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HomeMy WebLinkAboutContract 59649Date Received: 6/23/2023 Time Received: 8:15 a.m. Record Number: PN22-00039 City Secretary No.: 59649 PUBLIC PROPERTY EASEMENT ENCROACHMENT LICENSE AGREEMENT TIER II THIS AGREEMENT is made and entered into by and between THE CITY OF FORT WORTH, a home rule municipal corporation of Tarrant County, Texas ("City"), acting by and through its duly authorized City Manager, Assistant City Manager, or Director of the Development Services Department, and Daniel Alonso, property owner ("Licensee"). RECITALS WHEREAS, Licensee is the owner of the real property located at 1325 East Fogg Street, Fort Worth, Texas 76115 ("Property"), more particularly described as being Lots 21 and 22, Block 2 of Weisenberger Addition No.4, an addition to the City of Fort Worth, Tarrant County Texas, as recorded in Deed Records, by Instrument Number D221059040 , in Tarrant County, Texas, and; WHEREAS, the City owns a sanitary sewer easement (the "Public Property") adjacent to the Property, recorded in the Deed records of Tarrant County, Texas, by instrument number D220246579; and WHEREAS, Licensee desires to construct, place, and maintain certain improvements which will encroach in, on, above, or below the Public Property; and WHEREAS, to accommodate the needs of the Licensee, the City will allow the encroachment under the terms and conditions as set forth in this Agreement. NOW, THEREFORE, the City and Licensee agree as follows: AGREEMENT 1. The City, in consideration of the payment by Licensee of the fee set out below and covenants and agreements hereinafter contained to be kept and performed by Licensee, hereby grants permission to Licensee to encroach in, on, above, or below and occupy a portion of the City's Public Property as described in and at the location shown on Exhibit "A," but only to the extent shown thereon, for the purpose of constructing, installing, and maintaining a 2' portion of building (the "Encroachment"). Upon completion of the Encroachment, Licensee agrees to be responsible for maintaining the Encroachment within the Public Property. Licensee shall not expand or otherwise cause Tier II Easement Encroachment Agreement OFFICIAL RECORD page 1 of 13 CITY SECRETARY Revised 11/2020 FT. WORTH, TX the Encroachment to further infringe in or on the Public Property beyond what is specifically described in Exhibit "A." 2. All construction, installation, maintenance, and operation of the Encroachment and the use or occupancy of the Public Property shall comply with and be performed in strict compliance with this Agreement and with the charter, ordinances, codes, and policies of the City. Prior to the construction or installation of the Encroachment, Licensee shall submit all plans and specifications to the Director of the Development Services Department or duly authorized representative. Licensee shall not commence construction or installation of the Encroachment nor make any use of the Public Property until after the execution of this Agreement. 3. Licensee, at no expense to the City, shall make proper provisions for the relocation and installation of any existing or future utilities affected by such Encroachment and the use and occupancy of the Public Property, including the securing the approval and consent of the appropriate utility companies and agencies of the State of Texas and its political subdivisions. In the event that any installation, reinstallation, relocation, or repair of any existing or future utility or improvements owned by or constructed by or on behalf of the public or at public expense is made more costly by virtue of the construction, maintenance, or existence of the Encroachment and use of Public Property, Licensee shall pay to City an additional amount equal to such additional cost as determined by the Director of Transportation and Public Works, the Director of the Water Department, the Director of the Development Services Department, or their duly authorized representative. 4. Licensee agrees that City may enter and utilize the Public Property at any time for any public purpose, including installing, repairing, replacing, or maintaining improvements to its public facilities or utilities necessary for the health, safety, and welfare of the public. The City shall have no responsibility or liability for any damages related to the Encroachment resulting from the City's use of the Public Property; however, the City shall make reasonable efforts to minimize such damage. :1 Upon termination of this Agreement, Licensee shall, at the option of and at no expense to the City, remove the Encroachment and restore the Public Property to a condition acceptable to the Director of Transportation and Public Works, the Director of the Water Department, the Director of the Development Services Department or their Tier II Easement Encroachment Agreement Page 2 of 13 Revised 11/2020 duly authorized representative. Any such removal of the Encroachment shall be in accordance with then -existing City regulations and policies. It is understood and agreed to by Licensee that if this Agreement terminates and Licensee fails to remove the Encroachment and restore the Public Property, Licensee hereby gives City permission to remove the Encroachment and any supporting structures from the Public Property, to restore the Public Property, and to assess a lien on the Property for the costs expended by the City in taking such actions. 6. In order to defray all costs of inspection and supervision which the City has incurred or will incur as a result of the construction, maintenance, inspection or management of the Encroachment and use of Public Property as provided for by this Agreement, Licensee agrees to pay to City at the time this Agreement is requested an application fee in the sum of Seven Hundred Dollars ($700.00). 7. The term of this Agreement shall be for thirty (30) years, commencing on the date this Agreement is executed by City. However, the City may terminate this Agreement upon Licensee's noncompliance with any of the terms of this Agreement. City shall notify Licensee in writing of any such noncompliance and if Licensee does not cure the noncompliance within thirty (30) days of notice from City, the City may terminate this Agreement. However, the City may, at its sole option, allow the Agreement to remain in effect so long as Licensee has taken reasonable measures to cure the noncompliance or is continuing to diligently attempt to remedy the noncompliance. 8. It is further understood and agreed between the parties hereto that the Public Property to be used and encroached upon is held by City as trustee for the public; that City exercises such powers over the Public Property as have been delegated to it by the Constitution of the State of Texas or by the Texas Legislature; and that City cannot contract away its duty and its legislative power to control the Public Property for the use and benefit of the public. It is accordingly agreed that if the governing body of City may at any time during the term hereof determine in its sole discretion to use or cause or permit the Public Property to be used for any other public purpose, including but not being limited to underground, surface, or overhead communication, drainage, sanitary sewerage, transmission of natural gas or electricity, or any other public purpose, whether presently contemplated or not, that the parties agree to negotiate in good faith in order to accommodate both the Encroachment and the public purpose. Tier II Easement Encroachment Agreement Page 3 of 13 Revised 11/2020 9. LICENSEE COVENANTS AND AGREES TO INDEMNIFY, AND DOES HEREBY INDEMNIFY, HOLD HARMLESS, AND DEFEND CITY, ITS OFFICERS, AGENTS, SERVANTS, EMPLOYEES, AND ELECTED OFFICIALS FROM AND AGAINST ANY AND ALL CLAIMS OR SUITS FOR PROPERTY DAMAGE OR LOSS AND/OR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, OF WHATSOEVER KIND OR CHARACTER, WHETHER REAL OR ASSERTED, ARISING OUT OF OR IN CONNECTION WITH, DIRECTLY OR INDIRECTLY, THE CONSTRUCTION, MAINTENANCE, OCCUPANCY, USE, EXISTENCE, OR LOCATION OF THE ENCROACHMENT AND USES GRANTED HEREUNDER, WHETHER OR NOT CAUSED, IN WHOLE OR IN PART, BY THE ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, LICENSEES, ELECTED OFFICIALS, OR INVITEES OF THE CITY; AND LICENSEE HEREBY ASSUMES ALL LIABILITY AND RESPONSIBILITY FOR SUCH CLAIMS OR SUITS. LICENSEE SHALL LIKEWISE ASSUME ALL LIABILITY AND RESPONSIBILITY AND SHALL INDEMNIFY CITY FOR ANY AND ALL INJURY OR DAMAGE TO CITY PROPERTY ARISING OUT OF OR IN CONNECTION WITH THE ENCROACHMENTS AND ANY AND ALL ACTS OR OMISSIONS OF LICENSEE, ITS OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, LICENSEES, OR INVITEES. 10. While this Agreement is in effect, Licensee agrees to furnish City with a Certificate of Insurance naming City as certificate holder as proof that is has secured and paid for a policy of public liability insurance covering all public risks related to the proposed use and occupancy of public property as located and described in Exhibit "C." The amounts of such insurance shall be not less than $300,000 with the understanding and agreement by Licensee that such insurance amounts may be revised upward at City's option and that Licensee shall so revise such amounts immediately following notice to Licensee of such requirement. Such insurance policy shall not be canceled or amended without at least thirty (30) days prior written notice to the Building Official of the City. A copy of such Certificate of Insurance is attached as Exhibit "B" and incorporated herein for all purposes. Licensee agrees, binds, and obligates itself and its successors and assigns to maintain and keep in force such public liability insurance at all times during the term of this Agreement and until the removal of the Encroachment and restoration of the Public Property. All insurance coverage required herein shall include coverage of all Licensee's contractors and subcontractors. Tier II Easement Encroachment Agreement Page 4 of 13 Revised 11/2020 11. Licensee agrees to deposit with the City when this Agreement is executed a sufficient sum of money to be used to pay necessary fees to record this Agreement in the real property records of the county in which the Encroachment is located. After being recorded, the original shall be returned to the City Secretary of the City of Fort Worth. 12. Licensee agrees to comply fully with all applicable federal, state, and local laws, statutes, ordinances, codes, and regulations in connection with the construction, operation, and maintenance of the Encroachment and use of the Public Property. 13. Licensee agrees to pay promptly when due all fees, taxes, or rentals provided for by this Agreement or by any federal, state, or local statute, law, or regulation. 14. Licensee covenants and agrees that it shall operate hereunder as an independent contractor as to all rights and privileges granted hereunder and not as an officer, agent, servant, or employee of City, and Licensee shall have exclusive control of and the exclusive right to control the details of its operations, and all persons performing same, and shall be solely responsible for the acts and omissions of its officers, agents, servants, employees, contractors, subcontractors, licensees, and invitees. The doctrine of respondeat superior shall not apply as between City and Licensee, its officers, agents, servants, employees, contractors, and subcontractors, and nothing herein shall be construed as creating a partnership or joint enterprise between City and Licensee. 15. Licensee agrees and acknowledges that this Agreement is solely for the purpose of permitting Licensee to construct, maintain, and locate the Encroachment over or within the Public Property and is not a conveyance of any right, title, or interest in or to the Public Property, nor is it meant to convey any right to use or occupy property in which a third -party may have an interest. Licensee agrees that it will obtain all necessary permissions before occupying such property. 16. In any action brought by the City for the enforcement of the obligations of the Licensee, City shall be entitled to recover interest and reasonable attorneys' fees. Tier II Easement Encroachment Agreement Page 5 of 13 Revised 11/2020 17. The parties agree that the duties and obligations contained in Section 5 shall survive the termination of this Agreement. 18. Licensee covenants and agrees that it will not assign all or any of its rights, privileges, or duties under this Agreement without the written approval of the City, and any attempted assignment without such written approval shall be void. In the event Licensee conveys the Property, Licensee may assign all of its rights and obligations under this Agreement to the new owner of the Property, and Licensee shall be deemed released from its duties and obligations hereunder upon City's approval in writing of such assignment, which approval shall not be unreasonably conditioned or withheld. Foreclosure by a secured lender of Licensee or assignment to a secured lender by Licensee in the event of default or otherwise shall not require City approval provided that said lender notifies City in writing within sixty (60) days of such foreclosure or assignment and assumes all of Licensee's rights and obligations hereunder. However, no change of ownership due to foreclosure or assignment to any secured lender of Licensee shall be effective as to City unless and until written notice of such foreclosure or assignment is provided to City. 19. Any cause of action for breach of this Agreement shall be brought in Tarrant County, Texas. This Agreement shall be governed by the laws of the State of Texas. 20. This Agreement shall be binding upon the parties hereto and their successors and assigns. 21. This Agreement may be executed in multiple counterparts, each of which shall be considered an original, but all of which shall constitute one instrument [SIGNATURES APPEAR ON FOLLOWING PAGE] Tier II Easement Encroachment Agreement Page 6 of 13 Revised 11/2020 City: Licensees 5 CITY OF FORT WORTH Property Owner By DJ Harrell (Jun 22, 2023 09:48 CDT) BY. Y.. D.J. Harrell, Director of the Name: Daniel Alonso Development Services Department Tittle: Ow n er Date: Jun 22, 2023 Date: G 6ovvpq 4 n� ° ap0. foRr 0d' ATTEST: o~�°o�'.,o Approved As To Forrn and Legality duo o=a o 4�uEap544p Jannette Goodall, Jeremy Amato-Mensah City Secretary Assistant City Attorney Date: J u n 23, 2023 Date: J u n 15, 2023 Contract Compliance Manager: By signing t acknowledge that l am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Rebecca Deane Owen Rebecca Diane Owen (Jun 15, 2023 15:28 CDT) Rebecca Owen Development Services Date: J u n 15, 2023 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Tier II kawnent Hacroachmmt Agreement Page 7 of 13 Rovised 11 t2020 >r 11 H I by J_l!I Il OlU :ty 1111111i�1 OUJ . M 1111 .Jf 11 l�J l�l Il fly Irl�J►1 IiA' STATE OF TEXAS § COUNTY OF TARRANT § BEFORE ME, the undersigned authority, a Notary Public in and for the State of Texas, on this day personally appeared D.J. Harrell, known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that he executed the same for the purposes and consideration therein expressed, as the act and deed of the City of Fort Worth, and in the capacity therein stated. GIVEN UNDER MY HAND AND SEAL OF OFFICE this 22nd day of June . 20 23 WendL. Digitally signed by Y Wendy L. Beardslee 6 e a r d s I e e Date: 2023.06.23 10:51:05-05'00' ocPRYp�e, WENDY L BEARDSLEE z Notary Public Notary Public in and for the State of Texas * * STATE OF TEXAS Notary I.D. 13323719-3 OF My Comm. Exp. July 28, 2025 After recording return to: Development Services Department Development Coordination Office 200 Texas Street Fort Worth, Texas 76102 Tier II Easement Encroachment Agreement Page 8 of 13 Revised 11/2020 STATE OF TEXAS § COUNTY OF TARRANT § BEFORE ME, the undersigned authority, a Notary Public in and for the State of SFXA3 on this day personally appeared Daniel AEonso. property owner (Title) kno\Nm to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that he or she executed the same for the purposes and consideration therein expressed and in the capacity therein stated. 20 �2- 3 GIVEN UNDER MY HAND AND SEAL OF OFFICE this m 1 day of Q ( , is in and for the ► r, AEVAmG SUBOOOSN,A6 FLEW r M My Eo>:,miss�m Expires a July 11, 2026 1. t,X 11 l r ajf I�n4xoaa: anoil Agcentcnl 1'age9ot I Rcvtv4-j 11 20.'0 EXHIBIT A Depiction and description of the Encroachment Tier II Easement Encroachment Agreement Page 10 of 13 Revised 11/2020 li WEISEER BLOCK NQ4 i' LOT 9 YOLMS-C.M.19 Lor- 8 orMWO Lunn PAT.CT. I W Ab.DW2W24 Dicr�►do Luna � AR.T�T LOT 6 av 7 lfW.#aD21&n=4 toT A? URT.CT. �'--= Eiamw I fA VMy �,rr I noa ra arswav Vd. -wc pi. Ig 1 pvaAxrcr. F - _ — PArrr. S V ' 50' 41 " E 7.50' 5D.{ID' ----- — "50.00�---- v2• Nts i 5D�0'' S0.00, __-_----------___----- ----- -7- -------------------- 7.5-FOOT �� " "� ,E„► '"�-y 1 �► for Ftdit +mimes SANITARY SEWER EASEMENT I � Jn<ft,9 1�144 SQ. FT, j �-" sK*Av"t rArcr. (0.026 ACRES) LOr 22 _ — LOT 2t --- wr 20 1 r' ►� n�.otiso3s�s c / 1 C4 DArICT. �rltAfaack�r+�t'. 1- z 1� WEISEMEARM AO�ID111lW NOL4 Q WEISERSERGER AQEDI►1"I�MI VOL388-C.PG.19 1� ; ;7 YOL388-aPG 19 PRT.CT. 1 P-RT.CT. . I I� v2" "s I v2" *F CA 0 20 40 SCALE' V-40' AQ4 n 5a•00' - _ 50.00' -• 42.50' 50.00' 50.00' cam. � ur50.00' C.M. v.M. / V 2 RF Cf'� �S ■ f lEET P C s es• s4' a�" w AsGG a' POINT OF BEGINNING Rari�r'� LEGENOA C.M. - CONTROLLING MONUMENT I.R.S. - IRON ROD SET WITH YELLOW PLASTIC CAP STAMPED "LIM ASSOC" I.R.F. - I M ROD FOUND D.R.T.C.T. - DEED RECORDS, TARRANT COUNTY, TEXAS P.R.T.C.T. - PLAT RECORDS. TARRANT COUNTY, TEXAS SQ. FT. - SQUARE FEET AmAm fri4s° &Iqp arr ar nwr nw)w nl 'Ina7vruv .rn�r ftiPr MIAP71"w 7F,l5tS' mm m& -A46 inc. &ft no EXIT' "B" PAGE IOF 1 tr- — EXHIBIT V ZS FOOT SANITARY SEWER EASEMENT 1,144 SQUARE FEET (0.026 ACRES) LOT 21, BLOCK 2 WEISENSERGER AODI TION NO. 4 CITY OF FORT WORTH TARRANT COUNTY, TEXAS SANITARY SEWER REHABILITATION CONTRACT 94 CITY PROJECT NO.: 100421 Page 5 of 6 Exot+ � RecolaejA EaSmenl EXHIBIT "A" 7-5-FOOT SANITARY SEWER EASEMENT 1,144 SQUARE FEET (0.026 ACRES) LOT 21, BLOCK 2, WEISENBERGER ADDITION NO. 4 W.R. LOVING SURVEY, ABSTRACT NO.948 CITY OF FORT WORTH, TARRANT COUNTY, TEXAS SANITARY SEWER REHABILITATION, CONTRACT 94 CITY PROJECT NO.. 100421 BEING a 1,144 square feet (0.026-acre) tract of land located in the W. R. Loving Survey, Abstract No. 948, Tarrant County, Texas, and being a part of Lot 21, Block 2 of Weisenberger Addition No. 4, an addition to the City of Fort Worth, Tarrant County, Texas, according to the plat thereof recorded in Volume 388-C, Page 19 of the Plat Records of Tarrant County, Texas (P.R.T.C.T.), and also being out of that tract of land conveyed to Precious Real Estate Holdings, LLC, according to the deed thereof recorded in Instrument No. D217087482 of the Deed Records of Tarrant County, Texas (D.R.T.C.T.) and being more particularly described by metes and bounds as follows: BEGINNING at a %-inch iron rod found at the southeasterly corner said Lot 21, said point also being the southwesterly corner of Lot 20 of said Block 2, Weisenberger Addition No. 4, said point also being on the northerly right-of-way [ine of Fogg Street (a 50-foot right-of-way); THENCE South 89 degrees 54 minutes 07 seconds West, along the southerly line of said Lot 21 and the northerly right-of-way line of said Fogg Street, a distance of 7.50 feet to a '/-inch iron rod set with yellow plastic cap stamped "LIM ASSOC" for corner; THENCE North 00 degrees 00 minutes I I seconds East, over and across said Lot 21, a distance of 152.51 feet to a %-inch iron rod set with yellow plastic cap stamped "LIM ASSOC" on the common line of Lots 8 and 21 of said Block 2, Weisenberger Addition No, 4 for corner; THENCE South 89 degrees 50 minutes 41 seconds East, along the common line of said Lots 8 and 21, a distance of 7.50 feet to a'/s-inch iron rod found at the common corner of Lots 8, 9, 20 and 21 of said Block 2, Weisenberger Addition No. 4; THENCE South 00 degrees 00 minutes I 1 second West, along the common line of said Lots 20 and 21, a distance of 152.47 feet to the POINT OF BEGINNING and containing 1,144 square feet or 0.026 acres of land, more or less. BASIS OF BEARING is the State Plane Coordinate System, North American Datum of 1983, Texas North Central zone 4202. PAGE 1 OF I WEM�eX P I VOL388-. M 19 MOC 4 s L PRT4x. & a IAM bW. 0ff& VIW4 LOT 6 L or j �01 D Md.AhQOd�CWON /l I Drf-r. Or p l Darcy. r Now aw. I am w memo" w 3Wc A► 0 I MrLT. r�vrr I S e,o• 80' 4Y E 7.50' - -------------------- �n.00--- --- � :Tf� --- 7.5-FOOT "` a'� SANITARY SEWER EASEMENT ""`ft"""" �—�`pf s ter""' "c 1,144 SQ. FT. i , �,� SCALE, 1"-40' (0.026 ACRES) f a a � I . LOr 22 LDr L'J ��.�----car M -__• L or 15 F. Eemnm iqw j ; � krr.ieaGLrsWS+lr WE/sEA+BVW-RR �1=rlQr =4 —., WEISEIv R Aaar W LUa4 VOL 38B-i . PC. 19 v- ' VOL389-C pa 19 PRX.CT. ' $ PRlGl. I VI V!" qi yr or �K -e-- a_°° - CAL --so.oa 42.sa so.00,` So oo''_ c y. s es• 34' o7" w 7.50' SIRIMI POINT FOGG OF BEGINNING aO�'�'� - 32-Cq�pZo�-i�"3ov2�� 32 �6q 10 a2 _R1 .30 830Z 32 .69 _ 32A &q IZ Zy "17'303zs8 LEGEND+ C.m - CONTROLLMIO WONUIENT I.R.s. - IRON ROD SET WITH YELLOW PLASTIC CAP STAApED "LE1 ASSOC" I.R.F. - RON ROD FOLD D.R.T.C.T. - DEED RECORDS, TARRANT COIOM, TEXAS PR.T.C.T. - PLAT RECORDS. TARRANT COL N". TEXAS SO. FT. - SQUARE FEET AL4f� i'tIl► arr ar#qWr i ' A,60 a''l�Z� r m & APSOMTW • w...+,r V-Nu�>�� Iwo AL as !ram • RE as snarl EVOW NO" PAGE 1 OF 1 EX MT "B„ 7.5-FOOT SANTARY SEWER EASEMENT 1,144 SQUARE FEET (0.026 ACRES) LOT 21, BLOCK 2 WE1S'ENBERGER ADDITION NO, 4 CITY OF FORT WORTH TARRANT COUNTY, TEXAS SANfTARY SEWER REHABILITATION CONTRACT 84 CITY PROJECT NO.: 100421 LEGAL DI3GRIPTICLAS *I a" aloft III 10-ft 111P.W trearded lay r r Wari,tl. h.rw fir . ~M.. ' n vo U v. �•r..v"I �`""r ►•� • r.eeC GtlmiT, i•2V Pap 19, plat i Ms•er. 1w ferry bsww-wi. n w.""„ w "W +`-w ►t..ri e+r.r w.+. do" fta Iv •see. I'. Ep. op co I7 ADDe t e,t i BU't1� t C p � Te140Te +vie a' RF�nt,ct1+d+rs rllr crrY ZanAw �p '4►T w'RtT ITT 1WXWM an 4- LOT 2% MMT14 W Off yr WWI LOT 22 SOCK 2 ` 9 "I 0.174 AC 7&W SQ_ FT. ` C '"r LOT 21 � BLOCK 2 .-� 0.17.4 AC. � 4 76W So FT, 1 r... yr Von red .... LOT 20 w. }i .�► ea =~r► • •Y ....................... Ad/1rM� 032% FAST IrMG STREET errrraa - I ho-*tfy mrt1ry that thle p3at ee trwr Ond ctr'"mt to the belt of my la+auled'it Okd belies m wrv+yrl by " or URdar nW d.rett ovperv,sion -I've Surrey u+ dv.g uAthout o title search and sh:%I enly eoswywwd& an Lh& recardsd eub*VYslom plot and sloes ns1 9 rclude eltrler dmd n "U of retard &W'Ach may affect this Proparty. F;rch..r F-W :or= BIT. Arce+w FULLER ENGINEERING & LAND SURVEYING, INC. 6L4 ca"7. D.l. D-U.E, . ftalI& O Lh. I. P.P. • Cw*rol r%w%w++..t Ij . L)n*% a F..ar.al4 CR-5 r vn*v e 4 tllitlty O.N.C. • rPmed 'sr P. - WWI Fend Fe Gird II eead Sat - O.r,fel rl.ctrR [a r.t1.5.t. PLO I.I. O - 6rwd Cyr,. Riew —,II` - 1PNMw ea.., Sass Emmrrma --0-- . Rjehc of wow - T.I.a+.d. Rat --a— - Yl..rp Fuca - Gdn L" ►rra Y� ►s !1.►.- rr . '�I.pzka�../Y ) i oLvrc Trepan+++ ( ) - R.r�d i�ala - e.0 +v! Bows U.E a� I1tI1}tY rsl7rwrt —x-- - a .pull. `�" . ra•tie Ferree Ewctrk !Kell. 241r GARDEN PARK r-UFtT, ARLMGTOM. Tx, 7R0l3 - Plie (en)C6"447, FAXE (8FT)I61.r6i1i EXHIBIT B Certificate of Insurance Tier II Easement Encroachment Agreement Page 11 of 13 Revised 11/2020 DECLARATIONS Coverage afforded by this policy is We will provide the 1provided by: insurance described in this policy in return for the premium ESTATE FARM LLOYDS and compliance with all applicable JA Lloyds Company in Richardson,Texas provisions of this policy. APO Box 853907 ----------------------------------------Richardson TX 75085-3907 93-GN-HO95-6 Policy Number ------------ ---I Named Insured and Mailing Address ALONSO, DANIEL & SONIA ------------------------------------- 5733 ROBIN CT HALTOM CITY, TX 76148-4023 ------------------------------------------------------------------------------- The Policy Period begins and ends at lAutomatic Renewal - If the Policy 12:01 a.m. Standard Time at the residence lPeriod is shown as 12 months, this premises. 1policy will be renewed auto- matically subject to the premiums, 09/01/2022 Effective Date Irules and forms in effect each 12 months -Policy Period Isucceeding policy period. If this 09/01/2023 Expiration of Policy Period 1policy is terminated, we will give -------------------------------------------lyou and the Mortgagee/Lienholder Limit of Liability - Section 1 lwritten notice in compliance with $ 301,000 Dwelling (Coverage A) Ithe policy provisions or as Actual Loss Loss of Rents (Coverage C) Irequired by law. Sustained- I ----------------------------------- 12 months Deductibles - Section 1 20/ $6020 Policy Type JALL LOSSES In case of loss under Rental Dwelling Policy Ithis policy, the deductible will be Special Form 3 Japplied per occurrence and will be deducted from the amount of the -------------------------------------------floss. Other deductibles may apply Location of Premises I- refer to your policy. 1325 E FOGG ST FORT WORTH, TX 76115 1 ------------------------------------------------------------------------------- 1--- ---------------------- IPolicy Premium $1,511.00 Forms, Options, & Endorsements Mortgagee SONIA ALONSO HALTOM CITY, TX 76148 Loan Number: Agent Name & ELOY LEAL 5621 BUNKER WATAUGA, TX 76148-1910 Address BLVD (817)656-9696 ------------------------------------------------------------------------------- Prepared: September 1, 2022 7172 Agent's Code 559-916.5 MORTGAGEE COPY PREMIUM NOTICE STATE FARM INSURANCE COMPANIES AGENT ISSUED DECLARATIONS -------------------------------------------------------------- IPOLICY NUMBER I BILLING PERIOD I AGENT CODE 93-GN-HO95-6 I FROM 09/01/2022 1 TO 09/01/2023 1 7172 -------------------------------------------------------------- LOCATION 1325 E FOGG ST FORT WORTH, TX 76115 INSURED ALONSO, DANIEL & SONIA 5733 ROBIN CT HALTOM CITY, TX 76148-4023 MORTGAGEE SONIA ALONSO HALTOM CITY, Loan Number: PREMIUM $ 1,511.00 AMOUNT PAID $ 867.00 AMOUNT DUE $ .00 DATE DUE 05/20/2023 AGENT NAME & ADDRESS ELOY LEAL TX 76148 5621 BUNKER BLVD WATAUGA, TX 76148-1910 (817)656-9696 This is the only notice you will receive. Please make check payable to STATE FARM and return it with this notice to the address shown below. Your canceled check is your receipt. Thanks for letting us serve you. STATE FARM INSURANCE COMPANIES PO Box 650436 Dallas, TX 75265-0436