HomeMy WebLinkAboutContract 61108-UDate Received: 3/12/24------------Record Number: PN24-00011
Time Received: 4:so p.m.--------
PUBLICPROPERTYRIGHT-OF-WAYENCROACHMENTLICENSE
AGREEMENT
TIER/
TIDS AGREEMENT is made and entered into by and between THE CITY OF
FORT WORTH, a home rule municipal corporation of Tarrant County, Texas ('t City"),
acting by and through its duly authorized City Manager, Assistant City Manager, or
Director of the Development Services Department, and Gala at Ridgmar, LP, a Texas
limited partnership ("Licensee"), acting by and through its duly authorized Manager.
RECITALS
WHEREAS, Licensee is the owner of the real property located at 2201 Lands
End Boulevard, Fort Worth, Texas 76116 ("Property"), being more particular described
as, Lot 2A, Block 102, Ridgmar, by Instrument Number D223219611, in Tarrant County,
Texas, and;
WHEREAS, the City owns a right-of-way (the "Public Property") adjacent to
the Property, recorded in the deed records of Tarrant County by instrument number
D197172065; 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, o� 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 private irrigation (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 the
Tier II ROW Encroachment Agreement Pagel of 13
Revised 12/2022
City Secretary No. 61108
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 Pubiic 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 appraval 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.
5.
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 ROW Encroachment Agreement Page 2 of 13
Revised 12/2022
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 Nine Hundred Dollars ($900.00).
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.
�'�
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 publia lt 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 ROW Encroachment Agreement Page 3 of ]3
Revised l2/2022
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 �UT QF 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 "A."
The amounts of such insurance shall be not less than
$1,000,000
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 ROW Encroachment Agreement Page 4 of 13
Revised 12/2022
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 a11 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 a11 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 Pubiic 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.
Tier I] ROW Encroachment Agreement Page 5 of 13
Revised 12/2022
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.
17.
The parties agree that the duties and obligations contained in Section 5 shall
survive the termination of this Agreement.
1 S.
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
Tier II ROW Encroachment Agreement Page 6 of ]3
Revised 12/2022
[SIGNATURES APPEAR ON FOLLOWING PAGE]
Tier ll ROW Encroachment Agreement Page 7 of 13
Revised l2/2022
City:
CITY OF FORT WORTH
By: Dalton J. Harrell (Mar 12, 202413:33 CDT)
Licensee:
Gala at Ridgmar, LP
a Texas limited partnership
by: Gala at Ridgmar GP, LLC
a Texas limited liability company
its general manager
D.J. Harrell, Director of the
Development Services Department
Date: Mar 12, 2024
ATTEST:
Jannette Goodall,
City Secretary
Date: Mar 12, 2024
Tier II ROW Encroachment Agreement
Approved As To Form and Legality
Jeremy Anato-Mensah
Assistant City Attorney
Date: Mar 12, 2024
Contract Compliance Manager:
By signing I acknowledge that I am the person
responsible for the monitoring and administration
of this contract, including ensuring all performance
and reporting requirements.
'Rebeua JJ(aMe DweM
Rebecca Diane Owen (Mar 12, 202411:53 CDT)
Rebecca Owen
Development Services
Date: Mar 12, 2024 --------------
Page 8 of 13
Revised 12/2022
STATE OF ���5 §
COUNTY OF G�, §
BEFORE ME, the undersigned authority, a Notary Public in and for the State of
�_, on this day personally appeared ,
known 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, as the act and deed of r(��7}' --� �p� (�j
a�"��,5 II rn' ��( O�i! j �(�I, �-0 N1,0 d , and in the capacity therein stated.
GIVEN iJNDER MY HAND AND SEAL OF OFFICE this �� day of
�1 , 20�.
�� ^' g��..+,, CASEY RENOON
Notary ID iFt 34550434
� : My Commission Expires
Srptember 28, 2027
Notary Putrlic in and for the ��
State of _�_t�
Tier II ROW Encroachment Agreement Page 10 of 13
Revised 12/2022
***THIS PAGE FOR CITY OF FORT WORTH OFFICE USE ONLY***
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 12th day of
March 2024 .
Notary Public in and for the State of Texas
After recording return to:
Development Services Department
Development Coordination Office
200 Texas Street
Fort Worth, Texas 76102
Tier II ROW Encroachment Agreement Page 9 of13
Revised 12/2022
EXHIBIT A
Depiction and description of the Encroachment
Tier II ROW Encroachment Agreement Page 1 l of 13
Revised l2/2022
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11
GALA AT RIDGMAR, LP
lNSF. NO. D223218611
D.R.T.C.T.
LOT 2A, BLOCK 102
RIDOMAR
CABINET A, SLIDE 3753
P.R.T.C.T.
C(1RVE TABLE
CUR4E DELTA RAD1U5 LENGTH CHORD BEARING fNORD
Gi 63"S2'78` 315.00' 384.80' S50'74'Oi"W 364.99'
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� C2 6424'49' 357.34' 101.73' N50'S6'39'E 380.80'
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P.R.T.GT.= PLAT RECOR�S, TARRANT COUNTY, TEXAS \ -
U.E. = U1ILITY EASEMENT -��
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R.O.W. = RIGHT-OF-WAY � �
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C4��"SULT1��'C
606 Pecan Btraet, Bulle Y01, Forl Worth, TX 76102 Dh:817.865.58/{ man�arA.com
Civil En9lneer� � 6urveyon � Wsler Reeourm Enqlneen � W�ter S Wa�ls Watar Enylnsen
Can�truelien M�n�pen � Envlrenment�l 9cl�ntlsL � L�ntlenpe Archltacta � Pl�nnen
Taua HcME or PrW own�1 Fiquwm c Lintl Surveyen Rep. No. F-701 W]Sp (Surh, FQ1772 (6q)
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L1NE BEARING LpJCiN
U N75'14'DO'W 8.51'
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0.121 ACRES
5,626 SQ. FT.
\ ENCROACHMENTAREA
PE7EfiSON PATE SURVEY, ABSTRACT N0.1202
CITY OF FORT WORTH, TARRANT COUNiY, TEXAS
vxa, rux.: .�.� SHEET
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BEING A 0.121 ACRE TRACT OF LAND SITUATED IN THE PETERSON PATE SURVEY, ABSTRACT
N0. 1202, CITY OF FORT WORTH, TARRANT COUNTY, TEXAS, AND BEING iN THE RIGHT-OF-WAY
OF LANES END BOULEVARD, RIDGMAR, AN ADDITION TO THE CITY OF FORT WORTH ACCORDING
TO THE PLAT THEREOF RECORDED IN VOLUME 388-165, PAGE 36, PLAT RECORDS, TARRANT
COUNTY, TEXAS:
BEGINNING AT THE NORTHERNMOST CORNER OF LOT 2A, BLOCK 102, RIDGMAR, AN ADDITION
THE CITY OF FORT WORTH, ACCORDING TO THE PLAT THEREOF RECORDED IN CABINET A, SLIDE
3753, PLAT RECORDS, TARRANT COUNTY, TEXAS, THE SAME BEING THE NORTHWEST CORNER
OF BLOCK E-R, RIDGMAR SQUARE, AN ADDITION TO THE CITY OF FORT WORTH ACCORDING TO
THE PLAT THEREOF RECORDED IN VOLUME 388-116, PAGE 99, PLAT RECORDS, TARRANT
COUNTY, TEXAS;
THENCE SOUTH 82 DEGREES 09 MINUTES 36 SECONDS WEST, ALONG THE NORTH LINE OF SAID
LOT 2A, 170.18 FEET, TO THE START OF A CURVE TO THE LEFT;
384.60 FEET, WITH SAID CURVE TO THE LEFT AND CONTINUING ALONG SAID NORTH LINE,
HAVING A RADIUS OF 345.00 FEET, A DELTA OF 63 DEGREES 52 MINUTES 18 SECONDS, AND
WHOSE LONG CHORD BEARS SOUTH 50 DEGREES 14 MINUTES 01 SECONDS WEST, 364.99 FEET;
THENCE DEPARTING SAID NORTH LINE AND CONTINUING OVER AND ACROSS SAID
RIGHT-OF-WAY OF LANES END BOULEVARD, THE FOLLOWING CALLS;
NORTH 75 DEGREES 14 MINUTES 00 SECONDS WEST, 9.51 FEET, TO THE START OF A CURVE
TO THE RIGHT;
401.73 FEET, WITH SAID CURVE TO THE RIGHT, HAVING A RADIUS OF 357.34 FEET, A DELTA
OF 64 DEGREES 24 MINUTES 49 SECONDS, AND WHOSE LONG CHORD BEARS NORTH 50
DEGREES 36 MINUTES 39 SECONDS EAST, 380.90 FEET;
NORTH 82 DEGREES 37 MINUTES 29 SECONDS EAST, 165.59 FEET;
SOUTH 01 DEGREES 45 MINUTES 17 SECONDS WEST, 8.72 FEET, TO THE POINT OF BEGINNING,
AND CONTAINING 5,626 SQUARE FEET OR 0.121 ACRES OF LAND, MORE OR LESS.
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CO�"SULTIE�G
505 Veun 61roet, 6ulle 207, Ferl Werlll, TX 7610i pll:ll7.l65.53/� m�nh�Itl.eem
Civll Enpineers � Survayon � Walar Ra�aurce Enpinaan � WNer 8 W�ate W�ter Enpineen
Conalruction Mm�pars I Environmanld Saienti�la I ���d�eape Arehl�eclt I P����sn
Tmms BoW of PMeaiond E•�pvwfn a:rW Surn� • Req No.f-t07B47W (BuM. F.2773Y (Enp)
ENCROACHMENTAREA
PETERSON PATE SURVEY, ABSTRACT N0.1202
CITY OF FORT WORTH, TARRANT COUNTY, TEXAS
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EXHIBIT B
Certificate of Insurance
Tier Il ROW Encroachment Agreement Page 12 of 13
Revised 12/2022
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDlYYYY�
3/5/2024
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THiS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATNELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIPICATE OF INSURANCE DOES N�T CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poficy(ies) must have ADDITiONAL INSURED provisions or be endorsed.
If 8UBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRO�UCER
Bowen, Miclette & Britt of FL
850 Concourse Parkway S
Suite #105
Maitland FL 32751
INSURE�
Nations Construction, LLC
Gala at Ridgmar, LP
3418 Elser Street, Suite 201
Houston TX 77009
COVERAGES
Ni�E; "' Tina Xayasane
�nlc°NH . E�ct); 407-647-1616 _ �
E-MAIL
nouREss: bcayasane�bmbinc,com
INSURER(S) AFFORDING COVERA6E
iNsur�Ra: Associated Industries Ins Co, Inc.
NATIONSCON iNsur�R s: Texas Mutual Insurance Company
INSURER C :
INSURER D :
INSURER E :
INSURER F •
CERTIFICATE NUMBER:1355998413 i2EVISI�N Nl1MBER�
2314Q
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEIiMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN RED.UCED BY PAID CLAIMS.
��7� TYPE OF INSURANCE I 6L SIJ�Ri POLICY EFF POLICY EXP —
POLICY NUMBER MMIDD MMlDD LIMITS
A X` COMMERCIAL GENERAL LVIBILITY Y Y AES1237670 12/11/2D23 7/1 /2025 EqCH OCCURRENCE $1,000,000
� CLAIMS-MADE � OCCUR 6AIiAGEib��IJT� -;
PREMISES (Ea occurtencel $100,D00
X I 5,OD0 deductible MED EXP (My one person) $ EXGUded
I_I peroccurtence PERSONALB�ADVINJURY $1,000,000
GEN'LAGGREGATELIMITAPPLIESPER: GENERALAGGREGATE I E2,000,000
X POLICY � jECa � LOC PRODUCTS - COMP/OP AGG li $ 2,000,000
1 OTHER: $
A Al1TOMOBILELIAe1LITY AES1237870 � 12/11/2023 7/1/2025 �OMBINED SINGLE LIMI $ �,000,000
, Ea accidenq
ANY AUTO I BODILY INJURY (Per person) I$
OWNED SCHEDULED BODILY INJURY (Per awident $
AUTOS ONLY AUTOS �
x HIRED X NON-0WNED PROPERTYDAMAGE
AUTOS ONLY ,_ AUTOS ONLY ,{per aceideM) $
$
A UMBRELLALIAB )C OCCUR Y �' EXA1240517 12/11/2023 7/V2025 EpCH OCCURRENCE �$ 3,000,000
X EXCESS LIAB �i CLPJMS-MADE AGGREGATE
$ 3,000,000
DED RETENTION � I $
g WORKERS COMPENSATION 0001274743 8/26/2023 8/26/2024 X STATUTE I ER
AND EMPLOYERS' LIABIL�TY Y/ N - '
ANYPROPRIETOR/PARTNERlEXECUTIVE E.L. EACH ACCIDENT $1,000,000
OFFICER/MEMBEREXCLUDED? � N 1 A - •- -
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE� $1,000,000
If yes, describe under -
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POUCY LIMIT $1,000,000
I
DESCRIPTION OF OPERATIONS / LOCATIONS l VEHICLES (ACORD 101, Addlllonal Remarks Schedule, may he altached if more apaca Is required}
This is project specific coverage and ONLY applies to: Gala at Ridgmar 2201 Lands End Blvd., Fort Worth, TX 76116
Note: Nations Canstructian, LLC is the only named insured on the Woricer's Compensation Policy.
The following policy provisions and/or endorsements form pa�t of the policies of insurance represented by this certificate of insurance. The terms contained in
the policies and/or endorsements supersede the representations made herein. Electronic copies of the policy provisions and/or endorsements listed belaw are
available by emailing Contact Person as shown above.
See Attached...
CANCELLATION
city of Fort wortn
CFA Office - PN2400011
200 Texas Street
Fort worrn Tx �s� 02
ACORD 25 (2016/03)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATNE
�"`������-
O 1988-2015 ACORD CORPORATION. All rights resenred.
The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: NATfQNSCON
LOC #:
ACORO�
��
AGENCY
Bowen, Miclette 8 Britt of FL
POLICY NUMBER
caraw�
ADDITIONAL REMARKS SCHEDULE
Nac coue
NAMEDINSURED
Nations Construction, LLC
Gala at Ridgmar, LP
3418 Elser Street, Suite 201
Houston TX 77009
EFFECTIVE DATE:
The ACORD name and logo are registered marks of AC�RD
Page 1 of 1
ACORD 101 (2008101) O 2008 ACORD CORPORATION. All rights reserved.