HomeMy WebLinkAboutContract 62335Date Received: 11/20/2024 Record Number: PN24-00156
Time Received: 11:00 a.m. City Secretary No.: 62335
PUBLIC PROPERTY EASEMENT ENCROACHMENT LICENSE AGREEMENT
TIER H
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 Jerry Amalfitano, a property
owner ("Licensee").
RECITALS
WHEREAS, Licensee is the owner of the real property located at 9701 Rancho
Drive, Fort Worth, Texas 76244 ("Property"), being more particularly described as, Lot
39, Block A, Deerfield, Phase II, an addition to the City of Fort Worth, Tarrant County,
Texas, as recorded in Deed Records, by Instrument Number D222234336; and
WHEREAS, the City owns or/and has an interest in a public utility and drainage
easement (the "Public Property") adjacent to the Property, which is recorded in the Plat
Records of Tarrant County as Instrument Number D200027760 and;
WHEREAS, Licensee desires to construct, place, and maintain certain
improvements which will encroach in, on, above, or below the Public Property; and
WHEREAS Licensee has received consent from the other franchise utility
companies to construct, place, and maintain the improvements within the public utility
easement; 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
OFFICIAL RECORD
Tier II Easement Encroachment Agreement CITY SECRETARY Page I of 12
FT. WORTH, TX Updated 2024
on Exhibit "A," but only to the extent shown thereon, for the purpose of constructing,
installing, and maintaining a detached garage and fence (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 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. Licensee has received
the approval and consent of certain franchise utility companies and such consents are
attached hereto as Exhibit "B." Licensee agrees that it shall secure the approval and
consent of all other 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.
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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
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.
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
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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.
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 "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 "C" 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
Tier II Easement Encroachment Agreement Page 4 of 12
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the Encroachment and restoration of the Public Property. All insurance coverage
required herein shall include coverage of all Licensee's contractors and subcontractors.
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.
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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.
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]
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EXECUTED to be effective on the date signed by the City's Director of
Development Services Department
City:
CITY OF FORT WORTH
Z=-4—
By: Dalton HarrelkBov 18, 202416:39 CST)
D. J. Harrell
Director, Development Services Department
Date: Nov 18, 2024
0 on
ny
ATTEST: °d �o
dP ?� o0 00o°* dd
°a
A .,is anu nEXASaob
Jannette Goodall,
City Secretary
Approved As To Form and Legality
Hye Won Kim
Assistant City Attorney
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 (Nov 18, 2024 08:26 CST)
Rebecca Owen
Development Services Manager
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Tier II Easement Encroachment Agreement Page 7 of 12
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Licensee:
Jerry Amalfitano
Property Owner
By: - --- - - --
Name: Jerry Amalfitano
Title: Property Owner j
Date: //-/`�o� 5�
i
STATE OF I—e AI t 5 §
COUNTY OF Ti.2.f'j-&,tj §
BEFORE ME, the undersigned authority, a Notary Public in and for the State of
i6,C�t�, on this day personally appeared Jerry Amalfitano, 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 IkI day of
y v,,q,/ P,N'b -a , 2024.
Notary Public in and for the
State of Tea 5
a
SHERRIR WEBER
Notary ID #134237609
My Commission Expires
March 7, 2027
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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 18th day of
November , 2024.
.K� aa
Notary Public in and for the State of Texas
oay> a KATHLEEN BRADFORD
pp 4� Notary Public
STATE OF TEXAS
N. GVV Notary I.D. 12197197
9jFoF My Comm. Exp. Apr. 12, 2027
Tier II Easement Encroachment Agreement
Page 9 of 12
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EXHIBIT A
Depiction and description of the Encroachment
Tier II Easement Encroachment Agreement Page 10 of 12
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Old Town Surveying, LLC
Professional Land Surveyors
810 Office Park Circle, Ste. 130, Lewisaville, TX 75057
Ph.469-293-9079 info@oldtownsurveying.com
TFRNNumber. 10I94611
EXHIBIT "A"
Fence Encroachment
0.025 Acre
Portion of Lot 39, Block A
Deerfield, Phase II,
Tarrant County, Texas
BEING a 0.025 acre portion of Lot 39, Block A, Deerfield, Phase II, an addition to Tarrant
County, Texas, according to the plat thereof recorded in Cabinet A, Slide 5643, Plat Records,
Tarrant County, Texas, and being more particularly described as follows:
BEGINNING at a 1/2 inch iron rod found for corner being the northwest corner of said Lot 39,
same point being the northeast corner of Lot 38, of said Block A, and being in the south right-of-
way line of Wall Price — Keller Road;
THENCE South 89 degrees 59 minutes 54 seconds East, with the south right-of-way line of said
Wall Price -Keller Road and the north line of said Lot 39, a distance of 15.00 feet to a point for
corner;
THENCE South 00 degrees 00 minutes 00 seconds East, over and across said Lot 39, a distance
of 77.99 feet to a point for corner in and existing fence line;
THENCE North 61 degrees 13 minutes 55 seconds West, over and across said Lot 39, a distance
of 17.11 feet to the west line of said Lot 39 and the east line of said Lot 38;
THENCE North 00 degrees 00 minutes 00 seconds West, with the east line of said Lot 38 and
the west line of said Lot 39, a distance of 69.76 feet to the POINT OF BEGINNING and
containing 1,108 square feet or 0.025 acres of land, more or less.
NOTES:
Wall
D
Price Keller 1 �, o a d
: All improvements note shown hereon
I.R.F. = 1/2" Iron Rod Found
(Variable width R.O.W.)
• I.R.S. =1/2" Iron Rod with blue cap
St490 59r 54rrE
stamped "OLDTOWNSURVEYING"
I.R.F.
I5. 00r
set
• (C.M.) = Controlling Monument
Point of
-- Y�--
S89°59'54"E
]Fence 160.00'
--0
I.R.F.
Beginning
� � -
Encroachment(C.M.)
15' Utility Easement
0.025 Acme
—
T
(1,108 sq. ft.)
20' Building Line
10' _ = 15' = W
O
25' Drainage &
Utility Easement O
O �
� O
Proposed concrete I
Lot 38, Block A Garage drive I
Deerfield, ]Please II
Cab. A, S1. 5643
�r
i
Existing Residence
�610 9701 Rancho Drive
I> `?1 k Lot 399 Block A
rn 11 �' k Deerfield, ]Phase If
w I Calk. Ay S1. 5643
0 2p.
0
0
I.R.F.
Sopo SO
R 6� 66 L--6j • 00'
60, 20 Q 10 �0
Rancho Drive (60'R.O.W.) I.R.F.
"114(C.M.) SCALE: 1" = 20'
EXHIBIT "B "
Proposed Encroachment
0.025 Acre
Being a portion of Lot 39, Block A,
Deerfield, Phase II, an addition to
Tarrant County, Texas, according to
the plat recorded in Cabinet A, Slide
5643, Plat Records, Tarrant County,
Texas.
Fieldwork Date: 09/01/20221 Job No.:
�-OF T�
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-IOMAS WILLIAM MAUK
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September 26, 2024
Old Town Surveying, LLC.
Professional Land Surveyors
810 Office Park Circle, Suite 130, Lewisville, Texas, 75057
Ph.469-293-8079 info@oldtownsurveying.com4/
TFRN Number: 10194611
9701 Rancho Drive
WALL
PRICE — KELLER
ROAD
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SCALE: 1-20''x20u
yp,)
(Typ.)
15' Utility Esmt. (Typ,)
20' Building Line
(Typ.)
rNd
20' Open PROPERTY DESCRIPTION: Lot 39, Block A,
Space Esmf.
P DEERFIELD, PHASE Il, an addition to Tarrant County,
Texas, according to the map or plat thereof, recorded m
I Cabinet A, Slide 5643, Plat Records, Tarrant County, Texas
.yy
25 D'
light
Pole
25' Droln. & p,
Utility Esmt. er
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O
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RESIDENCE
ro� 9701 Rancho Drive
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15' Drain. &
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LEGEND:
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Lty Wne
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C M Controlling onumrnt
RF
lit"Lou Rad Fowd
(nNese Wevw�aemmdl
9701 Rancho Drive
12•Lov LF°una Fort Worth, Texas
cR s.
ll2" Iron Rod Set
"Old lohxm 9 ^vrying"
." aHxy t14,
BagM1r xw Belo l05,
sa oa 9pxM1leh, Tx ]aeY2
rtmrd ph,umetls mhmmua Mn RIvi9901'1
u,a xy oplman aal ax prolxvty a<awxalt�on.a nm vnm°
the 100.11.1 1 z®e area azwrdmg to We Yednal hme�gwry Ma,a s'
Agency Flood Ins-11Rate Mar Commi1,2n.,nel No 4RIISx2 W]0 K,
prcaent ntrecbve nate of map September 25, 2009, M1e�em property ailuated
wtLm zone°x^1Cnotiaaeai.
Indcyeadeace TAIc Co. G.F No. 2241286-SROF
Frclah—k Derv: 091012022 Parry Chlcf. A.B.
Job Ne.: 202208204 Tuck T4
be nmpe �irormi�aeaenbed �P.f.G7 TERE"+9
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4naa.�.dseteu«.,.n.�nm �: �' G'•.S
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prommw.namar�,
Seprnnber02,2022
Old Town Surveying, LLC
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81001rucAvk Ctrals sic IJq Lcmaviilo, Su+5 J505)
PL 40��°I or94er�i �g� ItN 4v
EXHIBIT B
Franchise Utility Letters
Tier II Easement Encroachment Agreement Page 11 of 12
Updated 2024
PTMOS
energy
September 30, 2024
Jay Gravatt
Rocking 3 Construction
Re: Encroachment into Utility Easement-9701 Rancho Drive, Fort Worth,
Texas 76244
Upon your request I have reviewed the location of the gas facilities near
your project site. Atmos does not object to the encroachment located at the
property listed above. Verification of the gas line can be obtained through
811 Call Before You Dig. Any damages to Atmos facilities due to such
encroachment will be billed to the party causing the damage.
If you have any questions, please contact me at 214--549-7144.
Sincerely,
1
Bobby ey
Proj ect anager
Atmos Energy Corporation
100 West Morningside
Fort Worth, Texas 76110
AT&T
AT&T Right -of -Way
13845 FAA Blvd.
Fort Worth, TX 76155
October 23, 2024
Jay Gravatt
Rocking J Construction
840 E Texas Street
Grapevine, TX 76051
RE: AT&T Letter of No Objection — Encroachment of Fence and Detached Garage
Deerfield, Ph. II Addition — Lot 39, Block A — D200027760
Fort Worth, Tarrant County, Texas
Mr. Gravatt,
Southwestern Bell Telephone Company, d/b/a AT&T Texas, has no objections to the construction
of the fence and detached garage on the property referenced above at 9701 Rancho Drive.
It is not the intent of this letter to waive any rights granted to AT&T in said platted utility
easements or right-of-way except to permit this encroachment. AT&T shall continue to have
unrestricted access to, on and across the easement/right-of-way for installation, repairs,
replacement, or upgrades to facilities.
There could be overhead and/or underground facilities within the area. Exercise extreme caution
with respect to such facilities. Contact Texas81I for underground locates before any digging is
done. Costs of any damages to facilities would be at your expense.
Please let me know if you have any questions or concerns.
Sincerely,
Ray A. Garcia
AT&T — Sr. Specialist OSP Design Engineer i Right -of -Way
817-550-7576
ray.earcia@att.com
Date: 11 /05/2024
Customer/Property Owner:
Street Address:
City / State / Zip:
Rocking J Construction
9701 Rancho Road
Fort Worth, TX 76244
ONC�R
Re: 2024-5984 UE Encroachment — Lot 39, Block A, DEERFIELD, PHASE II, an addition to
Tarrant County, Texas, according to the map or plat thereof, recorded in Cabinet A, Slide 5643,
Plat Records, Tarrant County, Texas commonly known as 9701 Rancho Drive Fort Worth, Texas
Jay Gravatt:
have received your request to construct and utilize a detached garage ("Encroaching Facility") at
the above referenced location. The proposed encroaching facility will not be in the same Right -of -
Way as Oncor Electric Delivery Company facilities. User may locate the Encroaching Facility in
the right of way area, as described and shown on the attached drawing marked Exhibit "A" and
incorporated herein at no time should any electrical source box (transformer, hand -hole or
pedestal) be fenced in or encroached upon.
Oncor does not have facilities located within the above -mentioned property. It is not the intent of
this letter to waive any rights granted to Oncor in said right -of way except to permit this
encroachment set out hereinabove. Also, this letter is not intended to release the builder of this
encroachment, or the present owner, or future owners of the property from any liability arising out
of the location of this encroachment.
Oncor shall continue to have unrestricted access to, on and across the right of way. It is
understood by owner, that when the electrical facilities in the area need repaired, replaced or
upgraded, it will be owner's responsibility to remove any obstruction that interferes with Oncor's
ability to perform the necessary work. Oncor maintains the right to utilize the entire right of way
for its needs, and will not be responsible for any damages.
Owner acknowledges and understands that Oncor maintains overhead and/or underground
electrical facilities within the right of way. State law requires contacting Dig Tess by calling 811
for underground equipment to be located at least two (2) days before you dig. Dig Tess does not
mark a precise location but is usually within four (4) feet of the actual location. Owner agrees to
exercise extreme caution with respect to such electrical facilities.
Please sign below confirming that you understand and agree to the requirements and return a
signed copy back to me for my records.
If you have any questions or need additional information, please contact the Oncor office at
(817)215.5301.
Sincerely,
Ally B tancur
Right of Way Analyst.
(Date)
Spectrum.
9/30/2024
Jay Gravatt
Rocking J Construction
SUBJECT: Plat Review-9701 Rancho Drive Fort Worth, TX 76244
Regarding the property located at or near 9701 Rancho Dr. Fort Worth, TX 76244 — Lot 39- Block
A, of Deerfield, Ph II (32.916436,-97.263637), Spectrum approves the Encroachment of the
utility easement per the attachments provided. Verification of the Spectrum line can be
obtained through 811 Call Before You Dig. Any damage caused to Spectrum facilities due to such
encroachment will be billed to the party causing the damage.
For future reference, please send all utility coordination, abandonments, encroachments, plat
signatures, or serviceability requests, or notices of relocation to DL-NTX-External-
Reauestsn,charter.com. Please share this information with whoever needs these services.
Sincerely,
1
Spe tr _ _►
Troy Hopson I Business Development Specialist 1 (0) 817-298-3554 Cell 682-999-2989
8545 Airport Freeway #108 1 North Richland Hills I TX 76180
EXHIBIT C
Certificate of Insurance
Tier II Easement Encroachment Agreement Page 12 of 12
Updated 2024
MCCLAIN - INTEGRA INS
1727 KELLER PKWY STE 11
KELLER, TX 76248
0000 ODRP75
JERRY AMALFITANO
9701 RANCHO DR
FORT WORTH, TX 76244-5615
PL-50003 (03-12)
YOUR AGENCY
MCCLAIN - INTEGRA INS
1727 KELLER PKWY STE 11
KELLER, TX 76248
PHONE: 1.877.872.8737 1 FAX: (817) 887-4923
You're insured!
TRAVELERSJW
fin.616230078-633-1
9701 RANCHO DR
Aug 13, 2024 to Aug 13, 2025
OLog in to MyTravelers.com to manage
your policy and billing details.
This document is intended to help you better understand your homeowners insurance. Your policy is effective
from August 13, 2024 to August 13, 2025. For a complete description of your coverage, please refer to your
policy.
COVERAGE A
Dwelling and attached structures
such as garages and decks
COVERAGE B
YOUR LIMIT Other structures such
$556,000 as detached garages
and sheds
YOUR LIMIT *
$55,600
Jill
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f l IIInII`�III III
�I COVERAGE C
i -�- Personal property such as furniture
and clothing
YOUR LIMIT *
COVERAGE E $278,000
Personal liability for property
damage and bodily injury to others
YOUR LIMIT
$500,000 Deductibles
COVERAGE D Amount of a covered claim that is your responsibility
Loss of use or
COVERAGE F access to your Windstorm or Hail $11,120
dwelling All Other Perils $5,560
Medical payments to others Refrigerated Product $100
YOUR LIMIT YOUR LIMIT
$5,000 $111,200
You're receiving five discounts for a total savings of $2,350.00
O Multi -Policy O Early Quote O Loss Free 12-month total premium
Q Good Payer 0 Fire Protective Device 0 Theft Protective Device /'�
0 Water Protective Device 0 Green Home 0 Windstorm Mitigation ItA ro A A nn
Go to MyTravelers.com/discounts and use product code QH2 to learn about all the discounts available to you.
* Your Coverage B, C, and D limits are maintained as a percentage of your Coverage A limit. If your Coverage A limit changes, your Coverage
B, C, and D limits will be adjusted accordingly.
This is not a policy document and does not change any provisions of your policy. There are exclusions, limitations, and conditions
that apply to each coverage. If there is any conflict between your policy and this information, the provisions of your policy will apply.
PL-50374 (05-17) Page 1 of 2
TRAVELERS
Homeowners Policy Declarations
Named Insured and Mailing Address
JERRY AMALFITANO
9701 RANCHO DR
FORT WORTH, TX 76244-5615
AMALFITANO@VERIZON.NET
Residence Premises
9701 RANCHO DR
FORT WORTH, TX 76244-5615
Mortgagee Name and Address
1. AMERIHOME MTG CO LLC A DELAWA
LLC ISAOA ATIMA CO CENLAR
PO BOX 202028
FLORENCE, SC 29502-2028
LOAN NUMBER: 1501126925
Policy Information
Your Policy Number
Your Account Number
Your Insurer:
616230078 633 1
Your Agency's Name and Address
MCCLAIN - INTEGRA INS
1727 KELLER PKWY STE 11
KELLER, TX 76248
For Policy Service 1.877.872.8737
For Claim Service 1.800.252.4633
TRAVELERS PERSONAL INSURANCE COMPANY
a subsidiary or affiliate of The Travelers Indemnity Company
One Tower Square, Hartford, CT 06183
The policy period is from August 13, 2024 at 12:01 A.M. STANDARD TIME to August 13, 2025 at 12:01 A.M.
STANDARD TIME at the residence premises.
Total Premium for this Policy:
This is not a bill. The mortgagee will be billed separately for this policy.
Discounts
The following discounts reduced your premium:
Multi -Policy Early Quote
Good Payer Fire Protective Device
Savings Reflected in Your Total Premium:
Coverages and Limits of Liability
Property Coverage Section
Coverage A —
Dwelling
Coverage B —
Other Structures
Coverage C —
Personal Property
Coverage D —
Loss of Use
Loss Free
Limit
$556,000
$55,600
$278,000
$111,200
$4,628.00
$2,350.00
PL-50355 TX (07-24) Insured Copy Page D-1
479/ODRP75
TRAVELERS
Liability Coverage Section
Limit
Coverage E — Personal Liability - Bodily Injury and Property Damage (each occurrence) $500,000
Coverage F — Medical Payments to Others (each person) $5,000
Deductibles
Peril Deductible Deductible
Property Coverage Deductible (All Other Perils) 1 % of Coverage A - Dwelling Limit $5,560
Windstorm or Hail Deductible 2% of Coverage A - Dwelling Limit $11,120
Refrigerated Product Deductible $100
In case of loss under the Property Coverage Section, only that part of the loss over
the applicable deductible will be paid (up to the coverage limit that applies).
Special Limits and Additional Coverages The limit shown for each of the
Coverage Level: Travelers Protect! Special Limits of Liability and Additional Coverages
is the total limit for each loss in that category.
Personal Property — Special Limits of Liability
Limit
a. Money, bank notes, coins, stored value cards
$250
b. Securities, accounts, passports, tickets, stamps
$1,500
c. Comic books and trading cards
$1,000
d. Collectibles, figurines, glassware, marble, porcelains, statuary
$1,000
e. Theft, misplacing or losing of jewelry, watches, precious stones
$1,500
f. Theft, misplacing or losing of furs
$1,500
g. Theft, misplacing or losing of silverware, goldware, pewterware
$1,500
h. Theft, misplacing or losing of firearms and related equipment
$1,500
L Theft of tools and their accessories
$1,500
j. Theft of rugs, tapestries and wall hangings
$1,500
k. Business property on the residence premises
$3,000
I. Business property away from the residence premises
$1,500
m. Trailers or semitrailers not used with watercraft
$1,500
n. Motor vehicle parts or equipment not attached to motor vehicle
$500
o. Electronic apparatus while in or upon a motor vehicle or watercraft
$1,500
The Special Limits of Liability do not increase your Coverage C — Personal
Property Limit.
Property — Additional Coverages
Limit
Debris Removal (Additional % of damaged covered property limit)
5%
Tree Removal Per Tree $500 Per Loss $1,000
Trees, Shrubs and Other Plants Per Tree $500 Per Loss $27,800
(5% of Coverage A - Dwelling Limit)
Fire Department Service Charge
$500
Credit Card, Fund Transfer, Forgery and Counterfeit Money
$1,000
Loss Assessment
Pkg
Landlord Furnishings
$2,500
PL-50355 TX (07-24) Insured Copy Page D-2
479/ODRP75
TRAVELERS
Named Insured JERRY AMALFITANO
Policy Period August 13, 2024 to August 13, 2025
Property — Additional Coverages (continued)
Ordinance or Law (10% of Coverage A - Dwelling Limit)
Personal Records and Data Replacement
Limited Fungi or Other Microbes Remediation
Policy Number 616230078 633 1
Issued On Date August 13, 2024
Limit
$55,600
$1,500
$5,000
The applicable policy deductible applies unless otherwise noted.
Liability —Additional Coverages Limit
Damage to Property of Others $1,000
Loss Assessment Pkg
Please review your policy for other Personal Property Special Limits of Liability and Additional Coverages that may apply.
Optional Coverages and Packages
Optional Coverages
Windstorm or Hail Percentage Deductible
Foundation Coverage
Optional Packages
Enhanced Water Package
Water Back Up and Sump Discharge or Overflow Coverage
Limited Hidden Water or Steam Seepage or Leakage
Coverage
Additional Coverage Package
Special Personal Property Coverage
Personal Injury Coverage
Personal Property Replacement Cost Loss Settlement
Additional Replacement Cost Protection Coverage
50% of Coverage A - Dwelling Limit
Refrigerated Property Coverage
Loss Assessment
Endorsement Limit
Premium
HQ-312 CW (05-17)
Included*
HQ-468 TX (05-17)
Included*
Endorsement Limit Premium
Included*
HQ-208 CW (08-20) $10,000
HQ-209 CW (08-18) $10,000
HQ-015 CW (02-21)
HQ-082 TX (02-19)
HQ-290 CW (02-21)
HQ-420 CW (11-18) $278,000
HQ-498 CW (05-17) $500
Increased Limit $10,000
*Note: The additional cost or premium reduction for any optional coverage or package
shown as `Included" is contained in the Total Policy Premium Amount.
Included*
Required Forms and Endorsements Included in Your Policy: Form: 633
Policy Quick Reference
HQ-T77 CW H2 (05-17)
Agreement, Definitions & Policy Conditions
HQ-D77 CW (05-17)
Property Coverage Section
HQ-P03 CW (05-17)
Liability Coverage Section
HQ-L77 CW (05-17)
Signature Page
HQ-S99 CW (05-17)
Special Provisions - Texas
HQ-300 TX (07-23)
Additional Benefits
HQ-860 CW (08-18)
PL-50355 TX (07-24) Insured Copy Page D-3
479/ODRP75