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HomeMy WebLinkAboutContract 62531Date Received : 12/30/24 Time Received: 1 0 :00 AM Record Number: PN24-00205 City Secretary No.: 62S3l PUBLIC PROPERTY EASEMENT ENCROACHMENT LICENSE AGREEMENT TJERJJ 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 Dustin Addotta and Phoeviney Addotta, property owners ("Licensee"). RECITALS WHEREAS, Licensee is the owner of the real property located at 1936 Angein Lane, Fort Worth, Texas 76131 ("Property"), being more particularly described as, Lot 9, Block 2, of Parr Trust, an addition to the City of Fort Worth, Tarrant County, Texas, as recorded in Deed Records, by Instrument Number DZl 8275120; and WHEREAS, the City owns or/and has an interest in a public utility easement (the "Public Property") adjacent to the Property, dedicated by plat, depicted on the final plat of the property (FP-14-031), which plat is recorded in the plat records of Tammt County as Instrument D2150561145; 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: Tier II Easement Encroachment Agreement Page l of 13 Updated 2024 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 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 perfortned 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 Deparhnent, 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 Tier II Easement Encroachment Agreement Page 2 of ] 3 Updated 2024 improvernents 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 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 Agreernent is requested an application fee in the sum of One Thousand Twelve Dollars and Fifty Cents (�1012.50). - 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 oi City may Tier II Easement Encroachment �Agreement Page 3 of 13 Updated 2024 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. 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 T�IE 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 TN CONNECTION WITH TAE 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 homeowner insurance policy for the property 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 $300,000.00 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 Tier II Easement Encroachment Agreement Yage 4 of 13 Updated 2024 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. 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 herPunder 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. Tier lI Easement Encroachment Agreement Page 5 of 13 Updated 2024 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] Tier II �asement Encroachment Agreeinent Page 6 of 13 Updated 2024 EXECUTED to be effective on the date signed by the City's Director of Development Services Department City: CITY OF FORT WORTH By: Dalton Harr:11,a:,ec 26, 202413:37 CST) D.J. Harrell Director, Development Services Department Date: Dec 26, 202 4 ATTEST: 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 (Dec 20, 202414:50 CST) Rebecca Owen Development Services Manager Tier II Easement Encroachment Agreement Page 7 of 13 Updated 2024 Licensee: Narne: Dustin Addotta Title: Property Owner Date: 1 c� f 1`4 , o� � STATE OF �'(��e_y, �5 COUNTY OF `e rr,ar� ti � �..s�.—.� - - �Pa.Y Pue MICHEA`�✓HITMAN x `n Notary ID kt 33753703 ,���P My Commission Expires '� pF �+ May 10, 2026 BEFORE ME, the undersigned authority, a Notary Public in and for the State of \�C� , on this day personally appeared ��,�g,�� 'j- P��,���'h� f4r,Pc�o�-�-�'+ (Title) 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 consici;;.;:,.:,�n therein expressed, as the act and deed ,:; Ci c�F F ,. a therein stated. (entity type), and in the capacity GIVEN UNDER MY HAND AND SEAL OF OFFICE this � day of �P��j�r , 2024. Notary Public in and for the State of � ��A� 'Tier II Easement Encroacl�ment Agreement Page 8 of l3 Upda�ted 2024 / i" By: ' / Name: Phoeviney Addotta Title: Property Owner Date: J�� ��- 2� STATE OF �2-�C2.,� COUNTY OF'��rv�e,�,.�t' 0 � .a�.s..a.+►+�'er.�.�..M *Pr v�e MICHEAWHITMAN x� ��� Notary ID #133753 ��es h My Comm10� 2026p 'a��' ov'�� May BEFORE ME, the undersigned authority, a Notary Public in and for the State of �e��_, on this day personally appeared �l,t��i v� �- ( hoe 4,'„ ��p�b�� (Title) 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 �:.�,;: ;;�n expressed, as the act and deed of C� � ,� a (entity type), and in the capacity therem stated. GIVEN iJNDER MY HAND AND SEAL OF OFFICE this �� day of �IM �JPJ,. , 2024. Notary Public in and for the State of ���(l,�/� `1'ier II Easement Encroachment Agreement Page 9 of 13 Updated 2024 Tier II Easement Encroachment Agreement Page 10 of 13 Updated 2024 ***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_____day of _____________, 2024. __________________________________ Notary Public in and for the State of Texas EXHIBIT A Depiction and description of the Encroachment Tier II �asement Encroachment Agreement Page 11 of 13 Updated 2024 , —�-m . , —,--- - �_ PLRT S�f04VIE�lG �.dt ��; �lock 2, of L07S 1�2J, 27}(,. L3L(7CK 1� LQTS 9-18, BLflCK 2; LGTS 9-20� BLOCK 3; �.'OT5 1--23�. gi�OCK 4; �NI� Lb"E'� ��1�, TY �I�OCK 5� PARR TRU.ST, �an addltion to the Ciiy ofi Fort Worth, Tarrpnt C,ounty, Texa.3, .d�carclir�g to the� plpt thereof recorded in Instrump�it No, D21508�22�, PIaE Recards, iorrarit Cauhty� "fexas, . 1.936 �N��d k.At�� —�. `—g�RhGG �uC�'�IctiJ� O =� �::(�G8 ;�v�'+ i��`, �r ta'� .� ��, p � '.� w ,�c'�' `� - � , :' i`�c �ft'�rgri„ri.�,�,�� �:. � ; f �� ._� ' v��t �„r�,� f�+�) L.i�,�l . ✓l: � , , �i ___.. . ....._. . �.�...... ,__..._._... .._.__. � ...�_., ."�93��� ,4�i�����A�N�_ . ....,. . ...,__. .. _.....,_.�. ._... ._. ,���.:���ri� ��� n,o,w, Su �rupe�y �n �ooaiai Rt 2or�o X (un3hvdC�1� �x.nc+ding in ittn xioGd I�,4U�1IN'$ (ZOfB �p GQltYT1U�L{y� � ��E+t�+�d' � 26r �x �,a x�, .Are�e dalam�r�ed 1a f� wtsld� Uw 0.4� amwaf Ch�nsce• fl�a7ploRx ,,r�P�.. �, .'p;.'Y� iiicrY �, �Uzivrhv " ;s`A,,,,5s19' ,,..1.�. ,� �J s ��'j�-,�� J pn fi, m ecwr�ta rbpYacrituUM o! 410 D.��zlty ea de4erm4iYd iols an Ih� anwnd, cnder rm' dlrr,kiin M�t buae{Nel�n, m 1lra •�� ��• ��•, ,,••+ •nm,�•���• �i ao# WOU'vty Celrtq.ne tMskelal ��at, 11torc ara no wpwti�tc � �desma�k�� s�.'SoPt aa oNo'A}7� SU R ' �� 8L = BU�.:9iNC �:� u� = unun sr�s�a D£ +� OSTAINAGE fASi !'Ui ._' PU�UG IJ1k�1iY cu = cotlma6lhyt� b i� _ �na;� Rao Fa� IRS >= Iii01� R�JD S�f _�, ; i o�=Fan CC�7 4 .,��H � ��a � iEQ IM fN57RUA{EN7 N0. 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'� � � �s_� �? �.� I l�_�4 �.. � � � , a �ti � ��`� t'�'`Li')� ��-� EXHIBIT B Franchise Utility Letters Tier II Easement Encroachment Agreement Page 12 of 13 Updated 2024 - .--�TMOS energy Novembec 25, 2024 Dustin Addota 193 6 Angein Fort Worth, Texas 76131 Re: Encro�chment into U'tility Easement-1936 Angein �pr�n ynur r�qu�st I h�ve reviewed the lac�tiion of the gas �acilities near y�ur pr�j�ct site, Attllos does nat object tio the enc��oachme�Yt loc�tied at the ���operty listed �bav�, Vei�ification of the gas line can be obtaineci through 811 Call B�for� Ya�z Dig. Any dama�e� to Atmos facilitie� due to such �11CI�o�chment will b� billed tn tl�e party c�using the damage. I�'you have aary qtiestions, ple�se contact me at 214-549-7144. Sin.cerely, ��;.� `,�.,�v .� Bnbb ,��ney Project Manager Atmos Energy Cor��or�lion IOO 1Ves1 Momingside �ort 11'onh,'Pcsas 7GI 10 12/6/24, 11:03 PM . 2024-69641936 Angein Ln - UE Encroachment Betancur, Ally <Allysa.Betancur@oncor.com> To: Dustin Addotta <dustinaddotta@gmail.com> Good afternoon Dustin, The field team has come back and the only notes they provided were Fri, Dec 6, 2024 at 8:37 AM "Our recommendation is for the customer to contact 811, as long as the primary line is not directly under the existing fence line it will be ok." Based off of this conclusion. Oncor has no objections to the proposed fence within this utility easement. B�st, VI `I�r I\w � �, Ally M. Betancur � Right of Way Analyst Oncor Electric Delivery Company LLC Distribuuon En�,�neering 777 Main Street Suite 707 � Fort Worth, TX 76102 Supervisor � margaret.lein@oncor.com O: (817) 215.5301 � allysa.Uetancur@oncor.com From: Dustin Addotta <dustinaddotta@gmail.com> Sent: Tuesday, December 3, 2024 10:49 AM To: Betancur, Ally <Allysa.Betancur@oncor.com> Subject: Re: 2024-6964 1936 Angein Ln - UE Encroachment " .,,:.:3, �� , .I .� �.{.ii'I�i., l '�_:'�,� .'�..'r�„ .�;...'..:�. .... �.I. . ,�..I I .. _ _...�.. �.. .. I_ . Gmail - 2024-6964 1936 Angein Ln - UE Encroachment Dustin Addotta <dustinaddotta@gmail.com> https://mail.google.com/mail/u/0/?ik=54772c5292&view=pt&search=all&permmsgid=msg-f:1817702142475222034&dsqt=l &simpl=msg-f:1817702142... 1 /3 Spectrum� December 13,2024 Dustin Addotta 1936 Angein Ln, Fort Worth, TX 76131 815-721-1837 SUBJECT: Encroachment at 1936 Angein Ln, Fort Worth, TX 76131 Spectrum Communications herebygrants an encroachmentforthe purpose of building into portion of the Utility Easement associated with the property located at1936 Angein Ln, Fort Worth, TX 76131 Spectrum Communications reserves the right to have access to any other applicable utility easements on the property for the purpose of future construction or maintenance. The owner and/or lessee of said property may also be responsible for the relocation/removal of any structure interfering with access to these easements, if necessary. Spectrum Communications currently has facilities within this easement. If it has not already taken place, please call 1-800-DIG-TESS to have facilities marked and located within affected easernents before any excavations are started. For f��:±iure � eference, please send all utility coordination, abans;unrnents, encroachments, plat signatures, or serviceability requests, or notices of relocation to DL-NTX-External-Requests <DL- NTX-External-Requests@charter.com>. Please share this information with whoever needs these services. Sincerely, �.� . � , ► r / Charter .� �� � Jessie Acevedo� Business Development Specialist �(C) 469 595-3004 1565 Chenault St, Dallas TX ,75228 � at&t December 16, 2024 � Tarrant County —1936 Angein Lane, Fort Worth, Texas Parr Trust Addition, Block 2, Lot 9 10-ft Utility Easement Encroachment Request AT&T Texas Melissa McElyea 117 W Columbia St Weatherford, TX 76086 In response to the request for the encroachment on a portion of the 10-ft utility easement along the east side of the property, Southwestern Bell Telephone Company, d/b/a AT&T Texas, has no objections to the requested encroachment for a fence as shown on the attached sketch. Plat found in Tarrant County Clerk Files Recorded in Document No. D215084226. It is not the intent of this letter to waive any rights granted to AT&T in the easement 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 are currently underground facilities within the area. Exercise extreme caution with respect to such facilities. Contact Texas811 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. Sincerely, �lJ�,o.t,�ma lI���U.u�ea' Melissa McElyea AT&T — Manager Engineering — Right-of-Way 817-718-4055 ms2841 @att.com EXHIBIT C Certificate of Insurance Tier II Easement Encroachment Agreement Page 13 of 13 Updated 2024 Progressive Home, by Homesite Issued by HOMESITE INSURANCE COMPANY P.O. Box 5300 Binghamton, NY 13902-9953 Tel. (866) 960-8609 Fax (877) 273-2984 Insured Name and Mailing Address: DUSTIN ADDOTTA PHOEVINEY ADDOTTA 1936 Angein Ln Fort Worth, TX 76131-1059 Evidence of /nsurance For Policy Number 42144814 This policy covers the listed location(s) from: 12:01 AM November 26, 2024 through 12:01 AM November 26, 2025 (local time) Send payment to: PO Box 1409 NEWARK, NJ 07101-1409 Insured Location 1936 Angein Ln Fort Worth, TX 761 31-1 059 Residence: Primary home Deductible: $5000 Wind/Hail Deductible: 2% ($10620.00) Coverage Limit Section I - Property A. Dwelling B. Other Structures C. Personal Properry D. Loss of Use $531,000 $53,100 $265,500 $159,300 Section II - Liability E. Personal Liability F. Medical Payments to Others Total Policy Premium Total Amount Due $300,000 $5,000 Total Amount Paid *Please note that installment fees are not included in these totals and vary by payment plan option. First Mortgagee Loan Number:1202300524 SUNWEST MORTGAGE COMPANY INC 18000 STUDEBAKER RD CERRITOS, CA 90703- $3415.00 $3415 �0 *�o.00 Notes: H03 — Homeowners HH D1 06 CW 11 14 Page 1 of 2 The Coverage A Dwelling amount is based on replacement cost as described in the policy. Certain exceptions apply. Please review your policy for further details. All information and representations herein are subject to the policy terms and conditions. Coverage is contingent upon receipt of the initial payment of premium prior to the effective date of the policy. y--- _ �-�,--�_- Authorized Representative Date October 30, 2024 This evidence of property insurance is issued as a matter of information only and confers no rights upon the certificate holder. This evidence of property insurance does not amend, extend or alter the coverage afforded by the policy above. HH D1 06 CW 11 14 Page 2 of 2