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Home My WebLink AboutContract 28541•�yw r t.t , '+ r I �'I�Y w�l��i��'/�i�� /J GONiR;4Ci �. ' ._,`��/ CONSENT AGREEM]ENT FOR � � TEMP�JRA►RY USE OF PUBLIC PRQPERTY STATE OF TEXAS COUNTY' �OF TAI�RANT � 0 THIS AGR.EEMENT is made and. eritered into by and between the City of Fort� Worth, a municipal corporation of Tarrant County, Texas, acting hezein by �and through its duly authorized Building Official, herinafter�referred to as 'the "City"' �n� , � - - � - . �� - _- � . . . . , � . . acting by and through its duly authorize� �= L �,,, -- r' � -� ,, hereinafter referred to as "Gxantee". • � � �ITNES.SET�o . �� . For and in consideratian of the payment by Grantee of the charges set out below and t11e true and faithful performance of the mutual covenants herein contain.ed, City hereby grants to Grrantee permission to temporarily encroach upon, uses and occupy portions of the space under, on andior above the streets, alleys, sidewalks or other public rights�of-way as follows: _) ' _ � 7 � ./ ' � �. . � . . . _i\ , y� .,'`u��a'v11n!� . - ��7 ��.. :, ,..' ��; ^�,;��;��, ��ti. ; � . , : .'. � The location and description of said encroachment is more pari;icularly described in Exhibit "B" attached hereto, incorporated�herein and made � a part hereof for all purposes. 2. All use and occupancy of public str�ets, 'alleys, sidewalks or other public rights-of way under this agreement shall be in strict compliance wi.th the Charter, Ordinances and Codes of City and in accordance wit�i the clireetions of the Building Official and the.DireCtox of Transportation � and Public Works of City. . ' 3, Upon expiration of this agreement and the privileges granted hereunder, there sha11 be no encroacbment by Grantee in, un.der, on or above the surface of the public rights�of-way involved. L� Grantee agrees to pay in advance an encroa�chment fee for the � � tempoxaa.y privi.lege of encroaching upon a portion of the public rights� � of-way as described in Exhibit `B", Said fee is calculated in the manner and amounts prescribed by the Building Code of the City of Fort Worth � . for temporary use or occupancy of public property. The estimated total amount of said fee is ' � ` � ` • � �' �� :'�,��`': � �:�l�lJ'i��D `�'��'� J��°�.� �'r� ��, �:'�°��UGr��, ��, r 5. 0 � Grrantee, at no expense to City, shall make proper provision for the relocation and/or installation of ariy existing or future traffic contxol � devices or other improvements affected by such encroachment, use and occupancy, including the securing af approval and consent from the � appropriate agencies of the State and its political subdivisions. In the event that any installation, reinstallation, xe�ocation ox repair of any existirig or future lraffic control device or improvement owned or constructed by or on behalf of the public or� at public expense is made , .'. more cos�ly by virtu.e of the existence of such encroachment and use, Grantee shall pay to City an additional amount equal to such additional � � cost as determin.ed by .City. . 6. � . . � The term of tlus agreement shall be for �days, froxt-� '�: � to -� �` �-� , provided, however, should the need for the encroachments . granted hereunder at any time ce.ase, Grantee agrees to immediately notify Cifiy of such condition; and, upon receipt of such notice by the Building Official of the City of Fort Worth, this agreement sha11 � ' t�rminate. . . � I . L— — - :�.�... � � : , �1��. � �. It is expressly un.derstovd and agreed that this Consent Agreement is for a temporary encroachment in, under, over and upon the public propexty as located and described in Exhibit `B": This �agreement shall not be construed as the grantin.g of a permanent easement, encroachment . or license upon City's public streets, alleys, sidewalks or other rightsmof way. : City, tbxough its duly authorized repxesentatives, sha11 have the fix1l and unrestricted right to enter upon all public xights-of-way for the purpose of making inspections to determin.e compliance wi�th the termys, . covenants and condi�ions herein. In the event that any inspection should reveal a breach of any terms, covenants or conditions herein, Cifiy shall �give Grantee notice of such breach. Should such breach not be � corrected by Grantee wi.thin twenty�four (24) hours of receipt of ihe notice, or wi.thin. such sh�rtex period of time as deemed necessary by the Buildi.ng O�'ficial for the protection of public health or safety, City may terminate and cancel this agreement. � � Upon expiration or termin.atian of thi.s agreement for any reason whatsoeve�, Grrantee sha11, at no expense io Ciiy, restare the public rights�of way and adjacent supportin.g structures to a condition acceptable to the Dixectox of Transporta.tion�and Public Works or hh�s -- ! duly authorizeci representative and in accordance with then existin� C� specifications, and Grantee sha11 remove all barricades, equipmenty ---- supplies, ma.terials or other property from said location. Grantee further . � ; . _ , - � ---} -. . � a covenants and agx�es that for a period of one (1) year after the ternvnation of this Consent Agreement, Grantee wi11 repair a11 conditions or damages too the streets and sidewalks or other rights-of-way that have resulted from Grantee's use ar occupancy of t�ie streats and sidewa�ks or other rights�of-way, as detexrr�ined by the Director of Transportation and Public Works or his designee. Grantee agrees to begin such repairs wiihin thirty (30) days of receipt of notice from the Darector of Transporta.tion and Public Works or his designee. ,All repaixs shaTl be performed in an expeditious and workmanlike manner and shall comply with all applicable laws, codes, ord.in.ances and City specifications. � . In the ev.ent that Crrantee fails to comply with the covenants herein contaiued wi.th r�spect to such removal or r�storation., the City shall hav� the right to remove o� dispose of any barricades, equipment, supplies; materials or other property and repair any conditions which in the opuuon of the City are necessary to bring'the public rights-af-way to �he condition prescribed herein, and City shall not be responsible for trespass or any other damage or liability in connection with such removal or restoration. Grantee shall reimburse City for the cosfi and expense of such removal and/or repairs immediately followin.g billi�.g for same by City. Nothing herein shall be construed as a waiver by City to enforce p.enal sanctions prescribed by the Code of the City of Foz� V�'orth c� the laws of the State of Texas for Grantee's continued encroachme t--, !;�.'� ��i,� I _ . 1 upon the public rights-of-way following terinination of this Consent Agreement. 10. It is further understood and agreed between the parties hereto that City holds the city streets, alleys, sidewallcs and other public rights-of- way, includin� the portions of such streets used and encroached upon as described herein, as fxustee for the public; that City exercises such powers over the streets as have been delegated to it by the Constitution of the Sta,te of Texas or by the Legislature; and that City cannot �contract away its duty and its legislative power to contrQl the streets for the use and benefit of the public. It is accordingly agreed �h.at if the governin.g body of City, to wit, its City Council, should at any time during ihe term hereof detemline in. its sole discretion to use or cause or permit to be � used for any public purpose the said encroached portion of the, streets, then �his agreement shall be automatically canceled and ternunated. 11. Gran.tee agrees to comply fully with a11 applicable federal, state and local laws, .sta.tutes, ordinances, codes or regulations in connection with the construction, operation and maintenance of said eneroachments . � and uses. 12. Grrantee agrees to pay promptly when due all fe�s, taxes or rentals provided for by this agreement or� by any federal, state or local stafiute,_ _ _ , � i � ..r, ?"`� �:�n1��U 1aw or regulation. � � �R- - , , � :�� 13. � � --- - ;,R j .�o . Grantee cavenants and agrees that it sha11 exercise all rights and privileges granted hereunder as an independent contractor, and not as an� officer, agent, servant or employee of City; that Crrantee sha11 have exclusive eantrol of and the exclusive right to control the details of zts operations and activities on said described public property and all pexsons performing same, and sha11 be solely responsible for the acts and omissions of its officers, agents, servants, employees, contra.ctors, subcontractors, licerisees and invitees; that the doctrin.e of respondeat superior shall �.ot apply as between City and Grantee, its officers, agents, servants, employees, contr�actors and subcontractoxs, and nothing herein � shall be construed as creatin.g a partnership or join.t enterprise between City and Grantee. 14. Crrantee covenants and agrees to�indemnify, and does hereby indemni.fy, hold hannless and defend City, its officers, agents, servants and employees, from and ag�.inst.any and a11 claims or suits for property . darnage or loss and/or personal injury, includi.n.g death, to any and all persoris, of whatsoever kind ox character, whether real or asserted, arising out of or in connection with, directly or indirectly, the maintenance, occupancy, use, existence or location of said encroachment and uses granted hereunder,.whether or not. caused, in whole ox in part, by alleged negligence of officers, agents, servants, emplayees, contractors, subcontractors, licensees or invitees of City; and grantee hereby assumes all liability ancl responsibility of City, i� _ ; -._ 1 ''�;�;,:il>".� j'.' , ; ^,� ''v �-- �� R��. oificers, agents, servants and employees, for such claims or sui.ts.. � Grantee shall likewise assume all liability and responsibility and shall indemnify City for any and a11 injury or damage to City property, arising out of or in connection with any and all acts or omissions of Grrantee, its officers, agents, servants, employees, contractors; subcontractors, . licensees, inviiees or trespassers. 15. � Gxantee agrees to furnish City with a Certificate of Insurance, naming City as certificate holder, as proof tha.t it has secured and paid fo� 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 "B". The amounts of such i.nsurance shall be not less than the followin.g: Property damage, per occurren.ce $100,000 Bodily injury, per person $250,000 Bodily injury. or death, per occurrence �$500,000 With the understanding of and agreement by Grantee that such insurance ' amounts shall �be revised upward at City's option and that Grantee shall so ° revise such amounts immediately following notice to grantee of such requirement. Such insurance policy sha11 provide �hat it cannot be canceled oY am.ended without at least thirty (30) days' prior writien notice to the Building Of�cial af the City of Fort Worth. A copy of such Certificaie of Insurance is attached as Exhibit "A". �Grantee agrees to submit a similar _ T . : Certificate of Tnsurance annually to City on the a�uuversary date of �a.e =►:.��v�u � �,,��?� �� . execution of this ag"reement. � . '� � f, :� �iJ�pUi�, �'�RZ: Grrantee agrees, binds and obligates itself, its successors and assigns, to mai,ntain and keep in force such public liability insurance at a�1 times . during the term of tlus agreernent and until the removal of all encroachments ari.d the cleanuig and restoration of fhe city sireets. A11 insurance coverage required herein shall include coverage of a11 of Grantee's contractors. 16. - . C'rrant�e covenants and agxees that it will not assign all or any of its rights, privileges or duties under this con�ract without the prior written approval of City, aisd any attempted assignment without such prior written approval shall be void. 17. � This agreement shall be bincling upon the parties hereto, iheir . successors and assigns. 18. Should ariy action, whetheY �eal or asserted, at law or in equity, arise out of the•te:rms and conclitions of this agreement or out of the use and occupancy of City property as pernutted hereunder, venue for said action shall be in Tarrant County, Texas. . �. ' � 19. � In any action brought by City for the enforcement of the obligations of Crrantee, City shall be entitled to recover interest and reasonable attorneys'� fees. l � -. ,. . . ��IJy��I� �'�:�!� ' ' ' ��r,�- . , „ �� ;, �"5S i 5�� . . EXECUTED 'ThiS � `' da,y of f; _ GRA►NTOR: CITY OF FORT WOR B� 4, � B��rG o�cr�," ---�� . APPRO TO �- Rfi�I AND LEGALITY: �� DATE: � ;� /♦ . � t� . : .. = SECRETAR � � � �" � � DATE: _ _, ,� ', � fG� � ; ,- :_ � .• ��,i .� �`��r�a� Authoriza�ion . Date _ . �__ - - - .-- , 200�. GR�i1�1TEE; ' _'r�` ,,-'' a, _ - -., �:> �. BY•�i��'e � . � <- ..� : � . 0 0 . , � _ .. . ., �� . � .. I i �� l ' � _�� _' ___�- �- 0 � STAT,� OF �'EXAS CO�N�'Z' OF TARRAII'T . BEFO.RE111E, tlie rrndersig�ied rrccfhority; crNotrrry.Ftcblic in a�icl Fqv the Strrte o,�'Te. rs o�a flsis drry personally� appercrecl � � � �� J ,kiiofvji to tr:e to be the persolt fvhose . narne is srtbscribed fo fhe f�e�011ia li1S1`l�trn:ent, ltilCl llCkiZO1VI2llgerl to fne . , tlrat fie/slse ezecrrfed tlte snnie for tlt icrposes �i ojisideratio�s fls�reiyr expresserl, as tl:e rrct a�rrl cleerl of.T�� C� l'al� , 11f1ll ltt illE GlI�ClGlly flr.erei�rsfrrte�l of ��YElI' U1VDE�i NI�'HA11'D AND SEAL OF OFFIC£ tliis ��"" rlay �p� -� ; 20�� U . � � � Affia�rt � , . ��,�- 'a�� '. lti'otar,y� Pcrblic in und o� Tlie State of Texas � �,� 3 �tMYP({��y��LL fR � G .�+P11iREZ ; (votary Pubilc ; * ~ * S7A1'� f�P TEXAS ; �'°��'�� My Comm. E�, 0�/'10� ; a ��evW�N�,YW�j�" iJ il� 4�I�/lIF. I 11 ,q • zl , . �� _ : i. :; i� .171! ,,?�� s�. � STATE OF TEXAS ' COUNTY OF TARRAIVT . � BEFORE 111E, the undersigned authority, a NotaYy Public in and Fop the State of Texas, on this day pe�°sonally appeared � �' :,- "' � ,,known to me to be the person whose name is subscribed to the fore�oing instrument, and acknowledged to me � that hE/she executed the same for thepurposes and consideratian therein �xpressea�, as the act and deed of _ _ � _ - _ -, , - and in the capacity therein statea� `� ' '� '' � GIVEN UNDE.R MyHA�])j �D SEAL OF OFFICE this ' of -� . , : ' , 20 - � , day � � ��. �. _��-�_----,�. Af.fa�s� - _o _ - . -- � � , � 7'itte � 0 � '/ � r �� 1 � - ' , • No'tizry Public in and for � ' The State of Texas . . � �, :�:�:�:..:�s �:��;;,�:.��.�.��;�;. .. � "�Y �s JLAN�fETTE S`fFiICKLING' ` ' • N� y Ni)'1`A.RY PUIiLIC , 9 = STF1't,�: C�F TEXAS My Comrrns�,e,;, �xpires 01-21-2006 � ��i �.r��;,,�� . .:.,�...,�. ' � ., • ,. . . j'� n.I��S � � , c' S i:1 �f I2 � � �o ;�� ti� ' � � � � � Contractors Name: , �2A.N0 i Ct� � i� C� 1�i NG ' Point of Contact: ��+ Ni i:� i N� � � •, Phone Number: f3 i� - E2� --UO`�� . , Building Permit Number: ; ' ' Purpose for Closure: ��.P�t iz �+�iv l'�;�,�=+ : Begin Date: �-1 Jb3 End Date: �� ,�'� , .�.� .._ _.._._..,...._...�. . ._.._.. � Type of Taper accorclin.g to posted speed lirnit: Tapers @ 30 MPH 10ft Offset 30ft minunum Tapers @ 35 MPH lOft Offset 35ft mi.nimum �d `�Q„ � � , . 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',�- . _.. _ ._.._.___.._. ,..�.�_____._.�— _--�_.—:—., ; - C � ..��q,� ' �� _ � .; � : ' �U� . _ � � ., � . ' � (�( ,�:' '� � `�r�:��/� ��i�� - � -- ---�4�..�, , _ , - _.._-�� Qv • �" �� . .. .._.__... , � �: .. � � _ - -„ . .. _.. �.;. . . . .. ._...,... . . . _., .._...... � � :,,. :. �..�: -. . _ .: . - . ". : . _, . .. ....-- . _ , • — _ ... . . . .. . ... .. _ ._. . . �-- -.. _... —�.�_- - . ..........._ . .. _... ... . 'v��'IYIiT+:'� + � , � �. ., � !� ��ii � !� �'If-t� r•. � _ - . 4 ...�, . i - .I_ 1. F.. I �.�y .. �I .�M'a�R . I. - ." '"' . . . . . � . � " . • S ri • /� POLICY NUMBER: GLO 3437464 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES TH� POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTR�4CTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SC�iFDUL� Name of Person or Organization: ihe City of Fort Worth, its Officers and �mployees 311 W. 10th St. � � Fort Worth, Texas 76102 (If na entry appears above, infarmation required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" for that insured or for you. 45 Days notice of canceilation or non-renewal. This insurance shall not be cancelled, limited in scope or coverage, cancelled or non-renewed, until after forty-five (45) days prior written notice has been given to the City of Fort Worth. CG 20 10 11 85 Copyright, Insurance Services Office, Inc., 1984 POLICY NUMBER: GLO 3437464 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMEN� CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANS�'ER RIGHTS OF RECOVERY AGAINST OTH E RS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART SCFiEDULI� Name of Person or Organi�ation: The C6ty of Fort Worth, its Officers and Employees 311 W. 10t" Street Fort Worth, iexas 76102 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) We waive any right of recovery we may have against the person or organization shown in the Schedule because of payments we make for injury or damage arising out of "your work" done under contract with that person or organization. The waiver applies only to the person or organization shown in the Schedule. CG 20 04 11 85 Copyright, Insurance Services Office, Inc., 1984 TE 99 01 � ADDITIONAL INSURED This endorsement modifies insurance provided under the following: Business Auto Coverage Form Garage Coverage Form Truckers Coverage Form This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below: Endorsement Effective 06/01 /02 Named Insured Policy Number TAP 3437466 WILLIAM W. WEAVER BRANDT MECHANICAL SERVICES, INC.; BRANDT Countersigned by ENGINEERING CO.; BRANDT SERVICE COMPANY; BRANDT ELECTRIC, L.P. Representative) The provisions and exclusions that apply to LIABILII'Y COVERAGE also apply to this endorsement. (Authorized THE CITY OF FORT WORTH, ITS OFFICERS AND EMPLOYEES, 311 W 10T" STREET, FORT WORTH, TEXAS 76102 (Enter Name and Address of Additional Insured.) is an insured, but only with respect to legal responsibility for acts or omissions of a person for whom Liability Coverage is afforded under this policy. The additional insured is not required to pay for any premiums stated in the policy or earned from the policy. Any return premium and any dividend, if applicable, declared by us shall be pald to you. You are authorized to act for the additional insured in all matters pertaining to this insurance. We will mail the additional insured notice of any cancellation of this policy. If the cancellation is by us, we will give ten days notice to the additional insured. The additional insured will retain any right of recovery as a claimant under this policy. 7his insurance shall not be cancelled, limited in scope or coverage, cancelled or non-renewed until after forty-five (45) days prior written notice has been give to The City of Fort Worth. FORM TE 99 01B -- ADDITIONAL INSURED Texas Standard Automobile Endorsement Prescribed March 18, 44�07�03 14:08 ID�Weaver Unit FAX:214-365-7916 PAGE 2 — --�---� --- ac.o��. C�R�'I�ICAT� O� LtA►�ILIiY IN��IRAN�� P� RAO�M07/O3 - -- - --- paoouceR TWIS CERiI�ICA'T� 18 ISSU@D AS A MATTER OF 1 fORMA bN ONLY MI@ CON��RS NO RIGHTS UPON THE CERTIFICAT� Wm. W. Goo='ge 6� AsaOCist��g � Iia�: Ho�aeR. rriis C�R'nFiCAtE DOES N07 AM�ND, EX7END DR ].0, 000 N. Caitirsl, �1100 AL'1Fit TH� COV�RAG� AFFORD�p pYTH� PO�.ICIES BELOW. Dallas �'X ?5331 pha�,e�ai4-691-55Z4 �ax:�14-691-1537 IN3Ua�asaF�aRblNappveR4G� ---- —, ,. -- — --- -... _._._ .,. , _., ----- +NsuR�o IN511RPRA AIDAY�.C9II Zurich insuraace CO. SYdiydt EQech llriiC 2 SaX'v�.cea � • .- - - .•. .. Hrandt Engi�eer�ag, inc., 1Nt1Ult[Hti. i1�►$Y�G'llii QudrArity & Liebility 8rar�dt 9ervice Comganlr, IN�',IrRFRC: National IInion Fire Ine. Co. HraridC 8leatrie, L.P. ..__, PO 80x 2 8 5 5 9 w�uitta u: .� Dttllae TR � 5aa 9 _•• •. . __. i INSUkFR F; �avE�aA��s _ t Mt rUf.iCIFS �F INSURANCh LI816U BtW W HAVt BhhN I&9UF(� 10'I Ht INSURF� Nnnnrp Ap9vF mR r� �F p�� icv aCaiop tNnicnTco. NOTwm►gT�NPM� hNY RFqU�RF.MfiNT,'1 hHM Ok CON(�ITIAN AF ANY GANTRAOT OR OTI IFR IIQCUMLNI W IiH RCSPL'CT TO WHICH f HIS L'EIi11PICA I E MAY tlC• ISSl11:A OR MAY PFRTAIN, Tl IF INeuHANc:t af h�RpE�� NY YHh P�I I�IFS �FS�RIPFI'� Hr•Rr•w is suwFcT 7p u i ri ir TrRMs. �xr.i usioNr, ario cnNninoNr, nF auci � PAIICICS. AGGfl[GA'TE I IMI1:4 SI IQW N MAY I IAVF (1CCN Rf.DUCCO DY FAI� GLAIMS. �� TYpE pF INSURANCE POI.ICY NUMBEP �+ PpLICY EFFEC7ry � P6LICY ENWRATION '`— --- pAYE IMMlPAlVYI pATE IMMIppIYY! LIMIT3 GENERAL IIABILIYY LACH UCCURfI[NGC S 1, Q Q p• Q Q 0 A X COMMCRCULGtrNtNAIIlAI111f1'Y t�L0�3437464 OS/01/02 b6/O1/03 �IRFf�AMAGF(Any�nolire) s50,000 Qi AIMR MADC n UL'L'UH MhU hXl� (!my one persun) g y� p Q � _ 7C $�, OOQ �.�. Dsd. PERsoNn� snnVINJU�Y s 1, OOO, DDO .X Cendrt►ctuaZ Liab. (iENCIUI.ACaCiRFC.AT� S 2, 000, OUO /;fN'L AGGRL•�CA7 k 41MI I AF'jP'IJFF F'Fk' PFI�UUC 15 • CUMI'/UP hC;G S 1. p 4 4� � � 0 � PaLIL'Y I�G I JtCI I I LAQ ,._ _ .._ �. ... ,.. AU OM091LE L7AR��ITY GqMPINFU 51N(�I.E UMI I A X ANYAlIT� TAP 3437466-TX 06/O1/07 O6/Ol/03 �taaaiaenU_ �, R ALLUWNEUAUTOS B11P 3437465-0/S 06/01/02 06/O1/03 ypq��.YINJUKY �c��F�n sn AUTos �rer�'�u `X MRL'DAl1TU8 flU(11LY INJUHY � � X NON•OWNFDAU7US INerecdtlenq . _._ PpAFFr+rr f�nMn�3r (I+nr ecclnenl) GARAGE IIABILITY _ I ANV AUTO EXCESS GIAFII-IrY �C � UWUh L� Ct AIMf,MA�L �otuuciid�t RETENTIAN S WORKER9 CORdPEN8A710N ANU a EMPLOYERB' LIA9ILITY OTHER SS 1399771 s 1, 000, U04 � � S s � AlITO ONLV . FA AC,G�QFNT S I QTIiFN THAN EA AL'G_ S- -� I AUTU UNLY: qGC S� ! tA�HUccUHitENCC S 1D, OOd, OOO �b/01/02 Dfi/O1/03 nc;r,kpr,aTf __ S10,OOO,pOp t _ ... Y s . ..� S ,�w�a�n�u- ui�y. � TORYLIMITAI f FR {9C3437463 06/Ol/OZ 06/0�/03 �•� UCfIACCIpFNT S y.� oOD, 060 � t.l., UISkASL' • CA CMPLQYEF S], � O O O� O O O F.I.UIShA`.ih•I'ULICYUMIT S Y,� QQQ� ��Q OE9CRIPTION OF OPERAT�ON6��PCA7pNBlV6►pCLESFkxCLU610N6 M�DEC BY ENUURBEMENTl9PECIAL PROVI910N3 '—' City o! k'ort worth is Nemed ae Adaiti=onal xn�ured. C�RTIFICATE H96p�R i 7C_ I AD[NTIONAL Ik9URE0: INSURER LETTER: A CQ+NC�LLATION v` L.y��q SIIOULD qNY d� TH� ABOVE DE6CRI9E0 POLICIES BE CANCELLED BEFORE 7HE EKMRATION DATE TMEREOF, THE ISSUINO INSIJREp WILL ENqEAVOR TO MAIL �,� pAY9 VY�ITT�N C�, tj� O g F B• �OZ't.Fi NOTICH T07H� G�HTIFICATE NOLDER NAMED TO THE LkfT, BUT FNLURE TO DO 50 9HALL At tu � bSAY�ti IMNo6E HO OBLIOATION OR LIAOILITY OF ANV KiNo uroN THe iNsuReR, R9 AOENTS OR aaa w. �o�� st=�at 8t. worta Tx �e�oa REPRE9ENTATIVE3. i AUTHd��ZED REPRE9ENTA7N� i0111iam GP. Wemver ACORb 25-� p197) � �ACORD CORPORATIt�N 1989 City of Fort Worth Transportation and Public Works Street Use Permit ��T ��,��, CITY OF FORT WORTH TRANSPORTATION AND PUBLIC WORKS STREET USE PERMIT DATE 4/7/2003 PERMIT # 37010 MAPSCO 62Z D.O.E.# (if applicable) STREET BLOCK FROM TO DATE Time BEGIN END BEGIN END 1. W 3RD ST 335-335 4/8/2003 4/11/2003 0900AM 0400PM TYPE OF WORK TO BE PERFORMED: (CHECK ALL THAT APPLY) Page 1 of 1 TIME TIME SAT. SUN. ❑ RESIDENTIAL CJ COMMERCIAL (SITE PLAN # ) ❑ FUND RAISER CI CURB/GUTTER ❑ DRIVE APPROACHES ❑ SIDEWALK C7✓ OTHER ❑ SPECIAL EVENTS � HANDICAP RAMP ❑ STORM DRAIN C.� UTILITY(TYPE ) ❑ BLOCK PARTY � repair sanitary sewer line *` okay per attached traffic control plan � THIS PERM/T /S GRANTED Tp THE CONTRACTOR/APPLICANT UNDER THE FOLLpWING CONDITIONS: • CON7RACTOR IS REQUIRED TO HAVE THIS PERMIT AND TRAFFIC CONTROL PLAN A7 THE WORK SITE AT ALL 71MES. � THIS PERMIT IS ISSUED IN ACCORDANCE WITH AN APPROVED TRAFFIC CONTROL PLAN. • ALL WORK IS CONSTRUCTED IN ACCORDANCE WITH THE CITY OF FORT WORTH'S "STANDARD SPECIFICATIONS FOR STREETS AND STORM DRAIN CONSTRUCTION MANUAL" • ADEQUATE TRAFFIC CONTROL DEVICES ARE INSTALLED AND MAINTAINED AS SHOWN IN THE ATTACHED TRAFFIC CONTROL PLAN (TCP) SUCH AS SIGNS, STANDARD TYPE I BARRICADES SAFEGUARD THE PROPERTIES AND PUBLIC • CITY TRAFFIC ENGINEER AND/OR INSPECTORS MAY REQUIRE ADDITIONAL TRAFFIC CONTROL DEVICES • ALL DAMAGES TO PUBLIC OR PRIVATE PROPERTY, INCLUDING UNDERGROUND FACILITIES, AND FORALL PERSONAL INJURIES ON WORK PERFORMED UNDER THIS PERMIT WILL BE THE RESPONSIBILITY OF THE CONTRACTOR o A 24-HOUR DECISION-MAKING CONTACT REPRESENTATIVE AND PHONE NUMBER IN THE EVENT OF AN EMERGENCY SHALL BE PROVIDED � IT IS UNDERSTOOD THAT VIOLATIONS OF THIS PERMIT MAY RESULT IN THE REVOCATION OF THE CONTRACTOR'S LICENSE. BRANDT ENGINEERING (1400) GORDON ALDERMAN CONTRACTOR/APPUCANT PERMIT ISSUER ; EMERGENCY CON7ACT NAME DAN HIGGINS 24-HOUR 817-626-0033 MOBILE PHONE PGR# TRANSPORTATION AND PUBLIC WORKS DEPARTMENT STREET MANAGEMENT SECTION 311 W 10th STREET FORT WORTH, TX 76102 _ (817)871-6673 FAX (817)871-8941 _ http://tpwpermit.cfwnet.org/popup�ermit. asp?permit_id=37010 FAX# � � ��. � 04/07/2003 � � / 6 � � 6 � � � � � w z � � r w � � N ' . ._ --- „ r i C� Q J �. � 6 L 9 f � E 1 6 � V � � �' � 3�� ¢3'e0A NN1R3 /I SIDEWALK I CLOSED �SIOEWnLK ROSED US'c O�� i� WpRK I�EM This p(an is submitted for TCP.. I certify this pian wili be used Tor the following location(s>= o �-�,� :��-c .�7'� �,i�� . cD � and fhat all channeliZin devices will conform to "General Notes" as shown on the back. o � a Signature� �.�� Date� ��-�--�? o �� CITY OF FORT WORTHI SIDEWALK CLOSURE DETOUR TRANSPOP,TATIQN � � ' AND � 5eeereverse. side for C�eneral Notes and D=vice SPa�,�g. �. F' L AN �� f _ �� PJ�BLIC 1NORKS � � l I � � . �