HomeMy WebLinkAboutContract 61153Date Received: 3/20/2024 Record Number: PN24-00018
Time Received:
11:39 a.m.
City Secretary No.:61153
PUBLIC PROPERTY EASEMENT ENCROACHMENT LICENSE AGREEMENT
YVR U
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 Gabriela Galindo, and Antonia
Garcia, a(n) property owners ("Licensee"), acting by and through its duly authorized
Home Owners.
RECITALS
WHEREAS, Licensee is the owner of the real property located at 5212 S.
Hampshire Boulevard, Fort Worth, Texas 76112 ("Property"), being more particular
described as, Lot D, of Green's Subdivision of Lot 2, Milner Cooke Addition, in Tarrant
County, Texas, according to the Plat thereof recorded in Volume 1990, Page 165, Deed
Records, Tarrant County, Texas, as recorded in Deed Records, by Instrument Number
D216174544, in Tarrant County, Texas, and;
WHEREAS, the City owns a sanitary sewer (the "Public Property") adjacent to
the Property, recorded in the plat records of Tarrant County as plat number 13218; 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 eight -foot fence (the "Encroachment"). Upon completion
of the Encroachment, Licensee agrees to be responsible for maintaining the
Tier 11 Easement Encroachment Agreement
Page 1 of 12
Revised 12/2022
Encroachment within the Public Property. Licensee shall not expand or otherwise cause
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.
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
duly authorized representative. Any such removal of the Encroachment shall be in
Tier H Easement Encroachment Agreement Page 2 of 12
Revised 12/2022
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.
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.
9.
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Revised 12/2022
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 HIND 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 "A."
The amounts of such insurance shall be not less than
$227,343
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 H Easement Encroachment Agreement Page 4 of 12
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 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 H Easement Encroachment Agreement Page 5 of 12
Revised 12/2022
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 12
Revised 12/2022
City:
CITY OF FORT WORTH
25�rz HArre&
By:Dalton Harrell (Mar 19, 202418:38 CDT)
D.J. Harrell, Director of the
Development Services Department
Date: Mar 19, 2024
ATTEST:
Jannette Goodall,
City Secretary
Date: Mar 20, 2024
Licensee:
Property Owner
By: C-10)OP'tc-A
Name: Gabriela Guadalupe Galindo
Title: Property Owner
Date: ® l
By:J, �v
Name: Antonia Garcia Calderon
Title: Property Owner
Date: 3 Ito W2-4-
Approved As To Form and Legality
Jeremy Anato Mensah
Assistant City Attorney
Date: M a r 19, 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.
Rebecca Owen (Mar 19, 202418:14 CDT)
Date: M a r 19, 2024
Rebecca Owen
Development Services
Tier II Easement Encroachment Agreement Page 7 of 12
Revised 12/2022
�!Y:1byJ"D1 UJML61YWill eJN&IJjKIIIIJ tj Y: IM y W 161 DILWI DILIJ►'I K"M
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 19th 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
WENDY L BEARDSLEE
N * ST�Ttar-y Public
�`' E OF TEXAS
9c OF 1E� Notaiy I.Q. 13323719-3
MY Comm. Exp. July 28, 2025
Tier II Easement Encroachment Agreement
Page 8 of 12
Revised 12/2022
STATE OF TEXAS
COUNTY OF �11 S
2
0
BEFORE ME, the undersigned authority, a Notary Public in and for the State of
Texas, on this day personally appeared Gabriela Guadalupe Galindo, Property Owner,
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, and in the capacity therein stated.
GIVEN UNDER MY HAND AND SEAL OF OFFICE this
i4ek.-C4—
Notary Public in and for the
State of
`.►`"va�''�. ARTURO ESQUIVEL, JR.
�`�s Notary Public, State Of Texas
Comm. Expires 05-20-2026
.... �`` Notary ID 133773601
, 2024.
/ 4 day of
Tier H Easement Encroachment Agreement Page 9 of 12
Revised 12/2022
STATE OF TEXAS
COUNTY OF t� ///'<
BEFORE ME, the undersigned authority, a Notary Public in and for the State of
Texas, on this day personally appeared Antonia Garcia Calderon, Property Owner, 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, and in the capacity therein stated.
GIVEN UNDER MY HAND AND SEAL OF OFFICE this /K44' day of
J??�•� c k— , 2024.
C err
Notary Public in and for the
State of % nG S
ARTURO ESOUIVEL, JR.
Notary Public, State of Taxas
3"a Comm. Expires 05-20-2026
Notary ID 133773601
lilt ry
Tier II Easement Encroachment Agreement Page 10 of 12
Revised 12/2022
Depiction and description of the Encroachment
Tier II Easement Encroachment Agreement Page 11 of 12
Revised 12/2022
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Certificate of Insurance
Tier 11 Easement Encroachment Agreement Page 12 of 12
Revised 12/2022
Q)Allstate.
John Drott
6076 Southwest Blvd
Benbrook TX 76109-3972
GABRIELA GALINDO
5212 S HAMPSHIRE BLVD
FORT WORTH TX 76112-6820
Information as of May 17, 2023
Policyholder(s) Page 1 of 2
Gabriela Galindo
Policv number
1 838 040 7021
Your Allstate agency is
John Drott
(817) 735-4222
johndrott2@allstate.com
Thank you for being a loyal Allstate customer —we're happy to have you
with us!
Here's your House & Home insurance renewal offer for the next 12 months. We've also included a guide to
what's in this package and answers to some common questions.
Renewing your policy is easy
Keep an eye out for your bill, which should arrive in a couple of weeks. Just send your payment by the due date
on your bill. If you're enrolled in the Allstate® Easy Pay Plan, you won't receive a bill —we'll send you a statement
with your payment withdrawal schedule. You also won't receive a bill if a mortgage company or lienholder pays
your insurance premium for you.
How to contact us
Give your Allstate Agent a call at (817) 735-4222 if you have any questions. It's our job to make sure you're in
good hands.
RP378-4
Page 2 of 2
Policy number: 1838 040 702
Policy effective date: July 1, 2023
Your Insurance Coverage Checklist
We're happy to have you as an Allstate customer! This checklist outlines what's in this package and provides answers to some
basic questions, as well as any "next steps" you may need to take.
❑ What's in this package?
See the guide below for the documents that are included.
Nextsteps: review your Policy Declarations to confirm you
have the coverages, coverage limits, premiums and
savings that you requested and expected. Read any
Endorsements or Important Notices to learn about new
policy changes, topics of special interest, as well as
required communications. Keep all of these documents
with your other important insurance papers.
❑ Am I getting all the discounts I should?
Confirm with your Allstate Agent that you're benefiting
from all the discounts you're eligible to receive.
A guide to your renewal package
Policy
Important
Insurance Made
Declarations*
Notices
Simple
The Policy
We use these
Insurance seem
Declarations
notices to call
complicated?
lists policy
attention to
Our online
details, such as
particularly
guides explain
your property
important
coverage terms
details and
coverages, policy
and features:
coverages.
changes and
www.allstate.com/
discounts.
madesimnle
Esoanol.a I Istate.com
/facildeentender
❑ What about my bill?
Unless you've already paid your premium in full, we'll send
your bill separately. Next steps: please pay the minimum
amount by the due date listed on it.
You can also pay your bill online at Allstate.com/su000rt
or through the Allstate mobile app. If you're enrolled in the
Allstate° Easy Pay Plan, we'll send you a statement
detailing your payment withdrawal schedule. Para
espanol, Ilamar al 1-800-979-4285.
❑ What if I have questions?
Visit Allstate.com/su000rt to browse our list of frequently
asked questions and find information regarding billing or
policy documents. You can also create an online account
to access and manage your policies. Para espanol, Ilamar
al 1-800-979-4285.
* To make it easier to see where you may have gaps in your protection, we've highlighted any coverages you do not have in the a
Coverage Detail section in the enclosed Policy Declarations. Ln
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Policy number: 1838 040 702
Policy effective date: July 1, 2023
IMPORTANT NOTICE
Have a complaint or need help?
If you have a problem with a claim or your premium, call your
insurance company first. If you can't work out the issue, the
Texas Department of Insurance may be able to help.
Even if you file a complaint with the Texas Department of
Insurance, you should also file a complaint or appeal through
your insurance company. If you don't, you may lose your right
to appeal.
Allstate Insurance Company
To get information or file a complaint with your insurance
company:
Call: Toll Free at 1-800 Allstate® (1-800-255-7828)
Email:
allstatecustomerservicesupport@allstate.com
Mail:
P. 0. Box 660598, Dallas, TX 75266-0598
The Texas Department of Insurance
To get help with an insurance question or file a complaint
with the state:
Call with a question:1-800-252-3439
File a complaint: www.tdi.texas.gov
Email: ConsumerProtection@tdi.texas.gov
Mail: MC 111-1A, P.O. Box 149091, Austin,
TX 78714-9091
INSURANCE WEBSITE NOTICE
To compare policies and prices:
Visit Helpinsure.com to compare prices and coverages on
home and auto insurance policies. The website is a service of
the Texas Department of Insurance and the Office of Public
Insurance Counsel.
Page 1 of 1 WAllstate.
AVISO IMPORTANTE
Mene una queja o necesita ayuda?
Si tiene un problema con una reclamaci6n o con su prima de
seguro, Ilame primero a su compania de seguros. Si no puede
resolver el problema, es posible que el Departamento de
Seguros de Texas (Texas Department of Insurance, por su
nombre en ingles) pueda ayudar.
Aun si usted presenta una queja ante el Departamento de
Seguros de Texas, tambi6n debe presentar una queja a trav6s
del proceso de quejas o de apelaciones de su compania de
seguros. Si no to hace, podria perder su derecho para apelar.
Allstate Insurance Company
Para obtener informacion o para presentar una queja ante su
compania de seguros:
Llame a: Telefono gratuito all 1-800-255-7828
Correo electr6nico:
allstatecustomerservicesupport@allstate.com
Direcci6n postal:
P. 0. Box 660598, Dallas, TX 75266-0598
Ell Departamento de Seguros de Texas
Para obtener ayuda con una pregunta relacionada con los
seguros o para presentar una queja ante el estado:
I -lame con sus preguntas al:1-800-252-3439
Presente una queja en: www.tdi.texas.gov
Correo electr6nico: ConsumerProtection@tdi.texas.gov
Direcci6n postal: MC 111-1A, P.O. Box 149091, Austin,
TX 78714-9091
AVISO DEL SITIO WEB DE SEGURA
Para comparar p6lizas y precios:
Visite Helpinsure.com para comparar precios y coberturas en
p6lizas de seguro para el hogar y autom6vil. El sitio web es un
servicio del Departamento de Seguros de Texas y de la Oficina
del Asesor Publico de Seguros (Office of Public Insurance
Counsel, por su nombre en ingles).
X67186-5
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064 070 042
93051RSOORSO4
Policy number: 1838 040 702
Policy effective date: July 1, 2023
Allstate's got you covered.
Page 1 of 1 WAllstate.
At Allstate, we know how important it is to you to have the right protection at the right price. That's why we've included some
savings tips and services you have access to below:
Review your coverages
Make sure your protection fits your current needs.
Allstate* mobile app
Download Allstate Mobile, where you can get tools and help, like ID cards', Allstate Identity Protection and 24/7 Roadside
Assistance.
Find more ways to save
Discover more about your money -saving optionsZ, like Full Pay, Drivewise® or Easy Pay, by visiting Allstate Mobile or
allstate.com/myaccount.
'Digital ID cards not accepted as proof of insurance in every state.
'Subject to terms, conditions, and availability.
X74021
064 070 042
93051RSOORSO4
Renewal House & Home Policy Declarations
Your policy effective date is July 1, 2023
Total Premium for the Policy Period
Premium for property insured
Recoupment Fee Volunteer Rural Fire Department Assistance
Program
WAllstate.
Page 1 of 4
Information as of May 17, 2023
$4,131.20 Summary
1.54 Named Insured(s)
Gabriela Galindo
If you pay in installments* $4,132.741 Mailing address
If you pay in full........................................................................................$3,874.45 5212 S Hampshire Blvd
.�.uw_ _ _ .a..E_E_ zu_u_ _._ E_E_ _ _ _.N _ Fort Worth TX 76172-6820
-----.
Your bill will be mailed separately. Before making a payment, please refer to your Policy number
latest bill, which includes payment options and installment fee information. if you do 1838 040 7021
not pay in full, you will be charged an instalment fee(s). Your policy provided by
Allstate Vehicle and Property
Your total premium for this policy period has increased by at least 10% Insurance Company
Policy period
Discounts (included in your total premium) Beginning July 1, 2023 through July 1,
Protective Device $27.33 Claim Free $487.40 2024 at 12:01 a.m. standard time
Loyalty $431.36 Responsible Payment $595.40 Your Allstate agency is
John Drott
Total discount savings $1,541.49 6016 Southwest Blvd
Ben brook TX 76109-3912
(817) 735-4222
Insured property details* johndrott2@allstate.com
Please review and verify the information regarding your insured property. Please Some or all of the information on your
refer to the Important Notice (X73182-1) for additional coverage information.
Policy Declarations is used in the rating
Contact us if you have any changes.
of your policy or it could affect your
Location of property insured: 5212 S Hampshire Blvd, Fort Worth, TX 76112-6820
eligibility for certain coverages. Please
notify us immediately if you believe
Location zone: N3273677W09722236
that any information on your Policy
Your location zone is based on the location of the insured property and is one of many
Declarations is incorrect. We will make
factors used in determining your rate.
corrections once you have notified us,
Dwelling Style:
and any resulting rate adjustments, will
Built in 2016;1 family;1600 sq. ft.;1 story
be made only for the current policy
period or for future policy periods.
Foundation:
Please also notify us immediately if you
Slab at grade,100%
believe any coverages are not listed or
Interior details:
are inaccurately listed.
One builders grade kitchen Two builders grade full baths
Exterior wall types:
75% brick on frame 25% stone on frame
Interior wall partition:
100% drywall
Heating and cooling:
Gas heating,100% Central air - same ducts,100%
(continued)
H
Renewal House & Home Policy Declarations
Policy number: 1838 040 7021
Policy effective date: July 1, 2023
Insured property details* (continued)
Additional details:
Standard wood sash with glass,100% Interior wall height - 8 ft,100%
Two exterior wood doors
Fire protection details:
Fire department subscription - no 2 miles to fire department
Roof surface material type:
Composition
-100% asphalt / fiberglass shingle
.....................................................................................................................................................
:Roof details:
:Predominant roof type: Composition Age of roof - 7 years
:Roof geometry - Other
*...................................................................................................................................................:
Mortgagee
MANUEL GONZALES
4115 E Rosedale, Fort Worth, TX 76105-1738
Loan number: NONE
Additional Interested Party - None
*This is a partial list of property details. If the interior of your property includes custom
construction, finishes, buildup, specialties or systems, please contact your Allstate
representative for a complete description of additional property details.
Coverage detail for the property insured
Coverage
Dwelling Protection
Other Structures Protection
Personal Property Protection
Additional Living Expense
Family Liability Protection
Guest Medical Protection
Foundation Water Damage
Building Codes
Building Structure Reimbursement
Extended Limits
Roof Surfaces Extended Coverage
Water Back -Up
Residence Glass
Limits of Liability
$227,343
$22,735
$136,406
Up to 24 months not to exceed $45,469
$100,000 each occurrence
$1,000 each person
$5,000
Not purchased*
Not purchased*
Included
Not purchased*
Not purchased*
Applicable Deductible(s)
- $2,273 Windstorm and Hail
- $2,273 All other perils
- $2,273 Windstorm and Hail
- $2,273 All other perils
- $2,273 Windstorm and Hail
- $2,273 All other perils
Page 2 of 4
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Renewal House & Home Policy Declarations
Policy number: 1838 040 7021
Policy effective date: July 1, 2023
► Other Coverages Not Purchased:
• Additional Fire Department
Charges*
• Building Materials Theft*
• Country Endorsement*
• Dwelling in the Course of
Construction*
• Electronic Data Recovery*
• Extended Coverage on Cameras*
• Extended Coverage on Jewelry,
Watches and Furs*
Page 3 of 4
• Extended Coverage on Musical
Instruments*
• Extended Coverage on Sports
Equipment*
• Fair Rental Income*
• Golf Cart*
• Green Improvement*
• Home Day Care*
* This coverage can provide you with valuable protection. To help you stay current with
your insurance needs, contact your agent to discuss available coverage options and
other products and services that can help protect you.
Scheduled Personal Property Coverage
Allstate
• Identity Theft Expenses*
• Increased Coverage on Business
Property*
• Increased Coverage on Theft of
Silverware*
• Loss Assessments*
• Residence Glass*
• Secondary Residence*
• Yard and Garden*
Your policy does not include Scheduled Personal Property Coverage. This coverage can provide you with valuable protection. To
help you stay current with your insurance needs, contact your agent to discuss available coverage options and other products and
services that can help protect you.
Your policy documents
Your House & Home policy consists of the Policy Declarations, any Policy Declarations Addendum, and the following
documents. Please keep them together.
• AVPIC House & Home Policy - AVP91 • Depreciation Amendatory Endorsement - AP4970
• Windstorm and Hail Deductible Endorsement - AVP82 • Texas Amendatory Endorsement - AVP348
• Roof Surfaces Extended Coverage Endorsement - AVP144-1 • Texas Amendatory Endorsement - AVP345
Important payment and other information
Here is some additional, helpful information related to your coverage and paying your bill:
► Coverage A - Dwelling Protection Limit includes an approximate increase of $25,476 due to the Property Insurance
Adjustment provision. Coverage B - Other Structures Protection and Coverage C - Personal Property Protection adjusted
accordingly.
► Please note: This is not a request for payment. Your bill will be mailed separately.
► If, however, you would like to make a payment by credit card (Visa/MasterCard/Discover) or Check -By -Phone, please call
1-800-357-5092.
Renewal House & Home Policy Declarations
Policy number: 1838 040 7021
Policy effective date: July 1, 2023
Page 4 of 4
Allstate Vehicle and Property Insurance Company's Secretary and President have signed this policy with legal authority at
Northbrook, Illinois.
William Hill
President
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Susan L. Lees
Secretary
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Important notices
Policy number: 1838 040 702
Policy effective date: July 1, 2023
Your Estimated Home Replacement Cost
Allstate has determined that the estimated cost to replace
your home is: $227.343.
We based your estimated cost on information provided by you
and selected data that was available to us, which is described
in the "Insured property details" section of your Declarations
Page. Please review all the information in this section to ensure
the accuracy of the information used to determine the
estimated replacement cost of your home.
The enclosed Declarations Page shows the limit of liability
applicable to Dwelling Protection -Coverage A of your
homeowners insurance policy. The estimated replacement
cost of your home is the minimum amount for which we will
insure your home.
The decision regarding the limit applicable to your Dwelling
Protection -Coverage A is your decision to make, as long as, at
a minimum, your limit equals the estimated replacement cost
as determined by Allstate and does not exceed maximum
coverage limitations established by Allstate.
It is important to keep in mind that your Coverage A limits
reflect a replacement cost that is only an estimate based on
data that was available to us when we made this estimate (this
information is described in the "Insured property details"
section of your Declarations Page). The actual amount it will
cost to replace your home cannot be known until after a
covered total loss has occurred. Please keep in mind that we do
not guarantee the adequacy of the estimate to cover any future
loss(es).
How Is the Replacement Cost Estimated?
Many factors can affect the cost to replace your home,
including its age, size, and type of construction. For example,
the replacement cost uses construction data, such as labor and
materials, that are available to us when we made this estimate.
This estimate is also based on characteristics of the home,
which include information that you provided to us. You might
have chosen to insure your home for a higher amount than the
estimated replacement cost shown above.
Note to Customers Renewing Their Policy
The estimated replacement cost for your home may have
changed since the last time we communicated this information
to you. This is because, at renewal, Allstate uses the home
characteristics that you have provided to us to recalculate and
update the estimated replacement cost. Using updated labor
and material rates for your zip code, Allstate takes the home
characteristics you have provided and determines the updated
estimated replacement cost. The information about your
Page 1 of 4 WAllstate.
home's characteristics is provided in the "Insured property
details" section of your Declarations Page.
Please note: Your Dwelling information is used to estimate
your home replacement cost. It's important to review and
update this information so we're using the most accurate
details to estimate your home's replacement value.
If the information about your home shown in your Declarations
Page requires any change or if you have any questions or
concerns about the information contained in this Important
Notice, please contact your Allstate representative, or call us
at 1-800-ALLSTATE.
Additional Information About Dwelling Protection
Limits
Your policy includes a feature called "Property Insurance
Adjustment" (PIA). PIA reflects changes in construction costs
in your area that may have occurred during the policy period.
We would like you to know that your policy's PIA recently
indicated that construction costs in your area have increased.
Based on this information, we have automatically increased
your Dwelling Protection -Coverage A limits.
However, it is ultimately your responsibility to consider
whether the changes we have made are sufficient for your
insurance needs. It is important for you to understand that
these are only estimates and the new limits of your policy may
not provide sufficient coverage in the event of a loss. For
example, if you have done any remodeling to your home which
has not been updated in our records, your home's replacement
cost may be higher than our current records indicate. In that
case, you may want to increase your limits to reflect such
changes. Conversely, there is a possibility that your new limits
may provide coverage in excess of the actual replacement cost
of your home. For example, if you originally decided to insure
your home at an amount that exceeded the estimated
replacement cost, you may want to call your Allstate
representative to discuss the current value of your home and
the possibility of lowering your limits.
If you have any questions about PIA, or your policy in general,
please contact your Allstate representative.
X73182-1
Information Regarding Flood Damage
Coverage
51
Important notices
Policy number: 1838 040 702
Policy effective date: July 1, 2023
Texas law requires that we provide you with this notice
regarding flood damage coverage.
Please read this notice carefully. In addition, it is important to
read all of your property policy documents to confirm the
coverage your policy provides.
NOTICE
Flood Insurance: You may also need to
consider the purchase of flood insurance.
Your insurance policy does not include
coverage for damage resulting from a flood
even if hurricane winds and rain caused the
flood to occur. Without separate flood
insurance coverage, you may have
uncovered losses caused by a flood. Please
discuss the need to purchase separate flood
insurance coverage with your insurance
agent or insurance company, or visit
Page 2 of 4
Additional Protection for Your Most
Valuable Possessions
Property insurance covers many belongings, but some items
may require higher coverage limits than those in a standard
property policy.
Scheduled Personal Property (SPP) coverage gives you
additional protection against loss or damage to your valuables.
It's protection not typically provided with standard property
coverage. SPP benefits typically include:
• No deductibles to meet
• Coverage for lost or damaged items
• Coverage for valuables kept in a storage location outside
your home
Items That May Need the Extra Protection
SPP coverage provides protection for an array of valuable
personal property. Here are some of the items you can protect
by purchasing SPP coverage through Allstate:
www.floodsmart.gov. • Jewelry (including wedding rings and precious or
If you have any questions about this notice or your policy semi-precious stones)
coverage, you can contact your Allstate Agent or • Furs
representative, call 1-800 ALLSTATE° (1-800-255-7828), or • Cameras (digital, still, movie, video and related
visit www.allstate.com. We're here to help! equipment)
XC7124 • Silverware and antiques (including furniture)
Please Check Your Policy Coverage
Limits
When we first issued your Allstate policy, you selected specific
coverages and coverage limits to protect your property.
However, your property's value may have changed since that
time. We'd like to remind you that it is your responsibility to
carefully review your coverages and coverage limits at each
policy renewal and make sure they provide you with adequate
coverage.
Please take a few minutes to review your policy. If you have any
questions about your insurance coverage, or if you wish to
change your policy limits, please contact your Allstate
representative.
X73175
• Musical instruments
• Collections (stamps, coins, music)
• Fine art works (including paintings, etchings, vases and
sculptures)
• Manuscripts or books
• Home -office equipment (laptop, computer, audio/visual)
• Sports equipment (such as golf clubs)
Affordable Protection for Your Valuables
The cost of SPP coverage varies, but the value of your property
is the best way to determine how much coverage you need.
The rates are generally a small percentage of the total value of
the items you're insuring. This means that your valuables are
being protected for only a fraction of the cost.
Regularly Review Your SPP Coverage
Even if you currently have SPP coverage, it's a good idea to
review it annually. It's possible that the value of your property
has changed or that you've purchased new items that have not
been added to your coverage.
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Important notices
Policy number: 1838 040 702
Policy effective date: July 1, 2023
Page 3 of 4 WAllstate.
To learn more about SPP coverage, or if you have any questions You May Have More Risk from Flood Than You
about your insurance policy in general, contact your Allstate Think
11
representative, or visit us at a state.com.
X73169
Did You Know That You Do Not Have
Water Back -Up Coverage?
Understanding your coverage can help you make the right
choices. We want to make sure you are aware that your policy
does not currently include Allstate's Water Back -Up Coverage.
Water Back -Up Coverage may provide protection for a covered
loss when:
• Water or any other substance backs up through sewers or
drains; or
• Water or any other substance overflows from a sump
pump, sump pump well or other system designed for the
removal of subsurface water which is drained from a
foundation area of a structure.
You may be interested in adding Allstate's Water Back -Up
Coverage, which may minimize your out-of-pocket expenses
related to this type of water damage. This coverage helps give
the peace of mind of knowing "You're In Good Hands."
For more details about this, or any other coverages you may
not currently have, please contact your Allstate representative.
Our goal is to help protect what is important to you. Thank you
for choosing Allstate.
Coverage is subject to policy terms, limits, deductibles and
exclusions.
Approximately 90 percent of all disasters in the U.S. are flood
related. While you may think that it couldn't happen to you,
over 25 percent of all flood losses occur in low- to
moderate -risk areas.
What's more, flood damage is often accompanied by other
damage, such as wind and hail (which is typically covered
under a property policy). So if you purchase your NFIP
coverage through Allstate, you would have the convenience
and peace of mind that comes with working with just one claim
adjuster and one agent, instead of two or more for a flood
claim.
Flood Coverage Is Affordable
The federal government sets the rates for flood insurance, so
there's typically no difference in rates from policy to policy.
You can switch to an NFIP flood insurance policy administered
by Allstate for the same amount of premium you may be paying
elsewhere. If you choose Allstate, you can have the quality
service you've come to expect from us.
For more information about flood insurance, or if you have any
questions about your policy in general, please contact your
Allstate representative or visit us at allstate.com.
*Allstate provides the standard flood insurance policy under the terms of the
National Flood Insurance Act of 1968 and its amendments, and Title 44 of the
Code of Federal Regulations. The standard flood insurance policy is written by
Allstate for the National Flood Insurance Program which is administered by the
Federal Insurance Administration, part of the Federal Emergency Management
Agency.
Subject to availability and qualifications. Other terms, conditions and exclusions may
X73192 apply.
X73168
What You Should Know About Flood
Insurance
Most homeowners, renters and commercial insurance policies
do not provide coverage for flood damage. In fact, protection
against floods is generally available only through a separate
policy.
That's why Allstate is a participant in the National Flood
Insurance Program (NFIP) and offers standard flood insurance
policies.* A flood insurance policy can help complete the
insurance protection for your property and help protect your
financial well-being.
Add the Enhanced Package to Your
Policy and Save Even More
Consider adding the Enhanced Package to your House & Home
policy for even greater value.
The Enhanced Package gives you all of these benefits:
• Claim RateGuall —Allows you to keep your Claim -Free
Discount (if you qualify for the discount) and protects your
rate from going up just because you file a claim.
• Claim -Free Bonus —Gives you up to a 5% premium credit
each year you go without a claim.
0
Important notices Page 4 of 4
Policy number: 1838 040 7021
Policy effective date: July 1, 2023
• Deductible Reward —You may qualify for an immediate
$100 off a qualified deductible when you add the Enhanced
Package. Then you'll get an additional $100 each
designated twelve month period you don't have a
chargeable claim —up to $500 total.
If you'd like to add the Enhanced Package to your House &
Home policy or have any questions about these features,
please contact your Allstate representative. All Enhanced
Package features are subject to policy terms and conditions.
X73736
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Privacy Statement
Policy number: 1838 040 702
Policy effective date: July 1, 2023
Thank you for choosing Allstate. We value you, respect your
privacy and work hard to protect your personal information.
This statement is provided on behalf of Allstate Insurance
Company and the affiliates ("Allstate") listed at the end of this
notice. We would like to explain how we collect, use and share
the information we obtain about you in the course of doing
business.
Our Privacy Assurance
• We do not sell your personal or medical information to
anyone.
• We do not share your information with non -affiliate
companies that would use it to contact you about their
own products and services, unless permitted pursuant to a
joint marketing agreement.
• We require persons or organizations that represent or
assist us in servicing your policy and claims to keep your
information confidential.
• We require our employees to protect your personal
information and keep it confidential.
As you can see, protecting your personal information is
important to us. In addition to the practices described above,
we use a variety of physical, technical and administrative
security measures that help to safeguard your information. For
Social Security Numbers (SSN), this includes restricting access
to our employees, agents and others who use your SSN only as
permitted by law: to comply with the law, to provide you with
products and services, and to handle your claims. Also, our
employees' and agents' access to and use of your SSN are
limited by the law, our policies and standards, and our written
agreements.
Our privacy practices continue to apply to your information
even if you cease to be an Allstate customer.
What Personal Information Do We Have and Where
Do We Get It
We gather personal information from you and from outside
sources for business purposes. Some examples of the
information we collect from you may include your name, phone
number, home and e-mail addresses, driver's license number,
Social Security Number, marital status, family member
information and healthcare information. Also, we maintain
records that include, but are not limited to, policy coverages,
premiums, and payment history. We also collect information
from outside sources including, but not limited to, insurance
support organizations that assemble or collect information
about individuals for the purpose of providing to insurance
companies. This information may include, but is not limited to,
Page 1 of 2 WAllstate.
your driving record, claims history, medical information and
credit information.
In addition, Allstate and its business partners gather
information through Internet activity, which may include, for
example, your operating system, links you used to visit
allstate.com, web pages you viewed while visiting our site or
applications, Internet Protocol (IP) addresses, and cookies. We
use cookies, analytics and other technologies to help:
• Evaluate our marketing campaigns
• Analyze how customers use our website and applications
• Develop new services
• Know how many visitors have seen or clicked on our ads
Also, our business partners assist us with monitoring
information including, but not limited to, IP addresses, domain
names and browser data, which can help us to better
understand how visitors use allstate.com.
How We Use and Share Your Personal Information
In the course of normal business activities, we use and share
your personal information. We may provide your information
to persons or organizations within and outside of Allstate. This
would be done as required or permitted by law. For example,
we may do this to:
• Fulfill a transaction you requested or service your policy
• Market our products
• Handle your claim
• Prevent fraud
• Comply with requests from regulatory and law
enforcement authorities
• Participate in insurance support organizations
The persons or organizations with whom we may share your
personal information may include, among others:
• Your agent, broker or Allstate -affiliated companies
• Companies that perform services, such as marketing,
credit card processing, and performing communication
services on our behalf
• Business partners that assist us with tracking how visitors
use allstate.com
• Other financial institutions with whom we have a joint
marketing agreement
• Other insurance companies that play a role in an insurance
transaction with you
• Independent claims adjusters
• A business or businesses that conduct actuarial or
research studies
• Those who request information pursuant to a subpoena or
court order
• Repair shops and recommended claims vendors
The Internet and Your Information Security
Privacy Statement
Policy number: 1838 040 702
Policy effective date: July 1, 2023
We use cookies, analytics and other technologies to help us
provide users with better service and a more customized web
experience. Additionally, our business partners use tracking
services, analytics and other technologies to monitor visits to
allstate.com. The website may also use Web beacons (also
called "clear GIFs" or "pixel tags") in conjunction with cookies.
If you prefer, you can choose to not accept cookies by changing
the settings on your web browser. Also, if you would like to
learn about how we gather and protect your information over
the Internet, please see our online privacy statement located at
the bottom of the allstate.com homepage.
To learn more, the allstate.com Privacy Statement provides
information relating to your use of the website. This includes,
for example, information regarding:
1) How we collect information such as IP address (the
number assigned to your computer when you use the
Internet), browser and platform types, domain names,
access times, referral data, and your activity while using
our site;
2) Who should use our website;
3) The security of information over the Internet; and
4) Links and co -branded sites.
How You Can Review and Correct Your Personal
Information
You can request to review your personal information contained
in our records at any time. To do this, please send a letter to
the address below requesting to see your information for the
previous two years. If you believe that our information is
incomplete or inaccurate, you can request that we correct it.
Please note we may not be able to provide information relating
to investigations, claims, litigation, and other matters. We will
be happy to make corrections whenever possible.
Please send requests to:
Allstate Insurance Company Customer Privacy Inquiries
PO Box 660598
Dallas, TX 75266-0598
Your Preference for Sharing Personal Information
We would like to share your personal information with one or
more Allstate affiliates in order to make you aware of different
products, services and offers they can provide. However, you
can request that Allstate and its affiliate companies not share
your personal information with our affiliates for marketing
products and services.
To request that we not allow other Allstate affiliates to use
your personal information to market their products and
services, you can contact us by calling 1-800-856-2518
twenty-four hours a day, seven days a week. Please keep in
mind that it may take up to four weeks to process your request.
Page 2 of 2
If you previously contacted us and asked us not to allow other
Allstate affiliates to use your personal information, your
previous choice still applies and you do not need to contact us
again. If you would like to change your previous choice please
call the number above at any time.
We Appreciate Your Business
Thank you for choosing Allstate. We understand your concerns
about privacy and confidentiality, and we hope this notice has
been helpful to you. We value our relationship with you and
look forward to keeping you in Good Hands®.
If you have questions or would like more information, please
don't hesitate to contact your Allstate agent or call the Allstate
Customer Information Center at 1-800-ALLSTATE.
We reserve the right to change our Privacy practices,
procedures, and terms.
Allstate Insurance Company
Allstate entities on which behalf this notice is provided and
amongst which information may be shared:
The Allstate family of companies, LSA Securities, Deerbrook
General Agency, Inc., Deerbrook Insurance Company, North
Light Specialty Insurance Company, Northbrook Indemnity
Company.
Please Note: Allstate affiliates American Heritage Life
Insurance Company, Castle Key Insurance Company and
Castle Key Indemnity Company participate in information
sharing with the affiliates listed above, but have a separate
privacy notice for their customers.
(ed.10/2015)
X73180v6
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