HomeMy WebLinkAboutContract 62861Date Received: 03/0 3/2025
Time Received: 3:40 pm
Record Number: PN24-00196
City Secretary No.: 6 2861
PUBLIC PROPERTY EASEMENT ENCROACHMENT LICENSE AGREEMENT
TIER II
THIS AGREEMENT is made and entered into by and between THE CITY OF
FORT WORTH, a home rule municipal corporation of Tarrant County, Texas ("City"),
acting by and through its duly authorized City Manager, Assistant City Manager, or
Director of the Development Services Department, and The Susan M. Center Family
Trust, ("Licensee"), acting by and through its duly authorized representative.
RECITALS
WHEREAS, Licensee is the owner of the real property located at 8537 Woodlake
Circle, Fort Worth, Texas 76179 ("Property"), being more particularly described as, Lot
9, Block 2, of Woodlake, an addition to the City of Fort Worth, Tarrant County, Texas, as
recorded in Deed Records, by Instrument Number D224123953; and
WHEREAS, the City owns a water easement (the "Public Property") adjacent to
the Property, dedicated by plat, which plat is recorded in the plat records of Tarrant
County in Volume 388, Page 112; 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 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
Tier II Easement Encroachment Agreement Page 1 of 11
Revised 12/2022
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.
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
Tier II Easement Encroachment Agreement Page 2 of ll
Revised 12/2022
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 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 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.
LICENSEE COVENANTS AND AGREES TO INDEMNIFY, AND DOES
HEREBY INDEMNIFY, HOLD HARMLESS, AND DEFEND CITY, ITS
OFFICERS, AGENTS, SERVANTS, EMPLOYEES, AND ELECTED OFFICIALS
Tier II Easement Encroachment Agreement Page 3 of 11
Revised 12/2022
FROM AND AGAINST ANY AND ALL CLAIMS OR SUITS FOR PROPERTY
DAMAGE OR LOSS AND/OR PERSONAL INJLJRY, 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 INJLJRY 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
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
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.
Tier II Easement Encroachment Agreement Page 4 of ll
Revised 12/2022
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.
17.
The parties agree that the duties and obligations contained in Section 5 shall
survive the termination of this Agreement.
Tier II Easement Encroachment Agreement Page 5 of ll
Revised 12/2022
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 ll
Revised 12/2022
EXECUTED to be effective on the date signed by the City's Director of
Development Services Department
City:
CITY OF FORT WORTH
By: Dalton Har�llfeb 25, 202513:48 CST)
D.J. Harrell
Director, Development Services Department
Date: Feb 25, 2025
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 (Feb 18, 2025 14:33 CST)
Rebecca Owen
Development Services Manager
Tier II Easement Encroachment Agreement Page 7 ofll
Revised 12/2022
Licensee:
'Thc Sosan M. Ccnter i�amil}� Tausf �
�� 1
$�' � `7 �� �C�
' me: Susan M. Centor
7'itle: Property Owner
I�ate: ��e.G . .� 1� �O �T
STATF. OF _T� � � � §
COUNTY OF j OIrYd1 ✓�I�" �
BEFOE�E ME, the undersigned authority, a Notary Public in and for the State of
��X�iS , on Ehis day personally appeared _CiV�t'C V�S���11✓� �.
�Y'��lQ,� 1WV1 �Y (Title) icr►own t� me to be the person whose name is subscribed to
ihe f'oregoin� instiwncnl, a»d acknowledged to mc thut hc or she executed the same %r
the purposes and consideration therein expressed, as the act and deed of
Thc SvC�Vt M. (t��ev
_ �o,m,t� rruc�- , a�GjYYIlI T �(entity type), and in the capacity
therein stated.
GIVCN UNDER MY NAND AND SE11L OF OFFICE this '� �_ day of
D� Ctv✓� h� r� , 2o2a.
.
Notary Public in and for the
State of . Tt� a� S
Ktltt�n C�rtwri�ht
� � �Y Comml�alon 6:prr�s , �
7/� /2p28
Notrry ID134Q73171
Ticr !I �semcul Encronchutcnl Agreement Pa�c 8 of l I
Rcviscd 12/2U22
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 LTNDER MY HAND AND SEAL OF OFFICE this 25th day of
February 2024.
We�r�f� �ea��sGee
Wendy Beards ee (Feb JS, 202518:45 6T)
Notary Public in and for the State of Texas
2,�pRYP(ie� WENDY L BEARDSLEE
�1 Notary Public
+ �[7 • STATE OF TEXAS
N� G� P Notary I.D. 13323719-3
9jF�Fj� My Comm. Exp. July 28, 2025
After recording return to:
Development Services Department
Development Coordination Office
100 Fort Worth Trail
Fort Worth, TeXas 76102
Tier II Easement Encroachment Agreement
Page 9 of ll
Revised 12/2022
EXHIBIT A
Depiction and description of the Encroachment
Tier II Easement Encroachment Agreement Page 10 of ll
Revised 12/2022
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EXHIBIT B
Certificate of Insurance
Tier II Easement Encroachment Agreement Page 11 of ll
Revised 12/2022
"" REPRINTED FROM THE ARCHNE. THE ORIGINAL TRANSACTION MAY WCLUDE ADDITIONAL FORMS ""
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SMITH-ALLEN INS AGENCY INC
12750 MERIT DR # 540
DALLAS TX 75251
SUSAN CENTER
4421 EDMONDSON AVE
DALLAS TX 75205-2603
September 8, 2024
Policy Number:
24-Hour Claims:
Policy Service:
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THIS IS NOT A BILL.
OY9135225
1-800-332-3226
(214) 691-7655
www.safeco.com
The following change was made to the policy covering your home at 8537 WOODLAKE CIR,
FORT WORTH TX 76179-3143: including those requested by you or your agent or broker:
Your policy has a special deductible for losses caused by wind or hail
declarations page for the dollar amount of this deductible.
Please see your
- Your Roof Payment Schedule percentage changed from 25% to 76%.
This change is effective July 15, 2024. Please place this letter with your insurance policy.
The additional premium for this change is $1,054.00. The billing for this amount will be explained
on your next billing statement.
If you have any questions or wish to make a change to your policy, please call: (214) 691-7655.
We appreciate the opportunity to serve you. Thank you.
Personal Lines Underwriting
AMERICAN ECONOMY INSURANCE COMPANY (A SAFECO Company)
P 0 BOX 704000, SALT LAKE CITY, UT 84170
OC-429/EP 10/13
'**' REPRINTED FROM THE ARCHNE. THE ORIGINAL TRANSACTION MAY WCLUDE ADDITIONAL FORMS ""
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AMERICAN ECONOMY INSURANCE COMPANY (A SAFECO Company)
Administrative office: 175 Berkeley St., Boston, MA 02116 (A stock insurance company.)
HOMEOWNERS POLICY DECLARATIONS
POLICY NUMBER:
OY9135225
POLICY PERIOD: FROM: JULY 15, 2024 12:01 A.M.
T0: JULY 15, 2025 12:01 A.M.
NAMED INSURED AND MAILING ADDRESS:
SUSAN CENTER
4421 EDMONDSON AVE
DALLAS TX 75205-2603
AGENT:
SMITH-ALLEN INS AGENCY INC
12750 MERIT DR # 540
DALLAS TX 75251
Valued Homeowners Customer Since: JULY 15, 2024
INSURED LOCATION:
8537 WOODLAKE CIR
FORT WORTH TX 76179-3143
POLICY SERVICE INFORMATION:
TELEPHONE: (214) 691-7655
E-MAIL: SERVICE@SMITHALLEN.COM
WEBSITE: smithallen.com
IMPORTANT MESSAGES
- Your policy has changed effective ]uly 15, 2024.
- THIS POLICY CONTAINS A SEPARATE DEDUCTIBLE FOR WINDSTORM OR HAIL LOSSES.
- The dollar amount of each percentage deductible is calculated by multiplying
the Coverage A, B or C limit of liability shown in your Declarations by the
deductible percentage amount. As a result, the calculated dollar amount of each
percentage deductible will increase if the Coverage A, B or C limit of
liability increases and will decrease if the Coverage A, B or C limit of
liability decreases.
LIMITS OF LIABILITY
(Policy Section I- Property Coverages and Section II - Liability Coverages)
Coverage A— Coverage B— Coverage C— Coverage D— Coverage E— Coverage F—
Dwelling Other Personal Additional Personal Medical
Structures Property Living Liability Payments
Expense
$620,000 $62,000 $310,000 $124,000 $500,000 $2,000
The following deductibles apply unless otherwise stated within the policy.
DEDUCTIBLE(S) PERCENTAGE AMOUNT
Section I, except as noted below 1°/a $ 6,200
Windstorm or Hail Deductible 2°/a $ 12,400
Section I- Loss Assessment N/A $ 500
Esc of Water from Sump (Bldg/Contents) N/A $ 6,200
BASIC COVERAGES
OTHER COVERAGES, LIMITS AND OPTIONAL COVERAGES
DISCOUNTS AND SURCHARGES You Saved $1,624.00
PREMIUM
$ 5,251.00
$ 115.00
Included
TOTAL POLICY PREMIUM: $ 5,366.00
Premium Payer: Insured
CONTINUED ORIGINAL
HOM-7000/EP 1/09 Page 1 of 3 DATE PREPARED: SEPT 8 2024
G3
"" REPRINTED FROM THE ARCHNE. THE ORIGINAL TRANSACTION MAY WCLUDE ADDITIONAL FORMS ""
AMERICAN ECONOMY INSURANCE COMPANY (A SAFECO Company)
HOMEOWNERS POLICY DECLARATIONS
CONTINUED
You may pay your premium in full or in installments. There is no installment fee for
the following billing plans: Full Pay. Installment fees for all other billing plans
are listed below. If more than one policy is billed on the installment bill, only
the highest fee is charged. The fee is:
$0.00 per installment for recurring automatic deduction (EFT)
$5.00 per installment for recurring credit card or debit card
$4.00 per installment for all other payment methods
ROOF LOSS SETTLEMENT - COVERAGE A
SETTLEMENT TYPE YR OF INSTALLATION SURFACING MATERIAL LOSS PERCENTAGE
Roof Payment Schedule 2016 ASPHALT 76.00%
SPECIAL NOTE: The above Roof Loss Settlement information applies to Coverage A only.
Roof structures under Coverage B are subject to the Roof Surfacing Loss Percentage
table as shown in your policy contract.
POLICY LIMITS AND OTHER ADDITIONAL COVERAGES
(Unless otherwise stated, all limits and coverages are included in basic coverages)
COVERAGE LEVEL: ESSENTIAL BROAD
SECTION I - PROPERTY COVERAGES
POLICY NUMBER: OY9135225
COVERAGE C- PERSONAL PROPERTY - 3. SPECIAL LIMITS OF LIABILITY
a.Money, pre-paid cards... $ 250 h.Business Property
b.Rare coins and currency... $ 500 On Premises...
c.Securities, debit cards... $ 500 Off Premises Sub-limit
d.Watercraft... $ 3,000 i.Tapes, records, discs...
e.Trailers... $ 3,000 j.Theft of rugs...
f.Theft of jewelry, watches... $ 500 k.Grave Markers...
g.Theft of silverware... $ 500
OTHER INCLUDED COVERAGES/POLICY PROVISIONS
Loss Assessment Coverage
Building Ordinance or Law Coverage ( 10%)
Fungi, Wet or Dry Rot, or Bacteria
Water Seepage or Leakage Coverage
Reasonable Repairs
Fire Department Service Charge
Land Stabilization
Arson Reward
Criminal Conviction Reward - Item a. Information
Criminal Conviction Reward - Item b. Property Recovery
Credit Card, Fund Transfer, Forgery & Counterfeit Money
$
$
$
$
$
$
$
$
$
$
$
Limit
500
62,000
5,000
25,000
5,000
500
5,000
25,000
2,500
5,000
500
OPTIONAL COVERAGES
Personal Property Replacement Cost
Extended Dwelling Coverage
Escape of Water from Sump (Building/Contents)
Foundation Water Damage
DISCOUNTS AND SURCHARGES
Multi-Policy Auto Discount
Claim Free Discount
Paid In Full Discount
Advance Quote Credit
Limit
Up to 25%
$ 20,000
$ 25,000 $
$ 3,000
$ 1,000
$ 500
$ 5,000
$ 500
Premium
Included
Included
Included
Included
Included
Included
Included
Included
Included
Included
Included
Premium
Included
Included
Included
115.00
Premium
Included
Included
Included
Included
For information on other deductibles, coverages or discounts available in your state
or to review your account online, log on to www.safeco.com
CONTINUED
HOM-7001/EP 1/09 Page 2 of 3 DATE PREPARED SEPT 8 2024
"" REPRINTED FROM THE ARCHNE. THE ORIGINAL TRANSACTION MAY WCLUDE ADDITIONAL FORMS ""
AMERICAN ECONOMY INSURANCE COMPANY (A SAFECO Company)
HOMEOWNERS POLICY DECLARATIONS
CONTINUED POLICY NUMBER: OY9135225
FORMS APPLICABLE TO THIS POLICY:
HOM-7301/EP 1/09 - PERSONAL PROPERTY REPLACEMENT COST
HOM-7230/EP 1/09 - WINDSTORM/HAIL DEDUCTIBLE
HOM-7120/TXEP 4/22 - SPECIAL PROVISIONS - TEXAS
HOM-7232/EP 1/09 - EXECUTION CLAUSE
HOM-7300/EP 11/19 - EXTENDED DWELLING COVERAGE
HOM-7020/EP 5/20 - SAFECO BROAD FORM HOMEOWNERS POLICY
HOM-7236/TXEP 4/20 - COSMETIC LOSS OR DAMAGE EXCLUSION
HOM-7331/TXEP 4/20 - FOUNDATION WATER DAMAGE
HOM-7311/EP 1/20 - ESCAPE OF WATER FROM SUMP/SUMP PUMP DRAIN (BLDG/CONT)
HOM-7332/TXEP 4/20 - WATER SEEPAGE OR LEAKAGE COVERAGE
HOM-7001/EP 1/09 Page 3 of 3 DATE PREPARED SEPT 8 2024
"" REPRINTED FROM THE ARCHNE. THE ORIGINAL TRANSACTION MAY WCLUDE ADDITIONAL FORMS ""