
This endorsement shall not increase
the applicable Limits of Insurance
shown in the Declarations.
c. Section IV - Commercial General
Liability Conditions is amended to
include the following:
Automatic Additional Insured Pro-
vision
This insurance applies only if the
"bodily injury" or "property damage"
occurs, or the "personal and advertis-
ing injury" offense is committed:
(1) During the policy period; and
(2) Subsequent to your execution of
the written contract or written
agreement, or the issuance of a
written permit or written authori-
zation, described in Paragraph
8.a.(1).
d. Section IV - Commercial General
Liability Conditions is amended as
follows:
Condition 5. Other Insurance is
amended to include:
Primary and Noncontributory In-
surance
This insurance is primary to and will
not seek contribution from any other
insurance available to an additional
insured per Paragraph 8.a.(1) of this
endorsement provided that:
(1) The additional insured is a
Named Insured under such other
insurance; and
(2) You have agreed in writing in a
contract, agreement, permit or
authorization described in 8.a.(2)
of this endorsement that this in-
surance would be primary and
would not seek contribution from
any other insurance available to
the additional insured.
9. Property Damage to Borrowed Equip-
ment
a. The following is added to Exclusion
2.j. Damage to Property under Sec-
tion I - Coverage A - Bodily Injury
and Property Damage Liability:
Paragraphs (3) and (4) of this exclu-
sion do not apply to tools or equip-
ment loaned to you, provided they are
not being used to perform operations
at the time of loss.
b. With respect to the insurance provid-
ed by this section of the endorse-
ment, the following additional provi-
sions apply:
(1) The Limits of Insurance shown in
the Declarations are replaced by
the limits designated in Section
B. Limits of Insurance, 9.
Property Damage to Borrowed
Equipment of this endorsement
with respect to coverage provid-
ed by this endorsement. These
limits are inclusive of and not in
addition to the limits being re-
placed. The Limits of Insurance
shown in Section B. Limits of
Insurance, 9. Property Damage
to Borrowed Equipment of this
endorsement fix the most we will
pay in any one "occurrence" re-
gardless of the number of:
(a)
(b)
Insureds;
Claims made or "suits"
brought; or
(c) Persons or organizations
making claims or bringing
"suits".
(2) Deductible Clause
(a) Our obligation to pay dam-
ages on your behalf applies
only to the amount of dam-
ages for each "occurrence"
which are in excess of the
Deductible Amount stated in
Section B. Limits of Insur-
ance, 9. Property Damage
to Borrowed Equipment of
this endorsement. The limits
of insurance will not be re-
duced by the application of
such deductible amount.
(b) Section IV - Commercial
General Liability Condi-
tions, 2. Duties in the
Event of Occurrence, of -
GA 233 TX 09 17
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Services Office, Inc., with its permission. Page 14 of 17
fense, Claim or Suit, ap-
plies to each claim or "suit"
irrespective of the amount.
(c) We may pay any part or all
of the deductible amount to
effect settlement of any
claim or "suit" and, upon no-
tification of the action taken,
you shall promptly reim-
burse us for such part of the
deductible amount as has
been paid by us.
10. Employees as Insureds - Specified
Health Care Services and Good Samar-
itan Services
Paragraph 2.a.(1)(d) under Section II -
Who is an Insured does not apply to:
a. Your "employees" who provide pro-
fessional health care services on your
behalf as a duly licensed nurse,
emergency medical technician or
paramedic in the jurisdiction where an
"occurrence" or offense to which this
insurance applies takes place; or
b. Your "employees" or "volunteer work-
ers", other than an employed or vol-
unteer doctor, providing first aid or
good samaritan services during their
work hours for you will be deemed to
be acting within the scope of their
employment by you or performing du-
ties related to the conduct of your
business.
11. Broadened Notice of Occurrence
Paragraph a. of Condition 2. Duties in the
Event of Occurrence, Offense, Claim or
Suit under Section IV - Commercial
General Liability Conditions is replaced
by the following:
a. You must see to it that we are notified
as soon as practicable of an "occur-
rence" or an offense which may result
in a claim. To the extent possible, no-
tice should include:
(1) How, when and where the "oc-
currence" or offense took place;
(2) The names and addresses of
any injured persons and wit-
nesses; and
(3) The nature and location of any
injury or damage arising out of
the "occurrence" or offense.
This requirement applies only when
the "occurrence" or offense is known
to an "authorized representative".
12. Nonowned Aircraft
The following is added to Exclusion 2.g.
Aircraft, Auto or Watercraft under Sec-
tion I - Coverage A - Bodily Injury and
Property Damage Liability:
This exclusion does not apply to an air-
craft you do not own, provided that:
a. The pilot in command holds a current
effective certificate, issued by a duly
constituted authority of the United
States of America or Canada, desig-
nating that person as a commercial or
airline transport pilot;
b. The aircraft is rented with a trained,
paid crew; and
c. The aircraft does not transport per-
sons or cargo for a charge.
13. Bodily Injury Redefined
Section V - Definitions, 4. "Bodily injury"
is replaced by the following:
4. "Bodily injury" means bodily harm or
injury, sickness, disease, disability,
humiliation, shock, fright, mental an-
guish or mental injury, including care,
loss of services or death resulting
from any of these at any time.
14. Expected or Intended Injury Redefined
The last sentence of Exclusion 2.a. Ex-
pected or Intended Injury under Section
I - Coverage A - Bodily Injury and
Property Damage Liability is replaced by
the following:
This exclusion does not apply to "bodily
injury" or "property damage" resulting from
the use of reasonable force to protect per-
sons or property.
15. Former Employees as Insureds
The following is added to Paragraph 2.
under Section II - Who is an Insured:
2. Each of the following is also an in-
sured:
Any of your former "employees", di-
rectors, managers, members, part-
ners or "executive officers", including
but not limited to retired, disabled or
those on leave of absence, but only
for acts within the scope of their em-
ployment by you or for duties related
to the conduct of your business.
GA 233 TX 09 17
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Services Office, Inc., with its permission. Page 15 of 17
16. Voluntary Property Damage Coverage
a. Coverage D - Voluntary Property
Damage Coverage
Section I - Coverages is amended to
include the following:
(1) Insuring Agreement
(a) We will pay the cost to re-
pair or replace "property
damage" to property of oth-
ers arising out of operations
incidental to your business
when:
1) Damage is caused by
you; or
2) Damage occurs while in
your possession.
At your written request, we
will make this payment re-
gardless of whether you are
at fault for the "property
damage".
If you, at our request, re-
place, or make any repairs
to, damaged property of
others, the amount we will
pay under Voluntary Prop-
erty Damage Coverage will
be determined by your actu-
al cost to replace or repair
the damaged property, ex-
cluding any profit or over-
head.
Any payment we make un-
der Voluntary Property
Damage Coverage shall not
be interpreted as an admis-
sion of liability by you or by
us.
It shall be your duty, not our
duty, to defend any claim or
"suit" to which this insurance
applies.
No other obligation or liabil-
ity to pay sums or perform
acts or services is covered.
(b) This insurance applies to
"property damage" only if:
1) The "property damage"
takes place in the "cov-
erage territory"; and
2) The "property damage"
occurs during the policy
period.
(2) Exclusions
This insurance does not apply to
"property damage" that would be
excluded by Coverage A - Bodi-
ly Injury and Property Damage
Liability, 2. Exclusions, except
for j. Damage to Property, par-
agraphs (3), (4), (5) and (6), k.
Damage to Your Product, and I.
Damage to Your Work.
(3) Definitions
For purposes of Voluntary
Property Damage Coverage
only, the following definitions un-
der Section V - Definitions are
replaced by the following:
16. "Occurrence" means an in-
cident, including continuous
or repeated exposure to
substantially the same gen-
eral harmful conditions that
result in "property damage".
20. "Property damage" means
physical injury to tangible
property. "Electronic data" is
not tangible property, and
"property damage" does not
include disappearance, ab-
straction or theft.
b. Care, Custody or Control Liability
Coverage
For purposes of the coverage provid-
ed by Care, Custody or Control Li-
ability Coverage in this endorsement
only:
(1) Section I - Coverage A - Bodily
Injury and Property Damage
Liability, 2. Exclusions, j.
Damage to Property, Subpara-
graphs (3), (4) and (5) do not ap-
ply to "property damage" to the
property of others described
therein.
(2) It shall be your duty, not our duty,
to defend any claim or "suit" to
which this insurance applies.
No other obligation or liability to
pay sums or perform acts or ser-
vices is covered.
(3)
This Paragraph (2) supersedes
any provision in the Coverage
Part to the contrary.
"Property damage" for which
Care, Custody or Control Lia-
GA 233 TX 09 17
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bility Coverage provides cover-
age shall be deemed to be
caused by an "occurrence" but
shall not serve to limit or restrict
the applicability of any exclusion
for "property damage" under this
Coverage Part.
c. Limits of Insurance and Deducti-
bles
For purposes of the coverage provid-
ed by Voluntary Property Damage
Coverage and Care, Custody or
Control Liability Coverage, Section
III - Limits of Insurance is amended
to include the following:
(1) The Limits of Insurance shown in
the Declarations are replaced by
the limits designated in Section
B. Limits of Insurance, 16.
Voluntary Property Damage
Coverage and Care, Custody
or Control Liability Coverage,
in this endorsement. These limits
are inclusive of, and not in addi-
tion to, the limits being replaced.
The Limits of Insurance shown in
the Schedule fix the most we will
pay regardless of the number of:
(a) Insureds;
(b) Claims made or "suits"
brought; or
(c) Persons or organizations
making claims or bringing
"suits".
(2) (a) Subject to (3) below, the
Voluntary Property Dam-
age Coverage, Each Occur-
rence Limit Of Insurance is
the most we will pay for the
sum of damages under Vol-
untary Property Damage
Coverage;
(b) The Care, Custody or Con-
trol Liability Coverage,
Each Occurrence Limit Of
Insurance is the most we will
pay for the sum of damages
under Care, Custody or
Control Liability Coverage;
because of all "property damage"
arising out of any one "occur-
rence".
(3)
(4)
The Voluntary Property Dam-
age Coverage, Aggregate Limit
of Insurance is the most we will
pay for the sum of all damages
under Voluntary Property
Damage Coverage. This limit
applies separately to each "cov-
erage term".
Deductible Clause
(a) Our obligation to pay dam-
ages on your behalf applies
only to the amount of dam-
ages for each "occurrence"
which are in excess of the
Deductible Amount stated
for the applicable coverage
in the Schedule. The limits
of insurance will not be re-
duced by the application of
such Deductible Amount.
(b) Section IV - Commercial
General Liability Condi-
tions, 2. Duties in the
Event of Occurrence, of-
fense, Claim or Suit, ap-
plies to each claim or "suit'
irrespective of the amount.
(c) We may pay any part or all
of the Deductible Amount to
effect settlement of any
claim or "suit" and, upon no-
tification of the action taken,
you shall promptly reim-
burse us for such part of the
Deductible Amount as has
been paid by us.
17. Broadened Contractual Liability - Work
Within 50' of Railroad Property
Section V - Definitions, 12. "Insured con-
tract" is amended as follows:
a. Paragraph c. is replaced by the fol-
lowing:
c. Any easement or license agree-
ment;
b. Paragraph f.(1) is deleted in its entire-
ty.
18. Alienated Premises
Exclusion 2 j. Damage to Property,
Paragraph (2) under Section I - Cover-
age A - Bodily Injury and Property
Damage Liability does not apply if the
premises are "your work".
GA 233 TX 09 17
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CANCELLATION OR NONRENEWAL BY US
NOTIFICATION TO A DESIGNATED ENTITY
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS PACKAGE POLICY
CLAIMS -MADE EXCESS LIABILITY COVERAGE PART
COMMERCIAL AUTO COVERAGE PART
COMMERCIAL GENERAL LIABILITY COVERAGE PART
COMMERCIAL UMBRELLA LIABILITY COVERAGE PART
DENTIST'S PACKAGE POLICY
ELECTRONIC DATA LIABILITY COVERAGE PART
EXCESS LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART
POLLUTION LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS COVERAGE PART
PRODUCT WITHDRAWAL COVERAGE PART
PROFESSIONAL LIABILITY COVERAGE PART
PROFESSIONAL UMBRELLA LIABILITY COVERAGE PART
PROFESSIONAL UMBRELLA LIABILITY COVERAGE PART - CLAIMS -MADE
RAILROAD PROTECTIVE LIABILITY COVERAGE PART
UNDERGROUND STORAGE TANK POLICY
SCHEDULE
Name and mailing address of person(s) or organization(s):
1. FOR WHOM YOU ARE REQUIRED IN A WRITTEN CONTRACT THAT WAS EXECUTED ON OR AFTER
THE EARLIER OF THE FOLLWING DATES: A. THE EFFECTIVE DATE OF THIS POLICY, OR B. THE EFFECTIVE
DATE OF THE ORIGINAL POLICY OF WHICH THIS POLICY IS A RENEWAL OR RPLACEMENT, AND 2. FOR
WHOM YOU ARE REQUIRED IN THAT SAME WRITTEN CONTRACT AS REFERRED TO IN 1. ABOVE TO
PROVIDE CANCELLATION NOTICE
Number of days notice (other than nonpayment of premium): 30
A. If we cancel or nonrenew this policy for any statutorily permitted reason other than nonpayment of
premium we will mail notice to the person or organization shown in the Schedule. We will mail such notice
at least the number of days shown in the Schedule before the effective date of cancellation or nonrenewal.
B. If we cancel this policy for nonpayment of premium, we will mail notice to the person or organization shown
in the Schedule. We will mail such notice at least 10 days before the effective date of cancellation.
C. If notice is mailed, proof of mailing to the mailing address shown in the Schedule will be sufficient proof of
notice.
D. In no event will coverage extend beyond the actual expiration, termination or cancellation of the policy.
IA 4087 09 17
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CONTRACTORS ADDITIONAL INSURED - AUTOMATIC STATUS
AND AUTOMATIC WAIVER OF SUBROGATION
WHEN REQUIRED IN WRITTEN CONTRACT, AGREEMENT,
PERMIT OR AUTHORIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. Additional Insured - Owners, Lessees Or
Contractors - Automatic Status For Other
Parties When Required In Written Contract
Or Agreement With You
1. Section II - Who Is An Insured is
amended to include as an additional in-
sured any person or organization you
have agreed in writing in a contract or
agreement to add as an additional in-
sured on this Coverage Part. Such per-
son(s) or organization(s) is an additional
insured only with respect to liability for:
a. "Bodily injury", "property damage" or
"personal and advertising injury"
caused, in whole or in part, by the
performance of your ongoing opera-
tions by you or on your behalf, under
that written contract or written
agreement. Ongoing operations does
not apply to "bodily injury" or "proper-
ty damage" occurring after:
(1) 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 loca-
tion of the covered operations
has been completed; or
(2) That portion of "your work" out of
which the injury or damage aris-
es has been put to its intended
use by any person or organiza-
tion other than another contrac-
tor or subcontractor engaged in
performing operations for a prin-
cipal as a part of the same pro-
ject; and
b. "Bodily injury" or "property damage"
caused, in whole or in part, by "your
work" performed under that written
contract or written agreement and in
cluded in the "products -completed
operations hazard", but only if:
(1) The Coverage Part to which this
endorsement is attached pro-
vides coverage for "bodily injury"
or "property damage" included
within the "products -completed
operations hazard"; and
(2) The written contract or written
agreement requires you to pro-
vide additional insured coverage
included within the "products -
completed operations hazard"
for that person or organization.
If the written contract or written
agreement requires you to provide
additional insured coverage included
within the "products -completed oper-
ations hazard" for a specified length
of time for that person or organiza-
tion, the "bodily injury" or "property
damage" must occur prior to the ex-
piration of that period of time in order
for this insurance to apply.
If the written contract or written
agreement requires you to provide
additional insured coverage for a
person or organization per only ISO
additional insured endorsement form
number CG 20 10, without specifying
an edition date, and without specifi-
cally requiring additional insured
coverage included within the "prod-
ucts -completed operations hazard",
this Paragraph b. does not apply to
that person or organization.
2. If the written contract or written agree-
ment described in Paragraph 1. above
specifically requires you to provide addi-
tional insured coverage to that person or
organization:
a. Arising out of your ongoing opera-
tions or arising out of "your work"; or
GA 472 09 18
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b. By way of an edition of an ISO addi-
tional insured endorsement that in-
cludes arising out of your ongoing
operations or arising out of "your
work";
then the phrase caused, in whole or in
part, by in Paragraph A.1.a. and/or Para-
graph A.1.b. above, whichever applies, is
replaced by the phrase arising out of.
3. With respect to the insurance afforded to
the additional insureds described in Para-
graph Al., the following additional exclu-
sion applies:
This insurance does not apply to "bodily
injury", "property damage" or "personal
and advertising injury" arising out of the
rendering of, or the failure to render, any
professional architectural, engineering or
surveying services, including:
a. The preparing, approving or failing to
prepare or approve, maps, shop
drawings, opinions, reports, surveys,
field orders, change orders or draw-
ings and specifications; or
b. Supervisory, inspection, architectural
or engineering activities.
This exclusion applies even if the claims
against any insured allege negligence or
other wrongdoing in the supervision, hir-
ing, employment, training or monitoring of
others by that insured, if the "occurrence"
which caused the "bodily injury" or "prop-
erty damage", or the offense which
caused the "personal and advertising inju-
ry", involved the rendering of, or the fail-
ure to render, any professional architec-
tural, engineering or surveying services.
4. This Paragraph A. does not apply to addi-
tional insureds described in Paragraph B.
B. Additional Insured - State Or Governmental
Agency Or Subdivision Or Political Subdi-
vision - Automatic Status When Required
In Written Permits Or Authorizations
1. Section II - Who Is An Insured is
amended to include as an additional in-
sured any state or governmental agency
or subdivision or political subdivision you
have agreed in writing in a contract,
agreement, permit or authorization to add
as an additional insured on this Coverage
Part. Such state or governmental agency
or subdivision or political subdivision is an
additional insured only with respect to op-
erations performed by you or on your be-
half for which the state or governmental
agency or subdivision or political subdivi-
sion issued, in writing, a contract, agree-
ment, permit or authorization.
2. With respect to the insurance afforded to
the additional insureds described in Para-
graph B.1., the following additional exclu-
sions apply:
This insurance does not apply to:
a. "Bodily injury", "property damage" or
"personal and advertising injury" aris-
ing out of operations performed for
the federal government, state or mu-
nicipality; or
b. "Bodily injury" or "property damage"
included within the "products -
completed operations hazard."
C. The insurance afforded to additional insureds
described in Paragraphs A. and B.:
1. Only applies to the extent permitted by
law; and
2. Will not be broader than that which you
are required by the written contract, writ-
ten agreement, written permit or written
authorization to provide for such addition-
al insured; and
3. Does not apply to any person, organiza-
tion, state, governmental agency or sub-
division or political subdivision specifically
named as an additional insured for the
same project in the schedule of an en-
dorsement added to this Coverage Part.
D. With respect to the insurance afforded to the
additional insureds described in Paragraphs
A. and B., the following is added to Section III
- Limits Of Insurance:
The most we will pay on behalf of the addi-
tional insured is the amount of insurance:
1. Required by the written contract, written
agreement, written permit or written au-
thorization described in Paragraphs A.
and B.; or
2. Available under the applicable Limits of
Insurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the appli-
cable Limits of Insurance shown in the Decla-
rations.
E. Section IV - Commercial General Liability
Conditions is amended to add the following:
Automatic Additional Insured Provision
This insurance applies only if the "bodily inju-
ry' or "property damage" occurs, or the "per-
sonal and advertising injury' offense is com-
mitted:
1. During the policy period; and
GA 472 09 18
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2. Subsequent to your execution of the writ-
ten contract or written agreement, or the
issuance of a written permit or written au-
thorization, described in Paragraphs A.
and B.
F. Except when G. below applies, the following is
added to Section IV - Commercial General
Liability Conditions, 5. Other Insurance,
and supersedes any provision to the contrary:
When Other Additional Insured Coverage
Applies On An Excess Basis
This insurance is primary to other insurance
available to the additional insured described in
Paragraphs A. and B. except:
1. As otherwise provided in Section IV -
Commercial General Liability Condi-
tions, 5. Other Insurance, b. Excess In-
surance; or
2. For any other valid and collectible insur-
ance available to the additional insured as
an additional insured by attachment of an
endorsement to another insurance policy
that is written on an excess basis. In such
case, this insurance is also excess.
G. The following is added to Section IV - Com-
mercial General Liability Conditions, 5.
Other Insurance, and supersedes any provi-
sion to the contrary:
Primary Insurance When Required By Writ-
ten Contract, Agreement, Permit Or Au-
thorization
Except when wrap-up insurance applies to the
claim or "suit" on behalf of the additional in-
sured, this insurance is primary to any other
insurance available to the additional insured
described in Paragraphs A. and B. provided
that:
1. The additional insured is a Named In-
sured under such other insurance; and
2. You have agreed in writing in a contract,
agreement, permit or authorization de-
scribed in Paragraph A. or B. that this in-
surance would be primary to any other in-
surance available to the additional in-
sured.
As used in this endorsement, wrap-up insur-
ance means any insurance provided by a con-
solidated (wrap-up) insurance program.
Primary And Noncontributory Insurance
When Required By Written Contract,
Agreement, Permit Or Authorization
Except when wrap-up insurance applies to the
claim or "suit" on behalf of the additional in-
sured, this insurance is primary to and will not
seek contribution from any other insurance
available to the additional insured described in
Paragraphs A. and B. provided that:
1. The additional insured is a Named In-
sured under such other insurance; and
2. You have agreed in writing in a contract,
agreement, permit or authorization de-
scribed in Paragraph A. or B. that this in-
surance would be primary and would not
seek contribution from any other insur-
ance available to the additional insured.
As used in this endorsement, wrap-up insur-
ance means any insurance provided by a con-
solidated (wrap-up) insurance program.
H. Section IV - Commercial General Liability
Conditions, 9. Transfer Of Rights Of Re-
covery Against Others To Us is amended by
the addition of the following:
We waive any right of recovery we may have
against any additional insured under this en-
dorsement against whom you have agreed to
waive such right of recovery in a written con-
tract, written agreement, written permit or writ-
ten authorization because of payments we
make for injury or damage arising out of your
ongoing operations or "your work" done under
a written contract, written agreement, written
permit or written authorization. However, our
rights may only be waived prior to the "occur-
rence" giving rise to the injury or damage for
which we make payment under this Coverage
Part. The insured must do nothing after a loss
to impair our rights. At our request, the insured
will bring "suit" or transfer those rights to us
and help us enforce those rights.
GA 472 09 18
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COMMERCIAL GENERAL LIABILITY COVERAGE FORM
Various provisions in this Coverage Part restrict
this insurance. Read the entire Coverage Part
carefully to determine rights, duties and what is
and is not covered.
Throughout this Coverage Part the words "you"
and "your" refer to the Named Insured shown in
the Dedarations, and any other person or organi-
zation qualifying as a Named Insured under this
Coverage Part. The words "we", "us" and "our"
refer to the Company providing this insurance.
The word "insured" means any person or organiza-
tion qualifying as such under SECTION II - WHO
IS AN INSURED.
Other words and phrases that appear in quotation
marks have special meaning. Refer to SECTION V
- DEFINITIONS.
SECTION I - COVERAGES
COVERAGE A. BODILY INJURY AND PROP-
ERTY DAMAGE LIABILITY
1. Insuring Agreement
a. We will pay those sums that the insured
becomes legally obligated to pay as dam-
ages because of "bodily injury" or "prop-
erty damage" to which this insurance ap-
plies. We will have the right and duty to
defend the insured against any "suit"
seeking those damages. However, we will
have no duty to defend the insured
against any "suit" seeking damages for
"bodily injury" or "property damage" to
which this insurance does not apply. We
may, at our discretion, investigate any
"occurrence" and settle any daim or "suit"
that may result. But:
(1) The amount we will pay for damages
is limited as described in SECTION
III - LIMITS OF INSURANCE; and
(2) Our right and duty to defend ends
when we have used up the applica-
ble limit of insurance in the payment
of judgments or settlements under
SECTION I - COVERAGES, COV-
ERAGE A. BODILY INJURY AND
PROPERTY DAMAGE LIABILITY;
SECTION I - COVERAGES, COV-
ERAGE B. PERSONAL AND AD-
VERTISING INJURY LIABILITY; or
medical expenses under SECTION
- COVERAGES, COVERAGE C.
MEDICAL PAYMENTS.
No other obligation or liability to pay sums
or perform acts or services is covered
unless expressly provided for under
SUPPLEMENTARY PAYMENTS - COV-
ERAGES A AND B.
b. This insurance applies to "bodily injury"
and "property damage" only if:
(1) The "bodily injury" or "property dam-
age" is caused by an "occurrence"
that takes place in the "coverage ter-
ritory";
(2) The "bodily injury" or "property dam-
age" occurs during the policy period;
and
(3)
Prior to the "coverage term" in which
"bodily injury" or "property damage"
occurs, you did not know, per Para-
graph 1.d. below, that the "bodily in-
jury" or "property damage" had oc-
curred or had begun to occur, in
whole or in part.
c. "Bodily injury" or "property damage"
which:
(1) Occurs during the "coverage term";
and
(2) Was not, prior to the "coverage
term", known by you, per Paragraph
1.d. below, to have occurred;
includes any continuation, change or re-
sumption of that "bodily injury" or "prop-
erty damage" after the end of the "cover-
age term" in which it first became known
by you.
d. You will be deemed to know that "bodily
injury" or "property damage" has occurred
at the earliest time when any "authorized
representative":
(1) Reports all, or any part, of the "bodily
injury" or "property damage" to us or
any other insurer;
(2) Receives a written or verbal demand
or claim for damages because of the
"bodily injury" or "property damage";
First observes, or first observed, the
"bodily injury" or "property damage";
(4) Becomes aware, or become aware,
by any means other than as de-
scribed in (3) above, that "bodily in-
jury" or "property damage" had oc-
curred or had begun to occur; or
Becomes aware, or become aware,
of a condition from which "bodily in-
jury" or "property damage" is sub-
stantially certain to occur.
(3)
(5)
GA 101 TX 09 10
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e. Damages because of "bodily injury" in-
clude damages daimed by any person or
organization for care, loss of services or
death resulting at any time from the "bod-
ily injury'.
2. Exclusions
This insurance does not apply to:
a. Expected or Intended Injury
"Bodily injury" or "property damage"
which results from the intentional or
criminal acts of the insured or which is in
fact expected or intended by the insured,
even if the injury or damage is of a differ-
ent degree or type than actually expected
or intended. This exclusion does not ap-
ply to "bodily injury" resulting from the use
of reasonable force to protect persons or
property.
b. Contractual Liability
"Bodily injury" or "property damage" for
which the insured 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:
(1)
That the insured would have in the
absence of the contract or agree-
ment; or
(2) Assumed in a contract or agreement
that is an "insured contract", provided
the "bodily injury" or "property dam-
age" occurs subsequent to the exe-
cution of the contract or agreement.
When a daim for such "bodily injury"
or "property damage" is made, we
will defend that claim provided the
insured has assumed the obligation
to defend such daim in the "insured
contract". Such defense payments
will not reduce the limits of insur-
ance.
c. Liquor Liability
"Bodily injury" or "property damage" for
which any insured may be held liable by
reason of:
(1) Causing or contributing to the intoxi-
cation of any person;
(2) The fumishing of alcoholic beverages
to a person under the legal drinking
age or under the influence of alcohol;
or
(3)
Any statute, ordinance or regulation
relating to the sale, gift, distribution
or use of alcoholic beverages.
This exclusion applies only if you are in
the business of manufacturing, distribut-
ing, selling, serving or furnishing alcoholic
beverages.
d. Workers' Compensation and Similar
Laws
Any obligation of the insured under a
workers' compensation, disability benefits
or unemployment compensation law or
any similar law.
e. Employer's Liability
"Bodily injury" to:
(1)
An "employee" of the insured sus-
tained in the "workplace";
(2) An "employee" of the insured arising
out of the performance of duties re-
lated to the conduct of the insured's
business; or
The spouse, child, parent, brother or
sister of that "employee" as a conse-
quence of Paragraphs (1) or (2)
above.
(3)
This exdusion applies:
(1) Whether the insured may be liable as
an employer or in any other capacity;
and
(2) To any obligation to share damages
with or repay someone else who
must pay damages because of the
injury.
This exclusion does not apply to liability
assumed by the insured under an "in-
sured contract".
f. Pollutant
(1)
"Bodily injury' or "property damage"
arising out of the actual, alleged or
threatened discharge, dispersal,
seepage, migration, release, escape
or emission of "pollutants":
(a) At or from any premises, site or
location which is or was at any
time owned or occupied by, or
rented or loaned to, any insured.
However, Paragraph (a) does
not apply to:
1) "Bodily injury" to any person
injured while on any prem-
ises, site or location owned
or occupied by, or rented or
loaned to, you provided:
a) The injury is caused by
the inadequate ventila-
tion of vapors;
GA 101 TX 09 10
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b) The person injured is
first exposed to such
vapors during the policy
period; and
c) Within 30 days of such
first exposure, the per-
son injured is clinically
diagnosed or treated by
a physician for the
medical condition
caused by the expo-
sure to such vapors.
However, Paragraph c)
does not apply if the
"bodily injury" is caused
by vapors produced by
or originating from
equipment that is used
to heat, cool or dehu-
midify the building, or
equipment that is used
to heat water for per-
sonal use, by the build-
ing's occupants or their
guests.
This exception 1) shall ap-
ply only to Named Insureds;
we shall have no duty to de-
fend or pay damages for
any person or organization
that is not a Named Insured.
However, this paragraph
does not apply if the "bodily
injury" is caused by vapors
produced by or originating
from equipment that is used
to heat, cool or dehumidify
the building, or equipment
that is used to heat water
for personal use, by the
building's occupants or their
guests.
For the purpose of the ex-
ception granted in Para-
graph 1) only, vapors
means any gaseous or air-
borne irritant or airborne
contaminant, including
smoke, fumes, vapor or
soot, but exduding asbes-
tos, which is discharged,
dispersed, emitted, released
or escapes from materials,
machinery or equipment
used in the service or main-
tenance of the premises.
Vapors does not mean any
gaseous or airborne irritants
or contaminants used in a
manufacturing process or
which is the product or by-
product of any manufactur-
ing process;
2) "Bodily injury" or "property
damage" for which you may
be held liable, if you are a
contractor, and the owner or
lessee of such premises,
site or location has been
added to this Coverage Part
as an additional insured
with respect to your ongoing
operations or "your work"
performed for that additional
insured at that premises,
site or location and such
premises, site or location is
not and never was owned or
occupied by, or rented or
loaned to, any insured,
other than that additional in-
sured; or
3) "Bodily injury" or "property
damage" arising out of heat,
smoke or fumes from a
"hostile fire";
(b) At or from any premises, site or
location which is or was at any
time used by or for any insured
or others for the handling, stor-
age, disposal, processing or
treatment of waste;
(c) Which are or were at any time
transported, handled, stored,
treated, disposed of, or proc-
essed as waste by or for:
1) Any insured; or
2) Any person or organization
for whom you may be le-
gally responsible;
(d) At or from any premises, site or
location on which any insured or
any contractors or subcontrac-
tors working directly or indirectly
on any insureds behalf are per-
forming operations if the "pollut-
ants" are brought on or to the
premises, site or location in con-
nection with such operations by
such insured, contractor or sub-
contractor. However, Paragraph
(d) does not apply to:
1) "Bodily injury" or "property
damage" arising out of the
discharge, dispersal, seep-
age, migration, release, es-
cape or emission of fuels,
lubricants or other operating
fluids, or exhaust gases,
which are needed to per -
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form, or are the result of,
the normal electrical, hy-
draulic or mechanical func-
tions necessary for the op-
eration of "mobile equip-
ment" or its parts, if such
fuels, lubricants or other
operating fluids, or exhaust
gases, escape, seep or mi-
grate, or are discharged,
dispersed, released or emit-
ted from a vehicle part de-
signed to hold, store or re-
ceive them. This exception
does not apply if the fuels,
lubricants or other operating
fluids, or exhaust gases,
escape, seep or migrate, or
are discharged, dispersed,
released or emitted with the
intent to cause "bodily in-
jury" or "property damage"
or with the knowledge that
"bodily injury" or "property
damage" is substantially
certain to occur, or if such
fuels, lubricants or other
operating fluids, or exhaust
gases, are brought on or to
the premises, site or loca-
tion with such intent to es-
cape, seep or migrate, or be
discharged, dispersed, re-
leased or emitted as part of
the operations being per-
formed by such insured,
contractor or subcontractor;
2) "Bodily injury" or "property
damage" sustained within a
building and caused by the
release of gases, fumes or
vapors from materials
brought into that building in
connection with operations
being performed by you or
on your behalf by a contrac-
tor or subcontractor; or
3) "Bodily injury" or "property
damage" arising out of heat,
smoke or fumes from a
"hostile fire"; or
(e) At or from any premises, site or
location on which any insured or
any contractors or subcontrac-
tors working directly or indirectly
on any insureds behalf are per-
forming operations if the opera-
tions are to test for, monitor,
clean up, remove, contain, treat,
detoxify or neutralize, or in any
way respond to, or assess the
effects of, "pollutants".
9.
(2) Any loss, cost or expense arising out
of any:
(a) Request, demand, order or
statutory or regulatory require-
ment that any insured or others
test for, monitor, clean up, re-
move, contain, treat, detoxify or
neutralize, or in any way re-
spond to, or assess the effects
of, "pollutants"; or
(b) Claim or suit by or on behalf of a
governmental authority for dam-
ages because of testing for,
monitoring, cleaning up, remov-
ing, containing, treating, detoxi-
fying or neutralizing, or in any
way responding to, or assessing
the effects of, "pollutants".
However, Paragraphs (2)(a) and (b)
do not apply to liability for damages
because of "property damage" that
the insured would have in the ab-
sence of such request, demand, or-
der or statutory or regulatory re-
quirement, or such claim or "suit" by
or on behalf of a governmental au-
thority.
Aircraft, Auto or Watercraft
"Bodily injury" or "property damage" aris-
ing out of the ownership, maintenance,
use or entrustment to others of any air-
craft, "auto" or watercraft owned or oper-
ated by or rented or loaned to any in-
sured. Use indudes operation and "load-
ing or unloading".
This exdusion applies even if the daims
against any insured allege negligence or
other wrongdoing in the supervision, hir-
ing, employment, training or monitoring of
others by that insured, if the "occurrence"
which caused the "bodily injury" or "prop-
erty damage" involved the ownership,
maintenance, use or entrustment to oth-
ers of any aircraft, "auto" or watercraft
that is owned or operated by or rented or
loaned to any insured.
This exdusion does not apply to:
(1)
A watercraft while ashore on prem-
ises you own or rent;
(2) A watercraft you do not own that is:
(a) Less than 51 feet long; and
(b) Not being used to carry persons
or property for a charge;
Parking an "auto" on, or on the ways
next to, premises you own or rent,
provided the "auto" is not owned by
(3)
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or rented or loaned to you or the in-
sured;
(4) Liability assumed under any "insured
contract" for the ownership, mainte-
nance or use of aircraft or watercraft;
or
(5) "Bodily injury" or "property damage"
arising out of:
(a) The operation of machinery or
equipment that is on, attached
to, or part of, a land vehicle that
would qualify under the definition
of "mobile equipment" if it were
not subject to a compulsory or
financial responsibility law or
other motor vehicle insurance
law in the state where it is li-
censed or principally garaged; or
(b) The operation of any of the ma-
chinery or equipment listed in
Paragraph f.(2) or f.(3) of the
definition of "mobile equipment".
h. Mobile Equipment
"Bodily injury" or "property damage" aris-
ing out of:
(1) The transportation of "mobile equip-
ment" by an "auto" owned or oper-
ated by or rented or loaned to any in-
sured; or
(2) The use of "mobile equipment" in, or
while in practice for, or while being
prepared for, any prearranged rac-
ing, speed, demolition, or stunting
activity.
i. War
"Bodily injury" or "property damage", how-
ever caused, arising, directly or indirectly,
out of:
(1) War, including undeclared or civil
war;
(2) Warlike action by a military force, in-
cluding action in hindering or defend-
ing against an actual or expected at-
tack, by any government, sovereign
or other authority using military per-
sonnel or other agents; or
Insurrection, rebellion, revolution,
usurped power, or action taken by
governmental authority in hindering
or defending against any of these.
Damage to Property
"Property damage" to:
(3)
(1) Property you own, rent or occupy, in-
cluding any costs or expenses in-
curred by you, or any other person,
organization or entity, for repair, re-
placement, enhancement, restoration
or maintenance of such property for
any reason, including prevention of
injury to a person or damage to an -
other's property;
(2) Premises you sell, give away or
abandon, if the "property damage"
arises out of any part of those prem-
ises;
(3)
Property loaned to you;
(4) Personal property in the care, cus-
tody or control of an insured;
That particular part of real property
on which you or any contractors or
subcontractors working directly or in-
directly on your behalf are performing
operations, if the "property damage"
arises out of those operations; or
(6) That particular part of any property
that must be restored, repaired or re-
placed because "your work" was in-
correctly performed on it.
Paragraphs (1), (3) and (4) of this exclu-
sion do not apply to "property damage"
(other than damage by fire or explosion)
to premises, including the contents of
such premises, rented to you for a period
of 7 or fewer consecutive days, for which
the amount we will pay is limited to the
Damage To Premises Rented To You
Limit as described in SECTION III - LIM-
ITS OF INSURANCE.
(5)
Paragraph (2) of this exdusion does not
apply if the premises are "your work" and
were never occupied, rented or held for
rental by you.
Paragraphs (3), (4), (5) and (6) of this ex-
clusion do not apply to liability assumed
under a sidetrack agreement.
Paragraph (6) of this exdusion does not
apply to "property damage" included in
the "products -completed operations haz-
ard".
k. Damage to Your Product
"Property damage" to "your product" aris-
ing out of it or any part of it.
I. Damage to Your Work
"Property damage" to "your work" arising
out of it or any part of it and included in
the "products -completed operations haz-
ard".
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This exclusion does not apply if the dam-
aged work or the work out of which the
damage arises was performed on your
behalf by a subcontractor.
m. Damage to Impaired Property or Prop-
erty Not Physically Injured
"Property damage" to "impaired property"
or property that has not been physically
injured, arising out of:
(1)
A defect, deficiency, inadequacy or
dangerous condition in "your prod-
uct" or "your work"; or
(2) A delay or failure by you or anyone
acting on your behalf to perform a
contract or agreement in accordance
with its terms.
This exdusion does not apply to the loss
of use of other property arising out of
sudden and accidental physical injury to
"your product" or "your work" after it has
been put to its intended use.
n. Recall of Products, Work or Impaired
Property
Any liability or damages claimed for any
loss, cost or expense incurred by you or
others for the loss of use, withdrawal, re-
call, inspection, repair, replacement, ad-
justment, removal or disposal of:
(1) "Your product";
(2) "Your work"; or
(3) "Impaired property";
if such product, work or property is with-
drawn or recalled from the market or from
use by any person or organization be-
cause of a known or suspected defect,
deficiency, inadequacy or dangerous con-
dition in it.
o. Personal and Advertising Injury
"Bodily injury" arising out of "personal and
advertising injury".
p. Asbestos
"Bodily injury" or "property damage" aris-
ing out of, attributable to, or any way re-
lated to asbestos in any form or transmit-
ted in any manner.
Employment -Related Practices
"Bodily injury" to:
(1) A person arising out of any:
(a) Refusal to employ that person;
(b) Termination of that person's em-
ployment; or
q•
(c) Other employment -related prac-
tices, policies, acts or omissions
including but not limited to coer-
cion, criticism, demotion, evalua-
tion, failure to promote, reas-
signment, discipline, defamation,
harassment, humiliation or dis-
crimination directed at that per-
son; or
(2) The spouse, child, parent, brother or
sister of that person as a conse-
quence of "bodily injury" to that per-
son at whom any of the employment -
related practices described in Para-
graphs (a), (b) or (c) above is di-
rected.
This exdusion applies:
(1)
Whether the insured may be liable as
an employer or in any other capacity;
and
(2) To any obligation to share damages
with or repay someone else who
must pay damages because of the
irjury.
r. Additional Insured Prior Knowledge
An additional insured added by attach-
ment of an endorsement to this Coverage
Part that is seeking coverage for a claim
or "suit", if that additional insured knew,
per the following paragraph, that "bodily
injury" or "property damage" had occurred
or had begun to occur, in whole or in part,
prior to the "coverage term" in which such
"bodily injury" or "property damage" oc-
curs or begins to occur.
An additional insured added by attach-
ment of an endorsement to this Coverage
Part will be deemed to have known that
"bodily injury" or "property damage" has
occurred or has begun to occur at the
earliest time when that additional insured,
or any one of its owners, members, part-
ners, managers, executive officers, "em-
ployees" assigned to manage that addi-
tional insured's insurance program, or
"employees" assigned to give or receive
notice of an "occurrence", "personal and
advertising injury" offense, claim or "suit":
(1) Reports all, or any part, of the "bodily
injury" or "property damage" to us or
any other insurer;
(2) Receives a written or verbal demand
or daim for damages because of the
"bodily injury" or "property damage";
First observes, or first observed, the
"bodily injury" or "property damage";
(3)
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(4) Becomes aware, or become aware,
by any means other than as de-
scribed in (3) above, that "bodily in-
jury" or "property damage" had oc-
curred or had begun to occur; or
(5) Becomes aware, or become aware,
of a condition from which "bodily in-
jury" or "property damage" is sub-
stantially certain to occur.
s. Electronic Data
Damages arising out of the loss of, loss of
use of, damage to, corruption of, inability
to access, or inability to manipulate "elec-
tronic data".
t. Distribution of Material in Violation of
Statutes
"Bodily injury" or "property damage" aris-
ing directly or indirectly out of any action
or omission that violates or is alleged to
violate:
a. The Telephone Consumer Protection
Act (TCPA), induding any amendment
of or addition to such law; or
b. The CAN-SPAM Act of 2003, includ-
ing any amendment of or addition to
such law; or
c. Any statute, ordinance or regulation,
other than the TCPA or CAN-SPAM
Act of 2003, that prohibits or limits the
sending, transmitting, communicating
or distribution of material or informa-
tion.
Exclusions c. through q. do not apply to "prop-
erty damage" by fire or explosion to premises
while rented to you or temporarily occupied by
you with permission of the owner, for which
the amount we will pay is limited to the Dam-
age to Premises Rented To You Limit as de-
scribed in SECTION III - LIMITS OF INSUR-
ANCE.
COVERAGE B. PERSONAL AND ADVERTISING
INJURY LIABILITY
1. Insuring Agreement
a. We will pay those sums that the insured
becomes legally obligated to pay as dam-
ages because of "personal and advertis-
ing injury" to which this insurance applies.
We will have the right and duty to defend
the insured against any "suit" seeking
those damages. However, we will have
no duty to defend the insured against any
"suit" seeking damages for "personal and
advertising injury" to which this insurance
does not apply. We may, at our discre-
tion, investigate any offense and settle
any claim or "suit" that may result. But:
(1) The amount we will pay for damages
is limited as described in SECTION
III - LIMITS OF INSURANCE; and
(2) Our right and duty to defend ends
when we have used up the applica-
ble limit of insurance in the payment
of judgments or settlements under
SECTION I - COVERAGES, COV-
ERAGE A. BODILY INJURY AND
PROPERTY DAMAGE LIABILITY;
SECTION I - COVERAGES, COV-
ERAGE B. PERSONAL AND AD-
VERTISING INJURY LIABILITY; or
medical expenses under SECTION
- COVERAGES, COVERAGE C.
MEDICAL PAYMENTS.
No other obligation or liability to pay sums
or perform acts or services is covered
unless expressly provided for under
SUPPLEMENTARY PAYMENTS - COV-
ERAGES A AND B.
b. This insurance applies to "personal and
advertising injury" only if:
(1) The "personal and advertising injury"
is caused by an offense arising out of
your business; and
(2) The "personal and advertising injury"
offense was committed in the "cover-
age territory' during the policy period;
and
(3)
Prior to the "coverage term" in which
the "personal and advertising injury"
offense is committed, you did not
know, per Paragraph 1.d. below, that
the offense had been committed or
had begun to be committed, in whole
or in part.
c. "Personal and advertising injury" caused
by an offense which:
(1) Was committed during the "coverage
term"; and
(2) Was not, prior to the "coverage
term", known by you, per Paragraph
1.d. below, to have been committed;
includes any continuation, change or re-
sumption of that offense after the end of
the "coverage term" in which it first be-
came known by you.
d. You will be deemed to know that a "per-
sonal and advertising injury" offense has
been committed at the earliest time when
any "authorized representative":
(1) Reports all, or any part, of the "per-
sonal and advertising injury" to us or
any other insurer;
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(2) Receives a written or verbal demand
or claim for damages because of the
"personal and advertising injury";
First observes, or first observed, the
offense that caused the "personal
and advertising injury";
(4) Becomes aware, or become aware,
by any means, other than as de-
scribed in (3) above, that the offense
had been committed or had begun to
be committed; or
Becomes aware, or become aware,
of a condition from which "personal
and advertising injury" is substantially
certain to occur.
(3)
(5)
2. Exclusions
This insurance does not apply to:
a. Knowing Violation of Rights of An-
other
"Personal and advertising injury" caused
by or at the direction of the insured with
the knowledge that the act would violate
the rights of another and would inflict
"personal and advertising ir>jury".
b. Material Published With Knowledge of
Falsity
"Personal and advertising injury" arising
out of oral or written publication of mate-
rial, if done by or at the direction of the in-
sured with knowledge of its falsity.
c. Material Published Prior to Coverage
Term
"Personal and advertising injury" arising
out of oral or written publication of mate-
rial whose first publication took place be-
fore the later of the following:
(1)
The inception of this Coverage Part;
or
(2) The "coverage term" in which insur-
ance coverage is sought.
d. Criminal Acts
"Personal and advertising injury" arising
out of a criminal act committed by or at
the direction of the insured.
e. Contractual Liability
"Personal and advertising injury" for
which the insured 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:
(1) That the insured would have in the
absence of the contract or agree-
ment; or
(2) Assumed in a contract or agreement
that is an "insured contract", provided
the "personal and advertising injury"
is caused by or arises out of an of-
fense committed subsequent to the
execution of the contract or agree-
ment. When a claim for such "per-
sonal and advertising injury" is made,
we will defend that claim, provided
the insured has assumed the obliga-
tion to defend such claim in the "in-
sured contract". Such defense pay-
ments will not reduce the limits of in-
surance.
f. Breach of Contract
g.
"Personal and advertising injury" arising
out of a breach of contract, except an im-
plied contract to use another's advertising
idea in your "advertisement".
Quality or Performance of Goods -
Failure to Conform to Statements
"Personal and advertising injury" arising
out of the failure of goods, products or
services to conform with any statement of
quality or performance made in your "ad-
vertisement".
h. Wrong Description of Prices
"Personal and advertising injury" arising
out of the wrong description of the price
of goods, products or services stated in
your "advertisement".
i. Infringement of Copyright, Patent,
Trademark or Trade Secret
"Personal and advertising injury" arising
out of the infringement of copyright, pat-
ent, trademark, trade secret or other intel-
lectual property rights.
However, this exclusion does not apply to
infringement, in your "advertisement", of
copyright, trade dress or slogan.
Insureds in Media and Internet Type
Businesses
"Personal and advertising injury" commit-
ted by an insured whose business is:
(1) Advertising, broadcasting, publishing
or telecasting;
(2) Designing or determining content of
web -sites for others; or
An Internet search, access, content
or service provider.
(3)
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However, this exclusion does not apply to
Paragraphs 17. a., b. and c. of "personal
and advertising injury" under SECTION V
- DEFINITIONS.
For the purposes of this exdusion, the
placing of frames, borders or links, or ad-
vertising, for you or others anywhere on
the Internet is not, by itself, considered
the business of advertising, broadcasting,
publishing or telecasting.
k. Electronic Chatrooms or Bulletin
Boards
"Personal and advertising injury" arising
out of an electronic chatroom or bulletin
board any insured hosts, owns, or over
which any insured exercises control.
I. Unauthorized Use of Another's Name
or Product
"Personal and advertising injury" arising
out of the unauthorized use of another's
name or product in your e-mail address,
domain name or metatag, or any other
similar tactics to mislead another's poten-
tial customers.
m. Employment Related Practices
"Personal and advertising injury" to:
(1) A person arising out of any:
(a) Refusal to employ that person;
(b) Termination of that person's em-
ployment; or
(c) Other employment -related prac-
tices, policies, acts or omissions
including but not limited to coer-
cion, criticism, demotion, evalua-
tion, failure to promote, reas-
signment, discipline, defamation,
harassment, humiliation or dis-
crimination directed at that per-
son; or
(2) The spouse, child, parent, brother or
sister of that person as a conse-
quence of "personal and advertising
injury" to that person at whom any of
the employment -related practices
described in Paragraphs (a), (b) or
(c) above is directed.
This exdusion applies:
(1) Whether the insured may be liable as
an employer or in any other capacity;
and
(2) To any obligation to share damages
with or repay someone else who
must pay damages because of the
injury.
n. Pollutant
"Personal and advertising injury" arising
out of the actual, alleged or threatened
discharge, dispersal, seepage, migration,
release, escape or emission of "pollut-
ants" at any time.
o. Pollutant -Related
p.
q•
Any loss, cost or expense arising out of
any:
(1)
Request, demand, order or statutory
or regulatory requirement that any
insured or others test for, monitor,
clean up, remove, contain, treat, de-
toxify or neutralize, or in any way re-
spond to, or assess the effects of,
"pollutants"; or
(2) Claim or suit by or on behalf of a
governmental authority for damages
because of testing for, monitoring,
cleaning up, removing, containing,
treating, detoxifying or neutralizing,
or in any way responding to, or as-
sessing the effects of, "pollutants".
Asbestos
"Personal and advertising injury" arising
out of, attributable to, or any way related
to asbestos in any form or transmitted in
any manner.
Additional Insured Prior Knowledge
An additional insured added by attach-
ment of an endorsement to this Coverage
Part that is seeking coverage for a claim
or "suit", if that additional insured knew,
per the following paragraph, that a "per-
sonal and advertising injury" offense had
been committed or had begun to be
committed, in whole or in part, prior to the
"coverage term" in which such offense
was committed or began to be committed.
An additional insured added by attach-
ment of an endorsement to this Coverage
Part will be deemed to have known that a
"personal and advertising injury" offense
has been committed or has begun to be
committed at the earliest time when that
additional insured, or any one of its own-
ers, members, partners, managers, ex-
ecutive officers, "employees" assigned to
manage that additional insured's insur-
ance program, or "employees" assigned
to give or receive notice of an "occur-
rence", "personal and advertising injury"
offense, claim or "suit":
(1) Reports all, or any part, of the "per-
sonal and advertising injury" to us or
any other insurer;
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(2) Receives a written or verbal demand
or daim for damages because of the
"personal and advertising injury";
First observes, or first observed, the
offense that caused the "personal
and advertising injury";
(4) Becomes aware, or become aware,
by any means other than as de-
scribed in (3) above, that the "per-
sonal and advertising injury" offense
had been committed or had begun to
be committed; or
Becomes aware, or become aware,
of a condition from which "personal
and advertising injury" is substantially
certain to occur.
(3)
(5)
r. War
"Personal and advertising injury', how-
ever caused, arising, directly or indirectly,
out of:
(1)
War, including undeclared or civil
war;
(2) Warlike action by a military force, in-
cluding action in hindering or defend-
ing against an actual or expected at-
tack, by any government, sovereign
or other authority using military per-
sonnel or other agents; or
Insurrection, rebellion, revolution,
usurped power, or action taken by
governmental authority in hindering
or defending against any of these.
(3)
s. Distribution of Material in Violation of
Statutes
"Personal and advertising injury" arising
directly or indirectly out of any action or
omission that violates or is alleged to vio-
late:
a. The Telephone Consumer Protection
Act (TCPA), including any amendment
of or addition to such law; or
b. The CAN-SPAM Act of 2003, includ-
ing any amendment of or addition to
such law; or
c. Any statute, ordinance or regulation,
other than the TCPA or CAN-SPAM
Act of 2003, that prohibits or limits the
sending, transmitting, communicating
or distribution of material or informa-
tion.
COVERAGE C. MEDICAL PAYMENTS
1. Insuring Agreement
a. We will pay medical expenses as de-
scribed below for "bodily injury' caused
by an accident:
(1) On premises you own or rent;
(2) On ways next to premises you own
or rent; or
(3) Because of your operations;
provided that:
(1) The accident takes place in the "cov-
erage territory" and during the policy
period;
(2) The expenses are incurred and re-
ported to us within three years of the
date of the accident; and
(3) The injured person submits to ex-
amination, at our expense, by physi-
cians of our choice as often as we
reasonably require.
b. We will make these payments regardless
of fault. These payments will not exceed
the applicable limit of insurance. We will
pay reasonable expenses for:
(1) First aid administered at the time of
an accident;
(2) Necessary medical, surgical, x-ray
and dental services, induding pros-
thetic devices; and
Necessary ambulance, hospital, pro-
fessional nursing and funeral ser-
vices.
(3)
2. Exclusions
We will not pay expenses for "bodily irjury":
a. Any Insured
To any insured, except "volunteer work-
ers".
b. Hired Person
To a person hired to do work for or on
behalf of any insured or a tenant of any
insured.
c. Injury on Normally Occupied Premises
To a person injured on that part of prem-
ises you own or rent that the person nor-
mally occupies.
d. Workers' Compensation and Similar
Laws
To a person, whether or not an "em-
ployee" of any insured, if benefits for the
"bodily injury" are payable or must be pro-
vided under a workers' compensation or
disability benefits law or a similar law.
GA 101 TX 09 10
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Services Office, Inc., with its permission. Page 10 of 22
e. Athletic Activities
To any person injured while officiating,
coaching, practicing for, instructing or
participating in any physical exercises or
games, sports, or athletic contests or ex-
hibitions of an athletic or sports nature.
f. Products -Completed Operations Haz-
ard
g.
Included within the "products -completed
operations hazard".
Coverage A Exclusions
Exduded under COVERAGE A. BODILY
INJURY AND PROPERTY DAMAGE LI-
ABILITY.
SUPPLEMENTARY PAYMENTS - COVERAGES
A AND B
We will pay, with respect to any claim we investi-
gate or settle, or any "suit" against an insured we
defend:
1. All expenses we incur.
2. Up to $250 for cost of bail bonds required be-
cause 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 bonds.
3. The cost of bonds to release attachments, but
only for bond amounts within the applicable
limit of insurance. We do not have to furnish
these bonds.
4. All reasonable expenses incurred by the in-
sured at our request to assist us in the investi-
gation or defense of the claim or "suit", includ-
ing actual loss of earnings up to $250 a day
because of time off from work.
5. All costs taxed against the insured in the
"suit".
6. Prejudgment interest awarded against the in-
sured on that part of the judgment we become
obligated to pay and which falls within the ap-
plicable limit of insurance. If we make an offer
to pay the applicable limit of insurance, we will
not pay any prejudgment interest based on
that period of time after the offer.
7. All interest on the full amount of any judgment
that accrues after entry of the judgment and
before we have paid, offered to pay, or depos-
ited in court the part of the judgment that is
within the applicable limit of insurance.
These payments will not reduce the limits of insur-
ance.
SECTION II - WHO IS AN INSURED
1. If you are designated in the Declarations as:
a. An individual, you and your spouse are
insureds, but only with respect to the con-
duct 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.
c. A limited liability company, you are an in-
sured. Your members are also insureds,
but only with respect to the conduct of
your business. Your managers are insur-
eds, but only with respect to their duties
as your managers.
d. An organization other than a partnership,
joint venture or limited liability company,
you are an insured. Your "executive offi-
cers" and directors are insureds, but only
with respect to their duties as your offi-
cers or directors. Your stockholders are
also insureds, but only with respect to
their liability as stockholders.
e. A trust, you are an insured. Your trustees
are also insureds, but only with respect to
their duties as trustees.
2. Each of the following is also an insured:
a. Your "volunteer workers" only while per-
forming 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. However,
none of these "employees" or "volunteer
workers" are insureds for:
(1) "Bodily injury" or "personal and ad-
vertising injury":
(a) To you, to your partners or
members (if you are a partner-
ship or joint venture), to your
members (if you are a limited li-
ability company), to a co -
"employee" while in the course
of his or her employment or per-
forming 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
GA 101 TX 09 10
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worker" as a consequence of
Paragraph (1)(a) above;
(c) For which there is any obligation
to 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 provid-
ing or failing to provide profes-
sional health care services.
(2) "Property damage" to property:
(a) Owned, occupied or used by; or
(b) Rented to, in the care, custody
or control of, or over which
physical control is being exer-
cised for any purpose by,
you, any of your "employees", "volun-
teer workers", any partner or member
(if you are a partnership or joint ven-
ture), or any member (if you are a
limited liability company).
b. Any person (other than your "employee"
or "volunteer worker"), or any organiza-
tion while acting as your real estate man-
ager.
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 prop-
erty; 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 Part.
3. Any organization you newly acquire or form,
other than a partnership, joint venture or lim-
ited 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 organiza-
tion. However:
a. Insurance under this provision is afforded
only until the 90th day after you acquire or
form the organization or the end of the
policy period, whichever is earlier;
b. COVERAGE A. BODILY INJURY AND
PROPERTY DAMAGE LIABILITY does
not apply to "bodily injury" or "property
damage" that occurred before you ac-
quired or formed the organization; and
c. COVERAGE B. PERSONAL AND AD-
VERTISING INJURY LIABILITY does not
apply to "personal and advertising injury"
arising out of an offense committed be-
fore you acquired or formed the organiza-
tion.
No person or organization is an insured with re-
spect to the conduct of any current or past partner-
ship, joint venture or limited liability company that
is not shown as a Named Insured in the Dedara-
tions.
SECTION III - LIMITS OF INSURANCE
1. The Limits of Insurance shown in the Declara-
tions and the rules below fix the most we will
pay regardless of the number of:
a. Insureds;
b. Claims made or "suits" brought; or
c. Persons or organizations making daims
or bringing "suits".
2. a. The General Aggregate Limit is the most
we will pay for the sum of:
(1)
Medical expenses under COVER-
AGE C. MEDICAL PAYMENTS;
(2) Damages under COVERAGE A.
BODILY INJURY AND PROPERTY
DAMAGE LIABILITY, except dam-
ages because of "bodily injury" or
"property damage" included in the
"products -completed operations haz-
ard"; and
Damages under COVERAGE B.
PERSONAL AND ADVERTISING
INJURY LIABILITY.
(3)
This General Aggregate Limit will not ap-
ply if either the Location General Aggre-
gate Limit of Insurance, Paragraph 2.b.,
or the Construction Project General Ag-
gregate Limit of Insurance, Paragraph
2.c. applies.
b. A separate Location General Aggregate
Limit of Insurance, equal to the amount of
the General Aggregate Limit shown in the
Declarations, shall apply to each location
owned by, or rented or leased to you and
is the most we will pay for the sum of:
(1)
Damages under COVERAGE A.
BODILY INJURY AND PROPERTY
DAMAGE LIABILITY, except dam-
ages because of "bodily injury" or
"property damage" included in the
"products -completed operations haz-
ard"; and
(2) Medical expenses under COVER-
AGE C. MEDICAL PAYMENTS,
GA 101 TX 09 10
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which can be attributed to operations at
only a single location owned by, or rented
or leased to you.
c. A separate Construction Project General
Aggregate Limit of Insurance, equal to the
amount of the General Aggregate Limit
shown in the Dedarations, shall apply to
each construction project and is the most
we will pay for the sum of:
(1)
Damages under COVERAGE A.
BODILY INJURY AND PROPERTY
DAMAGE LIABILITY, except dam-
ages because of "bodily injury" or
"property damage" included in the
"products -completed operations haz-
ard"; and
(2) Medical expenses under COVER-
AGE C. MEDICAL PAYMENTS;
which can be attributed only to ongoing
operations and only at a single construc-
tion project.
d. Only for the purpose of determining which
General Aggregate Limit of Insurance,
2.a., 2.b., or 2.c., applies:
(1) Location means premises involving
the same or connecting lots, or prem-
ises, whose connection is interrupted
only by a street, roadway, waterway
or right-of-way of a railroad.
(2) Construction project means a loca-
tion you do not own, rent or lease
where ongoing improvements, altera-
tions, installation, demolition or main-
tenance work is performed by you or
on your behalf. All connected ongo-
ing improvements, alterations, instal-
lation, demolition or maintenance
work performed by you or on your
behalf at the same location for the
same persons or organizations, no
matter how often or under how many
different contracts, will be deemed to
be a single construction project.
3. The Products -Completed Operations Aggre-
gate Limit is the most we will pay under COV-
ERAGE A. BODILY INJURY AND PROP-
ERTY DAMAGE LIABILITY for damages be-
cause of "bodily injury" and "property damage"
included in the "products -completed opera-
tions hazard".
4. Subject to 2.a. above, the Personal and Ad-
vertising Injury Limit is the most we will pay
under COVERAGE B. PERSONAL AND AD-
VERTISING INJURY LIABILITY for the sum
of all damages because of all "personal and
advertising injury" sustained by any one per-
son or organization.
5. Subject to 2. or 3. above, whichever applies,
the Each Occurrence Limit is the most we will
pay for the sum of:
a. Damages under COVERAGE A. BODILY
INJURY AND PROPERTY DAMAGE LI-
ABILITY; and
b. Medical expenses under COVERAGE C.
MEDICAL PAYMENTS;
because of all "bodily injury" and "property
damage" arising out of any one "occurrence".
6. Subject to 5. above, the Damage to Premises
Rented to You Limit is the most we will pay
under COVERAGE A. BODILY INJURY AND
PROPERTY DAMAGE LIABILITY for dam-
ages because of "property damage" to any
one premises, while rented to you, or in the
case of damage by fire or explosion, while
rented to you or temporarily occupied by you
with permission of the owner.
7. Subject to 5. above, the Medical Expense
Limit is the most we will pay under COVER-
AGE C. MEDICAL PAYMENTS for all medical
expenses because of "bodily injury" sustained
by any one person.
The Limits of Insurance of this Coverage Part ap-
ply separately to each "coverage term".
SECTION IV - COMMERCIAL GENERAL LIABIL-
ITY CONDITIONS
1. Bankruptcy
Bankruptcy or insolvency of the insured or of
the insured's estate will not relieve us of our
obligations under this Coverage Part.
2. Duties in the Event of Occurrence, Offense,
Claim or Suit
a. You must see to it that we are notified as
soon as practicable of an "occurrence" or
a "personal and advertising injury" of-
fense which may result in a daim. To the
extent possible, notice should include:
(1) How, when and where the "occur-
rence" or offense took place;
(2) The names and addresses of any in-
jured persons and witnesses; and
The nature and location of any injury
or damage arising out of the "occur-
rence" or offense.
(3)
b. If a daim is made or "suit" is brought
against any insured, you must:
(1) Immediately record the specifics of
the daim or "suit' and the date re-
ceived; and
(2) Notify us as soon as practicable.
GA 101 TX 09 10
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You must see to it that we receive written
notice of the claim or "suit" as soon as
practicable.
c. You and any other involved insured must:
(1)
Immediately send us copies of any
demands, notices, summonses or le-
gal papers received in connection
with the claim or "suit";
(2) Authorize us to obtain records and
other information;
Cooperate with us in the investiga-
tion or settlement of the claim or de-
fense against the "suit"; and
(4) Assist us, upon our request, in the
enforcement of any right against any
person or organization which may be
liable to the insured because of injury
or damage to which this insurance
may also apply.
d. No insured will, except at that insured's
own cost, voluntarily make a payment,
assume any obligation, or incur any ex-
pense, other than for first aid, without our
consent.
(3)
3. Legal Action Against Us
No person or organization has a right under
this Coverage Part:
a. To join us as a party or otherwise bring us
into a "suit" asking for damages from an
insured; or
b. To sue us on this Coverage Part unless
all of its terms have been fully complied
with.
A person or organization may sue us to re-
cover on an agreed settlement or on a final
judgment against an insured; but we will not
be liable for damages that are not payable un-
der the terms of this Coverage Part or that are
in excess of the applicable limit of insurance.
An agreed settlement means a settlement and
release of liability signed by us, the insured
and the claimant or the claimant's legal repre-
sentative.
4. Liberalization
If, within 60 days prior to the beginning of this
Coverage Part or during the policy period, we
make any changes to any forms or endorse-
ments of this Coverage Part for which there is
currently no separate premium charge, and
that change provides more coverage than this
Coverage Part, the change will automatically
apply to this Coverage Part as of the latter of:
a. The date we implemented the change in
your state; or
b. The date this Coverage Part became ef-
fective; and
will be considered as included until the end of
the current policy period. We will make no ad-
ditional premium charge for this additional
coverage during the interim.
5. Other Insurance
If other valid and collectible insurance is avail-
able to the insured for a loss we cover under
COVERAGE A. BODILY INJURY AND
PROPERTY DAMAGE LIABILITY or COV-
ERAGE B. PERSONAL AND ADVERTISING
INJURY LIABILITY of this Coverage Part, our
obligations are limited as follows:
a. Primary Insurance
This insurance is primary except when b.
below applies. If this insurance is primary,
our obligations are not affected unless
any of the other insurance is also primary.
Then, we will share with all that other in-
surance by the method described in c.
below.
b. Excess Insurance
This insurance is excess over:
(1)
Any of the other insurance, whether
primary, excess, contingent or on
any other basis:
(a) That is Fire, Extended Cover-
age, Builder's Risk, Installation
Risk or similar insurance for
"your work";
(b) That is Fire or Explosion insur-
ance for premises rented to you
or temporarily occupied by you
with permission of the owner;
(c) That is insurance purchased by
you to cover your liability as a
tenant for "property damage" to
premises rented to you or tem-
porarily occupied by you with
permission of the owner; or
(d) If the loss arises out of the main-
tenance or use of aircraft,
"autos" or watercraft to the ex-
tent not subject to SECTION I -
COVERAGES, COVERAGE A.
BODILY INJURY AND PROP-
ERTY DAMAGE LIABILITY, 2.
Exclusions, g. Aircraft, Auto
or Watercraft.
(2) Any other primary insurance avail-
able to the insured covering liability
for damages arising out of the prem-
ises or operations, or the products
and completed operations, for which
GA 101 TX 09 10
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GA 101 TX 09 10
the insured has been added as an
additional insured by attachment of
an endorsement.
(3) Any other insurance:
(a) Whether primary, excess, con-
tingent or on any other basis,
except when such insurance is
written specifically to be excess
over this insurance; and
(b) That is a consolidated (wrap-up)
insurance program which has
been provided by the prime con-
tractor/project manager or owner
of the consolidated project in
which you are involved.
When this insurance is excess, we will
have no duty under COVERAGE A.
BODILY INJURY AND PROPERTY
DAMAGE LIABILITY or COVERAGE B.
PERSONAL AND ADVERTISING IN-
JURY LIABILITY to defend the insured
against any "suit" if any other insurer has
a duty to defend the insured against that
"suit". If no other insurer defends, we will
undertake to do so, but we will be entitled
to the insureds rights against all those
other insurers.
When this insurance is excess over other
insurance, we will pay only our share of
the amount of the loss, if any, that ex-
ceeds the sum of:
(1) The total amount that all such other
insurance would pay for the loss in
the absence of this insurance; and
(2) The total of all deductible and self -
insured amounts under all that other
insurance.
We will share the remaining loss, if any,
with any other insurance that is not de-
scribed in this Excess Insurance provision
and was not bought specifically to apply
in excess of the Limits of Insurance
shown in the Declarations of this Cover-
age Part.
c. Method of Sharing
If all of the other insurance permits con-
tribution by equal shares, we will follow
this method also. Under this approach
each insurer contributes equal amounts
until it has paid its applicable limit of
insurance or none of the loss remains,
whichever comes first.
If any of the other insurance does not
permit contribution by equal shares, we
will contribute by limits. Under this
method, each insurer's share is based on
the ratio of its applicable limit of insurance
Includes copyrighted material of Insurance
Services Office, Inc., with its permission.
to the total applicable limits of insurance
of all insurers.
6. Premium Audit
a. We will compute all premiums for this
Coverage Part in accordance with our
rules and rates.
b. Premium shown in this Coverage Part as
advance premium is a deposit premium
only. At the close of each audit period we
will compute the earned premium for that
period and send notice to the first Named
Insured. The due date for audit and retro-
spective premiums is the date shown as
the due date on the bill. If:
(1) The earned premium is less than the
deposit premium, we will return the
excess to the first Named Insured; or
(2) The earned premium is greater than
the deposit premium, the difference
will be due and payable to us by the
first Named Insured upon notice from
us.
c. The first Named Insured must keep re-
cords of the information we need for pre-
mium computation, and send us copies at
such times as we may request.
7. Representations
By accepting this Coverage Part, you agree:
a. The statements in the Declarations are
accurate and complete;
b. Those statements are based upon repre-
sentations you made to us; and
c. We have issued this Coverage Part in re-
liance upon your representations.
8. Separation of Insureds
Except with respect to the Limits of Insurance,
and any rights or duties specifically assigned
in this Coverage Part to the first Named In-
sured, this insurance applies:
a. As if each Named Insured were the only
Named Insured; and
b. Separately to each insured against whom
claim is made or "suit" is brought.
9. Transfer of Rights of Recovery Against
Others to Us
If the insured has rights to recover all or part
of any payment we have made under this
Coverage Part, those rights are 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.
Page 15 of 22
GA 101 TX 09 10
10. Two or More Coverage Forms or Policies
Issued by Us
If this Coverage Part and any other Coverage
Form or Coverage Part forming a part of this
policy apply to the same "occurrence" or "per-
sonal and advertising injury" offense, the ag-
gregate maximum Limit of Insurance under all
the Coverage Forms or Coverage Parts shall
not exceed the highest applicable Limit of In-
surance under any one Coverage Form or
Coverage Part. This condition does not apply
to any Coverage Form or Coverage Part is-
sued by us specifically to apply as excess in-
surance over this Coverage Part.
11. When We Do Not Renew
If we decide not to renew this Coverage Part,
we will mail or deliver to the first Named In-
sured shown in the Dedarations written notice
of the nonrenewal not less than 30 days be-
fore the expiration date.
If notice is mailed, proof of mailing will be suf-
ficient proof of notice.
SECTION V - DEFINITIONS
1. "Advertisement" means a notice that is broad-
cast, telecast or published to the general pub-
lic or specific market segments about your
goods, products or services for the purpose of
attracting customers or supporters. "Adver-
tisement" includes a publicity article. For pur-
poses of this definition:
a. Notices that are published include mate-
rial placed on the Internet or on similar
electronic means of communication; and
b. Regarding web -sites, only that part of a
web -site that is about your goods, prod-
ucts or services for the purposes of at-
tracting customers or supporters is con-
sidered an "advertisement".
2. "Authorized representative" means:
a. If you are designated in the Dedarations
as:
(1) An individual, you and your spouse
are "authorized representatives".
(2) A partnership or joint venture, your
members, your partners, and their
spouses are "authorized representa-
tives".
(3)
A limited liability company, your
members and your managers are
"authorized representatives".
(4) An organization other than a partner-
ship, joint venture or limited liability
company, your "executive officers"
and directors are "authorized repre-
sentatives". Provided you are not a
Includes copyrighted material of Insurance
Services Office, Inc., with its permission. Page 16 of 22
publicly traded organization, your
stockholders are also "authorized
representatives".
A trust, your trustees are "authorized
representatives".
b. Your "employees":
(1) Assigned to manage your insurance
program; or
(2) Responsible for giving or receiving
notice of an "occurrence", "personal
and advertising injury" offense, claim
or "suit";
(5)
are also "authorized representatives".
3. "Auto" means:
a. A land motor vehicle, trailer or semitrailer
designed for travel on public roads, in-
cluding any attached machinery or
equipment; or
b. Any other land vehicle that is subject to a
compulsory or financial responsibility law
or other motor vehicle insurance law in
the state where it is licensed or principally
garaged.
However, "auto" does not include "mobile
equipment".
4. "Bodily injury" means bodily injury, sickness or
disease sustained by a person, including
death resulting from any of these at any time.
5. "Coverage term" means the following individ-
ual increment, or if a multi -year policy period,
increments, of time, which comprise the policy
period of this Coverage Part:
a. The year commencing on the Effective
Date of this Coverage Part at 12:01 AM
standard time at your mailing address
shown in the Dedarations, and if a multi-
year policy period, each consecutive an-
nual period thereafter, or portion thereof if
any period is for a period of less than 12
months, constitute individual "coverage
terms". The last "coverage term" ends at
12:00 AM standard time at your mailing
address shown in the Declarations on the
earlier of:
(1)
The day the policy period shown in
the Declarations ends; or
(2) The day the policy to which this Cov-
erage Part is attached is terminated
or cancelled.
b. However, if after the issuance of this Cov-
erage Part, any "coverage term" is ex-
tended for an additional period of less
than 12 months, that additional period of
time will be deemed to be part of the last
preceding "coverage term".
6. "Coverage territory" means:
a. The United States of America (including
its territories and possessions), Puerto
Rico and Canada;
b. International waters or airspace, but only
if the injury or damage occurs in the
course of travel or transportation between
any places included in a. above; or
c. All other parts of the world if the injury or
damage arises out of:
(1)
Goods or products made or sold by
you in the territory described in a.
above;
(2) The activities of a person whose
home is in the territory described in
a. above, but is away for a short time
on your business; or
"Personal and advertising injury" of-
fenses that take place through the
Internet or similar electronic means
of communication,
provided the insured's responsibility to
pay damages is determined in a "suit" on
the merits, in the territory described in a.
above or in a settlement to which we
agree.
7. "Electronic data" means information, facts or
programs stored as or on, created or used on,
or transmitted to or from computer software,
including systems and applications software,
hard or floppy disks, CD-ROMs, tapes, drives,
cells, data processing devices or any other
media which are used with electronically con-
trolled equipment.
8. "Employee" includes a "leased worker". "Em-
ployee" does not include a "temporary
worker".
(3)
9. "Executive officer" means a person holding
any of the officer positions created by your
charter, constitution, by-laws or any other
similar governing document.
10. "Hostile fire" means one which becomes un-
controllable or breaks out from where it was
intended to be.
11. "Impaired property' means tangible property,
other than "your product" or "your work", that
cannot be used or is less useful because:
a. It incorporates "your product" or "your
work" that is known or thought to be de-
fective, deficient, inadequate or danger-
ous; or
b. You have failed to fulfill the terms of a
contract or agreement;
if such property can be restored to use by:
a. The repair, replacement, adjustment or
removal of "your product" or "your work";
or
b. Your fulfilling the terms of the contract or
agreement.
12. "Insured contract" means:
a. A contract for a lease of premises. How-
ever, that portion of the contract for a
lease of premises that indemnifies any
person or organization for "property dam-
age" by fire or explosion to premises
while rented to you or temporarily occu-
pied by you with permission of the owner
is not an "insured contract";
b. A sidetrack agreement;
c. Any easement or license agreement, ex-
cept in connection with construction or
demolition operations on or within 50 feet
of a railroad;
d. An obligation, as required by ordinance,
to indemnify a municipality, except in con-
nection with work for a municipality;
e. An elevator maintenance agreement;
f. That part of any other contract or agree-
ment pertaining to your business (includ-
ing 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", "property damage" or "per-
sonal and advertising injury" to a third
person or organization. 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 a railroad for "bodily
injury", "property damage" or "per-
sonal and advertising injury" arising
out of construction or demolition op-
erations, within 50 feet of any rail-
road property and affecting any rail-
road bridge or trestle, tracks, road-
beds, tunnel, underpass or crossing;
(2) That indemnifies an architect, engi-
neer or surveyor for injury or damage
arising out of:
(a) Preparing, approving, or failing
to prepare or approve, maps,
shop drawings, opinions, re-
ports, surveys, field orders,
GA 101 TX 09 10
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(3)
change orders or drawings and
specifications; or
(b) Giving directions or instructions,
or failing to give them, if that is
the primary cause of the injury or
damage;
Under which the insured, if an archi-
tect, engineer or surveyor, assumes
liability for an injury or damage aris-
ing out of the insured's rendering or
failure to render professional ser-
vices, induding those listed in Para-
graph (2) above and supervisory, in-
spection, architectural or engineering
activities;
(4) That indemnifies an advertising, pub-
lic relations or media consulting firm
for "personal and advertising injury"
arising out of the planning, execution
or failure to execute marketing com-
munications programs. Marketing
communications programs include
but are not limited to comprehensive
marketing campaigns; consumer,
trade and corporate advertising for all
media; media planning, buying,
monitoring and analysis; direct mail;
promotion; sales materials; design;
presentations; point -of -sale materi-
als; market research; public relations
and new product development;
Under which the insured, if an adver-
tising, public relations or media con-
sulting firm, assumes liability for "per-
sonal and advertising injury" arising
out of the insured's rendering or fail-
ure to render professional services,
including those services listed in
Paragraph (4), above;
(6) That indemnifies a web -site designer
or content provider, or Internet
search, access, content or service
provider for injury or damage arising
out of the planning, execution or fail-
ure to execute Internet services.
Internet services include but are not
limited to design, production, distribu-
tion, maintenance and administration
of web -sites and web -banners; host-
ing web -sites; registering domain
names; registering with search en-
gines; marketing analysis; and pro-
viding access to the Internet or other
similar networks; or
Under which the insured, if a web -
site designer or content provider, or
Internet search, access, content or
service provider, assumes liability for
injury or damage arising out of the
insured's rendering or failure to ren-
(5)
(7)
der Internet services, including those
listed in Paragraph (6), above.
13. "Leased worker" means a person leased to
you by a labor leasing firm under an agree-
ment between you and the labor leasing firm,
to perform duties related to the conduct of
your business. "Leased worker" includes su-
pervisors furnished to you by the labor leasing
firm. "Leased worker" does not indude a
"temporary worker".
14. "Loading or unloading" means the handling of
property:
a. After it is moved from the place where it is
accepted for movement into or onto an
aircraft, watercraft or "auto";
b. While it is in or on an aircraft, watercraft
or "auto"; or
c. While it is being moved from an aircraft,
watercraft or "auto" to the place where it
is finally delivered;
but "loading or unloading" does not indude the
movement of property by means of a me-
chanical device, other than a hand truck, that
is not attached to the aircraft, watercraft or
"auto".
15. "Mobile equipment" means any of the follow-
ing types of land vehicles, including any at-
tached machinery or equipment:
a. Bulldozers, farm machinery, forklifts and
other vehicles designed for use principally
off public roads;
b. Vehicles maintained for use solely on or
next to premises you own or rent;
c. Vehicles that travel on crawler treads;
d. Vehicles, whether self-propelled or not,
maintained primarily to provide mobility to
permanently mounted:
e.
Power cranes, shovels, loaders, dig-
gers or drills; or
(2) Road construction or resurfacing
equipment such as graders, scrapers
or rollers;
Vehicles not described in a., b., c. or d.
above that are not self-propelled and are
maintained primarily to provide mobility to
permanently attached equipment of the
following types:
(1) Air compressors, pumps and genera-
tors, including spraying, welding,
building cleaning, geophysical explo-
ration, lighting and well servicing
equipment; or
(1)
GA 101 TX 09 10
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Services Office, Inc., with its permission. Page 18 of 22
(2) Cherry pickers and similar devices
used to raise or lower workers;
f. Vehicles not described in a., b., c. or d.
above maintained primarily for purposes
other than the transportation of persons
or cargo.
However, self-propelled vehicles with the
following types of permanently attached
equipment are not "mobile equipment" but
will be considered "autos":
(1) Equipment designed primarily for:
(a) Snow removal;
(b) Road maintenance, but not con-
struction or resurfacing; or
(c) Street cleaning;
(2) Cherry pickers and similar devices
mounted on automobile or truck
chassis and used to raise or lower
workers; and
Air compressors, pumps and genera-
tors, including spraying, welding,
building deaning, geophysical explo-
ration, lighting and well servicing
equipment.
However, "mobile equipment" does not in-
clude any land vehicles that are subject to a
compulsory or financial responsibility law or
other motor vehicle insurance law in the state
where it is licensed or principally garaged.
Land vehicles subject to a compulsory or fi-
nancial responsibility law or other motor vehi-
cle insurance law are considered "autos".
(3)
16. "Occurrence" means an accident, including
continuous or repeated exposure to substan-
tially the same general harmful conditions.
17. "Personal and advertising injury" means injury,
including consequential "bodily injury", arising
out of one or more of the following offenses:
a. False arrest, detention or imprisonment;
b. Malicious prosecution;
c. The wrongful eviction from, wrongful entry
into, or invasion of the right of private oc-
cupancy of a room, dwelling or premises
that a person occupies, committed by or
on behalf of its owner, landlord or lessor;
d. Oral or written publication, in any manner,
of material that slanders or libels a person
or organization or disparages a person's
or organization's goods, products or ser-
vices;
e. Oral or written publication, in any manner,
of material that violates a person's right of
privacy;
f. The use of another's advertising idea in
your "advertisement"; or
g. Infringing upon another's copyright, trade
dress or slogan in your "advertisement".
18. "Pollutant" means any solid, liquid, gaseous or
thermal irritant or contaminant, including
smoke, vapor, soot, fumes, acids, alkalis,
chemicals, petroleum, petroleum products and
petroleum by-products, and waste. Waste in-
cludes materials to be recycled, reconditioned
or reclaimed.
19. "Products -completed operations hazard":
a. Includes all "bodily injury" and "property
damage" occurring away from premises
you own or rent and arising out of "your
product" or "your work" except:
(1)
Products that are still in your physical
possession; or
(2) Work that has not yet been com-
pleted or abandoned. However, "your
work" will be deemed completed at
the earliest of the following times:
(a) When all of the work called for in
your contract has been com-
pleted; or
(b) When all of the work to be done
at the job site has been com-
pleted if your contract calls for
work at more than one job site;
or
(c) When that part of the work done
at a job site has been put to its
intended use by any person or
organization other than another
contractor or subcontractor
working on the same project.
Work that may need service, mainte-
nance, correction, repair or replace-
ment, but which is otherwise com-
plete, will be treated as completed.
b. Does not include "bodily injury" or "prop-
erty damage" arising out of:
(1) The transportation of property, un-
less the injury or damage arises out
of a condition in or on a vehide not
owned or operated by you, and that
condition was created by the "loading
or unloading" of that vehicle by any
insured;
(2) The existence of tools, uninstalled
equipment or abandoned or unused
materials; or
Products or operations for which the
classification, listed in the Declara-
tions or in a schedule, states that
(3)
GA 101 TX 09 10
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Services Office, Inc., with its permission. Page 19 of 22
products -completed operations are
included.
20. "Property damage" means:
a. Physical injury to tangible property, in-
cluding all resulting loss of use of that
property. All such loss of use shall be
deemed to occur at the time of the physi-
cal injury that caused it; or
b. Loss of use of tangible property that is not
physically injured. All such loss of use
shall be deemed to occur at the time of
the "occurrence" that caused it.
For the purposes of this insurance, "electronic
data" is not tangible property.
21. "Suit" means a civil proceeding in which
money damages because of "bodily injury",
"property damage" or "personal and advertis-
ing injury" to which this insurance applies are
alleged. "Suit" includes:
a. An arbitration proceeding in which such
damages are claimed and to which the
insured must submit or does submit with
our consent;
b. Any other alternative dispute resolution
proceeding in which such damages are
claimed and to which the insured submits
with our consent; or
c. An appeal of a civil proceeding.
22. 'Temporary worker" means a person who is
furnished to you to substitute for a permanent
"employee" on leave or to meet seasonal or
short-term workload conditions.
23. 'Volunteer worker" means a person who is not
your "employee", and who donates his or her
work and acts at the direction of and within the
scope of duties determined by you, and is not
paid a fee, salary or other compensation by
you or anyone else for their work performed
for you.
24. 'Workplace" means that place and during
such hours to which the "employee" sustaining
"bodily injury" was assigned by you, or any
other person or entity acting on your behalf, to
work on the date of "occurrence".
25. 'Your product":
a. Means:
(1)
Any goods or products, other than
real property, manufactured, sold,
handled, distributed or disposed of
by:
(a) You;
(b) Others trading under your name;
or
(c) A person or organization whose
business or assets you have ac-
quired; and
(2) Containers (other than vehicles), ma-
terials, parts or equipment furnished
in connection with such goods or
products.
b. Includes:
(1) Warranties or representations made
at any time with respect to the fit-
ness, quality, durability, performance
or use of "your product"; and
(2) The providing of or failure to provide
warnings or instructions.
c. Does not include vending machines or
other property rented to or located for the
use of others but not sold.
26. "Your work":
a. Means:
(1)
Work or operations performed by you
or on your behalf; and
(2) Materials, parts or equipment fur-
nished in connection with such work
or operations.
b. Includes:
(1) Warranties or representations made
at any time with respect to the fit-
ness, quality, durability, performance
or use of "your work"; and
(2) The providing of or failure to provide
warnings or instructions.
GA 101 TX 09 10
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Services Office, Inc., with its permission. Page 20 of 22
NUCLEAR ENERGY LIABILITY EXCLUSION
(Broad Form)
1. The insurance does not apply:
A. Under any Liability Coverage, to "bodily
injury" or "property damage":
(1)
With respect to which an insured un-
der this Coverage Part is also an in-
sured under a nuclear energy liability
policy issued by Nuclear Energy Li-
ability Insurance Association, Mutual
Atomic Energy Liability Underwriters,
Nuclear Insurance Association of
Canada, or any of their successors,
or would be an insured under any
such policy but for its termination
upon exhaustion of its limit of liability;
or
(2) Resulting from the "hazardous prop-
erties" of "nuclear material" and with
respect to which (a) any person or
organization is required to maintain
financial protection pursuant to the
Atomic Energy Act of 1954, or any
law amendatory thereof, or (b) the
insured is, or had this Coverage Part
not been issued would be, entitled to
indemnity from the United States of
America, or any agency thereof, un-
der any agreement entered into by
the United States of America, or any
agency thereof, with any person or
organization.
B. Under any Medical Payments coverage,
to expenses incurred with respect to
"bodily injury" resulting from the "hazard-
ous properties" of "nuclear material" and
arising out of the operation of a "nuclear
facility" by any person or organization.
C. Under any Liability Coverage, to "bodily
injury" or "property damage" resulting
from the "hazardous properties" of "nu-
clear material", if.
(1)
The "nuclear material" (a) is at any
"nuclear facility" owned by, or oper-
ated by or on behalf of, an insured,
or (b) has been discharged or dis-
persed therefrom;
(2) The "nuclear material" is contained in
"spent fuel" or "waste" at any time
possessed, handled, used, proc-
essed, stored, transported or dis-
posed of, by or on behalf of an in-
sured; or
(3)
The "bodily injury" or "property dam-
age" arises out of the furnishing by
an insured of services, materials,
parts or equipment in connection with
the planning, construction, mainte-
nance, operation or use of any "nu-
clear facility", but if such fadlity is lo-
cated within the United States of
America, its territories or posses-
sions or Canada, this Exclusion (3)
applies only to "property damage" to
such "nuclear facility" and any prop-
erty thereat.
2. As used in this exdusion:
"Hazardous properties" includes radioactive,
toxic or explosive properties.
"Nuclear material" means "source material",
"special nuclear material" or "by-product mate-
rial".
"Source material", "special nudear material",
and "by-product material" have the meanings
given them in the Atomic Energy Act of 1954
or in any law amendatory thereof.
"Spent fuel" means any fuel element or fuel
component, solid or liquid, which has been
used or exposed to radiation in a "nuclear re-
actor".
'Waste" means any waste material (a) con-
taining "by-product material" other than the
tailings or wastes produced by the extraction
or concentration of uranium or thorium from
any ore processed primarily for its "source
material" content, and (b) resulting from the
operation by any person or organization of any
"nuclear facility" included under the first two
paragraphs of the definition of "nuclear facil-
ity'.
"Nuclear facility" means:
A. Any "nuclear reactor";
B. Any equipment or device designed or
used for (1) separating the isotopes of
uranium or plutonium, (2) processing or
utilizing "spent fuel", or (3) handling, proc-
essing or packaging "waste";
C. Any equipment or device used for the
processing, fabricating or alloying of "spe-
cial nuclear material" if at any time the to-
tal amount of such material in the custody
of the insured at the premises where such
equipment or device is located consists of
or contains more than 25 grams of pluto-
nium or uranium 233 or any combination
thereof, or more than 250 grams of ura-
nium 235;
GA 101 TX 09 10
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Services Office, Inc., with its permission. Page 21 of 22
D. Any structure, basin, excavation, prem-
ises or place prepared or used for the
storage or disposal of "waste";
and includes the site on which any of the fore-
going is located, all operations conducted on
such site and all premises used for such op-
erations.
"Nuclear reactor" means any apparatus de-
signed or used to sustain nuclear fission in a
self-supporting chain reaction or to contain a
critical mass of fissionable material.
"Property damage" includes all forms of radio-
active contamination of property.
GA 101 TX 09 10
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Services Office, Inc., with its permission. Page 22 of 22
exasMutua1®
WORKERS' COMPENSATION INSURANCE
WORKERS' COMPENSATION AND
EMPLOYERS LIABILITY POLICY
WC420304B
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 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 described.
4. Advance Premium:
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 at 12:01 a.m. standard time, forms a part of:
Policy no. 0002013416 of effective on
Issued to: Capko Concrete Structures, LLC
4/Le
Authorized representative
PO Box 12058, Austin, TX 78711-2058
1 of 1 texasmutual.com I (800) 859-5995 I Fax (800) 359-0650
WC 42 03 04 B
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
TEXAS - CONTRACTORS' COMMERCIAL GENERAL LIABILITY
BROADENED ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. Endorsement - Table of Contents:
Coveraae: Begins on Paae:
1. Employee Benefit Liability Coverage 3
2. Unintentional Failure to Disclose Hazards 9
3. Damage to Premises Rented to You 9
4. Supplementary Payments 10
5. Medical Payments 10
6. 180 Day Coverage for Newly Formed or Acquired organizations 10
7. Waiver of Subrogation 11
8. Automatic Additional Insured - Specified Relationships: 11
• Managers or Lessors of Premises;
• Lessor of Leased Equipment;
• Vendors;
• State or Governmental Agency or Subdivision or Political Subdivision - Permits
or Authorizations Relating to Premises; and
• Mortgagee, Assignee or Receiver
9. Property Damage to Borrowed Equipment 14
10. Employees as Insureds - Specified Health Care Services and Good Samaritan
Services 15
11. Broadened Notice of Occurrence 15
12. Nonowned Aircraft 15
13. Bodily Injury Redefined 15
14. Expected or Intended Injury Redefined 15
15. Former Employees as Insureds 15
16. Voluntary Property Damage Coverage and Care, Custody or Control Liability
Coverage 16
17. Broadened Contractual Liability - Work Within 50' of Railroad Property 17
18. Alienated Premises 17
B. Limits of Insurance:
The Commercial General Liability Limits of Insurance apply to the insurance provided by this endorse-
ment, except as provided below:
1. Employee Benefit Liability Coverage
Each Employee Limit: $1,000,000
Aggregate Limit: $3,000,000
Deductible Amount: $ 1,000
3. Damage to Premises Rented to You
The lesser of:
a. The Each Occurrence Limit shown in the Declarations; or
b. $500,000 unless otherwise stated $
4. Supplementary Payments
a. Bail Bonds: $ 2,500
GA 233 TX 09 17
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Services Office, Inc., with its permission. Page 1 of 17
b. Loss of Earnings: $ 500
5. Medical Payments
Medical Expense Limit: $ 10,000
9. Property Damage to Borrowed Equipment
Each Occurrence Limit: $10,000
Deductible Amount: $ 250
16. Voluntary Property Damage Coverage (Coverage a.) And Care,
Coverage (Coverage b.)
Limits of Insurance
Coverage a.
$1,000 Each Occurrence
$5,000 Aggregate
Coverage b. $5,000 Each Occurrence unless otherwise stated $
Deductible Amount (Each Occurrence)
Coverage a. $250
Coverage b. $250 unless otherwise stated $
COVERAGE
b. Care, Custody or
Control
PREMIUM BASIS
(a) Area
(b) Payroll
(c) Gross Sales
(d) Units
(e) Other
RATE
Custody or Control Liability
ADVANCE PREMIUM
(For Limits in Excess of (For Limits in Excess of
$5,000)
TOTAL ANNUAL PREMIUM $
$5,000)
GA 233 TX 09 17
Includes copyrighted material of Insurance
Services Office, Inc., with its permission. Page 2 of 17
C. Coverages
1. Employee Benefit Liability Coverage
a. The following is added to Section I -
Coverages:
Employee Benefit Liability Cover-
age
(1) Insuring Agreement
(a) We will pay those sums that
the insured becomes legally
obligated to pay as damag-
es caused by any act, error
or omission of the insured,
or of any other person for
whose acts the insured is
legally liable, to which this
insurance applies. We will
have the right and duty to
defend the insured against
any "suit" seeking those
damages. However, we will
have no duty to defend
against any "suit" seeking
damages to which this in-
surance does not apply. We
may, at our discretion, in-
vestigate any report of an
act, error or omission and
settle any claim or "suit" that
may result. But:
1) The amount we will pay
for damages is limited
as described in Section
III - Limits of Insur-
ance; and
2) Our right and duty to
defend ends when we
have used up the appli-
cable limit of insurance
in the payment of judg-
ments or settlements.
No other obligation or liabil-
ity to pay sums or perform
acts or services is covered
unless explicitly provided for
under Supplementary
Payments.
(b) This insurance applies to
damages only if the act, er-
ror or omission, is negligent-
ly committed in the "admin-
istration" of your "employee
benefit program"; and
1) Occurs during the policy
period; or
2) Occurred prior to the
"first effective date" of
this endorsement pro-
vided you did not have
knowledge of a claim or
"suit" on or before the
"first effective date" of
this endorsement.
You will be deemed to
have knowledge of a
claim or "suit" when any
"authorized representa-
tive";
a) Reports all, or any
part, of the act, er-
ror or omission to
us or any other in-
surer;
b) Receives a written
or verbal demand
or claim for dam-
ages because of
the act, error or
omission.
(2) Exclusions
This insurance does not apply to:
(a) Bodily Injury, Property
Damage or Personal and
Advertising Injury
"Bodily injury", "property
damage" or "personal and
advertising injury'.
(b) Dishonest, Fraudulent,
Criminal or Malicious Act
Damages arising out of any
intentional, dishonest,
fraudulent, criminal or mali-
cious act, error or omission,
committed by any insured,
including the willful or reck-
less violation of any statute.
(c) Failure to Perform a Con-
tract
Damages arising out of fail-
ure of performance of con-
tract by any insurer.
(d) Insufficiency of Funds
Damages arising out of an
insufficiency of funds to
meet any obligations under
any plan included in the
"employee benefit program".
GA 233 TX 09 17
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Services Office, Inc., with its permission. Page 3 of 17
(e) Inadequacy of Perfor-
mance of Invest-
ment/Advice Given With
Respect to Participation
Any claim based upon:
1) Failure of any invest-
ment to perform;
2) Errors in providing in-
formation on past per-
formance of investment
vehicles; or
3) Advice given to any
person with respect to
that person's decision to
participate or not to par-
ticipate in any plan in-
cluded in the "employee
benefit program".
(f) Workers' Compensation
and Similar Laws
Any claim arising out of your
failure to comply with the
mandatory provisions of any
workers' compensation, un-
employment compensation
insurance, social security or
disability benefits law or any
similar law.
(g) ERISA
Damages for which any in-
sured is liable because of li-
ability imposed on a fiduci-
ary by the Employee Re-
tirement Income Security
Act of 1974, as now or
hereafter amended, or by
any similar federal, state or
local laws.
(h) Available Benefits
Any claim for benefits to the
extent that such benefits are
available, with reasonable
effort and cooperation of the
insured, from the applicable
funds accrued or other col-
lectible insurance.
(i) Taxes, Fines or Penalties
Taxes, fines or penalties, in-
cluding those imposed un-
der the Internal Revenue
Code or any similar state or
local law.
(j) Employment -Related Prac-
tices
Any liability arising out of
any:
(1) Refusal to employ;
(2) Termination of employ-
ment;
(3) Coercion, demotion,
evaluation, reassign-
ment, discipline, defa-
mation, harassment,
humiliation, discrimina-
tion or other employ-
ment - related practices,
acts or omissions; or
(4) Consequential liability
as a result of (1), (2) or
(3) above.
This exclusion applies
whether the insured may be
held liable as an employer
or in any other capacity and
to any obligation to share
damages with or repay
someone else who must pay
damages because of the in-
jury.
(3) Supplementary Payments
Section I - Coverages, Sup-
plementary Payments - Cover-
ages A and B also apply to this
Coverage.
b. Who Is An Insured
As respects Employee Benefit Lia-
bility Coverage, Section II - Who is
an Insured is replaced by the follow-
ing:
(1) If you are designated in the Dec-
larations as:
(a) An individual, you and your
spouse are insureds, but on-
ly with respect to the con-
duct of a business of which
you are the sole owner.
(b) A partnership or joint ven-
ture, you are an insured.
Your members, your part-
ners, and their spouses are
also insureds but only with
respect to the conduct of
your business.
(c) A limited liability company,
you are an insured. Your
GA 233 TX 09 17
Includes copyrighted material of Insurance
Services Office, Inc., with its permission. Page 4 of 17
members are also insureds,
but only with respect to the
conduct of your business.
Your managers are in-
sureds, but only with respect
to their duties as your man-
agers.
(d) An organization other than a
partnership, joint venture or
limited liability company, you
are an insured. Your "execu-
tive 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 re-
spect to their liability as
stockholders.
(e) A trust, you are an insured.
Your trustees are also in-
sureds, but only with respect
to their duties as trustees.
(2) Each of the following is also an
insured:
(3)
(a) Each of your "employees"
who is or was authorized to
administer your "employee
benefit program";
(b) Any persons, organizations
or "employees" having prop-
er temporary authorization
to administer your "employ-
ee benefit program" if you
die, but only until your legal
representative is appointed;
or
(c) Your legal representative if
you die, but only with re-
spect to duties as such. That
representative will have all
your rights and duties under
this Coverage Part.
Any organization you newly ac-
quire or form, other than a part-
nership, joint venture or limited
liability company, and over which
you maintain ownership or major-
ity interest, will qualify as a
Named Insured if no other similar
insurance applies to that organi-
zation. However, coverage under
this provision:
(a) Is afforded only until the
180th day after you acquire
or form the organization or
the end of the policy period,
whichever is earlier; and
(b) Does not apply to any act,
error or omission that was
committed before you ac-
quired or formed the organi-
zation.
c. Limits of Insurance
As respects Employee Benefit Lia-
bility Coverage, Section III - Limits
of Insurance is replaced by the fol-
lowing:
(1) The Limits of Insurance shown in
Section B. Limits of Insurance,
1. Employee Benefit Liability
Coverage and the rules below fix
the most we will pay regardless
of the number of:
(a) Insureds;
(b) Claims made or "suits"
brought;
(c) Persons or organizations
making claims or bringing
"suits";
(d) Acts, errors or omissions; or
(e) Benefits included in your
"employee benefit program".
(2) The Aggregate Limit shown in
Section B. Limits of Insurance,
1. Employee Benefit Liability
Coverage of this endorsement is
the most we will pay for all dam-
ages because of acts, errors or
omissions negligently committed
in the "administration" of your
"employee benefit program".
Subject to the limit described in
(2) above, the Each Employee
Limit shown in Section B. Limits
of Insurance, 1. Employee
Benefit Liability Coverage of
this endorsement is the most we
will pay for all damages sus-
tained by any one "employee",
including damages sustained by
such "employee's" dependents
and beneficiaries, as a result of:
(3)
(a) An act, error or omission; or
(b) A series of related acts, er-
rors or omissions, regard-
less of the amount of time
that lapses between such
acts, errors or omissions;
GA 233 TX 09 17
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Services Office, Inc., with its permission. Page 5 of 17
negligently committed in the
"administration" of your "employ-
ee benefit program".
However, the amount paid under
this endorsement shall not ex-
ceed, and will be subject to the
limits and restrictions that apply
to the payment of benefits in any
plan included in the "employee
benefit program."
(4) Deductible Amount
(a) Our obligation to pay dam-
ages on behalf of the in-
sured applies only to the
amount of damages in ex-
cess of the Deductible
Amount stated in the Decla-
rations as applicable to
Each Employee. The limits
of insurance shall not be re-
duced by the amount of this
deductible.
(b) The Deductible Amount
stated in the Declarations
applies to all damages sus-
tained by any one "employ-
ee", including such "employ-
ee's" dependents and bene-
ficiaries, because of all acts,
errors or omissions to which
this insurance applies.
(c) The terms of this insurance,
including those with respect
to:
1) Our right and duty to
defend the insured
against any "suits"
seeking those damag-
es; and
2) Your duties, and the du-
ties of any other in-
volved insured, in the
event of an act, error or
omission, or claim;
apply irrespective of the ap-
plication of the Deductible
Amount.
(d) We may pay any part or all
of the Deductible Amount to
effect settlement of any
claim or "suit" and, upon no-
tification of the action taken,
you shall promptly reim-
burse us for such part of the
Deductible Amount as we
have paid.
d. Additional Conditions
As respects Employee Benefit Lia-
bility Coverage, Section IV - Com-
mercial General Liability Condi-
tions is amended as follows:
(1) Item 2. Duties in the Event of
Occurrence, Offense, Claim or
Suit is replaced by the following:
2. Duties in the Event of An
Act, Error or Omission, or
Claim or Suit
a. You must see to it that
we are notified as soon
as practicable of an act,
error or omission which
may result in a claim.
To the extent possible,
notice should include:
(1) What the act, error
or omission was
and when it oc-
curred; and
(2) The names and
addresses of any-
one who may suf-
fer damages as a
result of the act,
error or omission.
b. If a claim is made or
"suit" is brought against
any insured, you must:
(1) Immediately record
the specifics of the
claim or "suit" and
the date received;
and
(2) Notify us as soon
as practicable.
You must see to it that
we receive written no-
tice of the claim or "suit"
as soon as practicable.
c. You and any other in-
volved insured must:
(1) Immediately send
us copies of any
demands, notices,
summonses or le-
gal papers re-
ceived in connec-
tion with the claim
or "suit";
GA 233 TX 09 17
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(2) Authorize us to ob-
tain records and
other information;
Cooperate with us
in the investigation
or settlement of the
claim or defense
against the "suit";
and
(3)
(4) Assist us, upon our
request, in the en-
forcement of any
right against any
person or organi-
zation which may
be liable to the in-
sured because of
an act, error or
omission to which
this insurance may
also apply.
d. No insured will, except
at that insured's own
cost, voluntarily make a
payment, assume any
obligation, or incur any
expense without our
consent.
(2) Item 5. Other Insurance is re-
placed by the following:
5. Other Insurance
GA 233 TX 09 17
If other valid and collectible
insurance is available to the
insured for a loss we cover
under this Coverage Part,
our obligations are limited as
follows:
a. Primary Insurance
This insurance is prima-
ry except when c. below
applies. If this insurance
is primary, our obliga-
tions are not affected
unless any of the other
insurance is also prima-
ry. Then, we will share
with all that other insur-
ance by the method de-
scribed in b. below.
contributes equal
amounts until it has
paid its applicable limit
of insurance or none of
the loss remains,
whichever comes first.
If any of the other in-
surance does not permit
contribution by equal
shares, we will contrib-
ute by limits. Under this
method, each insurer's
share is based on the
ratio of its applicable
limit of insurance to the
total applicable limits of
insurance of all insur-
ers.
c. Excess Insurance
This insurance is ex-
cess over any of the
other insurance, wheth-
er primary, excess, con-
tingent or on any other
basis that is insurance
purchased by you to
coverage damages for
acts, errors or omis-
sions that occurred prior
to the "first effective
date".
e. Additional Definitions
As respects Employee Benefit Lia-
bility Coverage, Section V - Defini-
tions is amended as follows:
(1) The following definitions are
added:
1. "Administration" means:
b. Method of Sharing
If all of the other insur-
ance permits contribu-
tion by equal shares,
we will follow this meth-
od also. Under this ap-
proach each insurer
Includes copyrighted material of Insurance
Services Office, Inc., with its permission.
a. Providing information to
"employees", including
their dependents and
beneficiaries, with re-
spect to eligibility for or
scope of "employee
benefit programs";
b. Interpreting the "em-
ployee benefit pro-
grams";
c. Handling records in
connection with the
"employee benefit pro-
grams"; or
d. Effecting, continuing or
terminating any "em-
ployee's" participation in
Page 7 of 17
any benefit included in
the "employee benefit
program".
However, "administration"
does not include:
a. Handling payroll deduc-
tions; or
b. The failure to effect or
maintain any insurance
or adequate limits of
coverage of insurance,
including but not limited
to unemployment insur-
ance, social security
benefits, workers' com-
pensation and disability
benefits.
2. "Cafeteria plans" means
plans authorized by applica-
ble law to allow "employees"
to elect to pay for certain
benefits with pre-tax dollars.
3. "Employee benefit pro-
grams" means a program
providing some of all of the
following benefits to "em-
ployees", whether provided
through a "cafeteria plan" or
otherwise:
a. Group life insurance;
group accident or health
insurance; dental, vision
and hearing plans; and
flexible spending ac-
counts; provided that no
one other than an "em-
ployee" may subscribe
to such benefits and
such benefits are made
generally available to
those "employees" who
satisfy the plan's eligibil-
ity requirements;
b. Profit sharing plans,
employee savings
plans, employee stock
ownership plans, pen-
sion plans and stock
subscription plans, pro-
vided that no one other
than an "employee"
may subscribe to such
benefits and such bene-
fits are made generally
available to all "employ-
ees" who are eligible
under the plan for such
benefits;
c. Unemployment insur-
ance, social security
benefits, workers' com-
pensation and disability
benefits; and
d. Vacation plans, includ-
ing buy and sell pro-
grams; leave of ab-
sence programs, includ-
ing military, maternity,
family, and civil leave;
tuition assistance plans;
transportation and
health club subsidies.
4. "First effective date" means
the date upon which cover-
age was first effected in a
series of uninterrupted re-
newals of insurance cover-
age.
(2) The following definitions are de-
leted in their entirety and re-
placed by the following:
8. "Employee" means a person
actively employed, formerly
employed, on leave of ab-
sence or disabled, or retired.
"Employee" includes a
"leased worker". "Employee"
does not include a 'tempo-
rary worker'.
21. "Suit" means a civil proceed-
ing in which money damag-
es because of an act, error
or omission to which this in-
surance applies are alleged.
"Suit" includes:
a. An arbitration proceed-
ing in which such dam-
ages are claimed and to
which the insured must
submit or does submit
with our consent;
b. Any other alternative
dispute resolution pro-
ceeding in which such
damages are claimed
and to which the in-
sured submits with our
consent; or
c. An appeal of a civil pro-
ceeding.
GA 233 TX 09 17
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Services Office, Inc., with its permission. Page 8 of 17
2. Unintentional Failure to Disclose Haz-
ards
Section IV - Commercial General Liabil-
ity Conditions, 7. Representations is
amended by the addition of the following:
Based on our dependence upon your rep-
resentations as to existing hazards, if un-
intentionally you should fail to disclose all
such hazards at the inception date of your
policy, we will not reject coverage under
this Coverage Part based solely on such
failure.
3. Damage to Premises Rented to You
a. The last Paragraph of 2. Exclusions
under Section I - Coverage A - Bod-
ily Injury and Property Damage Li-
ability is replaced by the following:
Exclusions c. through q. do not apply
to "property damage" by fire, explo-
sion, lightning, smoke or soot to
premises while rented to you or tem-
porarily occupied by you with permis-
sion of the owner, for which the
amount we will pay is limited to the
Damage to Premises Rented to
You Limit as described in Section III
- Limits of Insurance.
b. The insurance provided under Sec-
tion I - Coverage A - Bodily Injury
and Property Damage Liability ap-
plies to "property damage" arising out
of water damage to premises that are
both rented to and occupied by you.
(1) As respects Water Damage Le-
gal Liability, as provided in Para-
graph 3.b. above:
The exclusions under Section I -
Coverage A - Bodily Injury and
Property Damage Liability, 2.
Exclusions, other than i. War
and the Nuclear Energy Liabil-
ity Exclusion (Broad Form), are
deleted and the following are
added:
This insurance does not apply to:
(a) "Property damage":
(i) Assumed in any con-
tract or agreement; or
(ii) Caused by or resulting
from any of the follow-
ing:
1) Wear and tear;
2) Rust or other cor-
rosion, decay, de-
terioration, hidden
or latent defect or
any quality in
property that caus-
es it to damage or
destroy itself;
3) Smog;
4) Mechanical break-
down, including
rupture or bursting
caused by centrif-
ugal force;
5) Settling, cracking,
shrinking or ex-
pansion;
6) Nesting or infesta-
tion, or discharge
or release of waste
products or secre-
tions, by insects,
birds, rodents or
other animals; or
7) Presence, growth,
proliferation,
spread or any ac-
tivity of fungus, in-
cluding mold or
mildew, and any
mycotoxins,
spores, scents or
byproducts pro-
duced or released
by fungi.
(b) "Property damage" caused
directly or indirectly by any
of the following:
(i) Earthquake, volcanic
eruption, landslide or
any other earth move-
ment;
(ii) Water that backs up or
overflows or is other-
wise discharged from a
sewer, drain, sump,
sump pump or related
equipment;
(iii) Water under the ground
surface pressing on, or
flowing or seeping
through:
1) Foundations, walls,
floors or paved
surfaces;
GA 233 TX 09 17
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Services Office, Inc., with its permission. Page 9 of 17
2) Basements,
whether paved or
not; or
3) Doors, windows or
other openings.
(c) 'Property damage" caused
by or resulting from water
that leaks or flows from
plumbing, heating, air condi-
tioning, fire protection sys-
tems, or other equipment,
caused by or resulting from
freezing, unless:
(i) You did your best to
maintain heat in the
building or structure; or
(ii) You drained the equip-
ment and shut off the
water supply if the heat
was not maintained.
(d) 'Property damage" to:
(i)
Plumbing, heating, air
conditioning, fire protec-
tion systems, or other
equipment or applianc-
es; or
(ii) The interior of any
building or structure, or
to personal property in
the building or structure,
caused by or resulting
from rain, snow, sleet or
ice, whether driven by
wind or not.
c. Limit of Insurance
With respect to the insurance afford-
ed in Paragraphs 3.a. and 3.b. above,
the Damage to Premises Rented to
You Limit as shown in the Declara-
tions is amended as follows:
(1) Paragraph 6. of Section III -
Limits of Insurance is replaced
by the following:
6. Subject to Paragraph 5.
above, the Damage to
Premises Rented to You
Limit is the most we will pay
under Coverage A - Bodily
Injury and Property Dam-
age Liability for damages
because of "property dam-
age" to any one premises:
a. While rented to you, or
temporarily occupied by
you with permission of
the owner;
b. In the case of damage
by fire, explosion, light-
ning, smoke or soot,
while rented to you; or
c. In the case of damage
by water, while rented
to and occupied by you.
(2) The most we will pay is limited as
described in Section B. Limits of
Insurance, 3. Damage to Prem-
ises Rented to You of this en-
dorsement.
4. Supplementary Payments
Under Section I - Supplementary Pay-
ments - Coverages A and B:
a. Paragraph 2. is replaced by the fol-
lowing:
Up to the limit shown in Section B.
Limits of Insurance, 4.a. Bail Bonds
of this endorsement 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 ap-
plies. We do not have to furnish these
bonds.
b. Paragraph 4. is replaced by the fol-
lowing:
All reasonable expenses incurred by
the insured at our request to assist us
in the investigation or defense of the
claim or "suit", including actual loss of
earnings up to the limit shown in Sec-
tion B. Limits of Insurance, 4.b.
Loss Of Earnings of this endorsement
per day because of time off from
work.
5. Medical Payments
The Medical Expense Limit of Any One
Person as stated in the Declarations is
amended to the limit shown in Section B.
Limits of Insurance, 5. Medical Pay-
ments of this endorsement.
6. 180 Day Coverage for Newly Formed or
Acquired Organizations
Section II - Who is an Insured is
amended as follows:
Subparagraph a. of Paragraph 3. is re-
placed by the following:
GA 233 TX 09 17
Includes copyrighted material of Insurance
Services Office, Inc., with its permission. Page 10 of 17
a. Insurance under this provision is af-
forded only until the 180th day after
you acquire or form the organization
or the end of the policy period,
whichever is earlier;
7. Waiver of Subrogation
Section IV - Commercial General Liabil-
ity Conditions, 9. Transfer of Rights of
Recovery Against Others to us is
amended by the addition of the following:
We waive any right of recovery we may
have against any person or organization
against whom you have agreed to waive
such right of recovery in a written contract
or agreement because of payments we
make for injury or damage arising out of
your ongoing operations or "your work"
done under a written contract or agree-
ment with that person or organization and
included in the "products -completed oper-
ations hazard". However, our rights may
only be waived prior to the "occurrence"
giving rise to the injury or damage for
which we make payment under this Cov-
erage Part. The insured must do nothing
after a loss to impair our rights. At our re-
quest, the insured will bring "suit" or trans-
fer those rights to us and help us enforce
those rights.
8. Automatic Additional Insured - Speci-
fied Relationships
a. The following is added to Section II -
Who is an Insured:
(1) Any person(s) or organization(s)
described in Paragraph 8.a.(2) of
this endorsement (hereinafter re-
ferred to as additional insured)
whom you are required to add as
an additional insured under this
Coverage Part by reason of a
written contract, written agree-
ment, written permit or written
authorization.
(2) Only the following persons or or-
ganizations are additional in-
sureds under this endorsement,
and insurance coverage provided
to such additional insureds is lim-
ited as provided herein:
(a) Managers or Lessors of
Premises
The manager or lessor of a
premises leased to you with
whom you have agreed per
Paragraph 8.a.(1) of this en-
dorsement to provide insur-
ance, but only with respect
to liability arising out of the
ownership, maintenance or
use of that part of the prem-
ises leased to you, subject
to the following additional
exclusions:
This insurance does not ap-
ply to:
(i)
Any "occurrence" which
takes place after you
cease to be a tenant in
that premises;
(ii) Structural alterations,
new construction or
demolition operations
performed by or on be-
half of such additional
insured.
(b) Lessor of Leased Equip-
ment
Any person or organization
from whom you lease
equipment when you and
such person(s) or organiza-
tion(s) have agreed per Par-
agraph 8.a.(1) of this en-
dorsement to provide insur-
ance. Such person(s) or or-
ganization(s) are insureds
only with respect to liability
for "bodily injury", "property
damage" or "personal and
advertising injury' caused, in
whole or in part, by your
maintenance, operation or
use of equipment leased to
you by such person(s) or or-
ganization(s). A person's or
organization's status as an
additional insured under this
endorsement ends when
their contract or agreement
with you for such leased
equipment ends. However,
this insurance does not ap-
ply to any "occurrence"
which takes place after the
equipment lease expires.
(c) Vendors
Any person or organization
(referred to below as ven-
dor) with whom you have
agreed per Paragraph
8.a.(1) of this endorsement
to provide insurance, but on-
ly with respect to "bodily in-
jury" or "property damage"
GA 233 TX 09 17
Includes copyrighted material of Insurance
Services Office, Inc., with its permission. Page 11 of 17
arising out of "your products"
which are distributed or sold
in the regular course of the
vendor's business, subject
to the following additional
exclusions:
(i) The insurance afforded
the vendor does not
apply to:
1) "Bodily injury' or
"property damage"
for which the ven-
dor is obligated to
pay damages by
reason of the as-
sumption 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;
2) Any express war-
ranty unauthorized
by you;
3) Any physical or
chemical change in
the product made
intentionally by the
vendor;
4) Repackaging, ex-
cept when un-
packed solely for
the purpose of in-
spection, demon-
stration, testing, or
the substitution of
parts under in-
structions from the
manufacturer, and
then repackaged in
the original con-
tainer;
5) Any failure to make
such inspections,
adjustments, tests
or servicing as the
vendor has agreed
to make or normal-
ly undertakes to
make in the usual
course of busi-
ness, in connection
with the distribution
or sale of the
products;
6) Demonstration, in-
stallation, servicing
or repair opera-
tions, except such
operations per-
formed at the ven-
dor's premises in
connection with the
sale of the product;
7) Products which, af-
ter distribution or
sale by you, have
been labeled or re-
labeled or used as
a container, part or
ingredient of any
other thing or sub-
stance by or for the
vendor; or
8) "Bodily injury" or
"property damage"
arising out of the
sole negligence of
the vendor for its
own acts or omis-
sions or those of
its employees or
anyone else acting
on its behalf. How-
ever, this exclusion
does not apply to:
a) The excep-
tions contained
in Paragraphs
(c) (i) 4) or 6)
of this en-
dorsement; or
b) Such inspec-
tions, adjust-
ments, tests or
servicing as
the vendor has
agreed to
make or nor-
mally under-
takes to make
in the usual
course of
business, in
connection
with the distri-
bution or sale
of the prod-
ucts.
GA 233 TX 09 17
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Services Office, Inc., with its permission. Page 12 of 17
(ii) This insurance does not
apply to any insured
person or organization:
1) From whom you
have acquired
such products, or
any ingredient, part
or container, enter-
ing into, accompa-
nying or containing
such products; or
2) When liability in-
cluded within the
"products -
completed opera-
tions hazard" has
been excluded un-
der this Coverage
Part with respect to
such products.
(d) State or Governmental
Agency or Subdivision or
Political Subdivision -
Permits or Authorizations
Relating to Premises
Any state or governmental
agency or subdivision or po-
litical subdivision with which
you have agreed per Para-
graph 8.a.(1) of this en-
dorsement to provide insur-
ance, subject to the follow-
ing additional provision:
This insurance applies only
with respect to the following
hazards for which the state
or governmental agency or
subdivision or political sub-
division has issued a permit
or authorization in connec-
tion with premises you own,
rent or control and to which
this insurance applies:
(i)
The existence, mainte-
nance, repair, construc-
tion, erection or removal
of advertising signs,
awnings, canopies, cel-
lar entrances, coal
holes, driveways, man-
holes, marquees, hoist
away openings, side-
walk vaults, street ban-
ners or decorations and
similar exposures; or
(ii) The construction, erec-
tion or removal of eleva-
tors; or
(3)
(iii) The ownership, mainte-
nance or use of any el-
evators covered by this
insurance.
(e) Mortgagee, Assignee or
Receiver
Any person or organization
with whom you have agreed
per Paragraph 8.a.(1) of this
endorsement to provide in-
surance, but only with re-
spect to their liability as
mortgagee, assignee, or re-
ceiver and arising out of the
ownership, maintenance, or
use of the premises by you.
However, this insurance
does not apply to structural
alterations, new construction
and demolition operations
performed by or for that per-
son or organization.
The insurance afforded to addi-
tional insureds described in Par-
agraph 8.a.(1) of this endorse-
ment:
(a) Only applies to the extent
permitted by law; and
(b) Will not be broader than that
which you are required by
the written contract, written
agreement, written permit or
written authorization to pro-
vide for such additional in-
sured; and
(c) Does not apply to any per-
son, organization, vendor,
state, governmental agency
or subdivision or political
subdivision, specifically
named as an additional in-
sured under any other provi-
sion of, or endorsement
added to, this Coverage
Part, provided such other
provision or endorsement
covers the injury or damage
for which this insurance ap-
plies.
b. With respect to the insurance afford-
ed to the additional insureds de-
scribed in Paragraph 8.a.(1) of this
endorsement, the following is added
to Section III - Limits of Insurance:
The most we will pay on behalf of the
additional insured is the amount of in-
surance:
GA 233 TX 09 17
Includes copyrighted material of Insurance
Services Office, Inc., with its permission.
Page 13 of 17
(1) Required by the written contract,
written agreement, written permit
or written authorization described
in Paragraph 8.a.(1) of this en-
dorsement; or
(2) Available under the applicable
Limits of Insurance shown in the
Declarations;
whichever is less.
This endorsement shall not increase
the applicable Limits of Insurance
shown in the Declarations.
c. Section IV - Commercial General
Liability Conditions is amended to
include the following:
Automatic Additional Insured Pro-
vision
This insurance applies only if the
"bodily injury" or "property damage"
occurs, or the "personal and advertis-
ing injury" offense is committed:
(1) During the policy period; and
(2) Subsequent to your execution of
the written contract or written
agreement, or the issuance of a
written permit or written authori-
zation, described in Paragraph
8.a.(1).
d. Section IV - Commercial General
Liability Conditions is amended as
follows:
Condition 5. Other Insurance is
amended to include:
Primary and Noncontributory In-
surance
This insurance is primary to and will
not seek contribution from any other
insurance available to an additional
insured per Paragraph 8.a.(1) of this
endorsement provided that:
(1) The additional insured is a
Named Insured under such other
insurance; and
(2) You have agreed in writing in a
contract, agreement, permit or
authorization described in 8.a.(2)
of this endorsement that this in-
surance would be primary and
would not seek contribution from
any other insurance available to
the additional insured.
9. Property Damage to Borrowed Equip-
ment
a. The following is added to Exclusion
2.j. Damage to Property under Sec-
tion I - Coverage A - Bodily Injury
and Property Damage Liability:
Paragraphs (3) and (4) of this exclu-
sion do not apply to tools or equip-
ment loaned to you, provided they are
not being used to perform operations
at the time of loss.
b. With respect to the insurance provid-
ed by this section of the endorse-
ment, the following additional provi-
sions apply:
(1) The Limits of Insurance shown in
the Declarations are replaced by
the limits designated in Section
B. Limits of Insurance, 9.
Property Damage to Borrowed
Equipment of this endorsement
with respect to coverage provid-
ed by this endorsement. These
limits are inclusive of and not in
addition to the limits being re-
placed. The Limits of Insurance
shown in Section B. Limits of
Insurance, 9. Property Damage
to Borrowed Equipment of this
endorsement fix the most we will
pay in any one "occurrence" re-
gardless of the number of:
(a)
(b)
Insureds;
Claims made or "suits"
brought; or
(c) Persons or organizations
making claims or bringing
"suits".
(2) Deductible Clause
(a) Our obligation to pay dam-
ages on your behalf applies
only to the amount of dam-
ages for each "occurrence"
which are in excess of the
Deductible Amount stated in
Section B. Limits of Insur-
ance, 9. Property Damage
to Borrowed Equipment of
this endorsement. The limits
of insurance will not be re-
duced by the application of
such deductible amount.
(b) Section IV - Commercial
General Liability Condi-
tions, 2. Duties in the
Event of Occurrence, of -
GA 233 TX 09 17
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Services Office, Inc., with its permission. Page 14 of 17
fense, Claim or Suit, ap-
plies to each claim or "suit"
irrespective of the amount.
(c) We may pay any part or all
of the deductible amount to
effect settlement of any
claim or "suit" and, upon no-
tification of the action taken,
you shall promptly reim-
burse us for such part of the
deductible amount as has
been paid by us.
10. Employees as Insureds - Specified
Health Care Services and Good Samar-
itan Services
Paragraph 2.a.(1)(d) under Section II -
Who is an Insured does not apply to:
a. Your "employees" who provide pro-
fessional health care services on your
behalf as a duly licensed nurse,
emergency medical technician or
paramedic in the jurisdiction where an
"occurrence" or offense to which this
insurance applies takes place; or
b. Your "employees" or "volunteer work-
ers", other than an employed or vol-
unteer doctor, providing first aid or
good samaritan services during their
work hours for you will be deemed to
be acting within the scope of their
employment by you or performing du-
ties related to the conduct of your
business.
11. Broadened Notice of Occurrence
Paragraph a. of Condition 2. Duties in the
Event of Occurrence, Offense, Claim or
Suit under Section IV - Commercial
General Liability Conditions is replaced
by the following:
a. You must see to it that we are notified
as soon as practicable of an "occur-
rence" or an offense which may result
in a claim. To the extent possible, no-
tice should include:
(1) How, when and where the "oc-
currence" or offense took place;
(2) The names and addresses of
any injured persons and wit-
nesses; and
(3) The nature and location of any
injury or damage arising out of
the "occurrence" or offense.
This requirement applies only when
the "occurrence" or offense is known
to an "authorized representative".
12. Nonowned Aircraft
The following is added to Exclusion 2.g.
Aircraft, Auto or Watercraft under Sec-
tion I - Coverage A - Bodily Injury and
Property Damage Liability:
This exclusion does not apply to an air-
craft you do not own, provided that:
a. The pilot in command holds a current
effective certificate, issued by a duly
constituted authority of the United
States of America or Canada, desig-
nating that person as a commercial or
airline transport pilot;
b. The aircraft is rented with a trained,
paid crew; and
c. The aircraft does not transport per-
sons or cargo for a charge.
13. Bodily Injury Redefined
Section V - Definitions, 4. "Bodily injury"
is replaced by the following:
4. "Bodily injury" means bodily harm or
injury, sickness, disease, disability,
humiliation, shock, fright, mental an-
guish or mental injury, including care,
loss of services or death resulting
from any of these at any time.
14. Expected or Intended Injury Redefined
The last sentence of Exclusion 2.a. Ex-
pected or Intended Injury under Section
I - Coverage A - Bodily Injury and
Property Damage Liability is replaced by
the following:
This exclusion does not apply to "bodily
injury" or "property damage" resulting from
the use of reasonable force to protect per-
sons or property.
15. Former Employees as Insureds
The following is added to Paragraph 2.
under Section II - Who is an Insured:
2. Each of the following is also an in-
sured:
Any of your former "employees", di-
rectors, managers, members, part-
ners or "executive officers", including
but not limited to retired, disabled or
those on leave of absence, but only
for acts within the scope of their em-
ployment by you or for duties related
to the conduct of your business.
GA 233 TX 09 17
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Services Office, Inc., with its permission. Page 15 of 17
16. Voluntary Property Damage Coverage
a. Coverage D - Voluntary Property
Damage Coverage
Section I - Coverages is amended to
include the following:
(1) Insuring Agreement
(a) We will pay the cost to re-
pair or replace "property
damage" to property of oth-
ers arising out of operations
incidental to your business
when:
1) Damage is caused by
you; or
2) Damage occurs while in
your possession.
At your written request, we
will make this payment re-
gardless of whether you are
at fault for the "property
damage".
If you, at our request, re-
place, or make any repairs
to, damaged property of
others, the amount we will
pay under Voluntary Prop-
erty Damage Coverage will
be determined by your actu-
al cost to replace or repair
the damaged property, ex-
cluding any profit or over-
head.
Any payment we make un-
der Voluntary Property
Damage Coverage shall not
be interpreted as an admis-
sion of liability by you or by
us.
It shall be your duty, not our
duty, to defend any claim or
"suit" to which this insurance
applies.
No other obligation or liabil-
ity to pay sums or perform
acts or services is covered.
(b) This insurance applies to
"property damage" only if:
1) The "property damage"
takes place in the "cov-
erage territory"; and
2) The "property damage"
occurs during the policy
period.
(2) Exclusions
This insurance does not apply to
"property damage" that would be
excluded by Coverage A - Bodi-
ly Injury and Property Damage
Liability, 2. Exclusions, except
for j. Damage to Property, par-
agraphs (3), (4), (5) and (6), k.
Damage to Your Product, and I.
Damage to Your Work.
(3) Definitions
For purposes of Voluntary
Property Damage Coverage
only, the following definitions un-
der Section V - Definitions are
replaced by the following:
16. "Occurrence" means an in-
cident, including continuous
or repeated exposure to
substantially the same gen-
eral harmful conditions that
result in "property damage".
20. "Property damage" means
physical injury to tangible
property. "Electronic data" is
not tangible property, and
"property damage" does not
include disappearance, ab-
straction or theft.
b. Care, Custody or Control Liability
Coverage
For purposes of the coverage provid-
ed by Care, Custody or Control Li-
ability Coverage in this endorsement
only:
(1) Section I - Coverage A - Bodily
Injury and Property Damage
Liability, 2. Exclusions, j.
Damage to Property, Subpara-
graphs (3), (4) and (5) do not ap-
ply to "property damage" to the
property of others described
therein.
(2) It shall be your duty, not our duty,
to defend any claim or "suit" to
which this insurance applies.
No other obligation or liability to
pay sums or perform acts or ser-
vices is covered.
(3)
This Paragraph (2) supersedes
any provision in the Coverage
Part to the contrary.
"Property damage" for which
Care, Custody or Control Lia-
GA 233 TX 09 17
Includes copyrighted material of Insurance
Services Office, Inc., with its permission. Page 16 of 17
bility Coverage provides cover-
age shall be deemed to be
caused by an "occurrence" but
shall not serve to limit or restrict
the applicability of any exclusion
for "property damage" under this
Coverage Part.
c. Limits of Insurance and Deducti-
bles
For purposes of the coverage provid-
ed by Voluntary Property Damage
Coverage and Care, Custody or
Control Liability Coverage, Section
III - Limits of Insurance is amended
to include the following:
(1) The Limits of Insurance shown in
the Declarations are replaced by
the limits designated in Section
B. Limits of Insurance, 16.
Voluntary Property Damage
Coverage and Care, Custody
or Control Liability Coverage,
in this endorsement. These limits
are inclusive of, and not in addi-
tion to, the limits being replaced.
The Limits of Insurance shown in
the Schedule fix the most we will
pay regardless of the number of:
(a) Insureds;
(b) Claims made or "suits"
brought; or
(c) Persons or organizations
making claims or bringing
"suits".
(2) (a) Subject to (3) below, the
Voluntary Property Dam-
age Coverage, Each Occur-
rence Limit Of Insurance is
the most we will pay for the
sum of damages under Vol-
untary Property Damage
Coverage;
(b) The Care, Custody or Con-
trol Liability Coverage,
Each Occurrence Limit Of
Insurance is the most we will
pay for the sum of damages
under Care, Custody or
Control Liability Coverage;
because of all "property damage"
arising out of any one "occur-
rence".
(3)
(4)
The Voluntary Property Dam-
age Coverage, Aggregate Limit
of Insurance is the most we will
pay for the sum of all damages
under Voluntary Property
Damage Coverage. This limit
applies separately to each "cov-
erage term".
Deductible Clause
(a) Our obligation to pay dam-
ages on your behalf applies
only to the amount of dam-
ages for each "occurrence"
which are in excess of the
Deductible Amount stated
for the applicable coverage
in the Schedule. The limits
of insurance will not be re-
duced by the application of
such Deductible Amount.
(b) Section IV - Commercial
General Liability Condi-
tions, 2. Duties in the
Event of Occurrence, of-
fense, Claim or Suit, ap-
plies to each claim or "suit'
irrespective of the amount.
(c) We may pay any part or all
of the Deductible Amount to
effect settlement of any
claim or "suit" and, upon no-
tification of the action taken,
you shall promptly reim-
burse us for such part of the
Deductible Amount as has
been paid by us.
17. Broadened Contractual Liability - Work
Within 50' of Railroad Property
Section V - Definitions, 12. "Insured con-
tract" is amended as follows:
a. Paragraph c. is replaced by the fol-
lowing:
c. Any easement or license agree-
ment;
b. Paragraph f.(1) is deleted in its entire-
ty.
18. Alienated Premises
Exclusion 2 j. Damage to Property,
Paragraph (2) under Section I - Cover-
age A - Bodily Injury and Property
Damage Liability does not apply if the
premises are "your work".
GA 233 TX 09 17
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Services Office, Inc., with its permission. Page 17 of 17
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CANCELLATION OR NONRENEWAL BY US
NOTIFICATION TO A DESIGNATED ENTITY
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS PACKAGE POLICY
CLAIMS -MADE EXCESS LIABILITY COVERAGE PART
COMMERCIAL AUTO COVERAGE PART
COMMERCIAL GENERAL LIABILITY COVERAGE PART
COMMERCIAL UMBRELLA LIABILITY COVERAGE PART
DENTIST'S PACKAGE POLICY
ELECTRONIC DATA LIABILITY COVERAGE PART
EXCESS LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART
POLLUTION LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS COVERAGE PART
PRODUCT WITHDRAWAL COVERAGE PART
PROFESSIONAL LIABILITY COVERAGE PART
PROFESSIONAL UMBRELLA LIABILITY COVERAGE PART
PROFESSIONAL UMBRELLA LIABILITY COVERAGE PART - CLAIMS -MADE
RAILROAD PROTECTIVE LIABILITY COVERAGE PART
UNDERGROUND STORAGE TANK POLICY
SCHEDULE
Name and mailing address of person(s) or organization(s):
1. FOR WHOM YOU ARE REQUIRED IN A WRITTEN CONTRACT THAT WAS EXECUTED ON OR AFTER
THE EARLIER OF THE FOLLWING DATES: A. THE EFFECTIVE DATE OF THIS POLICY, OR B. THE EFFECTIVE
DATE OF THE ORIGINAL POLICY OF WHICH THIS POLICY IS A RENEWAL OR RPLACEMENT, AND 2. FOR
WHOM YOU ARE REQUIRED IN THAT SAME WRITTEN CONTRACT AS REFERRED TO IN 1. ABOVE TO
PROVIDE CANCELLATION NOTICE
Number of days notice (other than nonpayment of premium): 30
A. If we cancel or nonrenew this policy for any statutorily permitted reason other than nonpayment of
premium we will mail notice to the person or organization shown in the Schedule. We will mail such notice
at least the number of days shown in the Schedule before the effective date of cancellation or nonrenewal.
B. If we cancel this policy for nonpayment of premium, we will mail notice to the person or organization shown
in the Schedule. We will mail such notice at least 10 days before the effective date of cancellation.
C. If notice is mailed, proof of mailing to the mailing address shown in the Schedule will be sufficient proof of
notice.
D. In no event will coverage extend beyond the actual expiration, termination or cancellation of the policy.
IA 4087 09 17
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CONTRACTORS ADDITIONAL INSURED - AUTOMATIC STATUS
AND AUTOMATIC WAIVER OF SUBROGATION
WHEN REQUIRED IN WRITTEN CONTRACT, AGREEMENT,
PERMIT OR AUTHORIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. Additional Insured - Owners, Lessees Or
Contractors - Automatic Status For Other
Parties When Required In Written Contract
Or Agreement With You
1. Section II - Who Is An Insured is
amended to include as an additional in-
sured any person or organization you
have agreed in writing in a contract or
agreement to add as an additional in-
sured on this Coverage Part. Such per-
son(s) or organization(s) is an additional
insured only with respect to liability for:
a. "Bodily injury", "property damage" or
"personal and advertising injury"
caused, in whole or in part, by the
performance of your ongoing opera-
tions by you or on your behalf, under
that written contract or written
agreement. Ongoing operations does
not apply to "bodily injury" or "proper-
ty damage" occurring after:
(1) 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 loca-
tion of the covered operations
has been completed; or
(2) That portion of "your work" out of
which the injury or damage aris-
es has been put to its intended
use by any person or organiza-
tion other than another contrac-
tor or subcontractor engaged in
performing operations for a prin-
cipal as a part of the same pro-
ject; and
b. "Bodily injury" or "property damage"
caused, in whole or in part, by "your
work" performed under that written
contract or written agreement and in
cluded in the "products -completed
operations hazard", but only if:
(1) The Coverage Part to which this
endorsement is attached pro-
vides coverage for "bodily injury"
or "property damage" included
within the "products -completed
operations hazard"; and
(2) The written contract or written
agreement requires you to pro-
vide additional insured coverage
included within the "products -
completed operations hazard"
for that person or organization.
If the written contract or written
agreement requires you to provide
additional insured coverage included
within the "products -completed oper-
ations hazard" for a specified length
of time for that person or organiza-
tion, the "bodily injury" or "property
damage" must occur prior to the ex-
piration of that period of time in order
for this insurance to apply.
If the written contract or written
agreement requires you to provide
additional insured coverage for a
person or organization per only ISO
additional insured endorsement form
number CG 20 10, without specifying
an edition date, and without specifi-
cally requiring additional insured
coverage included within the "prod-
ucts -completed operations hazard",
this Paragraph b. does not apply to
that person or organization.
2. If the written contract or written agree-
ment described in Paragraph 1. above
specifically requires you to provide addi-
tional insured coverage to that person or
organization:
a. Arising out of your ongoing opera-
tions or arising out of "your work"; or
GA 472 09 18
Includes copyrighted material of Insurance
Services Office, Inc., with its permission. Page 1 of 3
b. By way of an edition of an ISO addi-
tional insured endorsement that in-
cludes arising out of your ongoing
operations or arising out of "your
work";
then the phrase caused, in whole or in
part, by in Paragraph A.1.a. and/or Para-
graph A.1.b. above, whichever applies, is
replaced by the phrase arising out of.
3. With respect to the insurance afforded to
the additional insureds described in Para-
graph Al., the following additional exclu-
sion applies:
This insurance does not apply to "bodily
injury", "property damage" or "personal
and advertising injury" arising out of the
rendering of, or the failure to render, any
professional architectural, engineering or
surveying services, including:
a. The preparing, approving or failing to
prepare or approve, maps, shop
drawings, opinions, reports, surveys,
field orders, change orders or draw-
ings and specifications; or
b. Supervisory, inspection, architectural
or engineering activities.
This exclusion applies even if the claims
against any insured allege negligence or
other wrongdoing in the supervision, hir-
ing, employment, training or monitoring of
others by that insured, if the "occurrence"
which caused the "bodily injury" or "prop-
erty damage", or the offense which
caused the "personal and advertising inju-
ry", involved the rendering of, or the fail-
ure to render, any professional architec-
tural, engineering or surveying services.
4. This Paragraph A. does not apply to addi-
tional insureds described in Paragraph B.
B. Additional Insured - State Or Governmental
Agency Or Subdivision Or Political Subdi-
vision - Automatic Status When Required
In Written Permits Or Authorizations
1. Section II - Who Is An Insured is
amended to include as an additional in-
sured any state or governmental agency
or subdivision or political subdivision you
have agreed in writing in a contract,
agreement, permit or authorization to add
as an additional insured on this Coverage
Part. Such state or governmental agency
or subdivision or political subdivision is an
additional insured only with respect to op-
erations performed by you or on your be-
half for which the state or governmental
agency or subdivision or political subdivi-
sion issued, in writing, a contract, agree-
ment, permit or authorization.
2. With respect to the insurance afforded to
the additional insureds described in Para-
graph B.1., the following additional exclu-
sions apply:
This insurance does not apply to:
a. "Bodily injury", "property damage" or
"personal and advertising injury" aris-
ing out of operations performed for
the federal government, state or mu-
nicipality; or
b. "Bodily injury" or "property damage"
included within the "products -
completed operations hazard."
C. The insurance afforded to additional insureds
described in Paragraphs A. and B.:
1. Only applies to the extent permitted by
law; and
2. Will not be broader than that which you
are required by the written contract, writ-
ten agreement, written permit or written
authorization to provide for such addition-
al insured; and
3. Does not apply to any person, organiza-
tion, state, governmental agency or sub-
division or political subdivision specifically
named as an additional insured for the
same project in the schedule of an en-
dorsement added to this Coverage Part.
D. With respect to the insurance afforded to the
additional insureds described in Paragraphs
A. and B., the following is added to Section III
- Limits Of Insurance:
The most we will pay on behalf of the addi-
tional insured is the amount of insurance:
1. Required by the written contract, written
agreement, written permit or written au-
thorization described in Paragraphs A.
and B.; or
2. Available under the applicable Limits of
Insurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the appli-
cable Limits of Insurance shown in the Decla-
rations.
E. Section IV - Commercial General Liability
Conditions is amended to add the following:
Automatic Additional Insured Provision
This insurance applies only if the "bodily inju-
ry' or "property damage" occurs, or the "per-
sonal and advertising injury' offense is com-
mitted:
1. During the policy period; and
GA 472 09 18
Includes copyrighted material of Insurance
Services Office, Inc., with its permission. Page 2 of 3
2. Subsequent to your execution of the writ-
ten contract or written agreement, or the
issuance of a written permit or written au-
thorization, described in Paragraphs A.
and B.
F. Except when G. below applies, the following is
added to Section IV - Commercial General
Liability Conditions, 5. Other Insurance,
and supersedes any provision to the contrary:
When Other Additional Insured Coverage
Applies On An Excess Basis
This insurance is primary to other insurance
available to the additional insured described in
Paragraphs A. and B. except:
1. As otherwise provided in Section IV -
Commercial General Liability Condi-
tions, 5. Other Insurance, b. Excess In-
surance; or
2. For any other valid and collectible insur-
ance available to the additional insured as
an additional insured by attachment of an
endorsement to another insurance policy
that is written on an excess basis. In such
case, this insurance is also excess.
G. The following is added to Section IV - Com-
mercial General Liability Conditions, 5.
Other Insurance, and supersedes any provi-
sion to the contrary:
Primary Insurance When Required By Writ-
ten Contract, Agreement, Permit Or Au-
thorization
Except when wrap-up insurance applies to the
claim or "suit" on behalf of the additional in-
sured, this insurance is primary to any other
insurance available to the additional insured
described in Paragraphs A. and B. provided
that:
1. The additional insured is a Named In-
sured under such other insurance; and
2. You have agreed in writing in a contract,
agreement, permit or authorization de-
scribed in Paragraph A. or B. that this in-
surance would be primary to any other in-
surance available to the additional in-
sured.
As used in this endorsement, wrap-up insur-
ance means any insurance provided by a con-
solidated (wrap-up) insurance program.
Primary And Noncontributory Insurance
When Required By Written Contract,
Agreement, Permit Or Authorization
Except when wrap-up insurance applies to the
claim or "suit" on behalf of the additional in-
sured, this insurance is primary to and will not
seek contribution from any other insurance
available to the additional insured described in
Paragraphs A. and B. provided that:
1. The additional insured is a Named In-
sured under such other insurance; and
2. You have agreed in writing in a contract,
agreement, permit or authorization de-
scribed in Paragraph A. or B. that this in-
surance would be primary and would not
seek contribution from any other insur-
ance available to the additional insured.
As used in this endorsement, wrap-up insur-
ance means any insurance provided by a con-
solidated (wrap-up) insurance program.
H. Section IV - Commercial General Liability
Conditions, 9. Transfer Of Rights Of Re-
covery Against Others To Us is amended by
the addition of the following:
We waive any right of recovery we may have
against any additional insured under this en-
dorsement against whom you have agreed to
waive such right of recovery in a written con-
tract, written agreement, written permit or writ-
ten authorization because of payments we
make for injury or damage arising out of your
ongoing operations or "your work" done under
a written contract, written agreement, written
permit or written authorization. However, our
rights may only be waived prior to the "occur-
rence" giving rise to the injury or damage for
which we make payment under this Coverage
Part. The insured must do nothing after a loss
to impair our rights. At our request, the insured
will bring "suit" or transfer those rights to us
and help us enforce those rights.
GA 472 09 18
Includes copyrighted material of Insurance
Services Office, Inc., with its permission. Page 3 of 3
FRANKENMUTH INSURANCE COMPANY
POWER OF ATTORN
KNOW ALI, MEN RV THESE PRESENTS, that Frankcntnuth Insurance Company (the "Company"), a corporation duly organized
and existing under the laws of the State of Michigan, having its principal office at 1 Mutual Avenue, Frankenmuth, Michigan 48787,
does hereby nominate, constitute and appoint:
Jordan Pitts, Lloyd Ray Pitts Jr., William D. Birdsong
Their true and lawful attnrney(s)-in-fact, each in their separate capacity if more than one is named above, to make, exccule, seal,
acknowledge and deliver any and all bonds, contracts and undertakings of suretyship, with the exception of Financial Guaranty
Insurance, provided, however, that the penal sum of any one such instrument shall not exceed the sum of:
Fifty Million and 00/100 Dollars ($50,000,000)
This Power of Attorney is granted pursuant to the following Resolution duly adopted at a meeting of the Board of Directors of
Frankenmuth Insurance Company:
"RESOLVED, that the President, Senior Vice President or Vice President and each of them under their respective
designations, hereby is authorized to execute powers of attorney, and such authority can be executed by use of facsimile
signature, which may be attested or acknowledged by any officer of the Company, qualifying the attorney(s) reamed in the
given power of attorney, to execute on behalf of, And acknowledge as the act and deed of Frankenmuth Insurance Company
on all bonds, contracts and undertakings of suretyship, and to affix the corporate seal thereto."
IN WITNESS WHEREOF, the Company has caused these presents to be signed and attested by its appropriate officers and its corporate
seal hereuttto'i t fed this 15th day of December 2022.
riuc
„' tq r , Frankenmuth Iaaurance Company
jr
S TEi�IIQIC�3
COOF A W) ss:
Frederick A. Edmond, Jr.,
President and Chief Executive Officer
Sworn to before me, a Notary Public in the State of Michigan, by Frederick A. Edmond, Jr.. to me personally known to be the individual
and officer described in, and who executed the preceding instrument, deposed and said the Corporate Seal and his signatuir�
were affixed and subscribed to said instrument by the authority of the Company. '
IN TESTIMONY WHEREOF, I have set my hand, and affixed my Official Seal this 15111 day of December, 242 :'6?
(Seal)
Susan L. Fresorger, Notary Public
Saginaw County. State of Michigan
My Commission Expires: April 3, 2028
I, the undersigned, Executive Vice President of Frankenmuth Insurance Company, do hereby certify that the foregoing is a true, correct
and cvmpir.te copy of the original Power of Attorney; that said Power of Attorney has not been revoked or rescinded and is in full force
and effect as of this date.
IN WITNESS WHEREOF, I have set my hand and affixed the Seal of the Company, this 9th day of _ Mare 2023.
CZ' rV IL -A --
Andrew
H. Knudsen, Executive Vice President,
Chief Operating Officer and Secretary
ALL CORRESPONDENCE RELATED TO BOND VALIDATION AND/OR A CLAIM SHOULD BE DIRECTED TO
VP SURETY, 701 U.S. ROUTE ONE, SUITE 1, YARMOUTH, ME 04096
IMPORTANT NOTICE TO ALL TEXAS POLICYHOLDERS
IMPORTANT NOTICE
To obtain information or make a complaint:
You may call Frankenmuth Mutual insurance
Company toll -free telephone number for
information or to make a complaint at:
1-704-421-7002
You may also write to Frankenmuth Mutual
Insurance Company at:
Frankenmuth Mutual Insurance Company
One Mutual Avenue
Frankenmuth, MI 48787
You may contact the Texas Department of
Insurance to obtain information on companies,
coverages, rights or complaints at:
1-800-252-3439
You may write the Texas Department of
Insurance:
P.O. Box 149091
Austin, TX 78714-9091
Fax: (512) 490-1007
Web: http://www.tdi.texas.gov
E-mail: ConsumerProtection@tdi.texas.gov
PREMIUM OR CLAIM DISPUTES:
Should you have a dispute conceming your
premium or about a claim you should contact
the Frankenmuth Mutual Insurance Company
first. If the dispute is not resolved, you may
contact the Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR POLICY:
This notice is for information only and does not
become a part or condition of the attached
document.
AVISO IMPORTANTE
Para obtener information o para someter una
queja:
Listed puede Ilamar al nurnero de telefono gratis
de Frankenmuth Mutual Insurance Company
para informacion o para someter una queja al:
1-704-421-7002
Usted tambien puede escribir a Frankenmuth
Mutual Insurance Company:
Frankenmuth Mutual Insurance Company
One Mutual Avenue
Frankenmuth, MI 48787
Puede comunicarse con el Departamento de
Seguros de Texas para obtener informacion
acerca de companies, coberturas, derechos o
quejas al:
1-800-252-439
Puede escribir al Departamento de Seguros de
Texas.
P.O. Box 149091
Austin, TX 78714-9091
Fax: (512) 490-1007
Web: http://www.tdi.texas.gov
E-mail: ConsumerProtection@tdi.texas.gov
DISPUTAS SOBRE PRIMAS 0 RECLAMOS: Si
tiene una disputa concemiente a su prima o a
un reclamo, debe comunicarse con el
Frankenmuth Mutual tnsurance Company
primero. Si no se resuelve la disputa, puede
entonces comunicarse con el departamento
(TDI).
UNA ESTE AVISO A SU POLIZA: Este aviso es
solo para proposito de informacion y no se
convierte en parte o condition del documento
adjunto.
00 ML0042 44 0416 Page 1 of 1
01 11 00 -1
DAP SUMMARY OF WORK
SECTION 01 11 00
SUMMARY OF WORK
PART 1- GENERAL
1.1 SUMMARY
Page 1 of 3
A. Section Includes:
1. Summary of Work to be performed in accordance with the Contract Documents
B. Deviations from this City of Fort Worth Standard Specification
1. None.
C. Related Specification Sections include, but are not necessarily limited to:
1. Division 0 - Bidding Requirements, Contract Forms, and Conditions of the Contract
2. Division 1 - General Requirements
1.2 PRICE AND PAYMENT PROCEDURES
A. Measurement and Payment
1. Work associated with this Item is considered subsidiary to the various items bid.
No separate payment will be allowed for this Item.
1.3 REFERENCES [NOT USED]
1.4 ADMINISTRATIVE REQUIREMENTS
A. Work Covered by Contract Documents
1. Work is to include furnishing all labor, materials, and equipment, and performing
all Work necessary for this construction project as detailed in the Drawings and
Specifications.
B. Subsidiary Work
1. Any and all Work specifically governed by documentary requirements for the
project, such as conditions imposed by the Drawings or Contract Documents in
which no specific item for bid has been provided for in the Proposal and the item is
not a typical unit bid item included on the standard bid item list, then the item shall
be considered as a subsidiary item of Work, the cost of which shall be included in
the price bid in the Proposal for various bid items.
C. Use of Premises
1. Coordinate uses of premises under direction of the City.
2. Assume full responsibility for protection and safekeeping of materials and
equipment stored on the Site.
3. Use and occupy only portions of the public streets and alleys, or other public places
or other rights -of -way as provided for in the ordinances of the City, as shown in the
Contract Documents, or as may be specifically authorized in writing by the City.
a. A reasonable amount of tools, materials, and equipment for construction
purposes may be stored in such space, but no more than is necessary to avoid
delay in the construction operations.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — Developer Awarded Projects
Revised December 20, 2012
[BRIX BARBECUE]
[IPRC22-0051 ]
01 11 00 - 2
DAP SUMMARY OF WORK
Page 2 of 3
b. Excavated and waste materials shall be stored in such a way as not to interfere
with the use of spaces that may be designated to be left free and unobstructed
and so as not to inconvenience occupants of adjacent property.
c. If the street is occupied by railroad tracks, the Work shall be carried on in such
manner as not to interfere with the operation of the railroad.
1) All Work shall be in accordance with railroad requirements set forth in
Division 0 as well as the railroad permit.
D. Work within Easements
1. Do not enter upon private property for any purpose without having previously
obtained permission from the owner of such property.
2. Do not store equipment or material on private property unless and until the
specified approval of the property owner has been secured in writing by the
Contractor and a copy furnished to the City.
3. Unless specifically provided otherwise, clear all rights -of -way or easements of
obstructions which must be removed to make possible proper prosecution of the
Work as a part of the project construction operations.
4. Preserve and use every precaution to prevent damage to, all trees, shrubbery, plants,
lawns, fences, culverts, curbing, and all other types of structures or improvements,
to all water, sewer, and gas lines, to all conduits, overhead pole lines, or
appurtenances thereof, including the construction of temporary fences and to all
other public or private property adjacent to the Work.
5. Notify the proper representatives of the owners or occupants of the public or private
lands of interest in lands which might be affected by the Work.
a. Such notice shall be made at least 48 hours in advance of the beginning of the
Work.
b. Notices shall be applicable to both public and private utility companies and any
corporation, company, individual, or other, either as owners or occupants,
whose land or interest in land might be affected by the Work.
c. Be responsible for all damage or injury to property of any character resulting
from any act, omission, neglect, or misconduct in the manner or method or
execution of the Work, or at any time due to defective work, material, or
equipment.
6. Fence
a. Restore all fences encountered and removed during construction of the Project
to the original or a better than original condition.
b. Erect temporary fencing in place of the fencing removed whenever the Work is
not in progress and when the site is vacated overnight, and/or at all times to
provide site security.
c. The cost for all fence work within easements, including removal, temporary
closures and replacement, shall be subsidiary to the various items bid in the
project proposal, unless a bid item is specifically provided in the proposal.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — Developer Awarded Projects
Revised December 20, 2012
[BRIX BARBECUE]
[IPRC22-005 1 ]
01 11 00 - 3
DAP SUMMARY OF WORK
1.5 SUBMITTALS [NOT USED]
1.6 ACTION SUBMITTALS/INFORMATIONAL SUBMITTALS [NOT USED]
1.7 CLOSEOUT SUBMITTALS [NOT USED]
1.8 MAINTENANCE MATERIAL SUBMITTALS [NOT USED]
1.9 QUALITY ASSURANCE [NOT USED]
1.10 DELIVERY, STORAGE, AND HANDLING [NOT USED]
1.11 FIELD [SITE] CONDITIONS [NOT USED]
1.12 WARRANTY [NOT USED]
PART 2 - PRODUCTS [NOT USED]
PART 3 - EXECUTION [NOT USED]
END OF SECTION
Revision Log
DATE NAME SUMMARY OF CHANGE
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — Developer Awarded Projects
Revised December 20, 2012
Page 3 of 3
[BRIX BARBECUE]
[IPRC22-005 1 ]
012500-1
DAP SUBSTITUTION PROCEDURES
SECTION 01 25 00
SUBSTITUTION PROCEDURES
PART 1- GENERAL
1.1 SUMMARY
Page 1 of 4
A. Section Includes:
1. The procedure for requesting the approval of substitution of a product that is not
equivalent to a product which is specified by descriptive or performance criteria or
defined by reference to 1 or more of the following:
a. Name of manufacturer
b. Name of vendor
c. Trade name
d. Catalog number
2. Substitutions are not "or -equals".
B. Deviations from this City of Fort Worth Standard Specification
1. None.
C. Related Specification Sections include, but are not necessarily limited to:
1. Division 0 — Bidding Requirements, Contract Forms and Conditions of the Contract
2. Division 1 — General Requirements
1.2 PRICE AND PAYMENT PROCEDURES
A. Measurement and Payment
1. Work associated with this Item is considered subsidiary to the various items bid. No
separate payment will be allowed for this Item.
1.3 REFERENCES [NOT USED]
1.4 ADMINISTRATIVE REQUIREMENTS
A. Request for Substitution - General
1. Within 30 days after award of Contract (unless noted otherwise), the City will
consider formal requests from Contractor for substitution of products in place of
those specified.
2. Certain types of equipment and kinds of material are described in Specifications by
means of references to names of manufacturers and vendors, trade names, or catalog
numbers.
a. When this method of specifying is used, it is not intended to exclude from
consideration other products bearing other manufacturer's or vendor's names,
trade names, or catalog numbers, provided said products are "or -equals," as
determined by City.
3. Other types of equipment and kinds of material may be acceptable substitutions
under the following conditions:
a. Or -equals are unavailable due to strike, discontinued production of products
meeting specified requirements, or other factors beyond control of Contractor;
or,
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised August 30, 2013
[BRIX BARBECUE]
[IPRC22-0051 ]
012500-2
DAP SUBSTITUTION PROCEDURES
Page 2 of 4
b. Contractor proposes a cost and/or time reduction incentive to the City.
1.5 SUBMITTALS
A. See Request for Substitution Form (attached)
B. Procedure for Requesting Substitution
1. Substitution shall be considered only:
a. After award of Contract
b. Under the conditions stated herein
2. Submit 3 copies of each written request for substitution, including:
a. Documentation
1) Complete data substantiating compliance of proposed substitution with
Contract Documents
2) Data relating to changes in construction schedule, when a reduction is
proposed
3) Data relating to changes in cost
b. For products
1) Product identification
a) Manufacturer's name
b) Telephone number and representative contact name
c) Specification Section or Drawing reference of originally specified
product, including discrete name or tag number assigned to original
product in the Contract Documents
2) Manufacturer's literature clearly marked to show compliance of proposed
product with Contract Documents
3) Itemized comparison of original and proposed product addressing product
characteristics including, but not necessarily limited to:
a) Size
b) Composition or materials of construction
c) Weight
d) Electrical or mechanical requirements
4) Product experience
a) Location of past projects utilizing product
b) Name and telephone number of persons associated with referenced
projects knowledgeable concerning proposed product
c) Available field data and reports associated with proposed product
5) Samples
a) Provide at request of City.
b) Samples become the property of the City.
c. For construction methods:
1) Detailed description of proposed method
2) Illustration drawings
C. Approval or Rejection
1. Written approval or rejection of substitution given by the City
2. City reserves the right to require proposed product to comply with color and pattern
of specified product if necessary to secure design intent.
3. In the event the substitution is approved, if a reduction in cost or time results, it will
be documented by Change Order.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised August 30, 2013
[BRIX BARBECUE]
[IPRC22-0051 ]
012500-3
DAP SUBSTITUTION PROCEDURES
Page 3 of 4
4. Substitution will be rejected if:
a. Submittal is not through the Contractor with his stamp of approval
b. Request is not made in accordance with this Specification Section
c. In the Developer's opinion, acceptance will require substantial revision of the
original design
d. In the City's or Developer's opinion, substitution will not perform adequately
the function consistent with the design intent
1.6 ACTION SUBMITTALS/INFORMATIONAL SUBMITTALS [NOT USED]
1.7 CLOSEOUT SUBMITTALS [NOT USED]
1.8 MAINTENANCE MATERIAL SUBMITTALS [NOT USED]
1.9 QUALITY ASSURANCE
A. In making request for substitution or in using an approved product, the Contractor
represents that the Contractor:
1. Has investigated proposed product, and has determined that it is adequate or
superior in all respects to that specified, and that it will perform function for which it
is intended
2. Will provide same guarantee for substitute item as for product specified
3. Will coordinate installation of accepted substitution into Work, to include building
modifications if necessary, making such changes as may be required for Work to be
complete in all respects
4. Waives all claims for additional costs related to substitution which subsequently
arise
1.10 DELIVERY, STORAGE, AND HANDLING [NOT USED]
1.11 FIELD [SITE] CONDITIONS [NOT USED]
1.12 WARRANTY [NOT USED]
PART 2 - PRODUCTS [NOT USED]
PART 3 - EXECUTION [NOT USED]
END OF SECTION
Revision Log
DATE NAME SUMMARY OF CHANGE
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised August 30, 2013
[BRIX BARBECUE]
[IPRC22-0051 ]
012500-4
DAP SUBSTITUTION PROCEDURES
Page 4 of 4
EXHIBIT A
REQUEST FOR SUBSTITUTION FORM:
TO:
PROJECT: DATE:
We hereby submit for your consideration the following product instead of the specified item for
the above project:
SECTION PARAGRAPH SPECIFIED ITEM
Proposed Substitution:
Reason for Substitution:
Include complete information on changes to Drawings and/or Specifications which proposed
substitution will require for its proper installation.
Fill in Blanks Below:
A. Will the undersigned contractor pay for changes to the building design, including engineering
and detailing costs caused by the requested substitution?
B. What effect does substitution have on other trades?
C. Differences between proposed substitution and specified item?
D. Differences in product cost or product delivery time?
E. Manufacturer's guarantees of the proposed and specified items are:
Equal Better (explain on attachment)
The undersigned states that the function, appearance and quality are equivalent or superior to the
specified item.
Submitted By: For Use by City
Signature Recommended Recommended
as noted
Firm Not recommended Received late
Address By
Date
Date Remarks
Telephone
For Use by City:
Approved Rejected
City Date
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised August 30, 2013
[BRIX BARBECUE]
[IPRC22-0051 ]
013119-1
DAP PRECONSTRUCTION MEETING
SECTION 01 31 19
PRECONSTRUCTION MEETING
PART 1- GENERAL
1.1 SUMMARY
Page 1 of 3
A. Section Includes:
1. Provisions for the preconstruction meeting to be held prior to the start of Work to
clarify construction contract administration procedures
B. Deviations from this City of Fort Worth Standard Specification
1. No construction schedule required unless requested by the City.
C. Related Specification Sections include, but are not necessarily limited to:
1. Division 0 — Bidding Requirements, Contract Forms and Conditions of the Contract
2. Division 1 — General Requirements
1.2 PRICE AND PAYMENT PROCEDURES
A. Measurement and Payment
1. Work associated with this Item is considered subsidiary to the various items bid.
No separate payment will be allowed for this Item.
1.3 REFERENCES [NOT USED]
1.4 ADMINISTRATIVE REQUIREMENTS
A. Coordination
1. Attend preconstruction meeting.
2. Representatives of Contractor, subcontractors and suppliers attending meetings
shall be qualified and authorized to act on behalf of the entity each represents.
3. Meeting administered by City may be tape recorded.
a. If recorded, tapes will be used to prepare minutes and retained by City for
future reference.
B. Preconstruction Meeting
1. A preconstruction meeting will be held within 14 days after the delivery of the
distribution package to the City.
a. The meeting will be scheduled and administered by the City.
2. The Project Representative will preside at the meeting, prepare the notes of the
meeting and distribute copies of same to all participants who so request by fully
completing the attendance form to be circulated at the beginning of the meeting.
3. Attendance shall include:
a. Developer and Consultant
b. Contractor's project manager
c. Contractor's superintendent
d. Any subcontractor or supplier representatives whom the Contractor may desire
to invite or the City may request
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised August 30, 2013
[BRIX BARBECUE]
[IPRC22-005 1]
01 31 19 - 2
DAP PRECONSTRUCTION MEETING
Page 2 of 3
e. Other City representatives
f. Others as appropriate
4. Preliminary Agenda may include:
a. Introduction of Project Personnel
b. General Description of Project
c. Status of right-of-way, utility clearances, easements or other pertinent permits
d. Contractor's work plan and schedule
e. Contract Time
f. Notice to Proceed
g. Construction Staking
h. Progress Payments
i. Extra Work and Change Order Procedures
j. Field Orders
k. Disposal Site Letter for Waste Material
1. Insurance Renewals
m. Payroll Certification
n. Material Certifications and Quality Control Testing
o. Public Safety and Convenience
p. Documentation of Pre -Construction Conditions
q. Weekend Work Notification
r. Legal Holidays
s. Trench Safety Plans
t. Confined Space Entry Standards
u. Coordination with the City's representative for operations of existing water
systems
v. Storm Water Pollution Prevention Plan
w. Coordination with other Contractors
x. Early Warning System
y. Contractor Evaluation
z. Special Conditions applicable to the project
aa. Damages Claims
bb. Submittal Procedures
cc. Substitution Procedures
dd. Correspondence Routing
ee. Record Drawings
ff. Temporary construction facilities
gg. MBE/SBE procedures
hh. Final Acceptance
ii. Final Payment
jj. Questions or Comments
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised August 30, 2013
[BRIX BARBECUE]
[IPRC22-005 1]
013119-3
DAP PRECONSTRUCTION MEETING
1.5 SUBMITTALS [NOT USED]
1.6 ACTION SUBMITTALS/INFORMATIONAL SUBMITTALS [NOT USED]
1.7 CLOSEOUT SUBMITTALS [NOT USED]
1.8 MAINTENANCE MATERIAL SUBMITTALS [NOT USED]
1.9 QUALITY ASSURANCE [NOT USED]
1.10 DELIVERY, STORAGE, AND HANDLING [NOT USED]
1.11 FIELD [SITE] CONDITIONS [NOT USED]
1.12 WARRANTY [NOT USED]
PART 2 - PRODUCTS [NOT USED]
PART 3 - EXECUTION [NOT USED]
END OF SECTION
Revision Log
DATE NAME SUMMARY OF CHANGE
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised August 30, 2013
Page 3 of 3
[BRIX BARBECUE]
[IPRC22-005 1]
013233-1
DAP PRECONSTRUCTION VIDEO
Page 1 of 2
SECTION 01 32 33
PRECONSTRUCTION VIDEO
PART 1- GENERAL
1.1 SUMMARY
A. Section Includes:
1. Administrative and procedural requirements for:
a. Preconstruction Videos
B. Deviations from this City of Fort Worth Standard Specification
1. Though not mandatory, it is highly recommended on infill developer projects.
C. Related Specification Sections include, but are not necessarily limited to:
1. Division 0 — Bidding Requirements, Contract Forms and Conditions of the Contract
2. Division 1 — General Requirements
1.2 PRICE AND PAYMENT PROCEDURES
A. Measurement and Payment
1. Work associated with this Item is considered subsidiary to the various items bid.
No separate payment will be allowed for this Item.
1.3 REFERENCES [NOT USED]
1.4 ADMINISTRATIVE REQUIREMENTS
A. Preconstruction Video
1. Produce a preconstruction video of the site/alignment, including all areas in the
vicinity of and to be affected by construction.
a. Provide digital copy of video upon request by the City.
2. Retain a copy of the preconstruction video until the end of the maintenance surety
period.
1.5 SUBMITTALS [NOT USED]
1.6 ACTION SUBMITTALS/INFORMATIONAL SUBMITTALS [NOT USED]
1.7 CLOSEOUT SUBMITTALS [NOT USED]
1.8 MAINTENANCE MATERIAL SUBMITTALS [NOT USED]
1.9 QUALITY ASSURANCE [NOT USED]
1.10 DELIVERY, STORAGE, AND HANDLING [NOT USED]
1.11 FIELD [SITE] CONDITIONS [NOT USED]
1.12 WARRANTY [NOT USED]
PART 2 - PRODUCTS [NOT USED]
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised August 30, 2013
[BRIX BARBECUE]
[IPRC22-0051 ]
01 32 33 - 2
DAP PRECONSTRUCTION VIDEO
PART 3 - EXECUTION [NOT USED]
END OF SECTION
Revision Log
DATE NAME SUMMARY OF CHANGE
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised August 30, 2013
Page 2 of 2
[BRIX BARBECUE]
[IPRC22-0051 ]
013300-1
DAP SUBMITTALS
SECTION 01 33 00
DAP SUBMITTALS
PART 1- GENERAL
1.1 SUMMARY
Page 1 of 8
A. Section Includes:
1. General methods and requirements of submissions applicable to the following
Work -related submittals:
a. Shop Drawings
b. Product Data (including Standard Product List submittals)
c. Samples
d. Mock Ups
B. Deviations from this City of Fort Worth Standard Specification
1. None.
C. Related Specification Sections include, but are not necessarily limited to:
1. Division 0 — Bidding Requirements, Contract Forms and Conditions of the Contract
2. Division 1 — General Requirements
1.2 PRICE AND PAYMENT PROCEDURES
A. Measurement and Payment
1. Work associated with this Item is considered subsidiary to the various items bid.
No separate payment will be allowed for this Item.
1.3 REFERENCES [NOT USED]
1.4 ADMINISTRATIVE REQUIREMENTS
A. Coordination
1. Notify the City in writing, at the time of submittal, of any deviations in the
submittals from the requirements of the Contract Documents.
2. Coordination of Submittal Times
a. Prepare, prioritize and transmit each submittal sufficiently in advance of
performing the related Work or other applicable activities, or within the time
specified in the individual Work Sections, of the Specifications.
b. Contractor is responsible such that the installation will not be delayed by
processing times including, but not limited to:
a) Disapproval and resubmittal (if required)
b) Coordination with other submittals
c) Testing
d) Purchasing
e) Fabrication
f) Delivery
g) Similar sequenced activities
c. No extension of time will be authorized because of the Contractor's failure to
transmit submittals sufficiently in advance of the Work.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised August 30, 2013
[BRIX BARBECUE]
[IPRC22-0051 ]
013300-2
DAP SUBMITTALS
Page 2 of 8
d. Make submittals promptly in accordance with approved schedule, and in such
sequence as to cause no delay in the Work or in the work of any other
contractor.
B. Submittal Numbering
1. When submitting shop drawings or samples, utilize a 9-character submittal cross-
reference identification numbering system in the following manner:
a. Use the first 6 digits of the applicable Specification Section Number.
b. For the next 2 digits number use numbers 01-99 to sequentially number each
initial separate item or drawing submitted under each specific Section number.
c. Last use a letter, A-Z, indicating the resubmission of the same drawing (i.e.
A=2nd submission, B=3rd submission, C=4th submission, etc.). A typical
submittal number would be as follows:
03 30 00-08-B
1) 03 30 00 is the Specification Section for Concrete
2) 08 is the eighth initial submittal under this Specification Section
3) B is the third submission (second resubmission) of that particular shop
drawing
C. Contractor Certification
1. Review shop drawings, product data and samples, including those by
subcontractors, prior to submission to determine and verify the following:
a. Field measurements
b. Field construction criteria
c. Catalog numbers and similar data
d. Conformance with the Contract Documents
2. Provide each shop drawing, sample and product data submitted by the Contractor
with a Certification Statement affixed including:
a. The Contractor's Company name
b. Signature of submittal reviewer
c. Certification Statement
1) "By this submittal, I hereby represent that I have determined and verified
field measurements, field construction criteria, materials, dimensions,
catalog numbers and similar data and I have checked and coordinated each
item with other applicable approved shop drawings."
D. Submittal Format
1. Fold shop drawings larger than 8 1/2 inches x 11 inches to 8 1/2 inches x l l inches.
2. Bind shop drawings and product data sheets together.
3. Order
a. Cover Sheet
1) Description of Packet
2) Contractor Certification
b. List of items / Table of Contents
c. Product Data /Shop Drawings/Samples /Calculations
E. Submittal Content
1. The date of submission and the dates of any previous submissions
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised August 30, 2013
[BRIX BARBECUE]
[IPRC22-0051 ]
013300-3
DAP SUBMITTALS
Page 3 of 8
2. The Project title and number
3. Contractor identification
4. The names of:
a. Contractor
b. Supplier
c. Manufacturer
5. Identification of the product, with the Specification Section number, page and
paragraph(s)
6. Field dimensions, clearly identified as such
7. Relation to adjacent or critical features of the Work or materials
8. Applicable standards, such as ASTM or Federal Specification numbers
9. Identification by highlighting of deviations from Contract Documents
10. Identification by highlighting of revisions on resubmittals
11. An 8-inch x 3-inch blank space for Contractor and City stamps
F. Shop Drawings
1. As specified in individual Work Sections includes, but is not necessarily limited to:
a. Custom -prepared data such as fabrication and erection/installation (working)
drawings
b. Scheduled information
c. Setting diagrams
d. Actual shopwork manufacturing instructions
e. Custom templates
f. Special wiring diagrams
g. Coordination drawings
h. Individual system or equipment inspection and test reports including:
1) Performance curves and certifications
i. As applicable to the Work
2. Details
a. Relation of the various parts to the main members and lines of the structure
b. Where correct fabrication of the Work depends upon field measurements
1) Provide such measurements and note on the drawings prior to submitting
for approval.
G. Product Data
1. For submittals of product data for products included on the City's Standard Product
List, clearly identify each item selected for use on the Project.
2. For submittals of product data for products not included on the City's Standard
Product List, submittal data may include, but is not necessarily limited to:
a. Standard prepared data for manufactured products (sometimes referred to as
catalog data)
1) Such as the manufacturer's product specification and installation
instructions
2) Availability of colors and patterns
3) Manufacturer's printed statements of compliances and applicability
4) Roughing -in diagrams and templates
5) Catalog cuts
6) Product photographs
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised August 30, 2013
[BRIX BARBECUE]
[IPRC22-0051 ]
013300-4
DAP SUBMITTALS
Page 4 of 8
7) Standard wiring diagrams
8) Printed performance curves and operational -range diagrams
9) Production or quality control inspection and test reports and certifications
10) Mill reports
11) Product operating and maintenance instructions and recommended
spare -parts listing and printed product warranties
12) As applicable to the Work
H. Samples
1. As specified in individual Sections, include, but are not necessarily limited to:
a. Physical examples of the Work such as:
1) Sections of manufactured or fabricated Work
2) Small cuts or containers of materials
3) Complete units of repetitively used products color/texture/pattern swatches
and range sets
4) Specimens for coordination of visual effect
5) Graphic symbols and units of Work to be used by the City for independent
inspection and testing, as applicable to the Work
I. Do not start Work requiring a shop drawing, sample or product data nor any material to
be fabricated or installed prior to the approval or qualified approval of such item.
1. Fabrication performed, materials purchased or on -site construction accomplished
which does not conform to approved shop drawings and data is at the Contractor's
risk.
2. The City will not be liable for any expense or delay due to corrections or remedies
required to accomplish conformity.
3. Complete project Work, materials, fabrication, and installations in conformance
with approved shop drawings, applicable samples, and product data.
J. Submittal Distribution
1. Electronic Distribution
a. Confirm development of Project directory for electronic submittals to be
uploaded to City's Buzzsaw site, or another external FTP site approved by the
City.
b. Shop Drawings
1) Upload submittal to designated project directory and notify appropriate
City representatives via email of submittal posting.
2) Hard Copies
a) 3 copies for all submittals
b) If Contractor requires more than 1 hard copy of Shop Drawings
returned, Contractor shall submit more than the number of copies listed
above.
c. Product Data
1) Upload submittal to designated project directory and notify appropriate
City representatives via email of submittal posting.
2) Hard Copies
a) 3 copies for all submittals
d. Samples
1) Distributed to the Project Representative
2. Hard Copy Distribution (if required in lieu of electronic distribution)
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised August 30, 2013
[BRIX BARBECUE]
[IPRC22-0051 ]
013300-5
DAP SUBMITTALS
Page 5 of 8
a. Shop Drawings
1) Distributed to the City
2) Copies
a) 8 copies for mechanical submittals
b) 7 copies for all other submittals
c) If Contractor requires more than 3 copies of Shop Drawings returned,
Contractor shall submit more than the number of copies listed above.
b. Product Data
1) Distributed to the City
2) Copies
a) 4 copies
c. Samples
1) Distributed to the Project Representative
2) Copies
a) Submit the number stated in the respective Specification Sections.
3. Distribute reproductions of approved shop drawings and copies of approved
product data and samples, where required, to the job site file and elsewhere as
directed by the City.
a. Provide number of copies as directed by the City but not exceeding the number
previously specified.
K. Submittal Review
1. The review of shop drawings, data and samples will be for general conformance
with the design concept and Contract Documents. This is not to be construed as:
a. Permitting any departure from the Contract requirements
b. Relieving the Contractor of responsibility for any errors, including details,
dimensions, and materials
c. Approving departures from details furnished by the City, except as otherwise
provided herein
2. The review and approval of shop drawings, samples or product data by the City
does not relieve the Contractor from his/her responsibility with regard to the
fulfillment of the terms of the Contract.
a. All risks of error and omission are assumed by the Contractor, and the City will
have no responsibility therefore.
3. The Contractor remains responsible for details and accuracy, for coordinating the
Work with all other associated work and trades, for selecting fabrication processes,
for techniques of assembly and for performing Work in a safe manner.
4. If the shop drawings, data or samples as submitted describe variations and show a
departure from the Contract requirements which City finds to be in the interest of
the City and to be so minor as not to involve a change in Contract Price or time for
performance, the City may return the reviewed drawings without noting an
exception.
5. Submittals will be returned to the Contractor under 1 of the following codes:
a. Code 1
1) "NO EXCEPTIONS TAKEN" is assigned when there are no notations or
comments on the submittal.
a) When returned under this code the Contractor may release the
equipment and/or material for manufacture.
b. Code 2
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised August 30, 2013
[BRIX BARBECUE]
[IPRC22-0051 ]
013300-6
DAP SUBMITTALS
Page 6 of 8
1) "EXCEPTIONS NOTED". This code is assigned when a confirmation of
the notations and comments IS NOT required by the Contractor.
a) The Contractor may release the equipment or material for manufacture;
however, all notations and comments must be incorporated into the
final product.
c. Code 3
1) "EXCEPTIONS NOTED/RESUBMIT". This combination of codes is
assigned when notations and comments are extensive enough to require a
resubmittal of the package.
a) The Contractor may release the equipment or material for manufacture;
however, all notations and comments must be incorporated into the
final product.
b) This resubmittal is to address all comments, omissions and
non -conforming items that were noted.
c) Resubmittal is to be received by the City within 15 Calendar Days of
the date of the City's transmittal requiring the resubmittal.
d. Code 4
1) "NOT APPROVED" is assigned when the submittal does not meet the
intent of the Contract Documents.
a) The Contractor must resubmit the entire package revised to bring the
submittal into conformance.
b) It may be necessary to resubmit using a different manufacturer/vendor
to meet the Contract Documents.
6. Resubmittals
a. Handled in the same manner as first submittals
1) Corrections other than requested by the City
2) Marked with revision triangle or other similar method
a) At Contractor's risk if not marked
b. Submittals for each item will be reviewed no more than twice at the City's
expense.
1) All subsequent reviews will be performed at times convenient to the City
and at the Contractor's expense, based on the City's or City
Representative's then prevailing rates.
2) Provide Contractor reimbursement to the City within 30 Calendar Days for
all such fees invoiced by the City.
c. The need for more than 1 resubmission or any other delay in obtaining City's
review of submittals, will not entitle the Contractor to an extension of Contract
Time.
7. Partial Submittals
a. City reserves the right to not review submittals deemed partial, at the City's
discretion.
b. Submittals deemed by the City to be not complete will be returned to the
Contractor, and will be considered "Not Approved" until resubmitted.
c. The City may at its option provide a list or mark the submittal directing the
Contractor to the areas that are incomplete.
8. If the Contractor considers any correction indicated on the shop drawings to
constitute a change to the Contract Documents, then written notice must be
provided thereof to the Developer at least 7 Calendar Days prior to release for
manufacture.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised August 30, 2013
[BRIX BARBECUE]
[IPRC22-0051 ]
013300-7
DAP SUBMITTALS
Page 7 of 8
9. When the shop drawings have been completed to the satisfaction of the City, the
Contractor may carry out the construction in accordance therewith and no further
changes therein except upon written instructions from the City.
10. Each submittal, appropriately coded, will be returned within 30 Calendar Days
following receipt of submittal by the City.
L. Mock ups
1. Mock Up units as specified in individual Sections, include, but are not necessarily
limited to, complete units of the standard of acceptance for that type of Work to be
used on the Project. Remove at the completion of the Work or when directed.
M. Qualifications
1. If specifically required in other Sections of these Specifications, submit a P.E.
Certification for each item required.
N. Request for Information (RFI)
1. Contractor Request for additional information
a. Clarification or interpretation of the contract documents
b. When the Contractor believes there is a conflict between Contract Documents
c. When the Contractor believes there is a conflict between the Drawings and
Specifications
1) Identify the conflict and request clarification
2. Sufficient information shall be attached to permit a written response without further
information.
1.5 SUBMITTALS [NOT USED]
1.6 ACTION SUBMITTALS/INFORMATIONAL SUBMITTALS [NOT USED]
1.7 CLOSEOUT SUBMITTALS [NOT USED]
1.8 MAINTENANCE MATERIAL SUBMITTALS [NOT USED]
1.9 QUALITY ASSURANCE [NOT USED]
1.10 DELIVERY, STORAGE, AND HANDLING [NOT USED]
1.11 FIELD [SITE] CONDITIONS [NOT USED]
1.12 WARRANTY [NOT USED]
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised August 30, 2013
[BRIX BARBECUE]
[IPRC22-0051 ]
013300-8
DAP SUBMITTALS
PART 2 - PRODUCTS [NOT USED]
PART 3 - EXECUTION [NOT USED]
END OF SECTION
Revision Log
DATE NAME SUMMARY OF CHANGE
12/20/2012 D. Johnson 1.4.K.8. Working Days modified to Calendar Days
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised August 30, 2013
Page 8 of 8
[BRIX BARBECUE]
[IPRC22-0051 ]
013513-1
DAP SPECIAL PROJECT PROCEDURES
Page 1 of 7
1 SECTION 0135 13
2 SPECIAL PROJECT PROCEDURES
3 [Text in Blue is for information or guidance. Remove all blue text in the final project document.]
4 PART 1 - GENERAL
5 1.1 SUMMARY
6 A. Section Includes:
7 1. The procedures for special project circumstances that includes, but is not limited to:
8 a. Coordination with the Texas Department of Transportation
9 b. Work near High Voltage Lines
10 c. Confined Space Entry Program
11 d. Air Pollution Watch Days
12 e. Use of Explosives, Drop Weight, Etc.
13 f. Water Department Notification
14 g. Public Notification Prior to Beginning Construction
15 h. Coordination with United States Army Corps of Engineers
16 i. Coordination within Railroad permits areas
17 j. Dust Control
18 k. Employee Parking
19 1. {Coordination with North Central Texas Council of Governments Clean
20 Construction Specification [remove if not required]}
21 B. Deviations from this City of Fort Worth Standard Specification
22 1. None.
23 C. Related Specification Sections include, but are not necessarily limited to:
24 1. Division 0 — Bidding Requirements, Contract Forms and Conditions of the Contract
25 2. Division 1 — General Requirements
26 3. Section 33 12 25 — Connection to Existing Water Mains
27
28 1.2 REFERENCES
29 A. Reference Standards
30 1. Reference standards cited in this Specification refer to the current reference
31 standard published at the time of the latest revision date logged at the end of this
32 Specification, unless a date is specifically cited.
33 2. Health and Safety Code, Title 9. Safety, Subtitle A. Public Safety, Chapter 752.
34 High Voltage Overhead Lines.
35 3. North Central Texas Council of Governments (NCTCOG) — Clean Construction
36 Specification
37 1.3 ADMINISTRATIVE REQUIREMENTS
38 A. Coordination with the Texas Department of Transportation
39 1. When work in the right-of-way which is under the jurisdiction of the Texas
40 Department of Transportation (TxDOT):
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised June 16, 2016
BRIX BARBECUE
IPRC22-0051
01 35 13 -2
DAP SPECIAL PROJECT PROCEDURES
Page 2 of 7
1 a. Notify the Texas Department of Transportation prior to commencing any work
2 therein in accordance with the provisions of the permit
3 b. All work performed in the TxDOT right-of-way shall be performed in
4 compliance with and subject to approval from the Texas Department of
5 Transportation
6 B. Work near High Voltage Lines
7 1. Regulatory Requirements
8 a. All Work near High Voltage Lines (more than 600 volts measured between
9 conductors or between a conductor and the ground) shall be in accordance with
10 Health and Safety Code, Title 9, Subtitle A, Chapter 752.
11 2. Warning sign
12 a. Provide sign of sufficient size meeting all OSHA requirements.
13 3. Equipment operating within 10 feet of high voltage lines will require the following
14 safety features
15 a. Insulating cage -type of guard about the boom or arm
16 b. Insulator links on the lift hook connections for back hoes or dippers
17 c. Equipment must meet the safety requirements as set forth by OSHA and the
18 safety requirements of the owner of the high voltage lines
19 4. Work within 6 feet of high voltage electric lines
20 a. Notification shall be given to:
21 1) The power company (example: ONCOR)
22 a) Maintain an accurate log of all such calls to power company and record
23 action taken in each case.
24 b. Coordination with power company
25 1) After notification coordinate with the power company to:
26 a) Erect temporary mechanical barriers, de -energize the lines, or raise or
27 lower the lines
28 c. No personnel may work within 6 feet of a high voltage line before the above
29 requirements have been met.
30 C. Confined Space Entry Program
31 1. Provide and follow approved Confined Space Entry Program in accordance with
32 OSHA requirements.
33 2. Confined Spaces include:
34 a. Manholes
35 b. All other confined spaces in accordance with OSHA's Permit Required for
36 Confined Spaces
37 D. Use of Explosives, Drop Weight, Etc.
38 1. When Contract Documents permit on the project the following will apply:
39 a. Public Notification
40 1) Submit notice to City and proof of adequate insurance coverage, 24 hours
41 prior to commencing.
42 2) Minimum 24 hour public notification in accordance with Section 01 31 13
43 E. Water Department Coordination
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised June 16, 2016
BRIX BARBECUE
IPRC22-0051
013513-3
DAP SPECIAL PROJECT PROCEDURES
Page 3 of 7
1 1. During the construction of this project, it will be necessary to deactivate, for a
2 period of time, existing lines. The Contractor shall be required to coordinate with
3 the Water Department to determine the best times for deactivating and activating
4 those lines.
5 2. Coordinate any event that will require connecting to or the operation of an existing
6 City water line system with the City's representative.
7 a. Coordination shall be in accordance with Section 33 12 25.
8 b. If needed, obtain a hydrant water meter from the Water Department for use
9 during the life of named project.
10 c. In the event that a water valve on an existing live system be turned off and on
11 to accommodate the construction of the project is required, coordinate this
12 activity through the appropriate City representative.
13 1) Do not operate water line valves of existing water system.
14 a) Failure to comply will render the Contractor in violation of Texas Penal
15 Code Title 7, Chapter 28.03 (Criminal Mischief) and the Contractor
16 will be prosecuted to the full extent of the law.
17 b) In addition, the Contractor will assume all liabilities and
18 responsibilities as a result of these actions.
19 F. Public Notification Prior to Beginning Construction
20 1. Prior to beginning construction on any block in the project, on a block by block
21 basis, prepare and deliver a notice or flyer of the pending construction to the front
22 door of each residence or business that will be impacted by construction. The notice
23 shall be prepared as follows:
24 a. Post notice or flyer 7 days prior to beginning any construction activity on each
25 block in the project area.
26 1) Prepare flyer on the Contractor's letterhead and include the following
27 information:
28 a) Name of Project
29 b) City Project No (CPN)
30 c) Scope of Project (i.e. type of construction activity)
31 d) Actual construction duration within the block
32 e) Name of the contractor's foreman and phone number
33 f) Name of the City's inspector and phone number
34 g) City's after-hours phone number
35 2) A sample of the `pre -construction notification' flyer is attached as Exhibit
36 A.
37 3) Submit schedule showing the construction start and finish time for each
38 block of the project to the inspector.
39 4) Deliver flyer to the City Inspector for review prior to distribution.
40 b. No construction will be allowed to begin on any block until the flyer is
41 delivered to all residents of the block.
42 G. Public Notification of Temporary Water Service Interruption during Construction
43 1. In the event it becomes necessary to temporarily shut down water service to
44 residents or businesses during construction, prepare and deliver a notice or flyer of
45 the pending interruption to the front door of each affected resident.
46 2. Prepared notice as follows:
47 a. The notification or flyer shall be posted 24 hours prior to the temporary
48 interruption.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised June 16, 2016
BRIX BARBECUE
IPRC22-0051
01 35 13 -4
DAP SPECIAL PROJECT PROCEDURES
Page 4 of 7
1 b. Prepare flyer on the contractor's letterhead and include the following
2 information:
3 1) Name of the project
4 2) City Project Number
5 3) Date of the interruption of service
6 4) Period the interruption will take place
7 5) Name of the contractor's foreman and phone number
8 6) Name of the City's inspector and phone number
9 c. A sample of the temporary water service interruption notification is attached as
10 Exhibit B.
11 d. Deliver a copy of the temporary interruption notification to the City inspector
12 for review prior to being distributed.
13 e. No interruption of water service can occur until the flyer has been delivered to
14 all affected residents and businesses.
15 f. Electronic versions of the sample flyers can be obtained from the Project
16 Construction Inspector.
17 H. Coordination with United States Army Corps of Engineers (USACE)
18 1. At locations in the Project where construction activities occur in areas where
19 USACE permits are required, meet all requirements set forth in each designated
20 permit.
21 I. Coordination within Railroad Permit Areas
22 1. At locations in the project where construction activities occur in areas where
23 railroad permits are required, meet all requirements set forth in each designated
24 railroad permit. This includes, but is not limited to, provisions for:
25 a. Flagmen
26 b. Inspectors
27 c. Safety training
28 d. Additional insurance
29 e. Insurance certificates
30 f. Other employees required to protect the right-of-way and property of the
31 Railroad Company from damage arising out of and/or from the construction of
32 the project. Proper utility clearance procedures shall be used in accordance
33 with the permit guidelines.
34 2. Obtain any supplemental information needed to comply with the railroad's
35 requirements.
36 J. Dust Control
37 1. Use acceptable measures to control dust at the Site.
38 a. If water is used to control dust, capture and properly dispose of waste water.
39 b. If wet saw cutting is performed, capture and properly dispose of slurry.
40 K. Employee Parking
41 1. Provide parking for employees at locations approved by the City.
42 L. {Coordination with North Central Texas Council of Governments (NCTCOG) Clean
43 Construction Specification [if required for the project]
44 1. Comply with equipment, operational, reporting and enforcement requirements set
45 forth in NCTCOG's Clean Construction Specification. }
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised June 16, 2016
BRIX BARBECUE
IPRC22-0051
013513-5
DAP SPECIAL PROJECT PROCEDURES
Page 5 of 7
1 1.4 SUBMITTALS [NOT USED]
2 1.5 ACTION SUBMITTALS/INFORMATIONAL SUBMITTALS [NOT USED]
3 1.6 CLOSEOUT SUBMITTALS [NOT USED]
4 1.7 MAINTENANCE MATERIAL SUBMITTALS [NOT USED]
5 1.8 QUALITY ASSURANCE [NOT USED]
6 1.9 DELIVERY, STORAGE, AND HANDLING [NOT USED]
7 1.10 FIELD [SITE] CONDITIONS [NOT USED]
8 1.11 WARRANTY [NOT USED]
9 PART 2 - PRODUCTS [NOT USED]
10 PART 3 - EXECUTION [NOT USED]
11 END OF SECTION
12
13
Revision Log
DATE NAME SUMMARY OF CHANGE
1.3.B — Added requirement of compliance with Health and Safety Code, Title 9.
8/31/2012 D. Johnson Safety, Subtitle A. Public Safety, Chapter 752. High Voltage Overhead Lines.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised June 16, 2016
BRIX BARBECUE
IPRC22-0051
013513-6
DAP SPECIAL PROJECT PROCEDURES
Page 6 of 7
1 EXHIBIT A
2 (To be printed on Contractor's Letterhead)
3
4
5
6 Date:
7
8 CPN No.:
9 Project Name:
10 Mapsco Location:
11 Limits of Construction:
12
13
14 NOTICE QF CQNST1VCTIQN
15
16
17 THIS IS TO INFORM YOU THAT UNDER A CONTRACT WITH THE CITY OF FORT
18 WORTH, OUR COMPANY WILL WORK ON UTILITY LINES ON OR AROUND YOUR
19 PROPERTY.
20
21 CONSTRUCTION WILL BEGIN APPROXIMATELY SEVEN DAYS FROM THE DATE
22 OF THIS NOTICE.
23
24 IF YOU HAVE QUESTIONS ABOUT ACCESS, SECURITY, SAFETY OR ANY OTHER
25 ISSUE, PLEASE CALL:
26
27
28 Mr. <CONTRACTOR'S SUPERINTENDENT> AT <TELEPHONE NO.>
29
30 OR
31
32 Mr. <CITY INSPECTOR> AT < TELEPHONE NO.>
33
34 AFTER 4:30 PM OR ON WEEKENDS, PLEASE CALL (817) 392 8306
35
36
37
PLEASE KEEP THIS FLYER HANDY WHEN YOU CALL
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised June 16, 2016
BRIX BARBECUE
IPRC22-0051
013513-7
DAP SPECIAL PROJECT PROCEDURES
1 EXHIBIT B
Date:
FORT WORTH
DOE NO. XXXX
Project Name:
NOTICE OF TEMPORARY WATER SERVICE
INTERRUPTION
DUE TO UTILITY IMPROVEMENTS IN YOUR NEIGHBORHOOD, YOUR
WATER SERVICE WILL BE INTERRUPTED ON
BETWEEN THE HOURS OF AND
IF YOU HAVE QUESTIONS ABOUT THIS SHUT -OUT, PLEASE CALL:
MR. AT
(CONTRACTORS SUPERINTENDENT) (TELEPHONE NUMBER)
OR
MR. AT
(CITY INSPECTOR) (TELEPHONE NUMBER)
THIS INCONVENIENCE WILL BE AS SHORT AS POSSIBLE.
THANK YOU,
,CONTRACTOR
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised June 16, 2016
Page 7 of 7
BRIX BARBECUE
IPRC22-0051
01 45 23
DAP TESTING AND INSPECTION SERVICES
SECTION 01 45 23
TESTING AND INSPECTION SERVICES
PART 1- GENERAL
1.1 SUMMARY
Page 1 of 2
A. Section Includes:
1. Testing and inspection services procedures and coordination
B. Deviations from this City of Fort Worth Standard Specification
1. None.
C. Related Specification Sections include, but are not necessarily limited to:
1. Division 0 — Bidding Requirements, Contract Forms and Conditions of the Contract
2. Division 1 — General Requirements
1.2 PRICE AND PAYMENT PROCEDURES
A. Measurement and Payment
1. Work associated with this Item is considered subsidiary to the various Items bid.
No separate payment will be allowed for this Item.
a. Contractor is responsible for performing, coordinating, and payment of all
Quality Control testing.
b. City is responsible for performing and payment for first set of Quality
Assurance testing.
1) If the first Quality Assurance test performed by the City fails, the
Contractor is responsible for payment of subsequent Quality Assurance
testing until a passing test occurs.
a) Final acceptance will not be issued by City until all required payments
for testing by Contractor have been paid in full.
1.3 REFERENCES [NOT USED]
1.4 ADMINISTRATIVE REQUIREMENTS
A. Testing
1. Complete testing in accordance with the Contract Documents.
2. Coordination
a. When testing is required to be performed by the City, notify City, sufficiently
in advance, when testing is needed.
b. When testing is required to be completed by the Contractor, notify City,
sufficiently in advance, that testing will be performed.
3. Distribution of Testing Reports
a. Electronic Distribution
1) Confirm development of Project directory for electronic submittals to be
uploaded to the City's document management system, or another form of
distribution approved by the City.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised March 20, 2020
[BRIX BARBECUE]
[IPRC22-0051 ]
01 45 23
DAP TESTING AND INSPECTION SERVICES
Page 2 of 2
2) Upload test reports to designated project directory and notify appropriate
City representatives via email of submittal posting.
3) Hard Copies
a) 1 copy for all submittals submitted to the Project Representative
b. Hard Copy Distribution (if required in lieu of electronic distribution)
1) Tests performed by City
a) Distribute 1 hard copy to the Contractor
2) Tests performed by the Contractor
a) Distribute 3 hard copies to City's Project Representative
4. Provide City's Project Representative with trip tickets for each delivered load of
Concrete or Lime material including the following information:
a. Name of pit
b. Date of delivery
c. Material delivered
B. Inspection
1. Inspection or lack of inspection does not relieve the Contractor from obligation to
perform work in accordance with the Contract Documents.
1.5 SUBMITTALS [NOT USED]
1.6 ACTION SUBMITTALS/INFORMATIONAL SUBMITTALS [NOT USED]
1.7 CLOSEOUT SUBMITTALS [NOT USED]
1.8 MAINTENANCE MATERIAL SUBMITTALS [NOT USED]
1.9 QUALITY ASSURANCE [NOT USED]
1.10 DELIVERY, STORAGE, AND HANDLING [NOT USED]
1.11 FIELD [SITE] CONDITIONS [NOT USED]
1.12 WARRANTY [NOT USED]
PART 2 - PRODUCTS [NOT USED]
PART 3 - EXECUTION [NOT USED]
END OF SECTION
Revision Log
DATE NAME SUMMARY OF CHANGE
03/20/2020 D.V. Magana
Removed reference to Buzzsaw and noted that electronic submittals be uploaded
through the City's document management system.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised March 20, 2020
[BRIX BARBECUE]
[IPRC22-005 1]
015000-1
DAP TEMPORARY FACILITIES AND CONTROLS
Page 1 of 4
SECTION 01 50 00
TEMPORARY FACILITIES AND CONTROLS
PART 1- GENERAL
1.1 SUMMARY
A. Section Includes:
1. Provide temporary facilities and controls needed for the Work including, but not
necessarily limited to:
a. Temporary utilities
b. Sanitary facilities
c. Storage Sheds and Buildings
d. Dust control
e. Temporary fencing of the construction site
B. Deviations from this City of Fort Worth Standard Specification
1. None.
C. Related Specification Sections include, but are not necessarily limited to:
1. Division 0 — Bidding Requirements, Contract Forms and Conditions of the Contract
2. Division 1 — General Requirements
1.2 PRICE AND PAYMENT PROCEDURES
A. Measurement and Payment
1. Work associated with this Item is considered subsidiary to the various Items bid.
No separate payment will be allowed for this Item.
1.3 REFERENCES [NOT USED]
1.4 ADMINISTRATIVE REQUIREMENTS
A. Temporary Utilities
1. Obtaining Temporary Service
a. Make arrangements with utility service companies for temporary services.
b. Abide by rules and regulations of utility service companies or authorities
having jurisdiction.
c. Be responsible for utility service costs until Work is approved for Final
Acceptance.
1) Included are fuel, power, light, heat and other utility services necessary for
execution, completion, testing and initial operation of Work.
2. Water
a. Contractor to provide water required for and in connection with Work to be
performed and for specified tests of piping, equipment, devices or other use as
required for the completion of the Work.
b. Provide and maintain adequate supply of potable water for domestic
consumption by Contractor personnel and City's Project Representatives.
c. Coordination
1) Contact City 1 week before water for construction is desired
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised June 16, 2016
BRIX BARBECUE
IPRC22-0051
015000-2
DAP TEMPORARY FACILITIES AND CONTROLS
Page 2 of 4
d. Contractor Payment for Construction Water
1) Obtain construction water meter from City for payment as billed by City's
established rates.
3. Electricity and Lighting
a. Provide and pay for electric powered service as required for Work, including
testing of Work.
1) Provide power for lighting, operation of equipment, or other use.
b. Electric power service includes temporary power service or generator to
maintain operations during scheduled shutdown.
4. Telephone
a. Provide emergency telephone service at Site for use by Contractor personnel
and others performing work or furnishing services at Site.
5. Temporary Heat and Ventilation
a. Provide temporary heat as necessary for protection or completion of Work.
b. Provide temporary heat and ventilation to assure safe working conditions.
B. Sanitary Facilities
1. Provide and maintain sanitary facilities for persons on Site.
a. Comply with regulations of State and local departments of health.
2. Enforce use of sanitary facilities by construction personnel at job site.
a. Enclose and anchor sanitary facilities.
b. No discharge will be allowed from these facilities.
c. Collect and store sewage and waste so as not to cause nuisance or health
problem.
d. Haul sewage and waste off -site at no less than weekly intervals and properly
dispose in accordance with applicable regulation.
3. Locate facilities near Work Site and keep clean and maintained throughout Project.
4. Remove facilities at completion of Project
C. Storage Sheds and Buildings
1. Provide adequately ventilated, watertight, weatherproof storage facilities with floor
above ground level for materials and equipment susceptible to weather damage.
2. Storage of materials not susceptible to weather damage may be on blocks off
ground.
3. Store materials in a neat and orderly manner.
a. Place materials and equipment to permit easy access for identification,
inspection and inventory.
4. Equip building with lockable doors and lighting, and provide electrical service for
equipment space heaters and heating or ventilation as necessary to provide storage
environments acceptable to specified manufacturers.
5. Fill and grade site for temporary structures to provide drainage away from
temporary and existing buildings.
6. Remove building from site prior to Final Acceptance.
D. Temporary Fencing
1. Provide and maintain for the duration or construction when required in contract
documents
E. Dust Control
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised June 16, 2016
BRIX BARBECUE
IPRC22-0051
015000-3
DAP TEMPORARY FACILITIES AND CONTROLS
Page 3 of 4
1. Contractor is responsible for maintaining dust control through the duration of the
project.
a. Contractor remains on -call at all times
b. Must respond in a timely manner
F. Temporary Protection of Construction
1. Contractor or subcontractors are responsible for protecting Work from damage due
to weather.
1.5 SUBMITTALS [NOT USED]
1.6 ACTION SUBMITTALS/INFORMATIONAL SUBMITTALS [NOT USED]
1.7 CLOSEOUT SUBMITTALS [NOT USED]
1.8 MAINTENANCE MATERIAL SUBMITTALS [NOT USED]
1.9 QUALITY ASSURANCE [NOT USED]
1.10 DELIVERY, STORAGE, AND HANDLING [NOT USED]
1.11 FIELD [SITE] CONDITIONS [NOT USED]
1.12 WARRANTY [NOT USED]
PART 2 - PRODUCTS [NOT USED]
PART 3 - EXECUTION [NOT USED]
3.1 INSTALLERS [NOT USED]
3.2 EXAMINATION [NOT USED]
3.3 PREPARATION [NOT USED]
3.4 INSTALLATION
A. Temporary Facilities
1. Maintain all temporary facilities for duration of construction activities as needed.
3.5 [REPAIR] / [RESTORATION]
3.6 RE -INSTALLATION
3.7 FIELD [oR] SITE QUALITY CONTROL [NOT USED]
3.8 SYSTEM STARTUP [NOT USED]
3.9 ADJUSTING [NOT USED]
3.10 CLEANING [NOT USED]
3.11 CLOSEOUT ACTIVITIES
A. Temporary Facilities
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised June 16, 2016
BRIX BARBECUE
IPRC22-0051
01 50 00 - 4
DAP TEMPORARY FACILITIES AND CONTROLS
Page 4 of 4
1. Remove all temporary facilities and restore area after completion of the Work, to a
condition equal to or better than prior to start of Work.
3.12 PROTECTION [NOT USED]
3.13 MAINTENANCE [NOT USED]
3.14 ATTACHMENTS [NOT USED]
END OF SECTION
Revision Log
DATE NAME SUMMARY OF CHANGE
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised June 16, 2016
BRIX BARBECUE
IPRC22-0051
015526-1
DAP STREET USE PERMIT AND MODIFICATIONS TO TRAFFIC CONTROL
Page 1 of 3
SECTION 01 55 26
STREET USE PERMIT AND MODIFICATIONS TO TRAFFIC CONTROL
PART 1- GENERAL
1.1 SUMMARY
A. Section Includes:
1. Administrative procedures for:
a. Street Use Permit
b. Modification of approved traffic control
c. Removal of Street Signs
B. Deviations from this City of Fort Worth Standard Specification
1. None.
C. Related Specification Sections include, but are not necessarily limited to:
1. Division 0 — Bidding Requirements, Contract Forms and Conditions of the Contract
2. Division 1 — General Requirements
3. Section 34 71 13 — Traffic Control
1.2 PRICE AND PAYMENT PROCEDURES
A. Measurement and Payment
1. Work associated with this Item is considered subsidiary to the various Items bid.
No separate payment will be allowed for this Item.
1.3 REFERENCES
A. Reference Standards
1. Reference standards cited in this specification refer to the current reference standard
published at the time of the latest revision date logged at the end of this
specification, unless a date is specifically cited.
2. Texas Manual on Uniform Traffic Control Devices (TMUTCD).
1.4 ADMINISTRATIVE REQUIREMENTS
A. Traffic Control
1. General
a. When traffic control plans are included in the Drawings, provide Traffic
Control in accordance with Drawings and Section 34 71 13.
b. When traffic control plans are not included in the Drawings, prepare traffic
control plans in accordance with Section 34 71 13 and submit to City for
review.
1) Allow minimum 10 working days for review of proposed Traffic Control.
B. Street Use Permit
1. Prior to installation of Traffic Control, a City Street Use Permit is required.
a. To obtain Street Use Permit, submit Traffic Control Plans to City
Transportation and Public Works Department.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised July 1, 2011
[BRIX BARBECUE]
[IPRC22-0051 ]
015526-2
DAP STREET USE PERMIT AND MODIFICATIONS TO TRAFFIC CONTROL
Page 2 of 3
1) Allow a minimum of 5 working days for permit review.
2) Contractor's responsibility to coordinate review of Traffic Control plans for
Street Use Permit, such that construction is not delayed.
C. Modification to Approved Traffic Control
1. Prior to installation traffic control:
a. Submit revised traffic control plans to City Department Transportation and
Public Works Department.
1) Revise Traffic Control plans in accordance with Section 34 71 13.
2) Allow minimum 5 working days for review of revised Traffic Control.
3) It is the Contractor's responsibility to coordinate review of Traffic Control
plans for Street Use Permit, such that construction is not delayed.
D. Removal of Street Sign
1. If it is determined that a street sign must be removed for construction, then contact
City Transportation and Public Works Department, Signs and Markings Division to
remove the sign.
E. Temporary Signage
1. In the case of regulatory signs, replace permanent sign with temporary sign meeting
requirements of the latest edition of the Texas Manual on Uniform Traffic Control
Devices (MUTCD).
2. Install temporary sign before the removal of permanent sign.
3. When construction is complete, to the extent that the permanent sign can be
reinstalled, contact the City Transportation and Public Works Department, Signs
and Markings Division, to reinstall the permanent sign.
F. Traffic Control Standards
1. Traffic Control Standards can be found on the City's Buzzsaw website.
1.5 SUBMITTALS [NOT USED]
1.6 ACTION SUBMITTALS/INFORMATIONAL SUBMITTALS [NOT USED]
1.7 CLOSEOUT SUBMITTALS [NOT USED]
1.8 MAINTENANCE MATERIAL SUBMITTALS [NOT USED]
1.9 QUALITY ASSURANCE [NOT USED]
1.10 DELIVERY, STORAGE, AND HANDLING [NOT USED]
1.11 FIELD [SITE] CONDITIONS [NOT USED]
1.12 WARRANTY [NOT USED]
PART 2 - PRODUCTS [NOT USED]
PART 3 - EXECUTION [NOT USED]
END OF SECTION
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised July 1, 2011
[BRIX BARBECUE]
[IPRC22-0051 ]
015526-3
DAP STREET USE PERMIT AND MODIFICATIONS TO TRAFFIC CONTROL
Revision Log
DATE NAME SUMMARY OF CHANGE
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised July 1, 2011
Page 3 of 3
[BRIX BARBECUE]
[IPRC22-0051 ]
015713-1
DAP STORM WATER POLLUTION PREVENTION
Page 1 of 3
SECTION 01 57 13
STORM WATER POLLUTION PREVENTION
PART 1- GENERAL
1.1 SUMMARY
A. Section Includes:
1. Procedures for Storm Water Pollution Prevention Plans
B. Deviations from this City of Fort Worth Standard Specification
1. None.
C. Related Specification Sections include, but are not necessarily limited to:
1. Division 0 — Bidding Requirements, Contract Forms and Conditions of the
Contract
2. Division 1 — General Requirements
3. Section 31 25 00 — Erosion and Sediment Control
1.2 PRICE AND PAYMENT PROCEDURES
A. Measurement and Payment
1. Construction Activities resulting in less than 1 acre of disturbance
a. Work associated with this Item is considered subsidiary to the various Items
bid. No separate payment will be allowed for this Item.
2. Construction Activities resulting in greater than 1 acre of disturbance
a. Measurement and Payment shall be in accordance with Section 31 25 00.
1.3 REFERENCES
A. Abbreviations and Acronyms
1. Notice of Intent: NOI
2. Notice of Termination: NOT
3. Storm Water Pollution Prevention Plan: SWPPP
4. Texas Commission on Environmental Quality: TCEQ
5. Notice of Change: NOC
A. Reference Standards
1. Reference standards cited in this Specification refer to the current reference
standard published at the time of the latest revision date logged at the end of this
Specification, unless a date is specifically cited.
2. Integrated Storm Management (iSWM) Technical Manual for Construction
Controls
1.4 ADMINISTRATIVE REQUIREMENTS
A. General
1. Contractor is responsible for resolution and payment of any fines issued associated
with compliance to Stormwater Pollution Prevention Plan.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised July 1, 2011
[BRIX BARBECUE]
[IPRC22-0051 ]
01 57 13 - 2
DAP STORM WATER POLLUTION PREVENTION
Page 2 of 3
B. Construction Activities resulting in:
1. Less than 1 acre of disturbance
a. Provide erosion and sediment control in accordance with Section 31 25 00 and
Drawings.
2. 1 to less than 5 acres of disturbance
a. Texas Pollutant Discharge Elimination System (TPDES) General Construction
Permit is required
b. Complete SWPPP in accordance with TCEQ requirements
1) TCEQ Small Construction Site Notice Required under general permit
TXR150000
a) Sign and post at job site
b) Prior to Preconstruction Meeting, send 1 copy to City Department of
Transportation and Public Works, Environmental Division, (817) 392-
6088.
2) Provide erosion and sediment control in accordance with:
a) Section 31 25 00
b) The Drawings
c) TXR150000 General Permit
d) SWPPP
e) TCEQ requirements
3. 5 acres or more of Disturbance
a. Texas Pollutant Discharge Elimination System (TPDES) General Construction
Permit is required
b. Complete SWPPP in accordance with TCEQ requirements
1) Prepare a TCEQ NOI form and submit to TCEQ along with required fee
a) Sign and post at job site
b) Send copy to City Depaitiiient of Transportation and Public Works,
Environmental Division, (817) 392-6088.
2) TCEQ Notice of Change required if making changes or updates to NOI
3) Provide erosion and sediment control in accordance with:
a) Section 31 25 00
b) The Drawings
c) TXR150000 General Permit
d) SWPPP
e) TCEQ requirements
4) Once the project has been completed and all the closeout requirements of
TCEQ have been met a TCEQ Notice of Termination can be submitted.
a) Send copy to City Department of Transportation and Public Works,
Environmental Division, (817) 392-6088.
1.5 SUBMITTALS
A. SWPPP
1. Submit in accordance with Section 01 33 00, except as stated herein.
a. Prior to the Preconstruction Meeting, submit a draft copy of SWPPP to the City
as follows:
1) 1 copy to the City Project Manager
a) City Project Manager will forward to the City Department of
Transportation and Public Works, Environmental Division for review
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised July 1, 2011
[BRIX BARBECUE]
[IPRC22-0051 ]
015713-3
DAP STORM WATER POLLUTION PREVENTION
Page 3 of 3
B. Modified SWPPP
1. If the SWPPP is revised during construction, resubmit modified SWPPP to the City
in accordance with Section 01 33 00.
1.6 ACTION SUBMITTALS/INFORMATIONAL SUBMITTALS [NOT USED]
1.7 CLOSEOUT SUBMITTALS [NOT USED]
1.8 MAINTENANCE MATERIAL SUBMITTALS [NOT USED]
1.9 QUALITY ASSURANCE [NOT USED]
1.10 DELIVERY, STORAGE, AND HANDLING [NOT USED]
1.11 FIELD [SITE] CONDITIONS [NOT USED]
1.12 WARRANTY [NOT USED]
PART 2 - PRODUCTS [NOT USED]
PART 3 - EXECUTION [NOT USED]
END OF SECTION
Revision Log
DATE NAME SUMMARY OF CHANGE
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised July 1, 2011
[BRIX BARBECUE]
[IPRC22-0051 ]
016600-1
DAP PRODUCT STORAGE AND HANDLING REQUIREMENTS
Page 1 of 4
SECTION 01 66 00
PRODUCT STORAGE AND HANDLING REQUIREMENTS
PART 1- GENERAL
1.1 SUMMARY
A. Section Includes:
1. Scheduling of product delivery
2. Packaging of products for delivery
3. Protection of products against damage from:
a. Handling
b. Exposure to elements or harsh environments
B. Deviations from this City of Fort Worth Standard Specification
1. None.
C. Related Specification Sections include, but are not necessarily limited to:
1. Division 0 — Bidding Requirements, Contract Forms and Conditions of the Contract
2. Division 1 — General Requirements
1.2 PRICE AND PAYMENT PROCEDURES
A. Measurement and Payment
1. Work associated with this Item is considered subsidiary to the various Items bid.
No separate payment will be allowed for this Item.
1.3 REFERENCES [NOT USED]
1.4 ADMINISTRATIVE REQUIREMENTS [NOT USED]
1.5 SUBMITTALS [NOT USED]
1.6 ACTION SUBMITTALS/INFORMATIONAL SUBMITTALS [NOT USED]
1.7 CLOSEOUT SUBMITTALS [NOT USED]
1.8 MAINTENANCE MATERIAL SUBMITTALS [NOT USED]
1.9 QUALITY ASSURANCE [NOT USED]
1.10 DELIVERY AND HANDLING
A. Delivery Requirements
1. Schedule delivery of products or equipment as required to allow timely installation
and to avoid prolonged storage.
2. Provide appropriate personnel and equipment to receive deliveries.
3. Delivery trucks will not be permitted to wait extended periods of time on the Site
for personnel or equipment to receive the delivery.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised June 16, 2016
BRIX BARBECUE
IPRC22-0051
SECTION 01 60 00
PRODUCT REQUIREMENTS
PART 1- GENERAL
1.1 SUMMARY
01 60 00
DAP PRODUCT REQUIREMENTS
Page 1 of 2
A. Section Includes:
1. References for Product Requirements and City Standard Products List
B. Deviations from this City of Fort Worth Standard Specification
1. None.
C. Related Specification Sections include, but are not necessarily limited to:
1. Division 0 — Bidding Requirements, Contract Forms and Conditions of the Contract
2. Division 1 — General Requirements
1.2 PRICE AND PAYMENT PROCEDURES [NOT USED]
1.3 REFERENCES [NOT USED]
1.4 ADMINISTRATIVE REQUIREMENTS
A list of City approved products for use is available through the City's website at:
https://apes.fortworthtexas.2ov/ProiectResources/ and following the directory
path: 02 - Construction Documents\Standard Products List
A. Only products specifically included on City's Standard Product List in these Contract
Documents shall be allowed for use on the Project.
1. Any subsequently approved products will only be allowed for use upon specific
approval by the City.
B. Any specific product requirements in the Contract Documents supersede similar
products included on the City's Standard Product List.
1. The City reserves the right to not allow products to be used for certain projects even
though the product is listed on the City's Standard Product List.
C. Although a specific product is included on City's Standard Product List, not all
products from that manufacturer are approved for use, including but not limited to, that
manufacturer's standard product.
D. See Section 01 33 00 for submittal requirements of Product Data included on City's
Standard Product List.
1.5 SUBMITTALS [NOT USED]
1.6 ACTION SUBMITTALS/INFORMATIONAL SUBMITTALS [NOT USED]
1.7 CLOSEOUT SUBMITTALS [NOT USED]
1.8 MAINTENANCE MATERIAL SUBMITTALS [NOT USED]
1.9 QUALITY ASSURANCE [NOT USED]
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised March 20, 2020
[BRIX BARBECUE]
[IPRC22-005 1]
01 60 00
DAP PRODUCT REQUIREMENTS
Page 2 of 2
1.10 DELIVERY, STORAGE, AND HANDLING [NOT USED]
1.11 FIELD [SITE] CONDITIONS [NOT USED]
1.12 WARRANTY [NOT USED]
PART 2 - PRODUCTS [NOT USED]
PART 3 - EXECUTION [NOT USED]
END OF SECTION
Revision Log
DATE NAME SUMMARY OF CHANGE
10/12/12 D. Johnson Modified Location of City's Standard Product List
4/7/2014 M.Domenech Revised for DAP application
03/20/2020 D.V. Magafia Removed reference to Buzzsaw and noted that the City approved products list is
accessible through the City's website.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised March 20, 2020
[BRIX BARBECUE]
[IPRC22-005 1]
016600-2
DAP PRODUCT STORAGE AND HANDLING REQUIREMENTS
Page 2 of 4
4. Deliver products or equipment in manufacturer's original unbroken cartons or other
containers designed and constructed to protect the contents from physical or
environmental damage.
5. Clearly and fully mark and identify as to manufacturer, item and installation
location.
6. Provide manufacturer's instructions for storage and handling.
B. Handling Requirements
1. Handle products or equipment in accordance with these Contract Documents and
manufacturer's recommendations and instructions.
C. Storage Requirements
1. Store materials in accordance with manufacturer's recommendations and
requirements of these Specifications.
2. Make necessary provisions for safe storage of materials and equipment.
a. Place loose soil materials and materials to be incorporated into Work to prevent
damage to any part of Work or existing facilities and to maintain free access at
all times to all parts of Work and to utility service company installations in
vicinity of Work.
3. Keep materials and equipment neatly and compactly stored in locations that will
cause minimum inconvenience to other contractors, public travel, adjoining owners,
tenants and occupants.
a. Arrange storage to provide easy access for inspection.
4. Restrict storage to areas available on construction site for storage of material and
equipment as shown on Drawings, or approved by City's Project Representative.
5. Provide off -site storage and protection when on -site storage is not adequate.
a. Provide addresses of and access to off -site storage locations for inspection by
City's Project Representative.
6. Do not use lawns, grass plots or other private property for storage purposes without
written permission of owner or other person in possession or control of premises.
7. Store in manufacturers' unopened containers.
8. Neatly, safely and compactly stack materials delivered and stored along line of
Work to avoid inconvenience and damage to property owners and general public
and maintain at least 3 feet from fire hydrant.
9. Keep public and private driveways and street crossings open.
10. Repair or replace damaged lawns, sidewalks, streets or other improvements to
satisfaction of City's Project Representative.
a. Total length which materials may be distributed along route of construction at
one time is 1,000 linear feet, unless otherwise approved in writing by City's
Project Representative.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised June 16, 2016
BRIX BARBECUE
IPRC22-0051
016600-3
DAP PRODUCT STORAGE AND HANDLING REQUIREMENTS
Page 3 of 4
1.11 FIELD [SITE] CONDITIONS [NOT USED]
1.12 WARRANTY [NOT USED]
PART 2 - PRODUCTS [NOT USED]
PART 3 - EXECUTION
3.1 INSTALLERS [NOT USED]
3.2 EXAMINATION [NOT USED]
3.3 PREPARATION [NOT USED]
3.4 ERECTION [NOT USED]
3.5 REPAIR / RESTORATION [NOT USED]
3.6 RE -INSTALLATION [NOT USED]
3.7 FIELD LOR] SITE QUALITY CONTROL
A. Tests and Inspections
1. Inspect all products or equipment delivered to the site prior to unloading.
B. Non -Conforming Work
1. Reject all products or equipment that are damaged, used or in any other way
unsatisfactory for use on the project.
3.8 SYSTEM STARTUP [NOT USED]
3.9 ADJUSTING [NOT USED]
3.10 CLEANING [NOT USED]
3.11 CLOSEOUT ACTIVITIES [NOT USED]
3.12 PROTECTION
A. Protect all products or equipment in accordance with manufacturer's written directions.
B. Store products or equipment in location to avoid physical damage to items while in
storage.
C. Protect equipment from exposure to elements and keep thoroughly dry if required by
the manufacturer.
3.13 MAINTENANCE [NOT USED]
3.14 ATTACHMENTS [NOT USED]
END OF SECTION
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised June 16, 2016
BRIX BARBECUE
IPRC22-0051
01 66 00 - 4
DAP PRODUCT STORAGE AND HANDLING REQUIREMENTS
Page 4 of 4
Revision Log
DATE NAME SUMMARY OF CHANGE
4/7/2014 M.Domenech Revised for DAP application
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised June 16, 2016
BRIX BARBECUE
IPRC22-0051
017000-1
DAP MOBILIZATION AND REMOBILIZATION
SECTION 01 70 00
MOBILIZATION AND REMOBILIZATION
PART 1- GENERAL
1.1 SUMMARY
Page 1 of 4
A. Section Includes:
1. Mobilization and Demobilization
a. Mobilization
1) Transportation of Contractor's personnel, equipment, and operating supplies
to the Site
2) Establishment of necessary general facilities for the Contractor's operation
at the Site
3) Premiums paid for performance and payment bonds
4) Transportation of Contractor's personnel, equipment, and operating supplies
to another location within the designated Site
5) Relocation of necessary general facilities for the Contractor's operation
from 1 location to another location on the Site.
b. Demobilization
1) Transportation of Contractor's personnel, equipment, and operating supplies
away from the Site including disassembly
2) Site Clean-up
3) Removal of all buildings and/or other facilities assembled at the Site for this
Contract
c. Mobilization and Demobilization do not include activities for specific items of
work that are for which payment is provided elsewhere in the contract.
2. Remobilization
a. Remobilization for Suspension of Work specifically required in the Contract
Documents or as required by City includes:
1) Demobilization
a) Transportation of Contractor's personnel, equipment, and operating
supplies from the Site including disassembly or temporarily securing
equipment, supplies, and other facilities as designated by the Contract
Documents necessary to suspend the Work.
b) Site Clean-up as designated in the Contract Documents
2) Remobilization
a) Transportation of Contractor's personnel, equipment, and operating
supplies to the Site necessary to resume the Work.
b) Establishment of necessary general facilities for the Contractor's
operation at the Site necessary to resume the Work.
3) No Payments will be made for:
a) Mobilization and Demobilization from one location to another on the
Site in the normal progress of performing the Work.
b) Stand-by or idle time
c) Lost profits
3. Mobilizations and Demobilization for Miscellaneous Projects
a. Mobilization and Demobilization
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised April 7, 2014
[Insert Project Name]
[Insert Project Number]
01 70 00 - 2
DAP MOBILIZATION AND REMOBILIZATION
Page 2 of 4
1) Mobilization shall consist of the activities and cost on a Work Order basis
necessary for:
a) Transportation of Contractor's personnel, equipment, and operating
supplies to the Site for the issued Work Order.
b) Establishment of necessary general facilities for the Contractor's
operation at the Site for the issued Work Order
2) Demobilization shall consist of the activities and cost necessary for:
a) Transportation of Contractor's personnel, equipment, and operating
supplies from the Site including disassembly for each issued Work
Order
b) Site Clean-up for each issued Work Order
c) Removal of all buildings or other facilities assembled at the Site for
each Work Oder
b. Mobilization and Demobilization do not include activities for specific items of
work for which payment is provided elsewhere in the contract.
4. Emergency Mobilizations and Demobilization for Miscellaneous Projects
a. A Mobilization for Miscellaneous Projects when directed by the City and the
mobilization occurs within 24 hours of the issuance of the Work Order.
B. Deviations from this City of Fort Worth Standard Specification
1. None.
C. Related Specification Sections include, but are not necessarily limited to:
1. Division 0 — Bidding Requirements, Contract Forms and Conditions of the Contract
2. Division 1 — General Requirements
1.2 PRICE AND PAYMENT PROCEDURES
A. Measurement and Payment
1. Mobilization and Demobilization
a. Measure
1) This Item is considered subsidiary to the various Items bid.
b. Payment
1) The work performed and materials furnished in accordance with this Item
are subsidiary to the various Items bid and no other compensation will be
allowed.
2. Remobilization for suspension of Work as specifically required in the Contract
Documents
a. Measurement
1) Measurement for this Item shall be per each remobilization performed.
b. Payment
1) The work performed and materials furnished in accordance with this Item
and measured as provided under "Measurement" will be paid for at the unit
price per each "Specified Remobilization" in accordance with Contract
Documents.
c. The price shall include:
1) Demobilization as described in Section 1.1.A.2.a.1)
2) Remobilization as described in Section 1.1.A.2.a.2)
d. No payments will be made for standby, idle time, or lost profits associated this
Item.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised April 7, 2014
BRIX BARBECUE
IPRC22-005 1
017000-3
DAP MOBILIZATION AND REMOBILIZATION
Page 3 of 4
3. Remobilization for suspension of Work as required by City
a. Measurement and Payment
1) This shall be submitted as a Contract Claim in accordance with Article 10
of Section 00 72 00.
2) No payments will be made for standby, idle time, or lost profits associated
with this Item.
4. Mobilizations and Demobilizations for Miscellaneous Projects
a. Measurement
1) Measurement for this Item shall be for each Mobilization and
Demobilization required by the Contract Documents
b. Payment
1) The Work performed and materials furnished in accordance with this Item
and measured as provided under "Measurement" will be paid for at the unit
price per each "Work Order Mobilization" in accordance with Contract
Documents. Demobilization shall be considered subsidiary to mobilization
and shall not be paid for separately.
c. The price shall include:
1) Mobilization as described in Section 1.1.A.3.a.1)
2) Demobilization as described in Section 1.1.A.3.a.2)
d. No payments will be made for standby, idle time, or lost profits associated this
Item.
5. Emergency Mobilizations and Demobilizations for Miscellaneous Projects
a. Measurement
1) Measurement for this Item shall be for each Mobilization and
Demobilization required by the Contract Documents
b. Payment
1) The Work performed and materials furnished in accordance with this Item
and measured as provided under "Measurement" will be paid for at the unit
price per each "Work Order Emergency Mobilization" in accordance with
Contract Documents. Demobilization shall be considered subsidiary to
mobilization and shall not be paid for separately.
c. The price shall include
1) Mobilization as described in Section 1.1.A.4.a)
2) Demobilization as described in Section 1.1.A.3.a.2)
d. No payments will be made for standby, idle time, or lost profits associated this
Item.
1.3 REFERENCES [NOT USED]
1.4 ADMINISTRATIVE REQUIREMENTS [NOT USED]
1.5 SUBMITTALS [NOT USED]
1.6 INFORMATIONAL SUBMITTALS [NOT USED]
1.7 CLOSEOUT SUBMITTALS [NOT USED]
1.8 MAINTENANCE MATERIAL SUBMITTALS [NOT USED]
1.9 QUALITY ASSURANCE [NOT USED]
1.10 DELIVERY, STORAGE, AND HANDLING [NOT USED]
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised April 7, 2014
BRIX BARBECUE
IPRC22-005 1
01 70 00 - 4
DAP MOBILIZATION AND REMOBILIZATION
1.11 FIELD [SITE] CONDITIONS [NOT USED]
1.12 WARRANTY [NOT USED]
PART 2 - PRODUCTS [NOT USED]
PART 3 - EXECUTION [NOT USED]
END OF SECTION
Revision Log
DATE NAME SUMMARY OF CHANGE
4/7/2014 M.Domenech Revised for DAP application
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised April 7, 2014
Page 4 of 4
BRIX BARBECUE
IPRC22-005 1
1
2
3 PART 1 - GENERAL
4 1.1 SUMMARY
017123-1
CONSTRUCTION STAKING AND SURVEY
Page 1 of 7
SECTION 01 71 23
CONSTRUCTION STAKING AND SURVEY
5 A. Section Includes:
6 1. Requirements for construction staking and construction survey
7 B. Deviations from this City of Fort Worth Standard Specification
8 1. See Changes (Highlighted in Yellow).
9 C. Related Specification Sections include, but are not necessarily limited to:
10 1. Division 0 — Bidding Requirements, Contract Forms and Conditions of the Contract
11 2. Division 1 — General Requirements
12 1.2 PRICE AND PAYMENT PROCEDURES
13 A. Measurement and Payment
14 1. Construction Staking
15 a. Measurement
16 1) This Item is considered subsidiary to the various Items bid.
17 b. Payment
18 1) The work performed and the materials furnished in accordance with this
19 Item are subsidiary to the various Items bid and no other compensation will
20 be allowed.
21 2. Construction Survey
22 a. Measurement
23 1) This Item is considered subsidiary to the various Items bid.
24 b. Payment
25 1) The work performed and the materials furnished in accordance with this
26 Item are subsidiary to the various Items bid and no other compensation will be
27 allowed.
28 3. As -Built Survey
29 a. Measurement
30 1) This Item is considered subsidiary to the various Items bid.
31 b. Payment
32 1) The work performed and the materials furnished in accordance with this
33 Item are subsidiary to the various Items bid and no other compensation will be
34 allowed.
35 1.3 REFERENCES
36 A. Definitions
37 1. Construction Survey - The survey measurements made prior to or while
38 construction is in progress to control elevation, horizontal position, dimensions and
39 configuration of structures/improvements included in the Project Drawings.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised February 14, 2018
BRIX BARBECUE
IPRC22-0051
01 71 23 - 2
CONSTRUCTION STAKING AND SURVEY
Page 2 of 7
1 2. As -built Survey —The measurements made after the construction of the
2 improvement features are complete to provide position coordinates for the features
3 of a project.
4 3. Construction Staking — The placement of stakes and markings to provide offsets
5 and elevations to cut and fill in order to locate on the ground the designed
6 structures/improvements included in the Project Drawings. Construction staking
7 shall include staking easements and/or right of way if indicated on the plans.
8 4. Survey "Field Checks" — Measurements made after construction staking is
9 completed and before construction work begins to ensure that structures marked on
10 the ground are accurately located per Project Drawings.
11 B. Technical References
12 1. City of Fort Worth — Construction Staking Standards (available on City's Buzzsaw
13 website) — 01 71 23.16.01_ Attachment A_Survey Staking Standards
14 2. City of Fort Worth - Standard Survey Data Collector Library (fxl) files (available
15 on City's Buzzsaw website).
16 3. Texas Department of Transportation (TxDOT) Survey Manual, latest revision
17 4. Texas Society of Professional Land Surveyors (TSPS), Manual of Practice for Land
18 Surveying in the State of Texas, Category 5
19
20 1.4 ADMINISTRATIVE REQUIREMENTS
21 A. The Contractor's selection of a surveyor must comply with Texas Government
22 Code 2254 (qualifications based selection) for this project.
23 1.5 SUBMITTALS
24 A. Submittals, if required, shall be in accordance with Section 01 33 00.
25 B. All submittals shall be received and reviewed by the City prior to delivery of work.
26 1.6 ACTION SUBMITTALS/INFORMATIONAL SUBMITTALS
27 A. Field Quality Control Submittals
28 1. Documentation verifying accuracy of field engineering work, including coordinate
29 conversions if plans do not indicate grid or ground coordinates.
30 2. Submit "Cut -Sheets" conforming to the standard template provided by the City
31 (refer to 01 71 23.16.01 — Attachment A — Survey Staking Standards).
32 1.7 CLOSEOUT SUBMITTALS
33 B. As -built Redline Drawing Submittal
34 1. Submit As -Built Survey Redline Drawings documenting the locations/elevations of
35 constructed improvements signed and sealed by Registered Professional Land
36 Surveyor (RPLS) responsible for the work (refer to 01 71 23.16.01 — Attachment A
37 — Survey Staking Standards) .
38 2. Contractor shall submit the proposed as -built and completed redline drawing
39 submittal one (1) week prior to scheduling the project final inspection for City
40 review and comment. Revisions, if necessary, shall be made to the as -built redline
41 drawings and resubmitted to the City prior to scheduling the construction final
42 inspection.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised February 14, 2018
BRIX BARBECUE
IPRC22-0051
017123-3
CONSTRUCTION STAKING AND SURVEY
Page 3 of 7
1 1.8 MAINTENANCE MATERIAL SUBMITTALS [NOT USED]
2 1.9 QUALITY ASSURANCE
3 A. Construction Staking
4 1. Construction staking will be performed by the Contractor.
5 2. Coordination
6 a. Contact City and Developer's Project Representative at least one week in
7 advance notifying the City of when Construction Staking is scheduled.
8 b. It is the Contractor's responsibility to coordinate staking such that
9 construction activities are not delayed or negatively impacted.
10 3. General
11 a. Contractor is responsible for preserving and maintaining stakes. If
12 Developer's Project Representative is required to re -stake for any reason, the
13 Contractor will be responsible for costs to perform staking. If in the opinion of
14 the City, a sufficient number of stakes or markings have been lost, destroyed
15 disturbed or omitted that the contracted Work cannot take place then the
16 Contractor will be required to stake or re -stake the deficient areas.
17 B. Construction Survey
18 1. Construction Survey will be performed by the Contractor.
19 2. Coordination
20 a. Contractor to verify that horizontal and vertical control data established in the
21 design survey and required for construction survey is available and in place.
22 3. General
23 a. Construction survey will be performed in order to construct the work shown
24 on the Construction Drawings and specified in the Contract Documents.
25 b. For construction methods other than open cut, the Contractor shall perform
26 construction survey and verify control data including, but not limited to, the
27 following:
28 1) Verification that established benchmarks and control are accurate.
29 2) Use of Benchmarks to furnish and maintain all reference lines and grades
30 for tunneling.
31 3) Use of line and grades to establish the location of the pipe.
32 4) Submit to the City copies of field notes used to establish all lines and
33 grades, if requested, and allow the City to check guidance system setup prior
34 to beginning each tunneling drive.
35 5) Provide access for the City, if requested, to verify the guidance system and
36 the line and grade of the carrier pipe.
37 6) The Contractor remains fully responsible for the accuracy of the work and
38 correction of it, as required.
39 7) Monitor line and grade continuously during construction.
40 8) Record deviation with respect to design line and grade once at each pipe
41 joint and submit daily records to the City.
42 9) If the installation does not meet the specified tolerances (as outlined in
43 Sections 33 05 23 and/or 33 05 24), immediately notify the City and correct
44 the installation in accordance with the Contract Documents.
45 C. As -Built Survey
46 1. Required As -Built Survey will be performed by the Contractor.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised February 14, 2018
BRIX BARBECUE
IPRC22-0051
01 71 23 - 4
CONSTRUCTION STAKING AND SURVEY
Page 4 of 7
1 2. Coordination
2 a. Contractor is to coordinate with City to confirm which features require as-
3 built surveying.
4 b. It is the Contractor's responsibility to coordinate the as -built survey and
5 required measurements for items that are to be buried such that construction
6 activities are not delayed or negatively impacted.
7 c. For sewer mains and water mains 12" and under in diameter, it is acceptable
8 to physically measure depth and mark the location during the progress of
9 construction and take as -built survey after the facility has been buried. The
10 Contractor is responsible for the quality control needed to ensure accuracy.
11 3. General
12 a. The Contractor shall provide as -built survey including the elevation and
13 location (and provide written documentation to the City) of construction
14 features during the progress of the construction including the following:
15 1) Water Lines
16 a) Top of pipe elevations and coordinates for waterlines at the following
17 locations:
18 (1) Minimum every 250 linear feet, including
19 (2) Horizontal and vertical points of inflection, curvature,
20 etc.
21 (3) Fire line tee
22 (4) Plugs, stub -outs, dead-end lines
23 (5) Casing pipe (each end) and all buried fittings
24 2) Sanitary Sewer
25 a) Top of pipe elevations and coordinates for force mains and siphon
26 sanitary sewer lines (non -gravity facilities) at the following locations:
27 (1) Minimum every 250 linear feet and any buried fittings
28 (2) Horizontal and vertical points of inflection, curvature,
29 etc.
30 3) Stormwater — Not Applicable
31 b. The Contractor shall provide as -built survey including the elevation and
32 location (and provide written documentation to the City) of construction
33 features after the construction is completed including the following:
34 1) Manholes
35 a) Rim and flowline elevations and coordinates for each manhole
36 2) Water Lines
37 a) Cathodic protection test stations
38 b) Sampling stations
39 c) Meter boxes/vaults (All sizes)
40 d) Fire hydrants
41 e) Valves (gate, butterfly, etc.)
42 f) Air Release valves (Manhole rim and vent pipe)
43 g) Blow off valves (Manhole rim and valve lid)
44 h) Pressure plane valves
45 i) Underground Vaults
46 (1) Rim and flowline elevations and coordinates for each
47 Underground Vault.
48 3) Sanitary Sewer
49 a) Cleanouts
50 (1) Rim and flowline elevations and coordinates for each
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised February 14, 2018
BRIX BARBECUE
IPRC22-0051
017123-5
CONSTRUCTION STAKING AND SURVEY
Page 5 of 7
1 b) Manholes and Junction Structures
2 (1) Rim and flowline elevations and coordinates for each
3 manhole and junction structure.
4 4) Stormwater — Not Applicable
5 1.10 DELIVERY, STORAGE, AND HANDLING [NOT USED]
6 1.11 FIELD [SITE] CONDITIONS [NOT USED]
7 1.12 WARRANTY
8 PART2- PRODUCTS
9 A. A construction survey will produce, but will not be limited to:
10 1. Recovery of relevant control points, points of curvature and points of intersection.
11 2. Establish temporary horizontal and vertical control elevations (benchmarks)
12 sufficiently permanent and located in a manner to be used throughout construction.
13 3. The location of planned facilities, easements and improvements.
14 a. Establishing final line and grade stakes for piers, floors, grade beams, parking
15 areas, utilities, streets, highways, tunnels, and other construction.
16 b. A record of revisions or corrections noted in an orderly manner for reference.
17 c. A drawing, when required by the client, indicating the horizontal and vertical
18 location of facilities, easements and improvements, as built.
19 4. Cut sheets shall be provided to the City inspector and Survey Superintendent for all
20 construction staking projects. These cut sheets shall be on the standard city template
21 which can be obtained from the Survey Superintendent (817-392-7925).
22 5. Digital survey files in the following formats shall be acceptable:
23 a. AutoCAD (.dwg)
24 b. ESRI Shapefile (.shp)
25 c. CSV file (.csv), formatted with X and Y coordinates in separate columns (use
26 standard templates, if available)
27 6. Survey files shall include vertical and horizontal data tied to original project
28 control and benchmarks, and shall include feature descriptions
29 PART 3 - EXECUTION
30 3.1 INSTALLERS
31 A. Tolerances:
32 1. The staked location of any improvement or facility should be as accurate as
33 practical and necessary. The degree of precision required is dependent on many
34 factors all of which must remain judgmental. The tolerances listed hereafter are
35 based on generalities and, under certain circumstances, shall yield to specific
36 requirements. The surveyor shall assess any situation by review of the overall plans
37 and through consultation with responsible parties as to the need for specific
38 tolerances.
39 a. Earthwork: Grades for earthwork or rough cut should not exceed 0.1 ft. vertical
40 tolerance. Horizontal alignment for earthwork and rough cut should not exceed
41 1.0 ft. tolerance.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised February 14, 2018
BRIX BARBECUE
IPRC22-0051
017123-6
CONSTRUCTION STAKING AND SURVEY
Page 6 of 7
1 b. Horizontal alignment on a structure shall be within .0.lft tolerance.
2 c. Paving or concrete for streets, curbs, gutters, parking areas, drives, alleys and
3 walkways shall be located within the confines of the site boundaries and,
4 occasionally, along a boundary or any other restrictive line. Away from any
5 restrictive line, these facilities should be staked with an accuracy producing no
6 more than 0.05ft. tolerance from their specified locations.
7 d. Underground and overhead utilities, such as sewers, gas, water, telephone and
8 electric lines, shall be located horizontally within their prescribed areas or
9 easements. Within assigned areas, these utilities should be staked with an
10 accuracy producing no more than 0.1 ft tolerance from a specified location.
11 e. The accuracy required for the vertical location of utilities varies widely. Many
12 underground utilities require only a minimum cover and a tolerance of 0.1 ft.
13 should be maintained. Underground and overhead utilities on planned profile,
14 but not depending on gravity flow for performance, should not exceed 0.1 ft.
15 tolerance.
16 B. Surveying instruments shall be kept in close adjustment according to manufacturer's
17 specifications or in compliance to standards. The City reserves the right to request a
18 calibration report at any time and recommends regular maintenance schedule be
19 performed by a certified technician every 6 months.
20 1. Field measurements of angles and distances shall be done in such fashion as to
21 satisfy the closures and tolerances expressed in Part 3.1.A.
22 2. Vertical locations shall be established from a pre -established benchmark and
23 checked by closing to a different bench mark on the same datum.
24 3. Construction survey field work shall correspond to the client's plans. Irregularities
25 or conflicts found shall be reported promptly to the City.
26 4. Revisions, corrections and other pertinent data shall be logged for future reference.
27
28 3.2 EXAMINATION [NOT USED]
29 3.3 PREPARATION [NOT USED]
30 3.4 APPLICATION
31 3.5 REPAIR / RESTORATION
32 A. If the Contractor's work damages or destroys one or more of the control
33 monuments/points set by the Developer's Project Representative, the monuments shall be
34 adequately referenced for expedient restoration.
35 1. Notify City or Developer's Project Representative if any control data needs to be
36 restored or replaced due to damage caused during construction operations.
37 a. Contractor shall perform replacements and/or restorations.
38 b. The City or Developer's Project Representative may require at any time a
39 survey "Field Check" of any monument or benchmarks that are set be verified
40 by the Developer's Project Representative before further associated work can
41 move forward.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised February 14, 2018
BRIX BARBECUE
IPRC22-0051
017123-7
CONSTRUCTION STAKING AND SURVEY
Page 7 of 7
1 3.6 RE -INSTALLATION [NOT USED]
2 3.7 FIELD [oR] SITE QUALITY CONTROL
3 A. It is the Contractor's responsibility to maintain all stakes and control data placed by the
4 Developer's Project Representative in accordance with this Specification. This includes
5 easements and right of way, if noted on the plans.
6 B. Do not change or relocate stakes or control data without approval from the City.
7 3.8 SYSTEM STARTUP
8 A. Survey Checks
9 1. The City reserves the right to perform a Survey Check at any time deemed
10 necessary.
11 2. Checks by City personnel or 3rd party contracted surveyor are not intended to
12 relieve the contractor of his/her responsibility for accuracy.
13
14 3.9 ADJUSTING [NOT USED]
15 3.10 CLEANING [NOT USED]
16 3.11 CLOSEOUT ACTIVITIES [NOT USED]
17 3.12 PROTECTION [NOT USED]
18 3.13 MAINTENANCE [NOT USED]
19 3.14 ATTACHMENTS [NOT USED]
20 END OF SECTION
21
22
DATE NAME
8/31/2012 D. Johnson
8/31/2017 M. Owen
Revision Log
SUMMARY OF CHANGE
Added instruction and modified measurement & payment under 1.2; added
definitions and references under 1.3; modified 1.6; added 1.7 closeout submittal
requirements; modified 1.9 Quality Assurance; added PART 2 — PRODUCTS ;
Added 3.1 Installers; added 3.5 Repair/Restoration; and added 3.8 System Startup.
Removed "blue text"; revised measurement and payment sections for Construction
Staking and As -Built Survey; added reference to selection compliance with TGC
2/14/2018 M Owen 2254; revised action and Closeout submittal requirements; added acceptable depth
measurement criteria; revised list of items requiring as -built survey "during" and
"after" construction; and revised acceptable digital survey file format
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised February 14, 2018
BRIX BARBECUE
IPRC22-0051
017423-1
DAP CLEANING
SECTION 01 74 23
CLEANING
PART 1- GENERAL
1.1 SUMMARY
Page 1 of 4
A. Section Includes:
1. Intermediate and final cleaning for Work not including special cleaning of closed
systems specified elsewhere
B. Deviations from this City of Fort Worth Standard Specification
1. None.
C. Related Specification Sections include, but are not necessarily limited to:
1. Division 0 — Bidding Requirements, Contract Forms and Conditions of the Contract
2. Division 1 — General Requirements
3. Section 32 92 13 — Hydro -Mulching, Seeding and Sodding
1.2 PRICE AND PAYMENT PROCEDURES
A. Measurement and Payment
1. Work associated with this Item is considered subsidiary to the various Items bid.
No separate payment will be allowed for this Item.
1.3 REFERENCES [NOT USED]
1.4 ADMINISTRATIVE REQUIREMENTS
A. Scheduling
1. Schedule cleaning operations so that dust and other contaminants disturbed by
cleaning process will not fall on newly painted surfaces.
2. Schedule final cleaning upon completion of Work and immediately prior to final
inspection.
1.5 SUBMITTALS [NOT USED]
1.6 ACTION SUBMITTALS/INFORMATIONAL SUBMITTALS [NOT USED]
1.7 CLOSEOUT SUBMITTALS [NOT USED]
1.8 MAINTENANCE MATERIAL SUBMITTALS [NOT USED]
1.9 QUALITY ASSURANCE [NOT USED]
1.10 STORAGE, AND HANDLING
A. Storage and Handling Requirements
1. Store cleaning products and cleaning wastes in containers specifically designed for
those materials.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised April 7, 2014
BRIX BARBECUE
IPRC22-0051
01 74 23 - 2
DAP CLEANING
Page 2 of 4
1.11 FIELD [SITE] CONDITIONS [NOT USED]
1.12 WARRANTY [NOT USED]
PART 2- PRODUCTS
2.1 OWNER -FURNISHED [oR] OWNER-SUPPLIEDPRODUCTS [NOT USED]
2.2 MATERIALS
A. Cleaning Agents
1. Compatible with surface being cleaned
2. New and uncontaminated
3. For manufactured surfaces
a. Material recommended by manufacturer
2.3 ACCESSORIES [NOT USED]
2.4 SOURCE QUALITY CONTROL [NOT USED]
PART 3 - EXECUTION
3.1 INSTALLERS [NOT USED]
3.2 EXAMINATION [NOT USED]
3.3 PREPARATION [NOT USED]
3.4 APPLICATION [NOT USED]
3.5 REPAIR / RESTORATION [NOT USED]
3.6 RE -INSTALLATION [NOT USED]
3.7 FIELD [oR] SITE QUALITY CONTROL [NOT USED]
3.8 SYSTEM STARTUP [NOT USED]
3.9 ADJUSTING [NOT USED]
3.10 CLEANING
A. General
1. Prevent accumulation of wastes that create hazardous conditions.
2. Conduct cleaning and disposal operations to comply with laws and safety orders of
governing authorities.
3. Do not dispose of volatile wastes such as mineral spirits, oil or paint thinner in
storm or sanitary drains or sewers.
4. Dispose of degradable debris at an approved solid waste disposal site.
5. Dispose of nondegradable debris at an approved solid waste disposal site or in an
alternate manner approved by City and regulatory agencies.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised April 7, 2014
BRIX BARBECUE
IPRC22-0051
017423-3
DAP CLEANING
Page 3 of 4
6. Handle materials in a controlled manner with as few handlings as possible.
7. Thoroughly clean, sweep, wash and polish all Work and equipment associated with
this project.
8. Remove all signs of temporary construction and activities incidental to construction
of required permanent Work.
9. If project is not cleaned to the satisfaction of the City, the City reserves the right to
have the cleaning completed at the expense of the Contractor.
10. Do not burn on -site.
B. Intermediate Cleaning during Construction
1. Keep Work areas clean so as not to hinder health, safety or convenience of
personnel in existing facility operations.
2. At maximum weekly intervals, dispose of waste materials, debris and rubbish.
3. Confine construction debris daily in strategically located container(s):
a. Cover to prevent blowing by wind
b. Store debris away from construction or operational activities
c. Haul from site at a minimum of once per week
4. Vacuum clean interior areas when ready to receive finish painting.
a. Continue vacuum cleaning on an as -needed basis, until Final Acceptance.
5. Prior to storm events, thoroughly clean site of all loose or unsecured items, which
may become airborne or transported by flowing water during the storm.
C. Exterior (Site or Right of Way) Final Cleaning
1. Remove trash and debris containers from site.
a. Re -seed areas disturbed by location of trash and debris containers in accordance
with Section 32 92 13.
2. Sweep roadway to remove all rocks, pieces of asphalt, concrete or any other object
that may hinder or disrupt the flow of traffic along the roadway.
3. Clean any interior areas including, but not limited to, vaults, manholes, structures,
junction boxes and inlets.
4. If no longer required for maintenance of erosion facilities, and upon approval by
City, remove erosion control from site.
5. Clean signs, lights, signals, etc.
3.11 CLOSEOUT ACTIVITIES [NOT USED]
3.12 PROTECTION [NOT USED]
3.13 MAINTENANCE [NOT USED]
3.14 ATTACHMENTS [NOT USED]
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised April 7, 2014
BRIX BARBECUE
IPRC22-0051
01 74 23 - 4
DAP CLEANING
END OF SECTION
Revision Log
DATE NAME SUMMARY OF CHANGE
4/7/2014 M.Domenech Revised for DAP application
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised April 7, 2014
Page 4 of 4
BRIX BARBECUE
IPRC22-0051
SECTION 01 77 19
CLOSEOUT REQUIREMENTS
PART 1- GENERAL
1.1 SUMMARY
017719-1
DAP CLOSEOUT REQUIREMENTS
Page 1 of 3
A. Section Includes:
1. The procedure for closing out a contract
B. Deviations from this City of Fort Worth Standard Specification
1. None.
C. Related Specification Sections include, but are not necessarily limited to:
1. Division 0 — Bidding Requirements, Contract Forms and Conditions of the Contract
2. Division 1 — General Requirements
1.2 PRICE AND PAYMENT PROCEDURES
A. Measurement and Payment
1. Work associated with this Item is considered subsidiary to the various Items bid.
No separate payment will be allowed for this Item.
1.3 REFERENCES [NOT USED]
1.4 ADMINISTRATIVE REQUIREMENTS
A. Guarantees, Bonds and Affidavits
1. No application for final payment will be accepted until all guarantees, bonds,
certificates, licenses and affidavits required for Work or equipment as specified are
satisfactorily filed with the City.
B. Release of Liens or Claims
1. No application for final payment will be accepted until satisfactory evidence of
release of liens has been submitted to the City.
1.5 SUBMITTALS
A. Submit all required documentation to City's Project Representative.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised April 7, 2014
BRIX BARBECUE
IPRC22-0051
01 77 19 -2
DAP CLOSEOUT REQUIREMENTS
Page 2 of 3
1.6 INFORMATIONAL SUBMITTALS [NOT USED]
1.7 CLOSEOUT SUBMITTALS [NOT USED]
PART 2 - PRODUCTS [NOT USED]
PART 3 - EXECUTION
3.1 INSTALLERS [NOT USED]
3.2 EXAMINATION [NOT USED]
3.3 PREPARATION [NOT USED]
3.4 CLOSEOUT PROCEDURE
A. Prior to requesting Final Inspection, submit:
1. Project Record Documents in accordance with Section 01 78 39
2. Operation and Maintenance Data, if required, in accordance with Section 01 78 23
B. Prior to requesting Final Inspection, perform final cleaning in accordance with Section
01 74 23.
C. Final Inspection
1. After final cleaning, provide notice to the City Project Representative that the Work
is completed.
a. The City will make an initial Final Inspection with the Contractor present.
b. Upon completion of this inspection, the City will notify the Contractor, in
writing within 10 business days, of any particulars in which this inspection
reveals that the Work is defective or incomplete.
2. Upon receiving written notice from the City, immediately undertake the Work
required to remedy deficiencies and complete the Work to the satisfaction of the
City.
3. Upon completion of Work associated with the items listed in the City's written
notice, inform the City, that the required Work has been completed. Upon receipt
of this notice, the City, in the presence of the Contractor, will make a subsequent
Final Inspection of the project.
4. Provide all special accessories required to place each item of equipment in full
operation. These special accessory items include, but are not limited to:
a. Specified spare parts
b. Adequate oil and grease as required for the first lubrication of the equipment
c. Initial fill up of all chemical tanks and fuel tanks
d. Light bulbs
e. Fuses
f. Vault keys
g. Handwheels
h. Other expendable items as required for initial start-up and operation of all
equipment
D. Notice of Project Completion
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised April 7, 2014
BRIX BARBECUE
IPRC22-0051
017719-3
DAP CLOSEOUT REQUIREMENTS
Page 3 of 3
1. Once the City Project Representative finds the Work subsequent to Final Inspection
to be satisfactory, the City will issue a Notice of Project Completion (Green Sheet).
E. Supporting Documentation
1. Coordinate with the City Project Representative to complete the following
additional forms:
a. Final Payment Request
b. Statement of Contract Time
c. Affidavit of Payment and Release of Liens
d. Consent of Surety to Final Payment
e. Pipe Report (if required)
f. Contractor's Evaluation of City
g. Performance Evaluation of Contractor
F. Letter of Final Acceptance
1. Upon review and acceptance of Notice of Project Completion and Supporting
Documentation, in accordance with General Conditions, City will issue Letter of
Final Acceptance and release the Final Payment Request for payment.
3.5 REPAIR / RESTORATION [NOT USED]
3.6 RE -INSTALLATION [NOT USED]
3.7 FIELD LOR] SITE QUALITY CONTROL [NOT USED]
3.8 SYSTEM STARTUP [NOT USED]
3.9 ADJUSTING [NOT USED]
3.10 CLEANING [NOT USED]
3.11 CLOSEOUT ACTIVITIES [NOT USED]
3.12 PROTECTION [NOT USED]
3.13 MAINTENANCE [NOT USED]
3.14 ATTACHMENTS [NOT USED]
END OF SECTION
Revision Log
DATE NAME SUMMARY OF CHANGE
4/7/2014 M.Domenech Revised for DAP application
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised April 7, 2014
BRIX BARBECUE
IPRC22-0051
017823-1
DAP OPERATION AND MAINTENANCE DATA
SECTION 01 78 23
OPERATION AND MAINTENANCE DATA
PART 1- GENERAL
1.1 SUMMARY
Page 1 of 5
A. Section Includes:
1. Product data and related information appropriate for City's maintenance and
operation of products furnished under Contract
2. Such products may include, but are not limited to:
a. Traffic Controllers
b. Irrigation Controllers (to be operated by the City)
c. Butterfly Valves
B. Deviations from this City of Fort Worth Standard Specification
1. None.
C. Related Specification Sections include, but are not necessarily limited to:
1. Division 0 — Bidding Requirements, Contract Forms and Conditions of the Contract
2. Division 1 — General Requirements
1.2 PRICE AND PAYMENT PROCEDURES
A. Measurement and Payment
1. Work associated with this Item is considered subsidiary to the various Items bid.
No separate payment will be allowed for this Item.
1.3 REFERENCES [NOT USED]
1.4 ADMINISTRATIVE REQUIREMENTS
A. Schedule
1. Submit manuals in final form to the City within 30 calendar days of product
shipment to the project site.
1.5 SUBMITTALS
A. Submittals shall be in accordance with Section 01 33 00. All submittals shall be
approved by the City prior to delivery.
1.6 INFORMATIONAL SUBMITTALS
A. Submittal Form
1. Prepare data in form of an instructional manual for use by City personnel.
2. Format
a. Size: 8 1/2 inches x 11 inches
b. Paper
1) 40 pound minimum, white, for typed pages
2) Holes reinforced with plastic, cloth or metal
c. Text: Manufacturer's printed data, or neatly typewritten
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised April 7, 2014
BRIX BARBECUE
IPRC22-0051
01 78 23 - 2
DAP OPERATION AND MAINTENANCE DATA
Page 2 of 5
d. Drawings
1) Provide reinforced punched binder tab, bind in with text
2) Reduce larger drawings and fold to size of text pages.
e. Provide fly -leaf for each separate product, or each piece of operating
equipment.
1) Provide typed description of product, and major component parts of
equipment.
2) Provide indexed tabs.
f. Cover
1) Identify each volume with typed or printed title "OPERATING AND
MAINTENANCE INSTRUCTIONS".
2) List:
a) Title of Project
b) Identity of separate structure as applicable
c) Identity of general subject matter covered in the manual
3. Binders
a. Commercial quality 3-ring binders with durable and cleanable plastic covers
b. When multiple binders are used, correlate the data into related consistent
groupings.
4. If available, provide an electronic form of the O&M Manual.
B. Manual Content
1. Neatly typewritten table of contents for each volume, arranged in systematic order
a. Contractor, name of responsible principal, address and telephone number
b. A list of each product required to be included, indexed to content of the volume
c. List, with each product:
1) The name, address and telephone number of the subcontractor or installer
2) A list of each product required to be included, indexed to content of the
volume
3) Identify area of responsibility of each
4) Local source of supply for parts and replacement
d. Identify each product by product name and other identifying symbols as set
forth in Contract Documents.
2. Product Data
a. Include only those sheets which are pertinent to the specific product.
b. Annotate each sheet to:
1) Clearly identify specific product or part installed
2) Clearly identify data applicable to installation
3) Delete references to inapplicable information
3. Drawings
a. Supplement product data with drawings as necessary to clearly illustrate:
1) Relations of component parts of equipment and systems
2) Control and flow diagrams
b. Coordinate drawings with information in Project Record Documents to assure
correct illustration of completed installation.
c. Do not use Project Record Drawings as maintenance drawings.
4. Written text, as required to supplement product data for the particular installation:
a. Organize in consistent format under separate headings for different procedures.
b. Provide logical sequence of instructions of each procedure.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised April 7, 2014
BRIX BARBECUE
IPRC22-0051
017823-3
DAP OPERATION AND MAINTENANCE DATA
Page 3 of 5
5. Copy of each warranty, bond and service contract issued
a. Provide information sheet for City personnel giving:
1) Proper procedures in event of failure
2) Instances which might affect validity of warranties or bonds
C. Manual for Materials and Finishes
1. Submit 5 copies of complete manual in final form.
2. Content, for architectural products, applied materials and finishes:
a. Manufacturer's data, giving full information on products
1) Catalog number, size, composition
2) Color and texture designations
3) Information required for reordering special manufactured products
b. Instructions for care and maintenance
1) Manufacturer's recommendation for types of cleaning agents and methods
2) Cautions against cleaning agents and methods which are detrimental to
product
3) Recommended schedule for cleaning and maintenance
3. Content, for moisture protection and weather exposure products:
a. Manufacturer's data, giving full information on products
1) Applicable standards
2) Chemical composition
3) Details of installation
b. Instructions for inspection, maintenance and repair
D. Manual for Equipment and Systems
1. Submit 5 copies of complete manual in final form.
2. Content, for each unit of equipment and system, as appropriate:
a. Description of unit and component parts
1) Function, normal operating characteristics and limiting conditions
2) Performance curves, engineering data and tests
3) Complete nomenclature and commercial number of replaceable parts
b. Operating procedures
1) Start-up, break-in, routine and normal operating instructions
2) Regulation, control, stopping, shut -down and emergency instructions
3) Summer and winter operating instructions
4) Special operating instructions
c. Maintenance procedures
1) Routine operations
2) Guide to "trouble shooting"
3) Disassembly, repair and reassembly
4) Alignment, adjusting and checking
d. Servicing and lubrication schedule
1) List of lubricants required
e. Manufacturer's printed operating and maintenance instructions
f. Description of sequence of operation by control manufacturer
1) Predicted life of parts subject to wear
2) Items recommended to be stocked as spare parts
g. As installed control diagrams by controls manufacturer
h. Each contractor's coordination drawings
1) As installed color coded piping diagrams
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised April 7, 2014
BRIX BARBECUE
IPRC22-0051
01 78 23 - 4
DAP OPERATION AND MAINTENANCE DATA
Page 4 of 5
i. Charts of valve tag numbers, with location and function of each valve
j. List of original manufacturer's spare parts, manufacturer's current prices, and
recommended quantities to be maintained in storage
k. Other data as required under pertinent Sections of Specifications
3. Content, for each electric and electronic system, as appropriate:
a. Description of system and component parts
1) Function, normal operating characteristics, and limiting conditions
2) Performance curves, engineering data and tests
3) Complete nomenclature and commercial number of replaceable parts
b. Circuit directories of panelboards
1) Electrical service
2) Controls
3) Communications
c. As installed color coded wiring diagrams
d. Operating procedures
1) Routine and normal operating instructions
2) Sequences required
3) Special operating instructions
e. Maintenance procedures
1) Routine operations
2) Guide to "trouble shooting"
3) Disassembly, repair and reassembly
4) Adjustment and checking
f. Manufacturer's printed operating and maintenance instructions
g. List of original manufacturer's spare parts, manufacturer's current prices, and
recommended quantities to be maintained in storage
h. Other data as required under pertinent Sections of Specifications
4. Prepare and include additional data when the need for such data becomes apparent
during instruction of City's personnel.
1.7 CLOSEOUT SUBMITTALS [NOT USED]
1.8 MAINTENANCE MATERIAL SUBMITTALS [NOT USED]
1.9 QUALITY ASSURANCE
A. Provide operation and maintenance data by personnel with the following criteria:
1. Trained and experienced in maintenance and operation of described products
2. Skilled as technical writer to the extent required to communicate essential data
3. Skilled as draftsman competent to prepare required drawings
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised April 7, 2014
BRIX BARBECUE
IPRC22-0051
017823-5
DAP OPERATION AND MAINTENANCE DATA
1.10 DELIVERY, STORAGE, AND HANDLING [NOT USED]
1.11 FIELD [SITE] CONDITIONS [NOT USED]
1.12 WARRANTY [NOT USED]
PART 2 - PRODUCTS [NOT USED]
PART 3 - EXECUTION [NOT USED]
DATE NAME
8/31/2012 D. Johnson
4/7/2014 M.Domenech
END OF SECTION
Revision Log
SUMMARY OF CHANGE
1.5.A.1 — title of section removed
Revised for DAP Application
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised April 7, 2014
Page 5 of 5
BRIX BARBECUE
IPRC22-0051
017839-1
DAP PROJECT RECORD DOCUMENTS
SECTION 01 78 39
PROJECT RECORD DOCUMENTS
PART 1- GENERAL
1.1 SUMMARY
Page 1 of 4
A. Section Includes:
1. Work associated with the documenting the project and recording changes to project
documents, including:
a. Record Drawings
b. Water Meter Service Reports
c. Sanitary Sewer Service Reports
d. Large Water Meter Reports
B. Deviations from this City of Fort Worth Standard Specification
1. None.
C. Related Specification Sections include, but are not necessarily limited to:
1. Division 0 — Bidding Requirements, Contract Forms and Conditions of the Contract
2. Division 1 — General Requirements
1.2 PRICE AND PAYMENT PROCEDURES
A. Measurement and Payment
1. Work associated with this Item is considered subsidiary to the various Items bid.
No separate payment will be allowed for this Item.
1.3 REFERENCES [NOT USED]
1.4 ADMINISTRATIVE REQUIREMENTS [NOT USED]
1.5 SUBMITTALS
A. Prior to submitting a request for Final Inspection, deliver Project Record Documents to
City's Project Representative.
1.6 ACTION SUBMITTALS/INFORMATIONAL SUBMITTALS [NOT USED]
1.7 CLOSEOUT SUBMITTALS [NOT USED]
1.8 MAINTENANCE MATERIAL SUBMITTALS [NOT USED]
1.9 QUALITY ASSURANCE
A. Accuracy of Records
1. Thoroughly coordinate changes within the Record Documents, making adequate
and proper entries on each page of Specifications and each sheet of Drawings and
other Documents where such entry is required to show the change properly.
2. Accuracy of records shall be such that future search for items shown in the Contract
Documents may rely reasonably on information obtained from the approved Project
Record Documents.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised April 7, 2014
BRIX BARBECUE
IPRC22-0051
01 78 39 - 2
DAP PROJECT RECORD DOCUMENTS
Page 2 of 4
3. To facilitate accuracy of records, make entries within 24 hours after receipt of
information that the change has occurred.
4. Provide factual information regarding all aspects of the Work, both concealed and
visible, to enable future modification of the Work to proceed without lengthy and
expensive site measurement, investigation and examination.
1.10 STORAGE AND HANDLING
A. Storage and Handling Requirements
1. Maintain the job set of Record Documents completely protected from deterioration
and from loss and damage until completion of the Work and transfer of all recorded
data to the final Project Record Documents.
2. In the event of loss of recorded data, use means necessary to again secure the data
to the City's approval.
a. In such case, provide replacements to the standards originally required by the
Contract Documents.
1.11 FIELD [SITE] CONDITIONS [NOT USED]
1.12 WARRANTY [NOT USED]
PART 2- PRODUCTS
2.1 OWNER -FURNISHED [oR] OWNER -SUPPLIED PRODUCTS [NOT USED]
2.2 RECORD DOCUMENTS
A. Job set
1. Promptly following receipt of the Notice to Proceed, secure from the City, at no
charge to the Contractor, 1 complete set of all Documents comprising the Contract.
B. Final Record Documents
1. At a time nearing the completion of the Work and prior to Final Inspection, provide
the City 1 complete set of all Final Record Drawings in the Contract.
2.3 ACCESSORIES [NOT USED]
2.4 SOURCE QUALITY CONTROL [NOT USED]
PART 3 - EXECUTION
3.1 INSTALLERS [NOT USED]
3.2 EXAMINATION [NOT USED]
3.3 PREPARATION [NOT USED]
3.4 MAINTENANCE DOCUMENTS
A. Maintenance of Job Set
1 Immediately upon receipt of the job set, identify each of the Documents with the
title, "RECORD DOCUMENTS - JOB SET".
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised April 7, 2014
BRIX BARBECUE
IPRC22-0051
017839-3
DAP PROJECT RECORD DOCUMENTS
Page 3 of 4
2. Preservation
a. Considering the Contract completion time, the probable number of occasions
upon which the job set must be taken out for new entries and for examination,
and the conditions under which these activities will be performed, devise a
suitable method for protecting the job set.
b. Do not use the job set for any purpose except entry of new data and for review
by the City, until start of transfer of data to final Project Record Documents.
c. Maintain the job set at the site of work.
3. Coordination with Construction Survey
a. At a minimum clearly mark any deviations from Contract Documents
associated with installation of the infrastructure.
4. Making entries on Drawings
a. Record any deviations from Contract Documents.
b. Use an erasable colored pencil (not ink or indelible pencil), clearly describe the
change by graphic line and note as required.
c. Date all entries.
d. Call attention to the entry by a "cloud" drawn around the area or areas affected.
e. In the event of overlapping changes, use different colors for the overlapping
changes.
5. Conversion of schematic layouts
a. In some cases on the Drawings, arrangements of conduits, circuits, piping,
ducts, and similar items, are shown schematically and are not intended to
portray precise physical layout.
1) Final physical arrangement is determined by the Contractor, subject to the
City's approval.
2) However, design of future modifications of the facility may require
accurate information as to the final physical layout of items which are
shown only schematically on the Drawings.
b. Show on the job set of Record Drawings, by dimension accurate to within 1
inch, the centerline of each run of items.
1) Final physical arrangement is determined by the Contractor, subject to the
City's approval.
2) Show, by symbol or note, the vertical location of the Item ("under slab", "in
ceiling plenum", "exposed", and the like).
3) Make all identification sufficiently descriptive that it may be related
reliably to the Specifications.
c. The City may waive the requirements for conversion of schematic layouts
where, in the City's judgment, conversion serves no useful purpose. However,
do not rely upon waivers being issued except as specifically issued in writing
by the City.
B. Final Project Record Documents
1. Transfer of data to Drawings
a. Carefully transfer change data shown on the job set of Record Drawings to the
corresponding final documents, coordinating the changes as required.
b. Clearly indicate at each affected detail and other Drawing a full description of
changes made during construction, and the actual location of items.
c. Call attention to each entry by drawing a "cloud" around the area or areas
affected.
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised April 7, 2014
BRIX BARBECUE
IPRC22-0051
01 78 39 - 4
DAP PROJECT RECORD DOCUMENTS
Page 4 of 4
d. Make changes neatly, consistently and with the proper media to assure
longevity and clear reproduction.
2. Transfer of data to other Documents
a. If the Documents, other than Drawings, have been kept clean during progress of
the Work, and if entries thereon have been orderly to the approval of the City,
the job set of those Documents, other than Drawings, will be accepted as final
Record Documents.
b. If any such Document is not so approved by the City, secure a new copy of that
Document from the City at the City's usual charge for reproduction and
handling, and carefully transfer the change data to the new copy to the approval
of the City.
3.5 REPAIR / RESTORATION [NOT USED]
3.6 RE -INSTALLATION [NOT USED]
3.7 FIELD [oR] SITE QUALITY CONTROL [NOT USED]
3.8 SYSTEM STARTUP [NOT USED]
3.9 ADJUSTING [NOT USED]
3.10 CLEANING [NOT USED]
3.11 CLOSEOUT ACTIVITIES [NOT USED]
3.12 PROTECTION [NOT USED]
3.13 MAINTENANCE [NOT USED]
3.14 ATTACHMENTS [NOT USED]
END OF SECTION
Revision Log
DATE NAME SUMMARY OF CHANGE
4/7/2014 M.Domenech Revised for DAP Application
CITY OF FORT WORTH
STANDARD CONSTRUCTION SPECIFICATION DOCUMENTS — DEVELOPER AWARDED PROJECTS
Revised April 7, 2014
BRIX BARBECUE
IPRC22-0051
FORT WORTH.
CITY OF FORT WORTH
WATER DEPARTMENT
STANDARD PRODUCT LIST
Updated: 03/29/2022
Note: All water or sewer pipe larger than 15 inch diameter shall be approved for use by the Water Department on a project specific basis. Special bedding may be required for some pipes.
Approval Spec No.
'on
Manufacturer
Model No.
National Spec
Size
07/23/97
04/26/00
04/26/00
1/26/99
5/13/05
Water & Sewer - Manholes & Bases/Comnonents 33-39-10 (Rev 2/3/16)
33 05 13
33 05 13
33 05 13
33 05 13
33 05 13
Urethane Hydrophilic Watcrstop
Offset Joint for 4' Diam. MH
Profile Gasket for 4' Diam. MH.
HDPE Manhole Adjustment Rings
Manhole External Wrap
Asahi Kogyo K.K.
Hanson Concrete Products
Press -Seal Gasket Corp.
Ladtech, Inc
Canusa - CPS
er - Manholes & Bases/Fiberglass 33-39-13 (1/8/13
1/26/99 33 39 13 Fiberglass Manhole
08/30/06 33 39 13 Fiberglass Manhole
08/24/18
08/24/18
08/24/18
08/24/18
10/31/06
7/25/03
01/31/06
11/02/10
07/19/11
08/10/11
Water & Sewer - Manholes & Bases/Frames &
33 05 13 'Manhole Frames and Covers
Water & Sewer.- Manholes & Bases/Frames &
33 05 13 Manhole Frames and Covers
33 05 13 Manhole Frames and Covers
33 05 13
33 05 13
33 05 13
33 05 13
33 05 13
33 05 13
33 05 13
33 05 13
33 05 13
33 05 13
33 05 13
33 05 13
33 05 13
33 05 13
Manhole Frames and Covers
Manhole Frames and Covers
Manhole Frames and Covers
Manhole Frames and Covers
Manhole Frames and Covers
Manhole Frames and Covers
Manhole Frames and Covers
Manhole Frames and Covers
Manhole Frames and Covers (Hinged)
Manhole Frames and Covers
30" Dia. MH Ring and Cover
30" Dia. MH Ring and Cover
30" Dia. MH Ring and Cover
30" Dia. MH Ring and Cover
10/14/13 33 05 13 30" Dia. MH Ring and Cover (Hinged & Lockable)
06/01/17 34 05 13 30" Dia. MH Ring and Cover (Hinged & Lockable) CI
09/16/19
10/07/21
03/08/00
04/20/01
33 05 13
34 05 13
30" Dia. MH Ring and Cover
30" Dia. MH Ring and Cover
Fluid Containment, Inc.
L.F. Manufacturing
1
Adeka Ultra -Seal P-201
Drawing No. 35-0048-001
250-4G Gasket
HDPE Adjustment Ring
WrapidSeal Manhole Encapsulation System
Covers/Rectangular 33-05-13 (Rev 2/3/16)
Western Iron Works, Bass & Hays Foundry f
Flowtite
1001
Covers/Standard (Round) 33-05-13 (Rev 2/3/16)
Western Iron Works, Bass & Hays Foundry 30024
McKinley Iron Works Inc. A 24 AM
Neenah Foundry R-1272
Neenah Foundry R- 165-LM (Hinged)
Neenah Foundry NF 1274
Neenah Foundry R-1743-LM (Hinged)
Sigma Corporation MH-144N
Sigma Corporation MH-143N
Pont-A-Mousson GTS-STD
Neenah Casting
Powerseal Hinged Ductile Iron Manhole
Saint-Gobain Pipelines (Pamrex/rexus) RE32-REFS
East Jordan Iron Works V1432-2 and V1483 Designs
Sigma Corporation MH1651FWN & MH16502
Star Pipe Products MH32FTWSS-DC
Accucast 220700 Heavy Duty with Gasket Ring
30" ERGO XL Assembly
East Jordan Iron Works with Cam Lock/MPIC/T-Gasket
SIP Industries 2280 (32")
CAP-ONE-30-FTW, Composite, w/ Lock
Composite Access Products, L.P. w/o Hing
Trumbull Manufacturing 32"(30") Frame and Cover
Water & Sewer - Manholes & Bases/Frames & Covers/Water Tight & Pressure Tight 33-05-13 (Rev 2/3/1Z1
33 05 13
3305 13
3305 13
330513
33 05 13
33 05 13
Manhole Frames and Covers
Manhole Frames and Covers
Manhole Frames and Covers
Manhole Frames and Covers
Manhole Frames and Covers
Manhole Frames and Covers
Pont-A-Mousson
Neenah Casting
Westem Iron Works,Bass & Hays Foundry
McKinley Iron Works Inc.
Accucast
(SIP)Serampore Industries Private Ltd.
Water & Sewer - Manholes & Bases/Precast Concrete (2ev 1/8/13
33 39 10 Manhole, Precast Concrete
33 39 10 Manhole, Precast Concrete
09/23/96 33 39 10 Manhole, Precast Concrete
05/08/18 33 39 10 Manhole, Precast Concrete
10/27/06 33 39 10 Manhole, Precast Concrete
06/09/10 33 39 10 Manhole, Precast (Reinforced Polymer)Concrete
09/06/19 33 39 20 Manhole, Precast Concrete
10/07/21 32 39 20 Manhole, Precast Concrete
10/07/21 33 39 20 Manhole, Precast (Reinforced Polymer) Concrete
10/07/21 33 39 20 Manhole, Precast (Hybrid) Polymer & PVC
Hydro Conduit Corp
Wall Concrete Pipe Co. Inc.
Concrete Product Inc.
The Turner Company
Oldcastle Precast Inc.
US Composite Pipe
Forterra Pipe and Precast
Forterra Pipe and Precast
Armorock
Predl Systems
Water & Sewer - Manholes & Bases/Rehab Svstems/Cementitiou
El-14 Manhole Rehab Systems 0uadex
04/23/01 EI-14 Manhole Rehab Systems Standard Cement Materials, Inc.
E1-14 Manhole Rehab Systems AP/M Permaform
4/20/01 E1-14 Manhole Rehab System Strong Company
5/12/03 E1-14 Manhole Rehab System (Liner) Poly -triplex Technologies
08/30/06 General Concrete Repair FlexKrete Technologies
05/20/96
12/14/01
01/31/06
8/28/2006
08/30/06
aW ter & Sewer - Manholes & Bases/Rehab Svstems/NonCementitious
EI-14 Manhole Rehab Systems
EI-14 Manhole Rehab Systems
Coating for Corrosion protection(Exterior)
Coatings for Corrosion Protection
Coatings for Corrosion Protection
Coatings for Corrosion Protection
33 05 16, 33 39 10,
03/19/18 33 39 20 Coating for Corrosion protection(Exterior)
Sprayrou,
Sun Coast
ERTECH
Chesterton
Warren Environmental
Citadel
Sherwin Williams
Pamtight
300-24P
WPA24AM
RC-2100
300-24-23.75 Ring and Cover
SPL Item #49
48" I.D. Manhole w/ 32" Cone
48", 60" I.D. Manhole w/ 32" Cone
48" I.D. Manhole w/ 24" Cone
Reinforced Polymer Concrete
60" & 72" I.D. Manhole w/32" Cone
48" I.D. Manhole w/32" Cone
48" & 60" I.D. Manhole w/32" Cone
48" & 60" I.D. Manhole w/32" Cone
Refiner MSP
Strong Seal MS2A Rehab System
MH repair product to stop infiltration
Vinyl Polyester Repair Product
Spray Wall Polyurethane Coating
Series 20230 and 2100 (Asphatic Emulsion)
Arc 791, SIHB, 51, S2
S-301 and M-301
SLS-30 Solids Epoxy
RR&C Dampproofing Non-liibered Spray
Grade (Asphatic Emulsion)
ASTM D2240/D412/D792
ASTM C-443/C-361
ASTM 3753
ASTM A48 & AASHTO M306
ASTM A48 & AASHTO M306
ASTM A48 & AASHTO M306
ASTM A48 & AASHTO M306
ASTM A536
AASHTO M306-04
ASSHTO M105 & ASTM A536
ASTM A 48
ASTM A 48
ASTM A 48
ASTM C 478
ASTM C-443
ASTM C 478
ASTM C 478
ASTM C 478
ASTM C-76
ASTM C-76
ASTM C-77
ASTM D5813
ASTM D639/D790
Acid Resistance Test
SS MH
Traffic and Non -traffic area
Non -traffic area
Non -traffic area
2424"x-
24" Dia.
24" Dia.
24" Dia.
24" Dia.
30" Dia.
30" dia.
24" dia.
24" dia.
24" Dia.
30" Dia.
30" Dia.
30" Dia
30" Dia
30" Dia
30" Dia
30" Dia.
30" Dia.
30" Dia.
24" Dia.
24" Dia.
24" Dia.
24" Dia.
24" Dia.
24" Dia.
48"
48"
48" w/32" cone
48", 60"
48" Diam w 24" Ring
48" to 72"
60" & 72"
48"
48" & 60"
48" & 60" Non Traffic Arms
Misc. Use
For Exterior Coating of Concrete
Structures Only
Sewer Applications
Sewer Applications
Sewer Applications
For Exterior Coaling of Concrete
Structures Only
* From Original Standard Products List 1
FORT WORTH.,
CITY OF FORT WORTH
WATER DEPARTMENT
STANDARD PRODUCT LIST
Updated: 03/29/2022
Note: All water or sewer pipe larger than 15 inch diameter shall be approved for use by the Water Department on a project specific basis. Special bedding may be required for some pipes.
Approval Spec No.
.- 'on Manufacturer Model No. National Spec Size
Water & Sewer - Manhole Inserts - Field Operations Use Only (Rev 2/3/161
33 05 13 Manhole Insert
33 05 13 Manhole Insert
* 33 05 13 Manhole Insert
09/23/96 33 05 13 Manhole Insert
09/23/96 33 05 13 Manhole Insert
Knutson Enterprises
South Westem Packaging
Noflow-Inflow
Southwestem Packing & Seals, Inc.
Southwestem Packing & Seals, Inc.
Made to Order - Plastic
Made to Order - Plastic
Made to Order - Plastic
LifeSaver - Stainless Steel
TetherLok - Stainless Steel
ASTM D 1248
ASTM D 1248
ASTM D 1248
For 24" dia.
For 24" dia.
For 24" dia.
For 24" dia.
For 24" dig
Water & Sewer - Pine Casing Snacers 33-05-24 (07/01/ 11/04/02 Steel Band Casing Spaccrs Advanced Products and Systems, Inc. Carbon Steel Spacers, Model SI
02/02/93 Stainless Steel Casing Spacer Advanced Products and Systems, Inc. Stainless Steel Spacer, Model SSI
04/22/87 Casing Spacers Cascade Waterworks Manufacturing Casing Spacers
09/14/10 Stainless Steel Casing Spacer Pipeline Seal and Insulator Stainless Steel Casing Spacer Up to 48"
09/14/10 Coated Steel Casin Spacers Pipeline Seal and Insulator Coated Steel Casin Spacers Up to 48"
05/10/11 Stainless Steel Casing Spacer Powerseal 4810 Powerchock Up to 48"
03/19/18 Casing Spacers BWM SS-12 Casing Spacer(Stainless Steel)
FB-12 Casing Spacer (Coated Carbon Steel)
for Nonjeressure Pipe and Grouted Casing
03/19/18 Casing Spacers
BWM
03/29/22
33 05 13 Casing Spacers
CCI Pipeline Systems
CSC12, CSS12
Water & Sewer - Pines/Ductile Iron 33-11-10(1/8/131
* 33 11 10 Ductile Iron Pipe Griffin Pipe Products, Co.
08/24/18 33 11 10 Ductile Iron Pipe American Ductile Iron Pipe Co.
08/24/18 33 11 10 Ductile Iron Pipe American Ductile Iron Pipe Co.
* 33 11 10 Ductile Iron Pipe U.S. Pipe and Foundry Co.
* 33 11 10 Ductile Iron Pipe McWane Cast Iron Pipe Co.
Super Bell -The Ductile Iron Pressure Pipe,
American Fastite Pipe (Bell Spigot)
American Flex Ring (Restrained Joint)
Water & Sewer - Utility Line Marker (08/24/20181
Sewer - Coatin 1s/Euoxv 33-39-60 (01/08/131
02n5/02 Epoxy Lining System
12/14/01 Epoxy Lining System
04/14/05 Interior Ductile Iron Pipe Coating
01/31/06 Coatings for Corrosion Protection
8/28/2006 Coatings for Corrosion Protection
05/25/18
Sewer - Coatines/Polvurethane
Sewer - Combinatio
33-31-70 Air Release Valve
Sewer - Pipes/Concrete
EI-04 Conc. Pipe, Reinforced
* EI-04 Conc. Pipe, Reinforced
* EI-04 Conc. Pipe, Reinforced
* EI-04 Conc. Pipe, Reinforced
Sauereisen, Inc SewerGard 210RS
Ertech Technical Coatings Ertech 2030 and 2100 Series
Induron Protecto 401
Chesterton Arc 791, SIHB, SI, S2
Warren Environmental 5-301 and M-301
A.R.I. USA, Inc.
Wall Concrete Pipe Co. Inc.
Hydro Conduit Corporation
Hanson Concrete Products
Concrete Pipe & Products Co. Inc.
D025LTP02(Composite Body)
Class III T&G, SPL Item #77
SPL Item #95 Manhole, 1198 Pipc
AWWA C150, C151
AWWA C150, C151
AWWA C150, C151
AWWA C150, C151
AWWA C150, C151
LA County #210-1.33
3" thm 24"
4" thru 30"
4" thre 30"
ASTM B-117 Ductile Iron Pipe Only
Acid Resistance Test Sewer Applications
Sewer Applications
ASTM C 76
ASTM C 76
ASTM C 76
ASTM C 76
Sewer - Pine Enlarament System (Method133-31-23 (01/18/131
PIM System PIM Corporation Polyethylene PIM Corp., Piscata Way, N.J. Approved Previously
McConnell Systems McLat Construction Polyethylene Houston, Texas Approved Previously
TRS Systems Trenchless Replacement System Polyethylene Calgary, Canada Approved Previously
Sewer- Pine/Fibernlass Reinforced Pine 33-31-13(1/8
7/21/97 F 33 31 13 Cent. Cast Fiberglass (FRP) Hobas Pipe USA, Inc.
03/22/10 33 31 13 Fiberglass Pipe (FRP) Ameron
04/09/21 Glass -Fiber Reinforced Polymer Pipe (FRP) Thompson Pipe Group
4/14/05 Polymer Modified Concrete Pipe Amitech USA
06/09/10 EI-9 Reinforced Polymer Concrete Pipe US Composite Pipe
12/02/11
10/22/14
Sewer - PinesIHDPE 33-31-23(1/8/131
High -density polyethylene pipe
High -density polyethylene pipe
High -density polyethylene pipe
High -density polyethylene pipe
Sewer - Pines/PVC (Pressure Sewer) 33-11-12 (4/1/13)
33-11-12 DR-14 PVC Pressure Pipc
33-11-12 DR-14 PVC Pressure Pipe
Hobas Pipe (Non -Pressure)
Bondstrand RPMP Pipe
Thompson Pipe (Flowtite)
Meyer Polycrete Pipe
Reinforced Polymer Concrete Pipe
ASTM D3262/D3754
ASTM D3262/D3754
ASTM D3262/D3754
ASTM C33, A276, F477
ASTM C-76
8" to 102", Class V
Phillips Driscopipe, Inc. Opticore Ductile Polyethylene Pipe ASTM D 1248 8"
Plexco Inc. ASTM D 1248 8"
Polly Pipe, Inc. ASTM D 1248 8"
CSR Hydro Conduit/Pipeline Systems McConnell Pipe Enlargement ASTM D 1248
Pipelife Jetstream PVC Pressure Pipe AWWA C900 4" Ihm 12"
Royal Building Products Royal Seal PVC Pressure Pipe AWWA C900 4" thm 12"
* From Original Standard Products List
2
FORT WORTH.,
CITY OF FORT WORTH
WATER DEPARTMENT
STANDARD PRODUCT LIST
Updated: 03/29/2022
Note: All water or sewer pipe larger than 15 inch diameter shall be approved for use by the Water Department on a project specific basis. Special bedding may be required for some pipes.
Approval Spec No. 'on
Sewer - Pines/P C - -21 (7/1/13)
12/23/97*
01/18/18
11/11/98
09/11/12
05/06/05
04/27/06
3/19/2018
3/19/2018
3/29/2019
10/21/2020
10/22/2020
10/21/2020
33-31-20 PVC Sewer Poe
33-31-20
33-31-20
33-31-20
33-31-20
33-31-20
33-31-20
33-31-20
33-31-20
33-31-20
33 31 20
33 31 20
33 31 20
33 31 20
33 31 20
33 31 20
PVC Sewer Pipe
PVC Sewer Pipe
PVC Sewer Pipe
PVC Sewer Pipe
PVC Sewer Pipe
PVC Sewer PRr
PVC Solid Wall Pipe
PVC Sewer Fittings
PVC Sewer Fittings
PVC Sewer Pipe
PVC Sewer Pyre
Gasketed Fittings (PVC)
PVC Sewer Pipe
PVC Sewer Pipe
PVC Sewer Pipe
Manufacturer
J-M Manufacturing Co., Inc. (JM Eagle)
Diamond Piastres Corporation
Lamson Vylon Pipe
Vinyltech PVC Pipe
Diamond Piastres Corporation
J-M Manufacturing Co, Inc. (JM Eagle)
Ptq life Jet Stream
Diamond Plastics Corporation
Harco
Plastic Trends, Inc.(Westlake)
Proelife Jet Stream
Proelife let Stream
GPK Products, Inc.
NAPCO(Westlake)
Sanderson Pipe Corp.
NAPCO(Westlake)
Model No.
SDR-26
SDR-26
Gravity Sewer
"S" Gravity Sewer Pipe
SDR 26/35 PS 115/46
SDR-26 and SDR-35
SDR 26/35 PS 115/46
SDR-26 and SDR-35 Gasket Fittings
Gasketed PVC Sewer Main Fittings
SDR 35
SDR26
SDR 26
SDR 26
SDR 26
SDR 26/35 PS 115/46
National Spec
ASTM D 3034
ASTM D 3034
ASTM F 789
ASTM D3034
ASTM F 679
ASTM F 679
ASTM F-679
ASTM F-679
ASTM D-3034, D-1784, etc
ASTM D 3034
ASTM F679
ASTM D3034
ASTM D3034/F-679
ASTM D3034
ASTM D3034
ASTM F-679
Size
4" - 15"
4" thru 15"
4" thru 15"
4" thru 15"
18" to 27"
18" - 28"
18"
18" to 48"
4" - 15"
18"- 24"
4"- 15"
4"- 15"
4" - 15"
4"- 15"
18"- 36"
*
05/03/99
05/29/96
Cured in Place Pare
Cured in Place Pipe
Cured in Place Pipe
Sewer - Pines/Rehab/Fold & Form
Fold and Form Pipe
11/03/98 Fold and Form Pipe
Fold and Form Proe
12/04/00 Fold and Form Pipe
06/09/03 Fold and Form Pipe
Insituform Texark, Inc
National Envirotech Group
Reynolds Inc/hrlrner Technolgy (Inliner USA)
Cullum Pipe Systems, Inc.
Insituform Technologies, Inc.
American Pipe & Plastics, Inc.
Ultraliner
Miller Pipeline Corp.
National Liner, (SPL) Item #27
Inliner Technology
Insituf "NuPlpe"
Ultraliner PVC Alloy Pipeliner
EX Method
ASTM F 1216
ASTM F-1216/D-5813
ASTM F 1216
ASTM F-1504
ASTM F-1504, 1871, 1867
ASTM F-1504, F-1947
Demo. Purpose Only
Up to 18" diameter
Sewer - Pipes/Open Profile Larne Diameter
09/26/91 E100-2 PVC Sewer Pipe, Ribbed
09/26/91 E100-2 PVC Sewer Proe, Ribbed
E100-2 PVC Sewer Pare, Ribbed
11/10/10 (E100-2) Polypropylene (PP) Sewer Pipe, Double Wall
11/10/10 (E100-2) Polypropylene (PP) Sewer Pipe, Triple Wall
05/16/11 Steel Reinforced Polyethylene Pipe
Ol/18/18
08/28/02
07/23/12
10/27/87
10/27/87
Lamson Vylon Poe
Extrusion Technologies, Inc.
Uponor ETI Company
Advanced Drainage Systems (ADS)
Advanced Drainage Systems (ADS)
ConTech Construction Products
Carlon Vylon H.C. Closed Profile Pipe,
Ultra -Rib Open Profile Sewer Pipe
SaniTite HP Double Wall (Corrugated)
SanrTde HP Triple Wall Proe
Durmaxx
Water - AnourenM2-10 (07/0
33-12-10
33-12-10
Double Strap Saddle
Double Strap Saddle
Double Strap Service Saddle
Curb Stops -Ball Meter Valves
Curb Stops -Ball Meter Valves
5/25/2018 33-12-10 Curb Stops -Ball Meter Valves
5/25/2018 33-12-10 Curb Stops -Ball Meter Valves
5/25/2018 33-12-10 Curb Stops -Ball Meter Valves
5/25/2018 33-12-10 Curb Stops -Ball Meter Valves
5/25/2018 33-12-10 Curb Stops -Ball Meter Valves
5/25/2018 33-12-10 Curb Stops -Ball Meter Valves
01/26/00
0/5/21/12 33-12-25
03/29/22
05/10/11
02/29/12
02/29/12
02/29/12
05/10/11
08/30/06
Coated Tapping Saddle with Double SS Straps
Tapping Sleeve (Coated Steel)
33-12-25 ITapping Sleeve (Coated or Stainless Steel)
Tapping Sleeve (Stainless Steel)
33-12-25 Tapping Sleeve (Coated Steel)
33-12-25 Tapping Sleeve (Stainless Steel)
33-12-25 Tapping Sleeve (Stainless Steel)
Joint Repair Clamp
Plastic Meter Box w/Composite Lid
Plastic Meter Box w/Composite Lid
Plastic Meter Box w/Composite Lid
Concrete Meter Box
Concrete Meter Box
Concrete Meter Box
Water - Bolts. Nuts. and Gaskets 33-11-05 (01/08/131
Romac
Smith Blair
Mueller Company
McDonald
McDonald
Ford Meter Box Co., Inc.
Ford Meter Box Co., Inc.
Ford Meter Box Co., Inc.
Mueller Co., Ltd.
Mueller Co., Ltd.
Mueller Co., Ltd.
JCM Industries, Inc.
JCM Industries, Inc.
JCM Industries, Inc.
Powerseal
Romac
Romac
Romac
Powerseal
DFW Plastics Inc.
DFW Plastics Inc.
DFW Plastics Inc.
Bass & Hays
Bass & Hays
Bass & Hays
202NS Nylon Coated
#317 Nylon Coated Double Strap Saddle
DR2S Double (SS) Strap DI Saddle
6100M,6100MT & 610MT
4603B, 4604B, 6100M, 6100TM and 6101M
FB600-7NL, FB1600-7-NL, FV23-777-W-NL,
L22-77NL
FB600-6-NL, FB1600-6-NL, FV23-666-W-
NL, L22-66NL
FB600-4-NL, FB1600-4-NL, B11-444-WR-
NL, B22444-WR-NL, L28-44NL
B-25000N, B-24277N-3, B-20200N-3, H-
15000N„ H-1552N, H142276N
B-25000N, B-20200N-3, B-24277N-3,H-
15000N, H-14276N, H-15525N
B-25000N, B-20200N-3,H-15000N, 11-
15530N
#406 Double Band SS Saddle
412 Tapping Sleeve ESS
415 Tapping Sleeve
3490AS (Flange) & 3490M1
FTS 420
SST Stainless Steel
SST III Stainless Steel
3232 Bell Joint Repair Clamp
DFW37C-12-1EPAF FTW
DFW39C-12-1EPAF FTW
DFW65C-14-IEPAF FTW
CMB37-B12 1118 LID-9
CMB-18-Dual 1416 LID-9
CMB65-B65 1527 LID-9
ASTM F 679
ASTM F 679
ASTM F 2736
ASTM F 2764
ASTM F 2562
AWWA
AWWA C800
AWWA C800
AWWA C800
AWWA C800
AWWA C800, ANSF 61,
ANSI/NSF 372
AWWA C800, ANSF 61,
ANSI/NSF 372
AWWA C800, ANSF 61,
ANSIMSF 372
AWWA C-223
AWWA C-223
AWWA C-223
AWWA C-223
AWWA C-223
18" to 48"
18" to 48"
24"-30"
30" to 60"
24" to 72"
1 "-2" SVC, up to 24" Pipe
1"-2" SVC, up to 24" Pipe
3/4" and 1"
1 %" and 2"
2"
1"
I"-2" Taps on up to 12"
Up to 30" w/12" Out
Concrete Prpe Only
4"-8" and 16"
Up to 42" w/24" Out
Up to 24" w/12" Out
Up to 30" w/12" Out
4" to 30"
Class "A"
* From Original Standard Products List 3
FORT WORTH.
CITY OF FORT WORTH
WATER DEPARTMENT
STANDARD PRODUCT LIST
Updated: 03/29/2022
Note: All water or sewer pipe larger than 15 inch diameter shall be approved for use by the Water Department on a project specific basis. Special bedding may be required for some pipes.
Approval Spec No. •1 'on
Water - Combination Air a ease 33-31-70 (01/08/13)
E1-11 Combination Air Release Valve
E1-11
E1-11
Combination Air Release Valve
Combination Air Release Valve
rWater - Dry Barrel Fire Hydrants 33-12-40 (O1/15/141
10/01/87
03/31/88
09/30/87
01/12/93
08/24/88
09/24/87
10/14/87
01/15/88
10/09/87
09/16/87
08/12/16
E-1-12
E-1-12
E-1-12
E-1-12
E-1-12
E-1-12
E-1-12
Dry Barrel Fire Hydrant
Dry Barrel Fire Hydrant
Dry Barrel Fire Hydrant
Dry Barrel Fire Hydrant
Dry Barrel Fire Hydrant
Dry Barrel Fire Hydrant
Dry Barrel Fire Hydrant
E-1-12 Dry Barrel Fire Hydrant
E1-12
E-1-12
E-1-12
33-12-40
Dry Barrel Fire Hydrant
Dry Barrel Fire Hydrant
Dry Barrel Fire Hydrant
Dry Barrel Fire Hydrant
Manufacturer
GA Industries, Inc.
Multiplex Manufacturing Co.
Valve and Primer Corp.
American -Darling Valve
American Darling Valve
Clow Corporation
American AVK Company
Clow Corporation
ITT Kennedy Valve
M&H Valve Company
Mueller Company
Mueller Company
U.S. Pipe & Foundry
Waterous Company
EJ (East Jordan Iron Works)
Model No.
National Spec
Empire Air and Vacuum Valve, Model 935 ASTM A 126 Class B, ASTM A
240 - float, ASTM A 307 - Cover
Bolts
Crispin Air and Vacuum Valves, Model No
APCO #143C, #145C and #147C
Drawing Nos. 90-18608, 94-18560 AWWA C-502
Shop Drawing No. 94-18791 AWWA C-502
Shop Drawing No. D-19895 AWWA C-502
Model 2700 AWWA C-502
Drawings D20435, D20436, B20506 AWWA C-502
Shoo Drawing No. D-80783FW AWWA C-502
Shop Drawing No. 13476 AWWA C-502
Shop Drawings No. 6461
A-423 Centurion AWWA C-502
Shop Drawing FH-12
A-423 Super Centurion 200 AWWA C-502
Shop Drawing No. 960250 AWWA C-502
Shop Drawing No. SK740803 AWWA C-502
WaterMaster 5CD250
Size
1"&2"
1/2" 1"&2"
1" 2"&3"
02/05/93 E 101-5 Detector Check Meter
08/05/04 Magnetic Drive Vertical Turbine
Ames Company
Hersey
Model 1000 Detector Check Valve AWWA C550
Magnetic Drive Vertical AWWA C701, Class 1
Water - Pines/PVC (Pressure Water) 33-31-70 (01/08/13)
01/18/18
3/19/2018
3/19/2018
5/25/2018
5/25/2018
12/6/2018
12/6/2018
9/6/2019
9/6/2019
9/6/2019
9/6/2019
33-11-12
33 11 12
33 11 12
33 11 12
33 11 12
PVC Pressure Pipe
PVC Pressure Pipe
PVC Pressure Pipe
PVC Pressure Pipe
PVC Pressure Pipe
33 11 12 PVC Pressure Pipe
33 11 12 PVC Pressure Pipe
33 11 12
33 11 12
33 11 12
33 11 12
PVC Pressure Pipe
PVC Pressure Pipe
PVC Pressure Pipe
PVC Pressure Pipe
Vinyltech PVC Pipe
Pipelife Jet Stream
Pipelife Jet Stream
Diamond Plastics Corporation
Diamond Plastics Corporation
J-M Manufacturing Co., Inc d/b/a JM Eagle
J-M Manufacturing Co., Inc d/b/a JM Eagle
Underground Solutions Inc.
NAPCO(Westlake)
NAPCO(Westlake)
Sanderson Pipe Corp.
Water - Pines/Valves & Fittinos/Duetile Iron Fittings 33-11-11 (01/08/13
07/23/92 EI-07 Ductile Iron Fittings Star Pipe Products, Inc.
* EI-07 Ductile Iron Fittings
* EI-07 Ductile Iron Fittings
08/11/98 EI-07 Ductile Iron Fittings
02/26/14 EI-07 MI Fittings
05/14/98 EI-07 Ductile Iron Joint Restraints
05/14/98 E1-24 PVC Joint Restraints
11/09/04 E1-07 Ductile Iron Joint Restraints
02/29/12 33-11-11 Ductile Iron Pipe Mechanical Joint Restraint
02/29/12 33-11-11 PVC Pipe Mechanical Joint Restraint
08/05/04 E1-07 Mechanical Joint Retainer Glands(PVC)
03/06/19 33-11-11 Mechanical Joint Retainer Glands(PVC)
08/05/04 EI-07 Mechanical Joint Retainer Glands(PVC)
08/10/98 EI-07 MI Fittings(DIP)
10/12/10 EI-24 Interior Restrained Joint System
08/16/06 E1-07 Mechanical Joint Fittings
11/07/16 33-11-11 Mechanical Joint Retainer Glands
11/07/16 33-11-11 Mechanical Joint Retainer Glands
03/19/18 33-11-11 Mechanical Joint Retainer Glands
03/19/18 33-11-11 Mechanical Joint Retainer Glands
03/19/18 33-11-11 Mechanical Joint Retainer Glands
Griffin Pipe Products, Co.
McWane/Tyler Pipe/ Union Utilities Division
Sigma, Co.
Accucast
Ford Meter Box Co./Uni-Flange
Ford Meter Box Co./Uni-Flange
One Bolt, Inc.
EBAA Iron, Inc.
EBAA Iron, Inc.
Sigma, Co.
Sigma, Co.
Sigma, Co.
Sigma, Co.
S & B Techncial Products
SIP Industries(Serampore)
Star Pipe Products, Inc.
Star Pipe Products, Inc.
SIP Industries(Serampore)
SIP Industries(Serampore)
SIP Industries(Serampore)
DR14
DR14
DR18
DR 14
DR 18
DR 14
DR 18
DR14 Fusible PVC
DR18
DR14
DR14
Mechanical Joint Fittings
Mechanical Joint Fittings
Mechanical Joint Fittings, SSB Class 350
Mechanical Joint Fittings, SSB Class 351
Class 350 C-153 MI Fittings
Uni-Flange Series 1400
Uni-Flange Series 1500 Circle -Lock
One Bolt Restrained Joint Fitting
Megalug Series 1100 (for DI Pipe)
Megalug Series 2000 (for PVC Pipe)
Sigma One-Lok SLC4 - SLCIO
Sigma One-Lok SLCS4 - SLCS12
Sigma One-Lok SLCE
Sigma One-Lok SLDE
Bulldog System ( Diamond Lok 21 & JM
Mechanical Joint Fittings
PVC Stargrip Series 4000
DIP Stargrip Series 3000
EZ Grip Joint Restraint (EZD) Black For DIP
EZ Grip Joint Restraint (EZD) Red for C900
DR14 PVC Pipe
EZ Grip Joint Restraint (EZD) Red for C900
DR18 PVC Pipe
AWWA C900, AWWA C605,
ASTM D1784
AWWA C900
AWWA C900
AWWA C900
AWWA C900
AWWA C900-16
UL 1285
ANSI/NSF 61
FM 1612
AWWA C900-16
UL 1285
ANSI/NSF 61
FM 1612
AWWA C900
AWWA C900
AWWA C900
AWWA C900
AWWA C153&C110
AWWA C 110
AWWA C 153, C 110, C 111
AWWA C 153, C 110, C 112
AWWA C153
AWWA C111/C153
AWWA C111/C153
AWWA C111/C116/C153
AWWA C111/C116/C153
AWWA C111/C116/C153
AWWA C111/C153
AWWA C111/C153
AWWA C111/C153
AWWA C153
ASTM F-1624
AWWA C153
ASTM A536 AWWA C111
ASTM A536 AWWA C111
ASTM A536 AWWA C111
ASTM A536 AWWA C111
ASTM A536 AWWA C111
4"-12"
4"-12"
16'-24"
4" - 8"
16" -24"
4"- 12"
4" to 36"
4" to 24"
4" to 12"
4"to42"
4"to24"
4" to 10"
4" to 12"
12" to 24"
4" to 12"
4" to 24"
16'-24"
* From Original Standard Products List 4
FORT WORTH.,
Note: All water o
CITY OF FORT WORTH
WATER DEPARTMENT
STANDARD PRODUCT LIST
Updated: 03/29/2022
sewer pipe larger than 15 inch diameter shall be approved for use by the Water Department on a project specific basis. Special bedding may be required for some pipes.
Approval Spec No. on
Water - Pines/Va ves : Ft ' esilient Seated Gate Valve* 33-12-20 (05/13/151
Manufacturer
Model No.
National Spec
Size
12/13/02
08/31/99
05/18/99
10/24/00
08/05/04
05/23/91
01/24/02
11/08/99
01/23/03
05/13/05
01/31/06
01/28/88
10/04/94
11/08/99
11/29/04
11/30/12
05/08/91
10/26/16
08/24/18
1/11/99
06/12/03
04/06/07
03/19/18
E1-26
E1-26
E1-26
E1-26
E1-26
E1-26
E1-26
E1-26
E1-26
Resilient Wedged Gate Valve w/no Gears American Flow Control
Resilient Wedge Gate Valve
Resilient Wedge Gate Valve
Resilient Wedge Gate Valve
Resilient Wedge Gate Valve
Resilient Wedge Gate Valve
Resilient Wedge Gate Valve
Resilient Wedge Gate Valve
Resilient Seated Gate Valve
Resilient Seated Gate Valve
Resilient Seated Gate Valve
Resilient Wedge Gate Valve
Resilient Wedge Gate Valve
Resilient Wedge Gate Valve
Resilient Wedge Gate Valve
Resilient Wedge Gate Valve
Resilient Wedge Gate Valve
Resilient Wedge Gate Valve
Resilient Wedge Gate Valve
Resilient We eGate Valve
Resilient Seat Gate Valve
E1-26 Resilient Seated Gate Valve
33-12-20
Resilient Seated Gate Valve
Mateo Gate Valve
American Flow Control
American Flow Control
American Flow Control
American Flow Control
American Flow Control
American AVK Company
American AVK Company
Kennedy
M&H
Mueller Co.
Mueller Co.
Mueller Co.
Mueller Co.
Mueller Co.
Clow Valve Co.
Clow Valve Co.
Clow Valve Co.
Clow Valve Co.
Clow Valve Co.
Stockham Valves & Fittings
U.S. Pipe and Foundry Co.
EJ (East Jordan Iron Works)
Matco-Norca
Series 2500 Drawing # 94-20247
Series 2530 and Series 2536
Series 2520 & 2524 (SD 94-20255)
Series 2516 (SD 94-20247)
Series 2500 (Ductile Iron)
42" and 48" AFC 2500
American AVK Resilient Seaded GV
Series A2361 (SD 6647)
Serves A2360 for 18"-24" (SD 6709)
Mueller 30" & 36", C-515
Mueller 42" & 48", C-515
16" RS GV (SD D-20995)
Clow RW Valve (SD D-21652)
Clow 30" & 36" C-515
Clow Valve Model 2638
Metrosea1250, regmrements SPL #74
EJ FlowMaster Gate Valve & Boxes
225 MR
AWWA C515
AWWA C515
AWWA C515
AWWA C515
AWWA C515
AWWA C509
AWWA C515
AWWA C515
AWWA C515
AWWA C515
AWWA C509
AWWA C515
AWWA C515
AWWA C515
AWWA C515
AWWA C 509, ANSI 420 - stem,
ASTM A 276 Type 304 - Bolts &
ants
AWWA/ANSI C115/An21.15
16"
30" and 36"
20" and 24"
16"
4" to 12"
42" and 48"
4" to 12"
20" and smaller
4" - 12"
4" - 12"
4" - 12"
16"
24" and smaller
30" and 36"
42" and 48"
4" - 12"
16"
24" and smaller
30" and 36" (Note 3)
24" to 48" (Note 3)
4" 2„
3" to 16"
4" to 16"
Water - Pioes/Va1ve9'& Fittines/Rubber Seated Butterfly Va1v3-12-21707/10/1AT.
EI-30
EI-30
E1-30
E1-30
E1-30
33 12 21
Rubber Seated Butterfly Valve
Rubber Seated Butterfly Valve
Rubber Seated Butterfly Valve
Valmatic American Butterfly Valve
Rubber Seated Butterfly Valve
Rubber Seated Butterfly Valve
Water - Polvettvlene Encasement 33-11-10 (01/08/131
05/12/05
05/12/05
05/12/05
09/06/19
3/12/96
El-13
E1-13
E1-13
33-11-11
Polyethylene Encasment
Polyethylene Encasment
Polyethylene Encasment
Polyethylene Encasment
Water - Samuline Station
1 Water Sampling Station
Henry Pratt Co.
Mueller Co.
Dezurik Valves Co.
Valmatic Valve and Manufacturing Corp.
M&H Valve
G. A. Industries (Golden Anderson)
Flexsol Packaging
Mountain States Plastics (MSP) and AEP Ind.
AEP Industries
Northtown Products Inc.
Water Plus
Valmatic American Butterfly Valve.
M&H Style 4500 & 1450
AWWA C504 Butterfly Valve
Fulton Enterprises
Standard Hardware
Bullstrong by Cowlown Bolt & Gasket
PE Encasement for DIP
B20 Water Sampling Station
AWWA C-504
AWWA C-504
AWWA C-504
AWWA C-504
AWWA C-504
AWWA C-504
AWWA C105
AWWA C105
AWWA C105
AWWA C105
Water - Automatic Flusher
10/21/20
04/09/21
04/09/21
Automated Flushing System
Automated Flushing System
Automated Flushing System
Mueller Hydroguard
Kupferle Foundry Company
Kupf le Foundry Company
HG6-A-IN-2-BRN-LPRR(Portable)
HG2-A-IN--2-PVC-018-LPLG(Permanent)
Eclipse #9800wc
Eclipse 49700 (Portable)
24"
24"and smaller
24" and larger
Up to 84" diameter
24" to 48"
30"-54"
8 mil LLD
8 mil LLD
8 mil LLD
8 mil LLD
* From Original Standard Products List 5