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HomeMy WebLinkAboutContract 63077Date Received: 4/10/2025 Time Received: 12:58 p.m. Record Number: PN24-00221 City Secretary No.: 63077 PUBLIC PROPERTY EASEMENT ENCROACHMENT LICENSE AGREEMENT TIER 11 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 Hunter Crossroads, LP, a Texas limited partnership ("Licensee"), acting by and through its duly authorized representative. RECITALS WHEREAS, Licensee is the owner of the real property located at 13121 NW Highway 287, Fort Worth, Texas 76052 ("Property"), being more particularly described as, Lot 8, Block 1, of Hunter Crossroads Addition, an addition to the City of Fort Worth, Tarrant County, Texas, as recorded in Deed Records, by Instrument Number D207294400; and WHEREAS, the City owns a wastewater easement and a water easement (the "Public Property") adjacent to the Property, dedicated by plat, depicted on the final plat of the property (FP-23-136), which plat is recorded in the plat records of Tarrant County as Instrument D224071798; and WHEREAS, the City owns a public access easement (the "Public Property") adjacent to the property, dedicated to the City in an easement filed in the Tarrant County Deed Records as Instrument Number D223224493, as depicted on the final plat of the property (FP-23-136), which plat is recorded in the plat records of Tarrant County as Instrument Number; 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. OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Tier H Easement Encroachment Agreement Page 1 of 12 Revised 12/2022 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 private retaining wall with railings, sewer , gas electrical and telecom lines (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." 9 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. Tier H Easement Encroachment Agreement Page 2 of 12 Revised 12/2022 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 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). 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. Tier H Easement Encroachment Agreement Page 3 of 12 Revised 12/2022 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 FROM AND AGAINST ANY AND ALL CLAIMS OR SUITS FOR PROPERTY DAMAGE OR LOSS AND/OR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, OF WHATSOEVER KIND OR CHARACTER, WHETHER REAL OR ASSERTED, ARISING OUT OF OR IN CONNECTION WITH, DIRECTLY OR INDIRECTLY, THE CONSTRUCTION, MAINTENANCE, OCCUPANCY, USE, EXISTENCE, OR LOCATION OF THE ENCROACHMENT AND USES GRANTED HEREUNDER, WHETHER OR NOT CAUSED, IN WHOLE OR IN PART, BY THE ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, LICENSEES, ELECTED OFFICIALS, OR INVITEES OF THE CITY; AND LICENSEE HEREBY ASSUMES ALL LIABILITY AND RESPONSIBILITY FOR SUCH CLAIMS OR SUITS. LICENSEE SHALL LIKEWISE ASSUME ALL LIABILITY AND RESPONSIBILITY AND SHALL INDEMNIFY CITY FOR ANY AND ALL INJURY OR DAMAGE TO CITY PROPERTY ARISING 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 Tier II Easement Encroachment Agreement Page 4 of 12 Revised 12/2022 $1,000,000 with the understanding and agreement by Licensee that such insurance amounts may be revised upward at City's option and that Licensee shall so revise such amounts immediately following notice to Licensee of such requirement. Such insurance policy shall not be canceled or amended without at least thirty (30) days prior written notice to the Building Official of the City. A copy of such Certificate of Insurance is attached as Exhibit "B" and incorporated herein for all purposes. Licensee agrees, binds, and obligates itself and its successors and assigns to maintain and keep in force such public liability insurance at all times during the term of this Agreement and until the removal of the Encroachment and restoration of the Public Property. All insurance coverage required herein shall include coverage of all Licensee's contractors and subcontractors. 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. Tier II Easement Encroachment Agreement Page 5 of 12 Revised 12/2022 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. 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. Prior to the end of the term of this Agreement, Licensee may submit a new encroachment application to the City. The City will not unreasonably withhold or delay approval of such application provided that the Encroachment follows the then current City codes and compliance. Tier II Easement Encroachment Agreement Page 6 of 12 Revised 12/2022 20. 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. 21. This Agreement shall be binding upon the parties hereto and their successors and assigns. 22. This Agreement may be executed in multiple counterparts, each of which shal I be considered an original, but all of which shall constitute one instrument. [SIGNATURES APPEAR ON FOLLOWING PAGE] Tier H Easement Encroachment Agreement Page 7 of 12 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 Harrell (Apr 9, 202514:48 PDT) D. J. Harrell Director, Development Services Department Date: ATTEST: Apr 9, 2025 Jannette Goodall, City Secretary pp44Ubn�n v'� � pORt�yo9Pd ago=d Approved As To Form and Legality o *�a Yd�� nEXog 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 Oweir Rebecca Owen (Apr 9, 2025 16:33 CDT) Rebecca Owen Development Services Manager OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Tier II Easement Encroachment Agreement Page 8 of 12 Revised 12/2022 Licensee: Hunter Crossroads, LP a Texas limited partnership Hunter Crossr9As VjP, LLC a Texas limraiCiftej lia lity company its general STATE OF f Xa e> § COUNTY OF Da-UO`, § BEFORE ME, the undersigned authority, a Notary Public in and for the State of TP,xeLS on this day personally appeared J264f Rnlnv,ti,c,►-� , Aq"' h.a e'r- (Title) known to me to be the person whose name is subscribed to v the foregoing instrument, and acknowledged to me that he or she executed the same for the purposes and consideration therein expressed, as the act and deed of 4iLul�earGr.SSrnadls a jiwti, a pit,`-�kZp (entity type), and in the capacity therein stated. GIVEN UNDER MY HAND AND SEAL OF OFFICE this ZSV' day of 2029. ALEXIS NICOLAS Notary ID # 135115694 Notary Public in and for the ''�a� = My October z n2028res State of fe-,v&ti Tier II Easement Encroachment Agreement Page 9 of 12 Revised 12/2022 litiiiil �: i by �:�M � ���;iy rt ���� �■ ���;� �����;� � u ��� � � �y x��.y x��.�i w�1 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 9th_day of April , 20225 mvty �(61ee Notary Public in and f'or the State of Texas After recording return to: Development Services Department Development Coordination Office 100 Fort Worth Trail Fort Worth, Texas 76102 Tier II Easement Encroachment Agreement o�PRY PUe/ . ' WE- 6Y L B�EARDSLEE z Notary Public , * * STATE OF TEXAS Notary I.D. 13323719-3 My Comm. Exp. July 28, 2025 Page 10 of 12 Revised 12/2022 EXHIBIT A Depiction and description of the Encroachment Tier II Easement Encroachment Agreement Page 11 of 12 Revised 12/2022 LOT IT, BLOCK I MAilp1 SSCPOROADS ADOITION [ MST. NA. D220115839 O.P.R. T.C.T. NASON OPERTY LLC ROLPPP EMCMO PRO MST. W. D22123 O.P.R.T.C.T. I I I I U.S. HIGHWAY No. 287 (MUR_ `MUTH w _'oF-WAY) .--- -'--. -- _ I y I IGo o` Unnf I nn 0� -J R LOT S. BLOCK I — IANTER CROSSROADS ADDITION PST. NP. 022407I798 O.v.P.T.C.T. . +` 0 r wee � I I F- �„ J -- v Pk— HJNTER CAN DADS. LP t�E1♦ 1 1 � t S I i —TER OPOSSROA05. IMT. No. NO 294400 R R.T.C.T. •B LOT 10. BLOCK I H,MER EAOSSRDADS ADMTI 1 MST. N0. D2240TIY98 1 O.P.P.T.[. T. I 1� IPEMAROER 1 TPA MST..e. O20T29.,00 O.P.R.TT. SECTION A - A F.I..,A� .C.- 840 840 I I EraWr HORIZONTAL rmA w,u "ALL 0 20 40 DSO VERTICAL 830 830 0 3-id 15 AY. n.IP -J IOPD.PO Rrrnvmc WALI 820 i i 820 Ca MwT � PROPOSED R[TAMND WALL TOOTNG I I T j o� 0D @O 0 20 40 60 &61 OOQ oo C Chick-fil-A 5200 Buffington Road Atlanta, Georgia 30349- 2998 V ID Z W 8 2 G Q � gss� 0 �A am Ix AIx W m 3 B zer^e p 0 PREl1fNRY PLANS FOR N�OTIO�MfW. CONSTRICTION. BOOMG OR PERMR PM.SNIlPqeO,rSvESlA.Mn��01p2-I LEO= N04hOwi —w— PROP.".., OR SMALLER WA rER Mnw I 2025 ., I POSED GATE VALVE PRDPIN DBED ROPOSED WATER ErEw d + PROPOSED PRE HYDRAHT a w w m PROPOSED 12' OR SMALLER SAMTARY SEWS PROPOSED s4wrARr SEWER MAMwLE F+-I F 1` • PROPOSED SAMTARY SEWER CLEANOUT r4 IWj"y PROPOSED STOP. SEWER Q PPOI::El SIATE ET PROPOSED STORINL M SEWER MANHOLE O PE.r D UOEROROMUD DAs —w PROPOSED ULEPDE.: TfLE.0—NCATIO. —w— PROPOSED uLERORDUA ELECTRIC > O Q RROPOS w fn PROPOSED RAAMD D OPAL FSR# 05697 me i rr.-sD-ns ID�RR D CAUTION I I RETAINING HALL EXISTING UTILITIES ARE INDICATED ON THE PLANS FROM WITH BANDRAIIS AVAILABLE INFORMATION. IT SHALL BE THE RESPONSIBILITY OF ENCROACHMENT THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UTILITIES, TO NOTIFY ALL UTILITY COMPANIES OF THE CONTRACTORS EXHIBIT OPERATIONS. TO UT PROTECT ALL UTILITIES ROM DAMAGE, aIn Ku•® TO REPAIR ALL UTILITIES DAMAGED DIE TO THE CONTRACTORS OPERATIONS, AND TO NOTIFY THE ENGIEER PROMPTLY OF ALL CONFLICTS OF THE WORN WITH EXISTING UTILITIES. EXHIBIT "A" U. S. HIGHWA Y No. 287 (VARIABLE WIDTH PUBLIC RIGHT—OF—WAY) 5� R GO. secillos 1 0• 0 AOSVACT N 5' LANDSCAPING SETBACK LINE 15' PUBLIC USE EASEMENT- INST. No. D224071798 0.P.R.T.C.T. 40' BUILDING- -24 PUBLIC ACCESS EASEMENT SETBACK LINE INST. No. D223224493 0.P.R.T.C.T. PERMANENT WATER —VARIABLE WIDTH FACILITY EASEMENT WATER EASEMENT INST. No. D224177343 INST. No. D224071798 0.P.R.T.C.T. O.P.R.T.C.T. HUNTER CROSSROADS, LP INST. No. D207294400 O.P.R.T.C.T. LOT B, BLOCK 1 HUNTER CROSSROADS ADDITION N3737'19"E 214.91'— INST. No. D224071798 O.P.R.T.C.T. * L E G E N D CM CONTROWNG MONUMENT IRF IRON ROD FOUND IRS IRON ROD SET W/CAP STAMPED PLACE OF "WIER&ASSOC INC" BEGINNING — CENTERLINE OF ENCROACHMENT — (ENCROACHMENT No.1) 3 BUILDING -- _ SETBACK LINE /L ® ®�TEMPORARY CONSTRUCTION ACCESS EASEMENT am, � INST. No. D223225218 ACCESS EASEMENT � O.P.R.T.C.T. INST. No. D224191711 1/Y In 0. P. R. T. C. T. 'm' SURVEYOR PREPARING THIS EXHIBIT• z a N z a ir O T5 s 0 40 z _ WZ ! IRS m BRASS T�O� O ';ER* MOW& ENT (CAI) __4/l B —VARIABLE WIDTH WATER EASEMENT INST. No. D224071798 0.P.R.T.C.T. HUNTER CROSSROADS, LP INST. No. D207294400 O.P.R.T.C.T. LOT 10, BLOCK 1 HUNTER CROSSROADS ADDITION INST. No. D224071798 O.P.R.T.C.T. --15' WASTEWATER EASEMENT INST. No. D224071798 0.P.R.T.C.T. VARIABLE WIDTH PRIVATE DRAINAGE EASEMENT INST. No. D224071798 _ 0.P.R.T.C.T. \ —ACCESS EASEMENT INST. No. D224191699 0.P.R.T.C.T. �S?J_-15'020W 44.42'— - _ �fli WI■A IL ASSOCIATIS INC. 15' WASTEWATER EASEMENT ENCROACHMENT EXHIBIT a 2201 E. LAMIAR BLVD., SUITE 200E ARLNGTON, TEXAS 7600� FT WORTH, TARRANT COUNTY, TX 5151 HEADQUARTERS DR., SUITE 115 PLANO, TEXAS 75024 Texas Firm Registration No. F-2776 www.VierAssociates.com (817) 467-7700 DRANK! BY- RTA I SHEET NO. 1 OF 2 I REV. Texas Board of Professional Land Surveying Registration No. 10033900 APPROVED: GAM EXHIBIT "A" EASEMENT CURVE TABLE CURVE ARC RADIUS DELTA BEARI NG D/ST. C1 5.94' 22.22' 157852" N72:50'46'1= 5 92' FIELD NOTES — CENTERLINE DESCRIPTION OF ENCROACHMENT 15' WASTEWATER EASEMENT BEING A TRACT OF LAND LOCATED IN THE M.E.P. & P.R.R. CO. SURVEY, SECTION NO. 17, ABSTRACT NO. 1131, TARRANT COUNTY, TEXAS, BEING A PORTION OF A 15' WASTEWATER EASEMENT RECORDED IN INSTRUMENT No. D224071798, OFFICIAL PUBLIC RECORDS, TARRANT COUNTY, TEXAS (O.P.R.T.C.T.), BEING A PORTION OF LOT 8, BLOCK 1, LOTS 8, 10, AND 11, BLOCK 1, HUNTER CROSSROADS ADDITION, AN ADDITION TO THE CITY OF FORT WORTH, TARRANT COUNTY, TEXAS, ACCORDING TO THE PLAT RECORDED IN INSTRUMENT No. D224071798, O.P.R.T.C.T. AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: ENCROACHMENT No. 1 BEGINNING AT A POINT BEING THE BEGINNING OF A CURVE TO THE LEFT, IN A WEST LINE OF SAID 15' WASTEWATER EASEMENT FROM WHICH A 1/2" IRON ROD SET WITH A CAP STAMPED "WIER & ASSOC INC" BEARS N 37'57'19" E, 214.91 FEET, SAID IRON ROD BEING IN THE SOUTHWEST RIGHT—OF—WAY LINE OF U.S. HIGHWAY NO. 287 (A VARIABLE WIDTH RIGHT—OF—WAY), THE EAST CORNER OF SAID LOT 8 AND THE NORTH CORNER OF LOT 10 OF SAID LOTS 8, 10, AND 11, BLOCK 1, HUNTER CROSSROADS ADDITION; THENCE NORTHEASTERLY, AN ARC LENGTH OF 5.94 FEET ALONG SAID CURVE TO THE LEFT, HAVING A RADIUS OF 22.22 FEET, A DELTA ANGLE OF 15'18'52", AND A CHORD BEARING OF N 72`50'46" E. 5.92 FEET TO THE TERMINATION POINT OF SAID CENTERLINE, FROM WHICH A 1/2" IRON ROD NTH A CAP STAMPED "WIER & ASSOC INC", BEARS S 33-15'02" W, 44.42 FEET, SAID IRON ROD BEING THE SOUTH CORNER OF SAID LOT 8 AND THE WEST CORNER OF SAID LOT 10. NOTES: (1) ALL BEARINGS SHOWN HEREON ARE CORRELATED TO THE TEXAS STATE PLANE COORDINATE SYSTEM, NORTH CENTRAL ZONE 4202, NAD OF 1983, AS DERIVED BY FIELD OBSERVATIONS UTILIZING THE RTK NETWORK ADMINISTRATED BY ALLTERRA CENTRAL, INC. (2) THIS EXHIBIT WAS PREPARED WITHOUT BENEFIT OF A CURRENT TITLE COMMITMENT. (3) THIS SURVEY WAS MADE ON THE GROUND DURING THE MONTHS OF AUGUST 13, 2024 UNDER THE DIRECT SUPERVISION OF GREGG MADSEN , R.P.L.S. NO. 5798. TmSURVEYOR PREPARING THIS EMIBIT: 2201 E.VAIR &i ASSOCIAATES1 INC. 5151 HEADQUARTERS DR., SUITE 115 PLANO, TEXAS 75024 Texas Firm Registration No. F-2776 www.VierAssociates.com (817) 467-7700 Texas Board of Professional Land Surveying Registration No. 10033900 rOF P'•v1SrF,QF-�' ................................... GREGG A. E. MADSEN ................................... 15' WASTEWATER EASEMENT ENCROACHMENT EXHIBIT FT WORTH, TARRANT COUNTY, TX DRAWN BY RTA I SHEET NO. 2 OF 2 I REV. APPROVED: GAM EXHIBIT "A" a '_ U.S. HIGHWAY NO. 287 a. (VARIABLE WIDTH PUBLIC RIGHT—OF—WAY) H PLACE OF 00.RVy N65 2248 "E 43.96'� T BEGINNING ac P. R'R NO. 1l PLACE OF (ENCROACHMENT No.3) M.5.P• c"ON o 1 3 BEGINNING--N63'09'32"E 42.88' z SVAC,T (ENCROACHMENT No.2) 5' LANDSCAPING — $85J2'11 "E 80.17' O SETBACK LINE PLACE OF PLACE OF 6 15' PUBLIC USE EASEMENT— BEGINNING BEGINNING u INST. No. D224071798 ENCROACHMENT No.4 Z O.P.R.T.C.T. „ (ENCROACHMENT No.1) ( ) __ W ® �" IRS BRASS — — P '1MER' MONUMENT (cm) — _.�F5 40' BUILDING— —24' PUBLIC ACCESS EASEMENT ;; N51197'20"E 38.76' inSETBACK LINE INST. No. D223224493 ,� O.P.R.T.C.T. ~L3 I 1 _ L2 L4—/ � PERMANENT WATER — VARIABLE WIDTH FACILITY EASEMENT �'_,'_, WATER EASEMENT INST. No. D224177343 ® 1 0 —VARIABLE WIDTH ® INST. No. D224071798 O.P.R.T.C.T. ^ WATER EASEMENT S 0.P.R.T.C.T. 1 INST. No. D224071798 JJ It_ 01P.RIT.CIT. may 1: _ HUNTER CROSSROADS, LP i it;_: 534*05'08"W 19.320' INST. No. D207294400 3i: 1= i , " , O.P.R.T.C.T. $ ,� s� _ 53173 31 W 193.01 BLOCK 1 •r LOT 8, HUNTER CROSSROADS, LP HUNTER CROSSROADS ADDITION =i ® INST N® ®207294409 INST. No. D224071796 1�'9:: 1 O.P.R.T.C.T. �'� ;; 1 O.P.R.T.C.T. L E G E N D* <i LOT 10, BLOCK 1 n i i HUNTER CROSSROADS ADDITION INST. No. D224071798 CM CONTROLLING MONUMENT € € O.P.R.T.C.T. IRF IRON ROD FOUND i --15' WASTEWATER IRS IRON ROD SET W/CAP STAMPED a I EASEMENT �j "WIER&ASSOC INC* t " ` 1 INST. No. D224071798 CENTERLINE OF ENCROACHMENT i ? 1 O.P.R.T.C.T. 0 40 VARIABLE WIDTH PRIVATE- - DRAINAGE EASEMENT INST. No. D224071798 —10' BUILDING O.P.R.T.C.T. SETBACK LINE : Jit 17'- TEMPORARY CONSTRUC1100 ACCESS EASEMENT °f ACCESS EASEMENT _ INST. No. D224191699 INST. No. D223225218 ACCESS EASEMENT-� O.P.R.T.C.T. 0.P.R.T.C.T. INST. No. D224191711 11r IRS O.P.R.T.C.T. *WER' TORSURVEYOR PREPARING THIS EXHIBIT: 24' WIDE PUBLIC ACCESS EASEMENT & VARIABLE WIER 6► ASSOCIATES INC.WIDTH WATER EASEMENT ENCROACHMENT EXHIBIT LO 2201 E. LAMAR BLVD., SUITE 200E ARLINGTON, TEXAS 76001 FT WORTH, TARRANT COUNTY, TX 5151 HEADQUARTERS DR., SUITE 115 PLANO, TEXAS 75024 Texas Firm Registration No. F-2776 www.ViierAssociates.com (817) 467-7700 DRAMN BY RTC I SHEET NO. 1 OF 4 f REV. �' Texas Board of Professional Land Surveying Registration No. 10033900 APPROVED: GAM EXHIBIT "A" U N. f r rn z z F LO N EASEMENT LINE TABLE LINE BEARING DIST L1 S1370'20"E 12.71' L2 S1370'20"E 21.18' L3 S3134'12"W 9.00' L4 S3134'12"W 15.00' EASEMENT LINE TABLE LINE BEARING DIST L5 S3134'12"W 9.00' L6 S3134'12"W 15.00' L7 S31 '12'32"W 9.00' LB S3172'32'W 15.00' FIELD NOTES — CENTERLINE DESCRIPTION OF ENCROACHMENTS OF 24' PUBLIC ACCESS EASEMENT & VARIABLE WIDTH WATER EASEMENT BEING A TRACT OF LAND LOCATED IN THE M.E.P. & P.R.R. CO. SURVEY, SECTION NO. 17, ABSTRACT NO. 1131, TARRANT COUNTY, TEXAS, BEING A PORTION OF A 24' PUBLIC ACCESS EASEMENT RECORDED IN INSTRUMENT No. D223224493, OFFICIAL PUBLIC RECORDS, TARRANT COUNTY, TEXAS (O.P.R.T.C.T.) AND A PORTION OF A VARIABLE WIDTH WATER EASEMENT RECORDED IN INSTRUMENT No. D223224493 O.P.R.T.C.T., BEING A PORTION OF LOT 8, BLOCK 1, LOTS 8, 10, AND 11, BLOCK 1, HUNTER CROSSROADS ADDITION, AN ADDITION TO THE CITY OF FORT WORTH, TARRANT COUNTY, TEXAS, ACCORDING TO THE PLAT RECORDED IN INSTRUMENT NO. D224071798, O.P.R.T.C.T. AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: ENCROACHMENT No. 1 BEGINNING AT A POINT IN A NORTH LINE OF SAID 24' PUBLIC ACCESS EASEMENT FROM WHICH A 1/2" IRON ROD NTH A CAP STAMPED "WIER & ASSOC INC" BEARS S 85.32'11" E, 80.17 FEET, SAID IRON ROD BEING IN THE SOUTHWEST RIGHT—OF—WAY LINE OF U.S. HIGHWAY NO. 287 (A VARIABLE WIDTH RIGHT—OF—WAY), THE EAST CORNER OF SAID LOT 8 AND THE NORTH CORNER OF LOT 10 OF SAID LOTS 8, 10, AND 11, BLOCK 1, HUNTER CROSSROADS ADDITION; THENCE S 13'20'20" E, A DISTANCE OF 12.71 FEET TO A POINT IN THE NORTH LINE OF SAID VARIABLE WIDTH WATER EASEMENT WHICH OVERLAPS SAID 24' PUBLIC ACCESS EASEMENT; THENCE S 13.20'20" E, A DISTANCE OF 20.18 FEET TO THE TERMINATION POINT OF SAID CENTERLINE, FROM WHICH A 1/2" IRON ROD WITH A CAP STAMPED "WIER & ASSOC INC", BEARS S 23.51'19" W, 194.77 FEET, SAID IRON ROD BEING THE SOUTH CORNER OF SAID LOT 8 AND THE WEST CORNER OF SAID LOT 10. CONTINUED ON SHEET 3 vr- NOTES: A. E.MADSEN tGREGG (1) ALL BEARINGS SHOWN HEREON ARE CORRELATED TO THE TEXAS STATE PLANECOORDINATE SYSTEM, NORTH CENTRAL ZONE 4202, NAD OF 1983, AS DERIVED BY FIELDOBSERVATIONS UTILIZING THE RTK NETWORK ADMINISTRATED BY ALLTERRA CENTRAL, INC.(2) 1• THIS EXHIBIT WAS PREPARED WITHOUT BENEFIT OF A CURRENT TITLE COMMITMENT.•• ,S • (3) THIS SURVEY WAS MADE ON THE GROUND DURING THE MONTHS OF AUGUST 13, 2024 UNDER THE DIRECT SUPERVISION OF GREGG MADSEN , R.P.L.S. NO. 5798. VEASURVEYOR PREPARING THIS EXHIBIT: 24' WIDE PUBLIC ACCESS EASEMENT & VARIABLE , WIEN $ ASSOCIATES INC. WIDTH WATER EASEMENT ENCROACHMENT EXHIBIT 2201 E. LANIAR BLVD., SUITE 200E ARLNGTON, TEXAS 76006 FT WORTH, TARRANT COUNTY, TX 5151 HEADQUARTERS DR., SUITE 115 PLANO, TEXAS 75024 DRAWN BY: RTC REV. Texas Firm Registration No. F-2776 www.VierAssociates.com (817) 467-7700 SHEET NO. 2 OF 4 I Texas Board of Professional Land Surveying Registration No. 10033900 APPROVED: GAM EXHIBIT "A" U M m R P1 e4 CDl v� CLI r rn z z R Ln FIELD NOTES — CENTERLINE DESCRIPTION OF ENCROACHMENTS OF 24' PUBLIC ACCESS EASEMENT & VARIABLE WIDTH WATER EASEMENT CONTINUED FROM SHEET 2 ENCROACHMENT No. 2 BEGINNING AT A POINT IN A NORTH LINE OF SAID 24' PUBLIC ACCESS EASEMENT FROM WHICH A 1/2" IRON ROD WITH A CAP STAMPED "WIER & ASSOC INC" BEARS N 6522'48" E, 43.96 FEET, SAID IRON ROD BEING IN THE SOUTHWEST RIGHT—OF—WAY LINE OF U.S. HIGHWAY NO. 287 (A VARIABLE WIDTH RIGHT—OF—WAY), BEING THE EAST CORNER OF SAID LOT 8 AND THE NORTH CORNER OF LOT 10 OF SAID LOTS 8, 10, AND 11, BLOCK 1, HUNTER CROSSROADS ADDITION; THENCE S 31'34'12" W, A DISTANCE OF 9.00 FEET TO A POINT IN THE NORTH LINE OF SAID VARIABLE WIDTH WATER EASEMENT WHICH OVERLAPS SAID 24' PUBLIC ACCESS EASEMENT; THENCE S 31'34'12" E, A DISTANCE OF 15.00 FEET TO THE TERMINATION POINT OF SAID CENTERLINE, FROM WHICH A 1 /2" IRON ROD WITH A CAP STAMPED "WIER & ASSOC INC", BEARS S 30'37'54" W, 193.03 FEET, SAID IRON ROD BEING THE SOUTH CORNER OF SAID LOT 8 AND THE WEST CORNER OF SAID LOT 10. ENCROACHMENT NO. 3 BEGINNING AT A POINT IN A NORTH LINE OF SAID 24' PUBLIC ACCESS EASEMENT FROM WHICH A 1/2" IRON ROD WITH A CAP STAMPED "WIER & ASSOC INC" BEARS N 63'09'32" E, 42.88 FEET, SAID IRON ROD BEING IN THE SOUTHWEST RIGHT—OF—WAY LINE OF U.S. HIGHWAY NO. 287 (A VARIABLE WIDTH RIGHT—OF—WAY), BEING THE EAST CORNER OF SAID LOT 8 AND THE NORTH CORNER OF LOT 10 OF SAID LOTS 8, 10, AND 11, BLOCK 1, HUNTER CROSSROADS ADDITION; THENCE S 31*34'12" W, A DISTANCE OF 9.00 FEET TO A POINT IN THE NORTH LINE OF SAID VARIABLE WIDTH WATER EASEMENT WHICH OVERLAPS SAID 24' PUBLIC ACCESS EASEMENT; THENCE S 31'34'12" E, A DISTANCE OF 15.00 FEET TO THE TERMINATION POINT OF SAID CENTERLINE, FROM WHICH A 1 /2" IRON ROD WITH A CAP STAMPED "NER & ASSOC INC", BEARS S 31'13'31" W, 193.01 FEET, SAID IRON ROD BEING THE SOUTH CORNER OF SAID LOT 8 AND THE WEST CORNER OF SAID LOT 10. CONTINUED ON SHEET 4 OF �Q•�viSTERF g NOTES: GREGG A. E. MAIDSI (1) ALL BEARINGS SHOWN HEREON ARE CORRELATED TO THE TEXAS STATE PLANE ,p COORDINATE SYSTEM, NORTH CENTRAL ZONE 4202, NAD OF 1983, AS DERIVED BY FIELD •'A 98M««•'< ; OBSERVATIONS UTILIZING THE RTK NETWORK ADMINISTRATED BY ALLTERRA CENTRAL, INC. 9� A (2) THIS EXHIBIT WAS PREPARED WITHOUT BENEFIT OF A CURRENT TITLE COMMITMENT. (3) THIS SURVEY WAS MADE ON THE GROUND DURING THE MONTHS OF AUGUST 13, 2024 UNDER THE DIRECT SUPERVISION OF GREGG MADSEN , R.P.L.S. NO. 5798. WK, SURVEYOR PREPARING THIS EXHIBIT: 24' WIDE PUBLIC ACCESS EASEMENT & VARIABLE WISER & ASS�OCIATE6S, INC. WIDTH WATER EASEMENT ENCROACHMENT EXHIBIT E.FT WORTH, TARRANT COUNTY, TX 5151 HEADQUARTERS DR., SUITE 115 PLANO, TEXAS 75024 DRAWN BY: RTC I REV. Texas Firm Registration No. F-2776 www.VierAssociates.com (817) 467-7700 I SHEET NO. 3 OF 4 Texas Board of Professional Land Surveying Registration No. 10033900 APPROVED: GAM EXHIBIT "A" 1 M e4 O� Fml n R M rn to FIELD NOTES — CENTERLINE DESCRIPTION OF ENCROACHMENTS OF 24' PUBLIC ACCESS EASEMENT & VARIABLE WIDTH WATER EASEMENT CONTINUED FROM SHEET 3 ENCROACHMENT No. 4 BEGINNING AT A POINT IN A NORTH LINE OF SAID 24' PUBLIC ACCESS EASEMENT FROM WHICH A 1/2" IRON ROD WITH A CAP STAMPED "WIER & ASSOC INC" BEARS N 51.07'20" E, 38.76 FEET, SAID IRON ROD BEING IN THE SOUTHWEST RIGHT—OF—WAY LINE OF U.S. HIGHWAY NO. 287 (A VARIABLE WIDTH RIGHT—OF—WAY), BEING THE EAST CORNER OF SAID LOT 8 AND THE NORTH CORNER OF LOT 10 OF SAID LOTS 8, 10, AND 11, BLOCK 1, HUNTER CROSSROADS ADDITION; THENCE S 31.12'32" W, A DISTANCE OF 9.00 FEET TO A POINT IN THE NORTH LINE OF SAID VARIABLE WIDTH WATER EASEMENT WHICH OVERLAPS SAID 24' PUBLIC ACCESS EASEMENT; THENCE S 31'12'32" E, A DISTANCE OF 15.00 FEET TO THE TERMINATION POINT OF SAID CENTERLINE, FROM WHICH A 1 /2" IRON ROD WITH A CAP STAMPED "WIER & ASSOC INC", BEARS S 34.05'08" W, 193.20 FEET, SAID IRON ROD BEING THE SOUTH CORNER OF SAID LOT 8 AND THE WEST CORNER OF SAID LOT 10. NOTES- (1) ALL BEARINGS SHOWN HEREON ARE CORRELATED TO THE TEXAS STATE PLANE COORDINATE SYSTEM, NORTH CENTRAL ZONE 4202, NAD OF 1983, AS DERIVED BY FIELD OBSERVATIONS UTILIZING THE RTK NETWORK ADMINISTRATED BY ALLTERRA CENTRAL, INC. (2) THIS EXHIBIT WAS PREPARED WITHOUT BENEFIT OF A CURRENT TITLE COMMITMENT. (3) THIS SURVEY WAS MADE ON THE GROUND DURING THE MONTHS OF AUGUST 13, 2024 UNDER THE DIRECT SUPERVISION OF GREGG MADSEN , R.P.L.S. NO. 5798. SURVEYOR PREPARING THIS EXHIBIT: V//2' E. L` IELNW &I ASS�OCIATE6S, INC. 006 5151 HEADQUARTERS DR., SUITE 115 PLANO, TEXAS 75024 Texas Firm Registration No. F-2776 www.WerAssociates.com (817) 467-7700 Texas Board of Professional Land Surveying Registration No. 10033900 � OF �P�•GiSTf,QF-I- ;'��' GREGG A. E.�MADSEN 24' WIDE PUBLIC ACCESS EASEMENT & VARIABLE WIDTH WATER EASEMENT ENCROACHMENT EXHIBIT FT WORTH, TARRANT COUNTY, TX DRAWN BY: RTC SHEET NO. 4 OF 4 I REV. APPROVED: GAM EXHIBIT "A" U. S. HIGHWA Y No. 28 7 (VARIABLE WIDTH PUBLIC RIGHT-OF-WAY) SURVey CO. RR• 1� r� p Na 1 E p SON 913 M?RACY NO. N69i7'10"E 76.97'-- 5' LANDSCAPING — SETBACK LINE PLACE OftNo7) 15' PUBLIC USE EASEMENT- BEGINN INST. No. D224071798 (ENCROACHMENT 0.P.R.T.C.T. I' — — — — — — — — — — — — — — — — — 40' BUILDING- -24' PUBLIC ACCESS EASEMENT SETBACK LINE INST. No. D223224493 0.P.R.T.C.T. PERMANENT WATER — VARIABLE WIDTH FACILITY EASEMENT o WATER EASEMENT INST. No. D224177343 INST. No. D224071798 0.P.R.T.C.T. p O.P.R.T.C.T. R i HUNTER CROSSROADS, LIP 00. c INST. No. D207294400 O.P.R.T.C.T. ` 3 N LOT 8, BLOCK 1 HUNTER CROSSROADS ADDITION ® i ` INST. No. D224071790 O.P.R.T.C.T. *LEGEND* CM CONTROLLING MONUMENT IRF IRON ROD FOUND IRS IRON ROD SET W/CAP STAMPED "WIER&ASSOC INC" CENTERLINE OF ENCROACHMENT40 0 —10' BUILDING ---___SETBACK LINE ♦ NU TEMPORARY CONST 110N s — O0 ACCESS EASEMENT INST N D223225218 ACCESS EASEMENT z Ix a N ir5 z a ix 0 x U z w "m BRASS TfA **ERR* ( NT ' —�—�' r — m z f 0 L1 VARIABLE WIDTH WATER EASEMENT INST. No. D224071798 0.P.R.T.C.T. HUNTER CROSSROADS, LP INST. No. D207294400 O.P.R.T.C.T. LOT 10, BLOCK 1 HUNTER CROSSROADS ADDI110N INST. No. D224071798 O.P.R.T.C.T. --15' WASTEWATER EASEMENT INST. No. D224071798 0.P.R.T.C.T. VARIABLE WIDTH PRIVATE DRAINAGE EASEMENT INST. No. D224071798 0.P.R.T.C.T. s i \ ACCESS EASEMENT INST. No. D224191699 o' INST. No. D224191711 11Y IRS O.P.R.T.C.T. O.P.R.T.C.T. 0.P.R.T.C.T. *WEI;" - - SURVEYOR PREPARING THIS EMIBIT: PERMANENT WATER FACILITY EASEMENT %lea &A98OCIAT19 INC. ENCROACHMENT MEEXHIBIT SUITE 2201 E. LAMAR BLVD., FT WY TX 5151 HEADQUARTERS DR., SUITE 115 PLANO, TEXAS 75024 DRAVM Texas Firm Registration No. F-2776 www.VierAssociates.com (817) 467-7700 R� SHEET NO. 1 OF 2 I REV. Texas Board of Professional Land Surveying Registration No. 10033900 APPROVED: GAM EXHIBIT "A" U m t„ EASEMENT LINE TABLE LINE I BEARING I DIST L1 I S1370'20"E 1 7.18' FIELD NOTES — CENTERLINE DESCRIPTION OF ENCROACHMENT PERMANENT WATER FACILITY EASEMENT BEING A TRACT OF LAND LOCATED IN THE M.E.P. & P.R.R. CO. SURVEY, SECTION NO. 17, ABSTRACT NO. 1131, TARRANT COUNTY, TEXAS, BEING A PORTION OF A PERMANENT WATER FACILITY EASEMENT RECORDED IN INSTRUMENT No. D224177343, OFFICIAL PUBLIC RECORDS, TARRANT COUNTY, TEXAS (O.P.R.T.C.T.), BEING A PORTION OF LOT 8, BLOCK 1, LOTS 8, 10, AND 11, BLOCK 1, HUNTER CROSSROADS ADDITION, AN ADDITION TO THE CITY OF FORT WORTH, TARRANT COUNTY, TEXAS, ACCORDING TO THE PLAT RECORDED IN INSTRUMENT No. D224071798, O.P.R.T.C.T. AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: ENCROACHMENT No. 1 BEGINNING AT A POINT IN A WEST LINE OF SAID PERMANENT WATER FACILITY EASEMENT FROM WHICH A 1 /2" IRON ROD WITH A CAP STAMPED "WIER & ASSOC INC" BEARS N 69i7'10" E, 76.97 FEET, SAID IRON ROD SET BEING IN THE SOUTHWEST RIGHT—OF—WAY LINE OF U.S. HIGHWAY NO. 287 (A VARIABLE WIDTH RIGHT—OF—WAY), BEING THE EAST CORNER OF SAID LOT 8 AND THE NORTH CORNER OF LOT 10 OF SAID LOTS 8, 10, AND 11, BLOCK 1, HUNTER CROSSROADS ADDITION; THENCE S 13'20'20" E, A DISTANCE OF 7.18 FEET TO THE TERMINATION POINT OF SAID CENTERLINE, FROM WHICH A 1/2" IRON ROD WITH A CAP STAMPED "WIER & ASSOC INC", BEARS S 25'16'01" W, 188.70 FEET, SAID IRON ROD BEING THE SOUTH CORNER OF SAID LOT 8 AND THE WEST CORNER OF SAID LOT 10. NOTES: (1) ALL BEARINGS SHOWN HEREON ARE CORRELATED TO THE TEXAS STATE PLANE COORDINATE SYSTEM, NORTH CENTRAL ZONE 4202, NAD OF 1983, AS DERIVED BY FIELD OBSERVATIONS UTILIZING THE RTK NETWORK ADMINISTRATED BY ALLTERRA CENTRAL, INC. (2) THIS EXHIBIT WAS PREPARED WITHOUT BENEFIT OF A CURRENT TITLE COMMITMENT. (3) THIS SURVEY WAS MADE ON THE GROUND DURING THE MONTHS OF AUGUST 13, 2024 UNDER THE DIRECT SUPERVISION OF GREGG MADSEN , R.P.L.S. NO. 5798. SURVEYOR PREPARING THIS EXHIBIT: VEA, WIMP S ASSOCIATES INC. 2201 E. LAMAR BLVD., SUITE 200E ARUNGTON, TEXAS 76001 5151 HEADQUARTERS DR., SUITE 115 PLANO, TEXAS 75024 Texas Firm Registration No. F-2776 www.VierAssociates.com (817) 467-7700 Texas Board of Professional Land Surveying Registration No. 10033900 � 0 F �. I-q11 l •v S T f,Q F-1'9 GREGG A. E. �MADSEN F579Q.O .fS PERMANENT WATERIFACILITY EASEMENT ENCROACHMENT EXHIBIT FT WORTH, TARRANT COUNTY, TX DRAWN BY: RTC SHEET NO. 2 OF 2 APPROVED: GAM I REV. I EXHIBIT "A" z ., U. Sr. HIGHWA Y No. 28 i CL (VARIABLE WIDTH PUBLIC RIGHT—OF—WAY) N V1 CO. SUR'Xy 1 � M.E•P'C��SO. 'f �13 a �STR 5' LANDSCAPING — O SETBACK LINE 6 15' PUBLIC USE EASEMENT v INST. No. D224071798 0 40 z O.P.R.T.C.T w Ir IRS BRASS ® o -- M 1"ER' MOP1 JMDIT (CM) � _) cn 40' BUILDING— —24' PUBLIC ACCESS EASEMENT 1 m SETBACK LINE INST. No. D223224493 > 0.P.R.T C.T_ — — — — — — — — — — — — — PERMANENT WATER- - VARIABLE WIDTH FACILITY EASEMENT o WATER EASEMENT INST. No. D224177343 —VARIABLE WIDTH INST. No. D224071798 0.P.R.T.C.T. WATER EASEMENT O.P.R.T.C.T. INST. No. D224071798 Jf 0.P.R.T.C.T. HUNTER CROSSROADS, LP INST. No. D207294400 ; N O.P.R.T.C.T. ' LOT 8, BLOCK 1 ` HUNTER CROSSROADS ADDITION tl HUNTER CROSSROADS, LP a, INST. No. D224071790 INST. No. D2072944M t O.P.R.T.C.T. O.P.R.T.C.T. * L E G E N D* LOT 10, BLOCK 1 HUNTER CROSSROADS ADDITION t INST. No. D224071798 CM CONTROLLING MONUMENT O.P.R.T.C.T. IRF IRON ROD FOUND N37�8'46"E 233.86' j —15' WASTEWATER IRS IRON ROD SET W/CAP STAMPED PUCE OF }EAEMENT "WIER&ASSOC INC" 'f INST. Nos D224071798 CENTERLINE OF ENCROACHMENT BEGINNING 0.P.R.T.C.T. (ENCROACHMENT No.1) i' VARIABLE WIDTH PRIVATE DRAINAGE EASEMENT INST. No. D224071798 —10' BUILDING 0.P.R.T.C.T. — — SETBACK LINE TEMPORARY CONSTRUCTION ACCESS EASEMENT t ACCESS EASEMENT ACCESS EASEMENT— _ ® \ INST. No. D224191699 INST. No. D223225218 O.P.R.T.C.T. 0.P.R.T.C.T. INST. No. D224191711 L1�t/Y IRS �� 0.P.R.T.C.T. 'DER" 532 44 59 W 18.53 --- SURVEYOR PREPARING THIS EMISIT. VARIABLE WIDTH DRAINAGE EASEMENT WIlp & ASSOCIATES INC. ENCROACHMENT EXHIBIT 2201 E. LAMAR BLVD., SUITE 200E ARLINGTON, TEXAS 76DOP FT WORTH, TARRANT COUNTY, TX 5151 HEADQUARTERS DR., SUITE 115 PLANO, TEXAS 75024 Texas Firm Registration No. F-2776 www.VerAssociates.com (817) 467-7700 DRAWM BY. RTC SHEET NO. 1 OF 2 REV. Texas Board of Professional Land Surveying Registration No. 10033900 APPROVED. GAM EXHIBIT "A" EASEMENT LINE TABLE LINE I BEARING I DIST L 1 I S07'10'49 "E 1 2.89' FIELD NOTES — CENTERLINE DESCRIPTION OF ENCROACHMENT VARIABLE WIDTH DRAINAGE EASEMENT BEING A TRACT OF LAND LOCATED IN THE M.E.P. & P.R.R. CO. SURVEY, SECTION NO. 17, ABSTRACT NO. 1131, TARRANT COUNTY, TEXAS, BEING A PORTION OF A VARIABLE WIDTH DRAINAGE EASEMENT RECORDED IN INSTRUMENT No. D224071798, OFFICIAL PUBLIC RECORDS, TARRANT COUNTY, TEXAS (O.P.R.T.C.T.), BEING A PORTION OF LOT 8, BLOCK 1, LOTS 8, 10, AND 11, BLOCK 1, HUNTER CROSSROADS ADDITION, AN ADDITION TO THE CITY OF FORT WORTH, TARRANT COUNTY, TEXAS, ACCORDING TO THE PLAT RECORDED IN INSTRUMENT No. D224071798, O.P.R.T.C.T. AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: ENCROACHMENT No. 1 BEGINNING AT A POINT IN A WEST LINE OF SAID VARIABLE WIDTH DRAIANGE EASEMENT FROM WHICH A 1/2" IRON ROD WITH A CAP STAMPED "WIER & ASSOC INC" BEARS N 37'08'46" E. 233.86 FEET, SAID IRON ROD BEING IN THE SOUTHWEST RIGHT—OF—WAY LINE OF U.S. HIGHWAY NO. 287 (A VARIABLE WIDTH RIGHT—OF—WAY), THE EAST CORNER OF SAID LOT 8 AND THE NORTH CORNER OF LOT 10 OF SAID LOTS 8, 10, AND 11, BLOCK 1, HUNTER CROSSROADS ADDITION; } M THENCE S 07'10'49" E, A DISTANCE OF 2.89 FEET TO THE TERMINATION POINT OF SAID CENTERLINE, FROM WHICH A 1/2" IRON ROD WITH A CAP STAMPED "WIER & ASSOC INC", BEARS S 32'44'59" W, 18.53 FEET, SAID IRON ROD BEING THE SOUTHEAST CORNER OF SAID LOT 8 AND THE WEST CORNER OF SAID LOT 10. e4 o a` I g � OFTF C4 v .STfRE`?9 NOTES: GREGG A. E.«MADSEN d (1) ALL BEARINGS SHOWN HEREON ARE CORRELATED TO THE TEXAS STATE PLANE »»«« »»':AO 57» COORDINATE SYSTEM, NORTH CENTRAL ZONE 4202, NAD OF 1983, AS DERIVED BY FIELD OBSERVATIONS UTILIZING THE RTK NETWORK ADMINISTRATED BY ALLTERRA CENTRAL, INC. ;� i (2) THIS EXHIBIT WAS PREPARED WITHOUT BENEFIT OF A CURRENT TITLE COMMITMENT. •5 • •• (3) THIS SURVEY WAS MADE ON THE GROUND DURING THE MONTHS OF AUGUST 13, 2024 h UNDER THE DIRECT SUPERVISION OF GREGG MADSEN , R.P.L.S. NO. 5798. z SURVEYOR PREPARING THIS EXHIBIT: VARIABLE WIDTH' DRAINAGE EASEMENT E //AWIMP & ASSOCIATES INC. ENCROACHMENT EXHIBIT 'n 2201 E. LAMAR BLVD., SUITE 200E ARLINGTON, TEXAS 76006 FT WORTH, TARRANT COUNTY, TX R 5151 HEADQUARTERS DR., SUITE 115 PLANO, TEXAS 75024 DRAYM BY: RTC Texas Firm Registration No. F-2776 www.VierAssociates.com (817) 467-7700 I SHEET NO. 2 OF 2 REV. Texas Board of Professional Land Surveying Registration No. 10033900 APPROVED: GAM z iz a w N I J J E J a z 0 z 0 U z w z 0 a m r 0 =Mi,u Owe . LAYONT NOTES ¢Q im ® e• xac ¢ a.em en R Q MieLL e, b veM 0 ¢ NAE ¢e.ei ® e• IIrt ¢ R.R Q MieLL v, u, ,s W2 ®j rtfl a .e ® e• N32 a Te.R ER Q ¢ MAE¢3.R ® N •.,x p o,gi.e ,e m0 Ra R M. ®••Wtc.u. ®� Wx R..ea � . We.¢i.R o ¢ .,.. —w— PpppoSm�@ago SMnu.ER WATER ¢nN � FPGPON.O wATEP METER -+ FgoPOSEp FPE Htt310.YI —„— PRGPG�D ¢• aR aN,ELEA aAMTARr aEwEG �GPG,ED aAMTARr ,EWER µ� oRloPosED aRA� N ET �o PROPosm Rre raEr MA- —• MWOSM u•DEn­maMD ELECTNc ¢ RN0-U.OERGRCVD TELECOM U.S. HIGHiVAY No. 287 ` I huT i sour •A- Iz A ARn L I .oDK I II - - — IIIIIIIIJ I 11 M Y M n�� JFTE • e]..oD IIIIII LOT 9, 0-1- I IAONTEP CROSSROADS AODRN)N � O NeT..P..T.C.TNee O.P.fl.T.C. T. mec I —� Rs1R'(� —� � � bw•¢ H.1I u YJ •_ Y ' ' ew+� n—••T -- 7SOLAT HIRED GOADS, LP _... _ REWIIaniITMRN 'Tun. �„{� e raT. Ne. O.P.fl.T.C.TT.O.T.uo . Ir__.-2- a, .. , 6 m. r. m ,rND m¢¢ D iA ¢„ REFREg„rRWE RERNmWe w.. aE.,�¢,� iE.,� a errs. ee cp00 63ao0 Ooo S ,iaxaF TN,a,DewA wiwru� ¢cuw,Tl¢¢ND awL: xuerArnwn Chick—fil—A InInw 5200 Buffington Road Atlanta, Georgia g e R 30349— 2998 .al � TH¢¢ne WAr aRWAN e.¢,RET RLSRD'PPE N",„ C7e me R ®Me.N PPEPNP. N�a m. oG eJTNO., Me1eIK TX TN ¢ DETAIL 'A' O . m _ i Q• RJei � m � a �o�N€ IMPORTANTII F.—A ALTdN T— BE RESPONSIBLEGt;_ToxPLANa< ONSTRNG TENANTSONOTTODISUeTO E4PPELWAPYPLIl6 BOOIG ol,'-wT MaP09Ee. Pnq¢Ma�Y/tr VNr Prlp RM.,v]e. Pc TN,. INIf.! Qi ET OW. 8n'n LW.. A x a d ~ El W Un F 2` I20 40 60 I O] HNRR CR09aNOA08, rrl � LP 18L0 O.P.R. p� UTILITY CONTACTS P HM CRO 0AIM ADDITION NSTOHr. D22.0]DSB ' .P.fl.T.C.T. I OTLITY UTLRY COIRAXY IEIECTNC ITN-COIMY EIECTII CONTACT AN SEBAITLW PHME el]-)a2-823a Z F �' ; 1�1 O (� O r 1 I WATER A WASTEWATER ICRY OF FOAT WORTH S HARDER BR-1.2-solo �••/ E- ` I I GAS ATMcs E AGr I BMY areY 214-5e9-7Ia FSR# 05697 . I 4.RMx Miuev¢• _ eR 1 'SEE DETAIL 'A' THIS SHEET tl0. DeS BE0�0¢ SOLA , CAUTION II EXISTING UTLTTES ARE INDICATED ON THE PLANS FROM DRAINAGE t --- AVAILABLE (FORMATION. IT SHALL DE THE RESPONSELRY OF PLAN — THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNTIES. TO NOTFY ALL UMITY COWAIES OF THE CONTRACTORS m�ur .vtv • ... OPERATIONS, TO PROTECT ALL. UTILITIES FROM DAMAGE, TO REPAIR ALL UTLRES MANAGED DUE TO THE CONTRACTORS PS-2 - — _ OPERATIONS. AND TO NOTIFY THE ENGINEER PROMPTLY OF ALL �_ COWLICTS OF THE WORK WITH EMSTNG UTILITIES. STORM DRAIN LINE 'A' 85C 840 M&sm= e zZimmT a4C 630� ki - 0.5 M 2 kj:om hl o07 HG,U3,17 kj 1 N ' !IM-11% HGL� _HG - kj D.M 6RI1163 h 13 H G U4 EX. GRADE-\ loolt 327 8 LF HbPEl a m8% I -S So Ij 1.71 11 1 1 1 HGL� � h! r-. rh G T. C ,R L, OF IT S W. j :o n 'I I WS.0D 627 �830 ki 1.� k= 1 hj I hj D 10 HG. = qmg f 820 8_LF_0F__24_ 820 -1 HDPE 0 MaX _T Ll0 _2 a-11.3 31-0.25X h - u:om v=!0 fpv 5.00 f" +60.2' V1/2a0.391 9 a- G.S d sf D.sn 51 CAIX V 4. tV�4IWfp r/cd�7vd' V2g1.3 2o. tau 0. sa ' sf a3m I v 3Ip . 0.25 G-57d. w/2g st c.nx N 0.7' T :5. 24 Qw 4.1 ch SI=O.. v=2.wfp v120 o.08 i 810 -0-50 850, 0100 1+00 STORM DRAIN LATERAL 'A-1 850 850 'J� PROP. h- �1[ HG - 82636 EX' 7 k� 125 830� jr�H h 02 -hi-0.02 G US 15 US 100-YR 4a e:L7 20� -PE 0 1-911 111 F DP Id, !7 820 0- 1.7 d, Sf - 0.0n 1.00 w V'/2g -0.02 sf = 0.03X WV= 1.00 4. I -0+25 0+00 1,00 1+50 2-00 3+00 3-75 STORM DRAIN LATERAL 'A-2' 850 130 -EX.-GRADE- D" OD-YR,HGL:-\ 824.00 34 LF OF I a- 120 HDPE 0 0.9X 0- 1.5 d12 gal -0+50 0+00 40 H,G, 12171A 630 .7 d. 0- 0.7 dk SI m 0.04Z ,04Z 90-1P 0.01 V 0.90 1p V/29=01011" -i DI dd .aEN 1+00 1,25 0 -Qo 0 "4, Chick-fil-A 5200 Buffington Road Atlanta, Georgia 30349- 2998 w HOREZONIAL 0 20 4b Go VERTICAL lb 15 'OMNI z A F, z NOT faa STORM DRAIN LATERAL 'A-2. I' 850 850 E- >1 Pq ca 840 9.40 E-- W c w c > 0 E, t P�. U) PROP•FSR# 05697 0RADE-- EX 830 ! L kj=125 100-YR H U4.61 L62 0 pasta 14 LF OF 1 2' HDPE a Ia.= sr - 0.04X V= 0. 90 fpg %M/21 STORM DRAIN -0-50 0+00 On 0+ 50 PS-3. 1 STORM DRAIN LATERAL 'A-3' 850 850 FNOP. I i 1 ' 830 IX. _ - ___ _ _ 1830 __. _- -- _; = 4 j=, 25 1D0-YR kIGI M1j=0o2 HCL H.G =8249a B29 34 14 LF OF 12 820 HDPE o 11 e _ - �Oc09ch __ �_ ',820 lsi Ddsr IY=1 DIP. _ �G o.ce' ��g��rry ��i n� w� �iti a6i� -0+50 0+00 0+50 STORM DRAIN LATERAL 'A-4' 850 850 8401__._.--.. III PROP. OR _IX- 3 100-1R HGL . ` Ha��.. 624.17 ry=O n, H.G.= 625 A6 820 24 LF OF 12' HDPE 0. D.97L 82 o09x-.Q-__--- W SA i SI ma1� g2 Ci 7�e -0+50 0+00 0+50 STORM DRAIN LATERAL 'A-5' 850 850 -0+50 0+00 0+50 STORM DRAIN LATERAL 'A-6' 850 650 ®mane'.° ; a fir �.e� kenrav eriumi. na. I 840 _ _ 840 kl O05 kl=0. k1=050 a RiOP. hl `.D.ao H.G.=82405 M1I`0.00 ry`001 kj=,25 IX. HG.=82540 H.G.�82695 ry=0W kj=0.50 � H.G =828.54 o,00 830 HG.=82026 '- I V' - - �- i _ 830 -r _ _-. - - k -0.15 kl`035 - !� k, a35 H.G.=425.05 I`0.00 Hl`o00. r kj=035 M1I=000 2' 3 H.G.=D26 T5 G.=82326 'je ; H.G.-82482 Ifl. \ 1q_ 2.6• M.G.-182327 iM. \ 25 LF OF 12'. 1�99 LF OF 12' 623 26 L - 16' HOPE O 1.45 HDPE 0 1 4x HDPE ° },9X 756 LF OF 0 0.3 d. 0-06d. I sl 0on 820 1S_LEOE 24_ - _.� - -. -- - - -_. si=.o Dix ..__. V 0441p-- 820 HOPE O 1.4[ _ V=0801p N/29=0.00' N/24 0 01 1.7 . 0 SI I7 -0.o31� 0 25eh b 26d. sl OW1 slV-IAo h. - 0 Id 0 s(-ofi sl. 0.0¢ 91 00¢, V I001p. W12q olce• S1=0.0¢ sl_�'6 s� 003X V 0.501p Y 0.80 1p V'/29 D.02' V 0.6D I. V 0 BO 1p elo w/z9-D.ol y�/z9°o.ai ry. - 1 _ e - �..- $. v9.=0ot. �°�$ al g Y1 ool•n ato s r n° ne 4$�QyB� 6 Fib _e Fs 4 -0+50 0+00 1+00 2+00 3+00 Y ,Oar was arty eau, Cab wunm.MwR R O o D 1 mom;w.uoe .a. ""®vn 'PO0 Chick-fil-A 5200 Buffington Road Atlanta, Georgia 30349- 2998 IL7 e HORIZONTAL 0 20 40 60 �= W O uJ_ VERTICAL m i e Y S Panruwr PLAM kaa fia xor r" aYcw. Fql �>.+T PUlWE9. =4 1 uw oaa..Ww�a a�y�p�'�0aYkaiw Ma. Ia{I4 On Dd. Bes 641w. STORM DRAIN LATERAL 'A-6. >' ­4 q I d 840 640 a E.>C PROP. I ,7'-, .7. Q" �a' 830Aa-u��', ,vII� [�] a IXo i . \�-1 "`��� ry p o0, HG -82580 100-YR 11GI. � (.*� H IKi = eze.W FSR# 05697 6 LF OF 12 4 / r.4-ea-fie HDPE 0 15.1% 820! 820 e�9a.9®7Da tl0. lrs7z ➢65BR➢Otl 0 s d. sl 0 Y rni so f l-o.o.or ..�� elan _Le o.oa, STORM DRAIN PROFILES -0+50 0+00 0+50 P S - 3.2 EXHIBIT B Certificate of Insurance Tier II Easement Encroachment Agreement Page 12 of 12 Revised 12/2022 DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 03I13I2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER (CONTACT MARSH NAME: TWO ALLIANCE CENTER PHONE r _ FAX Nol: 3560 LENOX ROAD, SUITE 2400 E-MAIL Y ATLANTA, GA 30326 ADDRESS: Attn: Atlanta.CeaRequest@Marsh.com; FAX: 212-948-4321 I INSURER(S) AFFORDING COVERAGE NAIC # CN 101 408886-CORP-GAWU-25-26 INSURER A: Arch Insurance Comoanv 11150 INSURED INSURER B : Arch Indemnity Insurance COmDanv 30830 CHICK-FIL-A, INC. 5200 BUFFINGTON ROAD I INSURER C : AIG Snecialtv Insurance Comoanv 26883 ATLANTA, GA 30349 I INSURER D : Axis Surplus Insurance Comoanv 26620 INSURER E : OBE Snerialt_v Insurance CDmnanv N/A INSURER F : COVERAGES CERTIFICATE NUMBER: ATL-005977388-03 REVISION NUMBER: 3 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY RAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR IN,5D WVD POLICY NUMBER (MM/DD/YYYYI (MMIDD/YYYY( A X COMMERCIAL GENERAL LIABILITY 31GPP1013006 01/01/2025 01/01/2026 EACH OCCURRENCE $ 5000000 = CLAIMS -MADE X� OCCUR X XS OF $250,000 SIR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECTPRO F_X] LOC OTHER: A AUTOMOBILE LIABILITY A X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED X AUTOS ONLY M AUTOS ONLY G X UMBRELLA LAB X OCCUR EXCESS LIAB CLAIMS -MADE DIED I X I RETENTION $ 9. (100 A, WORKERS COMPENSATION B AND EMPLOYERS' LIABILITY Y I N ANYPROPRIETOR/PARTNER/EXECUTIV E OFFICER/MEMBER EXCLUDED? ❑N N/A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below D Excess Auto Liability E Excess Auto Liability 31CAB1013306 01/01/2025 01/01/2026 31CABI047106(MA) 01/01/2025 01/01/2026 DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ IGENERALAGGREGATE $ PRODUCTS - COMP/OP AGG $ FIRE DAMAGE $ COMBINED SINGLE LIMIT $ fEa accident) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ IPROPERTYDAMAGE $ (Per accident) $ 20597616 01/01/2025 01/01/2026 EACH OCCURRENCE $ (AGGREGATE $ 31WC11013106(FL) 01/01/2025 01/01/2026 X I STATUTE I ORH 34WC11013206 (AOS) 01/01/2025 01/01/2026 E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ P-001-001308720-02 01/01/2025 01/01/2026 Limit 140002240 01/01/2025 01/01/2026 Limit DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) PROPERTY LOCATION: CHICK-FIL-A AVONDALE-HASLET (05697)13121 NW HIGHWAY 287, FORT WORTH, TX 76179 HUNTER CROSSROADS, LP (2030 Main Street, Suite 342 Dallas, TX 75201) AND CITY OF FORT WORTH IS INCLUDED AS ADDITIONAL INSURED IF REQUIRED BY CONTRACT OR AGREEMENT ON THE ABOVE GENERAL LIABILITY POLICY, BUT ONLY WITH RESPECT TO ACTIVITIES OR OBLIGATIONS PERFORMED UNDER THE AGREEMENT. CERTIFICATE HOLDER CANCELLATION 5,000,000 Excluded 5,000,000 10.000,000 10,000,000 5,000,000 5,000,000 5,000,000 5,000,000 2,000,000 2,000,000 2.000,000 2,500,000 2,500,000 City of Fort Worth SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 100 Fort Worth Trail THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PN Number (PN24-00221) ACCORDANCE WITH THE POLICY PROVISIONS. Fort Worth, TX 76102 AUTHORIZED REPRESENTATIVE of Marsh USA LLC 1 ?xa�ca6� ZtSrf .G'.L'� @ 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD