HomeMy WebLinkAboutContract 64117CSC No. 64117
CITY OF FORT WORTH, TEXAS
STANDARD AGREEMENT FOR GENERAL PROFESSIONAL SERVICES
This agreement ("Agreement") is between the City of Fort Worth, a Texas home-rule
municipality ("City"), and 1836 Engineering LLC, authorized to do business in Texas
("Consultant"), for a project generally described as Geotechnical and Material Testing Services
for City Infrastructure Projects.
Article I
Scope of Services
(1)Consultant hereby agrees to perform professional services as set forth in this
Agreement and the Scope of Services, attached hereto as Attachment "A"
("Services"). These Services shall be performed in connection with the Project.
(2)Additional services, if any, will be memorialized by an amendment to this Agreement.
(3)All reports, whether partial or complete, prepared under this Agreement, including
any original drawings or documents, whether furnished by City, its officers, agents,
employees, consultants, or contractors, or prepared by Consultant, shall be or
become the property of City, and shall be furnished to the City, prior to or at the time
such services are completed, or upon termination or expiration of Agreement.
Article II
Compensation
Consultant shall be compensated an amount up to $1,000,000.00 ("Contract Amount") in
accordance with the Fee Schedule shown in Attachment "B". Payment shall be considered
full compensation for all labor (including all benefits, overhead and markups), materials,
supplies, and equipment necessary to complete the Services.
Consultant shall provide monthly invoices to City. Payments for services rendered shall be
made in accordance with the Texas Prompt Payment Act (Texas Government Code Ch.
2251).
Acceptance by Consultant of said payment shall release City from all claims or liabilities
under this Agreement for anything related to, performed, or furnished in connection with the
Services for which payment is made, including any act or omission of City in connection with
such Services.
Article Ill
Term
Time is of the essence. The term of this Agreement shall commence on the Effective Date and
shall continue until the expiration of the funds or completion of the subject matter pursuant to
City of Fort Worth, Texas
Standard Agreement for Professional Services
Page 1 of a
the schedule, whichever occurs first, unless terminated in accordance with the terms of this
Agreement. Unless specifically otherwise amended, the original term shall not exceed five
years from the original effective date.
Article IV
Independent Contractor
Consultant shall operate hereunder as an independent contractor and not as an officer, agent,
servant, or employee of City. Consultant shall have exclusive control of and the exclusive right
to control the details of the work to be performed hereunder and of all persons performing
same, and shall be solely responsible for the acts and omissions of its officers, agents,
employees, contractors and subcontractors. The doctrine of respondeat superior shall not
apply as between City and Consultant, its officers, agents, employees, contractors, and
subcontractors, and nothing herein shall be construed as creating a partnership or joint venture
between City and Consultant.
Article V
Professional Competence
Work performed by Consultant shall comply in all aspects with all applicable local, state and
federal laws and with all applicable, standards, codes, rules and/or regulations promulgated
by local, state and national boards, bureaus and agencies. Approval to proceed by City of
Consultant's work or work product shall not constitute or be deemed to be a release of the
responsibility and liability of Consultant or its officers, agents, employees, contractors and
subcontractors for the accuracy and competency of its performance of the Services.
Article VI
Indemnification
CONSULTANT, AT NO COST TO THE CITY, AGREES TO INDEMNIFYAND HOLD CITY,
ITS OFFICERS, AGENTS, SERVANTS AND EMPLOYEES, HARMLESS AGAINST ANY
AND ALL CLAIMS, LAWSUITS, ACTIONS, COSTS AND EXPENSES OF ANY KIND,
INCLUDING, BUT NOT LIMITED TO, THOSE FOR PROPERTY DAMAGE OR LOSS
(INCLUDING ALLEGED DAMAGE OR LOSS TO CONSULTANT'S BUSINESS AND ANY
RESULTING LOST PROFITS) AND/OR PERSONAL INJURY, INCLUDING DEATH, THAT
MAY RELATE TO, ARISE OUT OF OR BE OCCASIONED BY CONSULTANT'S BREACH
OF (i) ANY OF THE TERMS OR PROVISIONS OF THIS AGREEMENT OR (ii) ANY
NEGLIGENT ACT OR OMISSION OR INTENTIONAL MISCONDUCT OF CONSULTANT,
ITS OFFICERS, AGENTS, ASSOCIATES, EMPLOYEES, CONTRACTORS (OTHER
THAN THE CITY) OR SUBCONTRACTORS RELATED TO THE PERFORMANCE OR
NON-PERFORMANCE OF THIS AGREEMENT. THIS SECTION SHALL SURVIVE ANY
TERMINATION OR EXPIRATION OF THIS AGREEMENT.
City of Fort Worth, Texas
Standard Agreement for Professional Services
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Article VII
� ACORD certificate of insurance
Insurance
Consultant shall not commence work under this Agreement until it has obtained all insurance
required under Attachment F and City has approved such insurance.
Article VIII
Force Majeure
City and Consultant shall exercise their best efforts to meet their respective duties and
obligations as set forth in this Agreement, but shall not be held liable for any delay or
omission in performance due to force majeure or other causes beyond their reasonable
control, including, but not limited to: acts of the public enemy, fires, strikes, lockouts, natural
disasters, epidemics/pandemics, wars, riots, material or labor restrictions by any
governmental authority and/or any other similar causes.
Article IX
Transfer or Assignment
Consultant, its lawful successors and assigns, shall not assign, sublet or transfer any interest
in this Agreement without prior written consent of City.
Article X
Termination of Contract
(1) City may terminate this Agreement for convenience by providing written notice to
Consultant at least 30-days prior to the date of termination, unless Consultant agrees
in writing to an earlier termination date.
(2) Either City or Consultant may terminate this Agreement for cause if either party fails
to substantially perform, through no fault of the other and the nonperforming party
does not commence correction of such nonperformance within 5 days after receipt of
written notice or thereafter fails to diligently pursue the correction to completion.
(3) If City chooses to terminate this Agreement, upon receipt of notice of termination by
Consultant, Consultant shall discontinue Services on the date such termination is
effective. City shall compensate Consultant for such services rendered based upon
Article II of this Agreement and in accordance with Exhibit "B".
Article XI
Right to Audit
(1) Consultant agrees that City shall, until the expiration of three (3) years after final
payment under Agreement, have access to and the right to examine any directly
pertinent books, documents, papers and records of Consultant involving transactions
relating to Agreement. Consultant agrees that City shall have access during normal
working hours to all necessary facilities and shall be provided adequate and appropriate
City of Fort Worth, Texas
Standard Agreement for Professional Services
Page 3 of 8
workspace in order to conduct audits in compliance with the provisions of this section.
City shall give Consultant reasonable advance notice of intended audits.
(2) Consultant further agrees to include in all its subcontracts hereunder, a provision to
the effect that the subcontractor agrees that City shall, until the expiration of three (3)
years after final payment under the subcontract, have access to and the right to
examine any directly pertinent books, documents, papers and records of such
subcontractor(s), involving transactions to the subcontract, and further, that City shall
have access during normal working hours to all subcontractor facilities, and shall be
provided adequate and appropriate work space in order to conduct audits in
compliance with the provisions of this article. City shall give Consultant and any
subcontractor reasonable advance notice of intended audit.
(3) Consultant and subcontractor(s) agree to photocopy such documents as may be
requested by City. City agrees to reimburse Consultant for the cost of copies at the rate
published in the Texas Administrative Code in effect as of the time copying is performed.
Article XII
Observe and Comply
Consultant shall at all times observe and comply with all federal, state, and local laws and
regulations and with all City ordinances and regulations which in any way affect Agreement
and the work hereunder, and shall observe and comply with all orders, laws ordinances and
regulations which may exist or may be enacted later by governing bodies having jurisdiction or
authority for such enactment. No plea of misunderstanding or ignorance thereof shall be
considered. Consultant agrees to defend, indemnify and hold harmless City and all of its
officers, agents and employees from and against all claims or liability arising out of the violation
of any such order, law, ordinance, or regulation, whether it be by itself or its employees or its
subcontractor(s).
Article XIII
Immigration Nationality Act
Consultant shall verify the identity and employment eligibility of its employees and
employees of all subcontractor(s) who perform work under Agreement, including completing
the Employment Eligibility Verification Form (I-9). Upon request by City, Consultant shall
provide City with copies of all I-9 forms and supporting eligibility documentation for each
employee who performs work under Agreement. Consultant shall adhere to all Federal and
State laws as well as establish appropriate procedures and controls so that no services will
be performed by any Consultant employee who is not legally eligible to perform such
services. CONSULTANT SHALL INDEMNIFY CITY AND HOLD CITY HARMLESS FROM
ANY PENALTIES, LIABILITIES, OR LOSSES DUE TO VIOLATIONS OF THIS
PARAGRAPH BY CONSULTANT, CONSULTANT'S EMPLOYEES,
City of Fort Worth, Texas
Standard Agreement for Professional Services
Page 4 of 8
SUBCONTRACTORS, AGENTS, OR LICENSEES. City, upon written notice to Consultant,
shall have the right to immediately terminate Agreement for violations of this provision by
Consultant.
Article XIV
Venue and Jurisdiction
If any action, whether real or asserted, at law or in equity, arises on the basis of any provision
of Agreement, venue for such action shall lie in state courts located in Tarrant County, Texas
or the United States District Court for the Northern District of Texas — Fort Worth Division.
Agreement shall be construed in accordance with the laws of the State of Texas.
Article XV
Contract Construction/No Waiver
The parties acknowledge that each Party and, if it so chooses, its counsel, have reviewed
and revised Agreement and that the normal rule of contract construction, to the effect that
any ambiguities are to be resolved against the drafting party, must not be employed in the
interpretation of Agreement or any amendments or exhibits hereto.
The failure of City or Consultant to insist upon the performance of any term or provision of
this Agreement or to exercise any right granted herein shall not constitute a waiver of City's
or Consultant's respective right to insist upon appropriate performance or to assert any such
right on any future occasion.
Article XVI
Severability
The provisions of Agreement are severable, and if any word, phrase, clause, sentence,
paragraph, section or other part of Agreement or the application thereof to any person or
circumstance shall ever be held by any court of competent jurisdiction to be invalid or
unconstitutional for any reason, the remainder of Agreement and the application of such
word, phrase, clause, sentence, paragraph, section, or other part of Agreement to other
persons or circumstances shall not be affected thereby and Agreement shall be construed
as if such invalid or unconstitutional portion had never been contained therein.
Article XVII
Notices
Notices regarding Articles IX or X are to be provided to the other Party by hand-delivery or
via U.S. Postal Service certified mail return receipt requested, postage prepaid, to the
address of the other Party shown below:
Citv of Fort Worth
Attn: Endrias Wolde
Transportation and Public Works
City of Fort Worth, Texas
Standard Agreement for Professional Services
Page 5 of 8
920 Woodward St.
Fort Worth, Texas 76017
Consultant:
1836 Engineering LLC
Attn: Marvin Garcia, P.E.
5200 Vesta Farley Road
Fort Worth, TX 76119
All other notices may be provided as described above or via electronic means.
Article XIII
Prohibition On Contracts With Companies Boycotting Israel
Consultant, unless a sole proprietor, acknowledges that in accordance with Chapter 2271 of
the Texas Government Code, if Consultant has 10 or more full time-employees and the
contract value is $100,000 or more, the City is prohibited from entering into a contract with
a company for goods or services unless the contract contains a written verification from the
company that it: (1) does not boycott Israel; and (2) will not boycott Israel during the term of
the contract. The terms "boycott Israel" and "company" shall have the meanings ascribed
to those terms in Section 808.001 of the Texas Government Code. By signing this
contract, Consultant certifies that Consultant's signature provides written verification
to the City that if Chapter 2271, Texas Government Code applies, Consultant: (1) does
not boycott Israel; and (2) will not boycott Israel during the term of the contract.
City of Fort Worth, Texas
Standard Agreement for Professional Services
Page 6 of 8
Article XIX
Prohibition on Boycotting Energy Companies
Consultant acknowledges that in accordance with Chapter 2276 of the Texas Government
Code, the City is prohibited from entering into a contract for goods or services that has a
value of $100,000 or more, which will be paid wholly or partly from public funds of the City,
with a company (with 10 or more full-time employees) unless the contract contains a written
verification from the company that it: (1) does not boycott energy companies; and (2) will not
boycott energy companies during the term of the contract. The terms "boycott energy
company" and "company" have the meaning ascribed to those terms by Chapter 2276 of the
Texas Government Code. To the extent that Chapter 2276 of the Government Code is
applicable to this Agreement, by signing this Agreement, Consultant certifies that
Consultant's signature provides written verification to the City that Consultant: (1)
does not boycott energy companies; and (2) will not boycott energy companies
during the term of this Agreement.
Article XX
Prohibition on Discrimination Against Firearm and Ammunition Industries
Consultant acknowledges that except as otherwise provided by Chapter 2274 of the Texas
Government Code, the City is prohibited from entering into a contract for goods or services
that has a value of $100,000 or more which will be paid wholly or partly from public funds of
the City, with a company (with 10 or more full-time employees) unless the contract contains
a written verification from the company that it: (1) does not have a practice, policy, guidance,
or directive that discriminates against a firearm entity or firearm trade association; and (2)
will not discriminate during the term of the contract against a firearm entity or firearm trade
association. The terms "discriminate," "firearm entity" and "firearm trade association" have
the meaning ascribed to those terms by Chapter 2274 of the Texas Government Code. To
the extent that Chapter 2274 of the Government Code is applicable to this Agreement,
by signing this Agreement, Consultant certifies that Consultant's signature provides
written verification to the City that Consultant: (1) does not have a practice, policy,
guidance, or directive that discriminates against a firearm entity or firearm trade
association; and (2) will not discriminate against a firearm entity or firearm trade
association during the term of this Agreement.
Article XXI
Headings
The headings contained herein are for the convenience in reference and are not intended to
define or limit the scope of any provision of Agreement.
City of Fort Worth, Texas
Standard Agreement for Professional Services
Page 7 of 8
Article XX.II
Attachments, Schedules and Counterparts
This Agreement may be executed in one or more counterparts and each counterpart shall,
for all purposes, be deemed an original, but all such counterparts shall together constitute
but one and the same instrument.
The following attachments and schedules are hereby made a part of Agreement:
Attachment A -Scope of Services
Attachment B -Compensation
Attachment F -Insurance Requirements
Duly executed by each party's designated representative to be effective on the date subscribed
by the City's designated Assistant City Manager.
BY:
CITY OF FORT WORTH
Jesica McEachern
Assistant City Manager
Date: 10/13/2025
ATTEST:
r1�
Jannette Goodall
City Secretary
APPROVED AS TO FORM AND LEGALITY
By: 0£�/�f::is�f�:!:
Douglas W Black
Sr. Assistant City Attorney
City of Fort Worth, Texas
Standard Agreement for Professional Services
Page 8 of 8
BY:
CONSULTANT
1836 Engineering LLC
��
Marvin Garcia, P.E.
CEO
Date: 09/25/2025
M&C No.:25-0858
M&C Date:9/16/2025
Attachment A
RFQ for Geotechnical Engineering and Material Testing Services for Infrastructure
Projects
The scope of work may include, but not limited to, the following:
Performance of all plant, field and laboratory material tests including the
following:
o Asphalt field Density
o Soil-Moisture relationship or Proctor test
o Unit Weight Test
o Atterberg Limits Test
o Soil Lineal Shrinkage Test
o PH Series
o Texas Wet Ball Mill (WBM) Test
o Grain Size Analysis
o P200 Sieve Analysis
o Gradation:
■ Rock — Crushed Stone for Embedment LAA (Los Angeles
Abrasion)
■ Sand — Backfill Water & Sewer
■ Lime/Cement Field Gradation
o Core:
■ Test Hole Analysis
■ Concrete
■ Asphalt
o Concrete Compression Test:
■ Cylindrical concrete specimens
■ Drilled Cores
• Preview plans and specifications for assigned project prior to testing and
inspection.
• Prepare daily construction progress reports.
• Take samples of materials for examination or analysis to laboratories; schedule
routine materials and density field tests to assure material and workmanship
quality; coordinate results of tests.
• Observe work during progress and upon completion.
• Perform preliminary and final testing and inspections on routine construction
projects; provide input on acceptance of developments.
� Prepare various testing and inspection reports as required; maintain files and
reports regarding testing and inspection and plan check activities and findings.
Attachment B
CFW Fee Schedule June 2025- June 2030
The City of Fort Worth Fee Schedule for Geotechnical and Material Testing Services
for City-fund Projects
CFW
Activity Unit Revised
offer
TRANSPORTATION
Transportation, per trip Trip $ 53.00
SAMPLING AND TESTING OF SOILS AND AGGREGATES
Soils and Base Materials
Sampling for in-lab test, including tech time and transportation charge Each $ 189.00
(If not scheduled with other work)
Moisture content — ASTM D2216 Each $ 15.00
Atterberg limits (LL, PL, PI) — ASTM D4318 Each $ 68.00
Atterberg limits with additive — ASTM D4318 Each $ 74.00
Soil Visual Classification — ASTM D2488 Each $ 18.00
Bar Linear Shrinkage — Tex-107-E Each $ 40.00
Organic content — ASTM D 2974 Each $ 44.00
Sieve analysis of fine and coarse aggregates — ASTM C 136/136M. Each $ 84.00
Percent passing #200 sieve — ASTM D1140/ Cl 17 Each $ 50.00
Hydrometer analysis of fine-grained soils — ASTM D7928 Each $ 194.00
Sp. gravity and Absorption (coarse aggregate) — ASTM C 127 Each $ 84.00
Sp. gravity and absorption (fine aggregate) — ASTM C 128 Each $ 84.00
LA Abrasion of small-size coarse aggregate — ASTM C131 Each $ 294.00
LA Abrasion of large-size coarse aggregate — ASTM C535 Each $ 294.00
Sodium or Magnesium Sulfate Soundness Each $ 341.00
Texas Wet Ball Mill — Tex-116-E Each $ 242.00
CFW
Activity Unit Revised
offer
California bearing ratio (CBR) test — ASTM D1883 Each $ 347.00
Standard proctor — ASTM D 698 Each $ 189.00
Modified proctor — ASTM D 1557 Each $ 22l .00
Additional charge for coarse aggregate correction - ASTM D4718 Each $ 36.00
Soluble sulfate test — TEX-145-E Each $ 89.00
Unconfined compressive strength of soils — ASTM D2166 Each $ 53.00
Unconfined compressive strength of rock cores — ASTM D7012 Each $ 74.00
Free swell testing — ASTM D4546 Each $ 110.00
Lime series using PI Each $ 305.00
Lime series using pH (6 points), Tex-121-E Each $ 305.00
Soil pH test, Tex-128-E Each $ 47.00
Gradation (lime or cement) and/or lime depth measurement Hour $ 63.00
(min 3 hours)
Transportation Trip $ 53.00
Consolidation testing Quote on Request
Triaxial testing Quote on Request
Direct Shear testing Quote on Request
In-place Density
In-place density using nuclear gauge - ASTM D2950/2950M, Each $ 210.00
ASTM D6938), first 1'/2 hours, including transportation
After the first 1%Z hours Hour $ 63.00
SAMPLING AND TESTING OF PORTLAND CEMENT
CONCRETE (PCC)
Concrete Cvlinder and Beam Tests
Making cylinders, cubes, and beams of concrete, CLSM, Grout, and Hour $ 58.00
mortar, including air/slump/temperature tests (min 3 hours)
CFW
Activity Unit Revised
offer
Transportation Trip $ 53.00
Cylinder pick-up, including tech time and transportation (If not Each $ 184.00
scheduled with other work)
Curing and Strength test of concrete cylinders, CSLM, cube prisms Each $ 23.00
Curing and strength test of concrete beam — ASTM C293/C78 Each $ 39.00
Concrete mix design and review Quote on Request
Concrete core Samples (min 4 cores per tri�)
Core machine mobilization Occurrence $ 210.00
Transportation Trip $ 53.00
3" dia. or more concrete coring (Up to a depth of 6") Each $ 89.00
After a depth of 6" Inch $ 13.00
Less than 3" dia. concrete coring (Up to a depth of 6") Each $ 63.00
After a depth of 6" Inch $ 13.00
Core depth measurement Each $ 16.00
Sample preparation and compressive strength test.(Including measuring, Each $ 74.00
sawing, and capping of cores)
Flagman if needed for safety and traffic monitoring Hour $ 63.00
Professional traffic control Quote on Request
SAMPLING AND TESTING OF HOT MIX ASPHALT
CONCRETE (HMAC)
Asphaltic Concrete M�es
Extraction and gradation testing —Tex-236-F Each $ 229.00
Maximum theoretical specific gravity —Tex-227-F Each $ 108.00
Lab molding of specimen —Tex-241-F, Tex-206-F Each $ 68.00
Bulk specific gravity of lab molded specimen —Tex-207-F Each $ 53.00
CFW
Activity Unit Revised
offer
Asphalt content by Ignition Method — ASTM D4125 Each $ 12l .00
Asphalt mix design and review Quote on Request -
In-place Densitv
In-place density using nuclear gauge, first 1%z hours — Each $ 210.00
ASTM D2950/2950M, ASTM D6938
After the first 1%2 hour Hour $ 63.00
Bulk specific gravity of core specimen —Tex-207-F Each $ 58.00
Asphalt core Samples (min 4 cores �er trip)
Core machine mobilization Per Work Order $ 210.00
Transportation (for additional days) Trip $ 53.00
3" dia. or more asphalt coring (Up to a depth of 6") Each $ 84.00
After a depth of 6" Inch $ 12.00
Less than 3" dia. asphalt coring (Up to a depth of 6") Each $ 63.00
After a depth of 6" Inch $ 12.00
Core depth measurement Each $ 14.00
Flagman if needed for safety and traffic monitoring Hour $ 63.00
DRILLING AND RELATED SERVICES
Mobilization of Drill Rig Occurrence $ 473.00
Drill Rig Standby or access time Hour $ 252.00
Undisturbed samples (Shelby Tubes, fiXed piston) Foot $ 19.00
Auger borings (Hand augers, Drill Rig or Direct push undisturbed
sampling)
0' — 50' Foot $ 18.00
50' — 100' Foot $ 21.00
100' plus Quote on Request
CFW
Activity Unit Revised
offer
Intermittent soil sampling, 5-ft intervals
0' — 50' Foot $ 21.00
50' — 100' Foot $ 23.00
100' plus Quote on Request
Continuous soil sampling
0 — 50' Foot $ 23.00
50 —100' Foot $ 26.00
100' plus Quote on Request
High resistance soil/rock coring
(for soils with N-values greater than 50)
0' — 50' Foot $ 37.00
50' — 100' Foot $ 42.00
100' plus Quote on Request
STRUCTURAL STEEL INSPECTION
Certified welding inspector (min 4 hours) Hour $ 95.00
Magnetic particle testing (min 4 hours) Hour $ 95.00
Liquid penetrant testing (min 4 hours) Hour $ 95.00
Ultrasonic testing (min 4 hours) Hour $ 100.00
Transportation Trip $ 53.00
PROFESSIONAL AND TECHNICAL SERVICES
Principal Engineer Hour $ 205.00
Senior Project/Geotechnical Engineer Hour $ 179.00
Project Engineer/Scientist/Geologist Hour $ 147.00
Staff (or Graduate) Engineer/Project Manager Hour $ 121.00
CFW
Activity Unit Revised
offer
Senior Engineering Technician Hour $ 66.00
Engineering Technician Hour $ 58.00
Drafter Hour $ 70.00
REMARKS:
Method of Payment: Unless otherwise specified, the price per unit of work or lump sum item includes all
engineering, labor, personnel, equipment, materials, sample preparation, report preparation and engineering
review, etc., necessary to complete that unit of work. A charge for Project Management (PM) may be
included on each invoice up to a�naximunz of 10% of the total services provided on the invoice (before the
PM was added). The most current City of Fort Worth, TxDOT, ASTM or AASHTO test procedures and
supporting tests referenced shall be used. Failure to follow the procedures as stated will result in non-
payment of the unit price item.
Pavement Coring: Pavement coring will be paid for at a unit price for asphalt pavement cores and unit price
for concrete cores. This includes technician time, operations, equipment, materials and traffic monitoring to
cut cores and repair/patch core holes, and report preparation/engineering review.
Geotechnical Drilling. Geotechnical Drilling will be paid from top of ground to bottom of the hole at a unit
price per foot for soil and rock. These charge items include all operations and materials necessary to advance
the hole, including borings for sampling and testing. Mobilization of equipment will be paid for at unit price
per occurrence. This includes mobilization and demobilization of all equipment and personnel necessary to
perform the subsurface investigation.
In-place Nuclear Moisture-Density Testing. The first 1'/z hour charge item for the nuclear moisture-density
test includes technician time, mobilization, transportation, and gauge charges.
Report preparation/Engineering Review. The rates in this fee schedule include report preparation and
engineering review. There shall not be a line item for report preparation and engineering review for any of
the services.
The City will request quotes on additional tests not included in this fee schedule.
EXHIBIT F
CITY OF FORT WORTH
STANDARD INSURANCE REQUIREMENTS
(1) INSURANCE LIMITS
a. Commercial General Liability — Insured shall maintain commercial general
liability (CGL) and, if necessary, commercial umbrella insurance as follows:
$1,000,000 each occurrence
$2,000,000 aggregate
If such Commercial General Liability insurance contains a general aggregate
limit, it shall apply separately to this Project or location.
City shall be included as an additional insured with all rights of defense
under the CGL, using ISO additional insured endorsement or a
substitute providing equivalent coverage, and under the commercial
umbrella, if any. This insurance shall apply as primary insurance with
respect to any other insurance or self-insurance programs afforded to
City. The Commercial General Liability insurance policy shall have no
exclusions or endorsements that would alter or nullify:
premises/operations, products/completed operations, contractual,
personal injury, or advertising injury, which are normally contained
within the policy, unless City specifically approves such exclusions in
writing.
ii. Insured waives all rights against City and its agents, officers, directors
and employees for recovery of damages to the extent these damages
are covered by the commercial general liability or commercial umbrella
liability insurance maintained in accordance with Agreement.
b. Business Auto — Insured shall maintain business auto liability and, if
necessary, commercial umbrella liability insurance as follows:
$1,000,000 each accident (or reasonably equivalent limits
of coverage if written on a split limits basis).
Such insurance shall cover liability arising out of "any auto", including owned,
hired, and non-owned autos, when said vehicle is used in the course of Insured's
business and/or the Project. If Insured owns no vehicles, coverage for hired or
non-owned autos is acceptable.
Insured waives all rights against City and its agents, officers, directors and
employees for recovery of damages to the extent these damages are
covered by the business auto liability or commercial umbrella liabiliiy
insurance obtained by Insured pursuant to this Agreement or under any
applicable auto physical damage coverage.
CFW Standard Insurance Requiremerits Page 1 of 3
Rev. 5.04.21
c. Workers' Compensation — Insured shall maintain workers compensation and
employer's liability insurance and, if necessary, commercial umbrella liability
insurance as follows:
Coverage A: statutory limits
Coverage B: $100,000 each accident
$500,000 disease - policy limit
$100,000 disease - each employee
Insured waives all rights against City and its agents, officers, directors and
employees for recovery of damages to the extent these damages are
covered by workers compensation and employer's liability or commercial
umbrella insurance obtained by Insured pursuant to this Agreement.
d. Professional Liability (Errors & Omissions) — Insured shall maintain
professional liability insurance as follows:
$1,000,000 - Each Claim Limit
$2,000,000 - Aggregate Limit
Professional Liability coverage may be provided through an endorsement to
the Commercial General Liability policy, or a separate policy specific to
Professional E&O. Either is acceptable if coverage meets all other
requirements. Coverage shall be written on a claims-made basis, and
maintained for the duration of the contractual agreement and for five (5) years
following completion of services provided. The policy shall contain a retroactive
date prior or equal to the Effective Date of the Agreement or the first date of
services to be performed, whichever is earlier. An annual certificate of insurance
shall be submitted to City to evidence coverage.
(2) GENERAL INSURANCE REQUIREMENTS
a. Certificates of insurance evidencing that Insured has obtained all required
insurance shall be attached to Agreement concurrent with its execution. Any
failure to attach the required insurance documentation hereto shall not
constitute a waiver of the insurance requirements.
b. Applicable policies shall be endorsed to name City as an Additional Insured,
as its interests may appear, and must afford the City the benefit of any
defense provided by the policy. The term City shall include its employees,
officers, officials, and agents as respects the contracted services. Applicable
policies shall each be endorsed with a waiver of subrogation in favor of City
with respect to the Project.
c. Certificate(s) of insurance shall document that insurance coverage limits
specified in this Agreement are provided under applicable policies
documented thereon. Insured's insurance policy(s) shall be endorsed to
provide that said insurance is primary protection and any self-funded or
CFW Standard Insurance Requiremerits Page 2 of 3
Rev. 5.04.21
commercial coverage maintained by City shall not be called upon to
contribute to loss recovery. Insured's liability shall not be limited to the
specified amounts of insurance required herein.
d. Other than worker's compensation insurance, in lieu of traditional
insurance, City may consider alternative coverage or risk treatment
measures through insurance pools or risk retention groups. City must
approve in writing any alternative coverage for it to be accepted.
e. A minimum of thirty (30) days' notice of cancellation or material change in
coverage shall be provided to City. A ten (10) days' notice shall be acceptable
in the event of non-payment of premium.
f. Insurers must be authorized to do business in the State of Texas and have a
currentA.M. Best rating ofA:Vll or equivalent measure of financial strength
and solvency as determined by the City's Risk Management division.
g. Any deductible or self-insured retention in excess of $25,000 that would
change or alter the requirements herein is subject to approval in writing by
City, if coverage is not provided on a first-dollar basis. City, at its sole
discretion, may consentto alternative coverage maintained through insurance
pools or risk retention groups. Dedicated financial resources or letters ofcredit
may also be acceptable to City.
h. In the course of the Agreement, Insured shall report, in a timely manner, to
City's Risk Management Department with additional notice to the Contract
Compliance Manager, any known loss or occurrence which could give rise
to a liability claim or lawsuit against City or which could result in a property
loss.
i. City shall be entitled, upon its request and without incurring e�ense, to
review Insured's insurance policies including endorsements thereto and, at
City's discretion, Insured may be required to provide proof of insurance
premium payments.
j. Lines of coverage, other than Professional Liability, underwritten on a claims-
made basis, shall contain a retroactive date coincidentwith or priorto the date
of this Agreement. The certificate of insurance shall state both the retroactive
date and that the coverage is claims-made.
k. Coverages, whether written on an occurrence or claims-made basis, shall be
maintained without interruption nor restrictive modification or changes from
date of commencement of the Project until final payment and termination of
any coverage required to be maintained after final payments.
I. City shall not be responsible for the direct payment of any insurance
premiums required by Agreement.
m. Subcontractors of Insured shall be required by Insured to maintain the same
or reasonably equivalent insurance coverage as required for Insured. Upon
City's request, Insured shall provide City with documentation thereof.
CFW Standard Insurance Requiremerits Page 3 of 3
Rev. 5.04.21
City of Fort Worth,
Mayor and
Texas
Council Communication
DATE: 09/16/25 M&C FILE NUMBER: M&C 25-0858
LOG NAME: 2025 GEOTECHNICAL AND MATERIALS TESTING SERVICES
SUBJECT
(ALL) Authorize Execution of Individual Contracts for Geotechnical and Materials Testing Services for Various Construction Projects with 1836
Engineering LLC, ECS Southwest, LLP, ETTL Engineers & Consultants Inc., Geotex Engineering LLC, Kleinfelder, Inc., LandTec Engineers LLC,
Raba Kistner, Inc., TSIT Engineering & Consulting, LLC, UES Professional Solutions 44, LLC, in the Amount of $1,000,000.00 Per Firm and Each
with Four Optional Renewals
RECOMMENDATION:
It is recommended that the City Council authorize the City Manager to execute individual contracts, each in an amount of $1,000,000.00 per firm
with: 1836 Engineering LLC; ECS Southwest, LLP; ETTL Engineers & Consultants Inc.; Geotex Engineering LLC; Kleinfelder, Inc.; LandTec
Engineers LLC; Raba Kistner, Inc.; TSIT Engineering & Consulting, LLC; UES Professional Solutions 44, LLC; each with four renewal options.
DISCUSSION:
The Transportation and Public Works Department solicited firms to provide geotechnical and materials testing services for various City
infrastructure projects.
A Request for Qualifications (RFQ) was published for these services in the Fort Worth Star-Telegram in February 2025.
On March 6, 2025, the Department received Statement of Qualifications (SOQs) for professional services from 16 firms to provide Geotechnical
investigation and materials testing services. Each firm was evaluated based upon pre-established selection criteria including qualification of
experience, response and perFormance. An inter-departmental committee selected the most qualified firms and recommends the following firms
for contract approval: 1836 Engineering, LLC, ECS Southwest, LLP, ETTL Engineers & Consultants Inc., Geotex Engineering, LLC, Kleinfelder,
Inc., LandTec Engineers LLC, Raba Kistner, Inc., TSIT Engineering & Consulting, LLC, UES Professional Solutions 44, LLC.
Based on the current workload level, the Transportation and Public Works Department projects that approximately $515,000,000.00 dollars of
infrastructure construction will be inspected over the next five years. Based on current staffing levels, we anticipate that approximately
$30,000,000.00 dollars will be extended for contracted geotechnical and materials testing services over the same period. These agreements will
not guarantee any specific amount of work or payment to any firm. As material testing work is needed for a project, a work order will be issued
along with the funding for specific work being identified and committed at that time. Funding for the geotechnical and materials testing services
may be provided through various project funding sources. These contracts will serve current and future capital projects as-needed, and a funds
availability verification will be performed prior to each assignment.
The term of each contract is upon expenditure of funds, each with four renewal options. The City has the option to extend the term of the
agreements or a renewal period, as necessary, for the firm to complete work on any assignment issued prior to the expiration of the agreement
including adjustments to the assignment's purchase order amount.
This is for ALL COUNCIL DISTRICTS.
FISCAL INFORMATION / CERTIFICATION:
The Director of Finance certifies that funds will be available in the current capital budgets, as appropriated, in the various capital improvement
program funds to support the approval of the recommendation and execution of the contracts. Prior to an expenditure being incurred, the
Transportation & Public Works Department has the responsibility to validate the availability of funds.
Submitted for City Manager's Office b� Jesica McEachern 5804
Originating Business Unit Head: Lauren Prieur 6035
Additional Information Contact:
Patricia Wadsack 8447
Expedited
Policy # 52SBWBT8EM1
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED BY CONTRACT - UMBRELLA
This endorsement modifies insurance provided under the following:
UMBRELLA LIABILITY SUPPLEMENTAL POLICY
Except as otherwise stated in this endorsement, the terms and conditions of the Supplemental Policy apply.
A. The following is added to Paragraph 2. of Section C. WHO IS AN INSURED:
THE
HARTFORD
a. Any person or organization when you have agreed, because of a written contract or written agreement, or
when required by a written permit issued by a state or governmental agency or subdivision or political
subdivision, to provide insurance such as is afforded under this Supplemental Policy, but only with respect to
your operations performed by you or on your behalf, "your work" or facilities owned or used by you.
This provision does not apply:
(1) Unless the written contract or written agreement has been executed, or the permit has been issued, prior
to the "bodily injury," "property damage," or "personal and advertising injury";
(2) Unless the limits of liability specified in such written contract, written agreement or permit are greater than
the limits of liability provided by the "underlying insurance"; and
(3) Beyond the period of time required by the written contract, written agreement or permit;
However, no such person or organization is an "insured" under this provision if such person or organization
qualifies as an "insured" by any other provision of this Supplemental Policy.
b. With respect to the insurance afforded to the persons or organizations qualifying as an "insured" in Paragraph
a. above, the following additional exclusion applies:
(1) This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury"
arising out of the rendering of or the failure to render any professional services, including:
(a) The preparing, approving, or failure to prepare or approve, maps, shop drawings, opinions, reports,
surveys, field orders, change orders, designs or drawings and specifications; or
(b) Supervisory, surveying, inspection, architectural or engineering activities.
This exclusion applies even if the claims allege negligence or other wrongdoing in the supervision, hiring,
employment, training or monitoring of others by an "insured", if the "bodily injury", "property damage", or
"personal and advertising injury" arises out of the rendering of or the failure to render any professional
service.
c. The insurance afforded to such "insured" will not be broader than that which you are required by the contract,
agreement or permit to provide for such "insured".
d. The insurance afforded to such "insured" only applies to the extent permitted by law.
Form SU 00 02 10 18
Page 1 of 1
O 2018, The Hartford
(May include copyrighted material of Insurance Services Office, Inc., with its permission)
PO�ICY # 52SBWBT8EM1
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED BY CONTRACT
This endorsement modifies insurance provided under the following:
BUSINESS LIABILITY COVERAGE FORM
Except as otherwise stated in this endorsement, the terms and conditions of the Policy apply.
TtiE
HARFF�R�
A. The following is added to Section C. WHO IS AN INSURED:
Additional Insureds When Required By Written Contract, Written Agreement Or Permit
The person(s) or organization(s) identified in Paragraphs a. through f. below are additional insureds when you
have agreed, in a written contract or written agreement, or when required by a written permit issued by a state or
governmental agency or subdivision or political subdivision that such person or organization be added as an
additional insured on your Coverage Part, provided the injury or damage occurs subsequent to the execution of
the contract or agreement, or the issuance of the permit.
A person or organization is an additional insured under this provision only for that period of time required by the
contract, agreement or permit.
However, no such person or organization is an additional insured under this provision if such person or
organization is included as an additional insured by any other endorsement issued by us and made a part of this
Coverage Part.
The insurance afforded to such additional insured will not be broader than that which you are required by the
contract, agreement, or permit to provide for such additional insured.
The insurance afforded to such additional insured only applies to the extent permitted by law.
The limits of insurance that apply to additional insureds are described in Section D. LIABILITY AND MEDICAL
EXPENSES LIMITS OF INSURANCE. How this insurance applies when other insurance is available to an
additional insured is described in the Other Insurance Condition in Section E. LIABILITY AND MEDICAL
EXPENSES GENERAL CONDITIONS.
a. Vendors
Any person(s) or organization(s) (referred to below as vendor), but only with respect to "bodily injury" or
"property damage" arising out of "your products" which are distributed or sold in the regular course of the
vendor's business and only if this Coverage Part provides coverage for "bodily injury" or "property damage"
included within the "products-completed operations hazard".
(1) The insurance afforded to the vendor is subject to the following additional exclusions:
This insurance does not apply to:
(a) "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of
the assumption of liability in a contract or agreement. This exclusion does not apply to liability for
damages that the vendor would have in the absence of the contract or agreement;
(b) Any express warranty unauthorized by you;
(c) Any physical or chemical change in the product made intentionally by the vendor;
(d) Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or
the substitution of parts under instructions from the manufacturer, and then repackaged in the original
container;
(e) Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to
make or normally undertakes to make in the usual course of business, in connection with the
distribution or sale of the products;
(fl Demonstration, installation, servicing or repair operations, except such operations performed at the
vendor's premises in connection with the sale of the product;
Form SL 30 32 06 21
Page 1 of 3
02021, The Hartford
(May include copyrighted material of Insurance Services Office, Inc., with its permission)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
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(g) Products which, after distribution or sale by you, have been labeled or relabeled or used as a
container, part or ingredient of any other thing or substance by or for the vendor; or
(h) "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or
omissions or those of its employees or anyone else acting on its behalf. However, this exclusion
does not apply to:
(i) The exceptions contained in Paragraphs (d) or (f�; or
(ii) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally
undertakes to make in the usual course of business, in connection with the distribution or sale of
the products.
(2) This insurance does not apply to any insured person or organization from whom you have acquired such
products, or any ingredient, part or container, entering into, accompanying or containing such products.
b. Lessors Of Equipment
(1) Any person or organization from whom you lease equipment; but only with respect to their liability for
"bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your
maintenance, operation or use of equipment leased to you by such person or organization.
(2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to any
"occurrence" which takes place after you cease to lease that equipment.
c. Lessors Of Land Or Premises
(1) Any person or organization from whom you lease land or premises, but only with respect to liability arising
out of the ownership, maintenance or use of that part of the land or premises leased to you.
(2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to:
(a) Any "occurrence" which takes place after you cease to lease that land or be a tenant in that premises;
or
(b) Structural alterations, new construction or demolition operations performed by or on behalf of such
person or organization.
d. Architects, Engineers Or Surveyors
(1) Any architect, engineer, or surveyor, but only with respect to liability for "bodily injury", "property damage"
or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or
omissions of those acting on your behalf:
(a) In connection with your premises;
(b) In the performance of your ongoing operations performed by you or on your behalf; or
(c) In connection with "your work" and included within the "products-completed operations hazard", but
only if:
(i) The written contract, written agreement or permit requires you to provide such coverage to such
additional insured; and
(ii) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the
"products-completed operations hazard".
(2) With respect to the insurance afforded to these additional insureds, the following additional exclusion
applies:
This insurance does not apply to "bodily injury", "property damage" or "personal and advertising
injury" arising out of the rendering of or the failure to render any professional services, including:
(i) The preparing, approving, or failure to prepare or approve, maps, shop drawings, opinions,
reports, surveys, field orders, change orders, designs or drawings and specifications; or
(ii) Supervisory, surveying, inspection, architectural or engineering activities.
This exclusion applies even if the claims allege negligence or other wrongdoing in the supervision,
hiring, employment, training or monitoring of others by an insured, if the "bodily injury", "property
Form SL 30 32 06 21
Page 2 of 3
02021, The Hartford
(May include copyrighted material of Insurance Services Office, Inc., with its permission)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
TtiE
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damage", or "personal and advertising injury" arises out of the rendering of or the failure to render any
professional service.
e. State Or Governmental Agency Or Subdivision Or Political Subdivision Issuing Permit
(1) Any state or governmental agency or subdivision or political subdivision, but only with respect to
operations performed by you or on your behalf for which the state or governmental agency or subdivision
or political subdivision has issued a permit.
(2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to:
(a) "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations
performed for the federal government, state or municipality; or
(b) "Bodily injury" or "property damage" included within the "products-completed operations hazard".
f. Any Other Party
(1) Any other person or organization who is not in one of the categories or classes listed above in
Paragraphs a. through e. above, but only with respect to liability for "bodily injury", "property damage" or
"personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or
omissions of those acting on your behalf:
(a) In the performance of your ongoing operations performed by you or on your behalf;
(b) In connection with your premises owned by or rented to you; or
(c) In connection with "your work" and included within the "products-completed operations hazard", but
only if:
(i) The written contract, written agreement or permit requires you to provide such coverage to such
additional insured; and
(ii) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the
"products-completed operations hazard".
(2) With respect to the insurance afforded to these additional insureds, the following additional exclusion
applies:
This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury"
arising out of the rendering of, or the failure to render, any professional architectural, engineering or
surveying services, including:
(a) The preparing, approving, or failure to prepare or approve, maps, shop drawings, opinions, reports,
surveys, field orders, change orders, designs or drawings and specifications; or
(b) Supervisory, surveying, inspection, architectural or engineering activities.
This exclusion applies even if the claims allege negligence or other wrongdoing in the supervision, hiring,
employment, training or monitoring of others by an insured, if the "bodily injury", "property damage", or
"personal and advertising injury" arises out of the rendering of or the failure to render any professional
service described in Paragraphs f.(2)(a) or f.(2)(b) above.
Form SL 30 32 06 21
Page 3 of 3
02021, The Hartford
(May include copyrighted material of Insurance Services Office, Inc., with its permission)
PO�ICy # 52SBWBT8EM1
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a. "Bodily injury" to a co-"employee" of the person operating the watercraft; or
b. "Property damage" to property owned by, rented to, in the charge of or occupied by you or the employer of
any person who is an insured under this provision.
No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or
limited liability company that is not shown as a Named Insured in the Declarations.
D. LIABILITY AND MEDICAL EXPENSES LIMITS OF INSURANCE
1. The Most We Will Pay
The Limits of Insurance shown in the Declarations and the rules below fix the most we will pay regardless of the
number of:
a. Insureds;
b. Claims made or "suits" brought; or
c. Persons or organizations making claims or bringing "suits".
2. Aggregate Limits
The most we will pay for:
a. Damages because of "bodily injury" and "property damage" included in the "products-completed operations
hazard" is the Products-Completed Operations Aggregate Limit shown in the Declarations.
b. Damages because of all other "bodily injury", "property damage" or "personal and advertising injury",
including medical expenses, is the General Aggregate Limit shown in the Declarations.
This General Aggregate limit does not apply to "property damage" to premises while rented to you or
temporarily occupied by you with permission of the owner, arising out of fire, lightning or explosion.
3. Each Occurrence Limit
Subject to 2.a. or 2.b above, whichever applies, the most we will pay for the sum of all damages because of all
"bodily injury", "property damage" and medical expenses arising out of any one "occurrence" is the Liability and
Medical Expenses Limit shown in the Declarations.
The most we will pay for all medical expenses because of "bodily injury" sustained by any one person is the
Medical Expenses Limit shown in the Declarations.
4. Personal And Advertising Injury Limit
Subject to 2.b. above, the most we will pay for the sum of all damages because of all "personal and advertising
injury" sustained by any one person or organization is the Personal and Advertising Injury Limit shown in the
Declarations.
5. Damage To Premises Rented To You Limit
The Damage To Premises Rented To You Limit is the most we will pay under Business Liability Coverage for
damages because of "property damage" to any one premises, while rented to you, or in the case of damage by
fire, lightning or explosion, while rented to you or temporarily occupied by you with permission of the owner.
In the case of damage by fire, lightning or explosion, the Damage to Premises Rented To You Limit applies to all
damage proximately caused by the same event, whether such damage results from fire, lightning or explosion or
any combination of these.
52SBWBT8E�11 How Limits Apply To Additional Insureds
The most we will pay on behalf of a person or organization who is an additional insured under this Coverage Part
is the lesser of:
a. The limits of insurance required in a written contract, written agreement or permit; or
b. The Limits of Insurance shown in the Declarations.
Such amount shall be a part of and not in addition to the Limits of Insurance shown in the Declarations and
described in this Section.
If more than one limit of insurance under this Policy and any endorsements attached thereto applies to any claim or
"suiY', the most we will pay under this Policy and the endorsements is the single highest limit of liability of all
Form SL 00 00 10 18
Page 14 of 22
O 2018, The Hartford
(May include copyrighted material of Insurance Services Office, Inc., with its permission)
THE
HARFF�R�
coverages applicable to such claim or "suit". However, this paragraph does not apply to the Medical Expenses limit
set forth in Paragraph 3. above.
The Limits of Insurance of this Coverage Part apply separately to each consecutive annual period and to any
remaining period of less than 12 months, starting with the beginning of the policy period shown in the Declarations,
unless the policy period is extended after issuance for an additional period of less than 12 months. In that case, the
additional period will be deemed part of the last preceding period for purposes of determining the Limits of Insurance.
E. LIABILITY AND MEDICAL EXPENSES GENERAL CONDITIONS
1. Bankruptcy
Bankruptcy or insolvency of the insured or of the insured's estate will not relieve us of our obligations under this
Coverage Part.
2. Duties In The Event Of Occurrence, Offense, Claim Or Suit
a. Notice Of Occurrence Or Offense
You or any additional insured under this Coverage Part must see to it that we are notified as soon as
practicable of an "occurrence" or an offense which may result in a claim. To the extent possible, notice should
include:
(1) How, when and where the "occurrence" or offense took place;
(2) The names and addresses of any injured persons and witnesses; and
(3) The nature and location of any injury or damage arising out of the "occurrence" or offense.
b. Notice Of Claim
If a claim is made or "suiY' is brought against any insured, you or any additional insured under this Coverage
Part must:
(1) Immediately record the specifics of the claim or "suiY' and the date received; and
(2) Notify us as soon as practicable.
You or any additional insured under this Coverage Part must see to it that we receive a written notice of the
claim or "suiY' as soon as practicable.
c. Assistance And Cooperation Of The Insured
You and any other involved insured must:
(1) Immediately send us copies of any demands, notices, summonses or legal papers received in connection
with the claim or "suit";
(2) Authorize us to obtain records and other information;
(3) Cooperate with us in the investigation, settlement of the claim or defense against the "suit"; and
(4) Assist us, upon our request, in the enforcement of any right against any person or organization that may
be liable to the insured because of injury or damage to which this insurance may also apply.
d. Obligations At The Insured's Own Cost
No insured will, except at that insured's own cost, voluntarily make a payment, assume any obligation, or
incur any expense, other than for first aid, without our consent.
e. Additional Insured's Other Insurance
If we cover a claim or "suit" under this Coverage Part that may also be covered by other insurance available
to an additional insured under this Coverage Part, such additional insured must submit such claim or "suit" to
the other insurer for defense and indemnity.
However, this provision does not apply to the extent that you have agreed in a written contract, written
agreement or permit that this insurance is primary and non-contributory with such additional insured's own
insurance.
f. Knowledge Of An Occurrence, Offense, Claim Or Suit
Paragraphs a. and b. apply to you or to any additional insured under this Coverage Part only when such
"occurrence", offense, claim or "suit" is known to:
Form SL 00 00 10 18
Page 15 of 22
O 2018, The Hartford
(May include copyrighted material of Insurance Services Office, Inc., with its permission)
THE
HARFF�R�
(1) You or any additional insured under this Coverage Part that is an individual;
(2) Any partner, if you or an additional insured under this Coverage Part is a partnership;
(3) Any manager, if you or an additional insured under this Coverage Part is a limited liability company;
(4) Any "executive officer" or insurance manager, if you or an additional insured under this Coverage Part is a
corporation;
(5) Any trustee, if you or an additional insured under this Coverage Part is a trust; or
(6) Any elected or appointed official, if you or an additional insured under this Coverage Part is a political
subdivision or public entity.
This Paragraph f. applies separately to you and any additional insured under this Coverage Part.
3. Legal action Against Us
No person or organization has a right under this Coverage Part:
a. To join us as a party or otherwise bring us into a"suiY' asking for damages from an insured; or
b. To sue us on this Coverage Part unless all of its terms have been fully complied with.
A person or organization may sue us to recover on an agreed settlement or on a final judgment against an
insured; but we will not be liable for damages that are not payable under the terms of this insurance or that are in
excess of the applicable limit of insurance. An agreed settlement means a settlement and release of liability
signed by us, the insured and the claimant or the claimant's legal representative.
—� 4. Separation Of Insureds
Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Policy to the
first Named Insured, this insurance applies:
a. As if each Named Insured were the only Named Insured; and
b. Separately to each insured against whom a claim is made or "suit" is brought.
5. Representations
a. When You Accept This Policy
By accepting this Policy, you agree:
(1) The statements in the Declarations are accurate and complete;
(2) Those statements are based upon representations you made to us; and
(3) We have issued this Policy in reliance upon your representations.
b. Unintentional Failure To Disclose Hazards
If unintentionally you should fail to disclose all hazards relating to the conduct of your business at the
inception date of this Coverage Part, we shall not deny any coverage under this Coverage Part because of
such failure.
6. Other Insurance
If other valid and collectible insurance is available for a loss we cover under this Coverage Part, our obligations
are limited as follows:
a. Primary Insurance
This insurance is primary except when b. below applies. If other insurance is also primary, we will share with
all that other insurance by the method described in c. below.
b. Excess Insurance
This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other
basis:
(1) Your Work
That is Fire, Extended Coverage, Builder's Risk, Installation Risk, Owner Controlled Insurance Program
or OCIP, Contractor Controlled Insurance Program or CCIP, Wrap Up Insurance or similar coverage for
"your work";
Form SL 00 00 10 18
Page 16 of 22
O 2018, The Hartford
(May include copyrighted material of Insurance Services Office, Inc., with its permission)
THE
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(2) Premises Rented To You
That is fire, lightning or explosion insurance for premises rented to you or temporarily occupied by you
with permission of the owner;
(3) Tenant Liability
That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises
rented to you or temporarily occupied by you with permission of the owner;
(4) Aircraft, Auto Or Watercraft
If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to
Exclusion g. of Section B. Exclusions.
(5) Property Damage To Borrowed Equipment Or Use Of Elevators
If the loss arises out of "property damage" to borrowed equipment or the use of elevators to the extent not
subject to Exclusion k. of Section B. Exclusions.
(6) When You Are Added As An Additional Insured To Other Insurance
That is other insurance available to you covering liability for damages arising out of the premises or
operations, or products and completed operations, for which you have been added as an additional
insured by that insurance; or
�(7) When You Add Others As An Additional Insured To This Insurance
That is other insurance available to an additional insured.
However, the following provisions apply to other insurance available to any person or organization who is
an additional insured under this Coverage Part:
(a) Primary Insurance When Required By Contract
This insurance is primary if you have agreed in a written contract, written agreement or permit that
this insurance be primary. If other insurance is also primary, we will share with all that other insurance
by the method described in c. below.
(b) Primary And Non-Contributory To Other Insurance When Required By Contract
If you have agreed in a written contract, written agreement or permit that this insurance is primary and
non-contributory with the additional insured's own insurance, this insurance is primary and we will not
seek contribution from that other insurance.
Paragraphs (a) and (b) do not apply to other insurance to which the additional insured has been added as
an additional insured.
When this insurance is excess, we will have no duty under this Coverage Part to defend the insured against
any "suiY' if any other insurer has a duty to defend the insured against that "suit". If no other insurer defends,
we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers.
When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if
any, that exceeds the sum of:
(1) The total amount that all such other insurance would pay for the loss in the absence of this insurance;
and
(2) The total of all deductible and self-insured amounts under all that other insurance.
We will share the remaining loss, if any, with any other insurance that is not described in this Excess
Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in
the Declarations of this Coverage Part.
c. Method Of Sharing
If all the other insurance permits contribution by equal shares, we will follow this method also. Under this
approach, each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of
the loss remains, whichever comes first.
Form SL 00 00 10 18
Page 17 of 22
O 2018, The Hartford
(May include copyrighted material of Insurance Services Office, Inc., with its permission)
THE
HARFF�R�
If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under
this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total
applicable limits of insurance of all insurers.
7. Transfer Of Rights Of Recovery Against Others To Us
a. Transfer Of Rights Of Recovery
If the insured has rights to recover all or part of any payment, including Supplementary Payments, we have
made under this Coverage Part, those rights are transferred to us. The insured must do nothing after loss to
impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce
them. This condition does not apply to Medical Expenses Coverage.
� b. Waiver Of Rights Of Recovery (Waiver Of Subrogation)
If the insured has waived any rights of recovery against any person or organization for all or part of any
payment, including Supplementary Payments, we have made under this Coverage Part, we also waive that
right, provided the insured waived their rights of recovery against such person or organization in a contract,
agreement or permit that was executed prior to the injury or damage.
F. LIABILITY AND MEDICAL EXPENSES DEFINITIONS
1. "AdvertisemenY' means a notice that is broadcast or published to the general public or specific market segments
about your goods, products or services for the purpose of attracting customers or supporters. For the purpose of
this definition:
a. Notices that are published include material placed on the Internet or on similar electronic means of
communication; and
b. Regarding web sites, only that part of a web site that is about your goods, products or services for the
purpose of attracting customers or supporters is considered an advertisement.
2. "Advertising idea" means any idea for an "advertisemenY'.
3. "Asbestos hazard" means an exposure or threat of exposure to the actual or alleged properties of asbestos and
includes the mere presence of asbestos in any form.
4. "Auto" means:
a. A land motor vehicle, trailer or semi-trailer designed for travel on public roads, including any attached
machinery or equipment; or
b. Any other land vehicle that is subject to a compulsory or financial responsibility law or other motor vehicle
insurance or motor vehicle registration law where it is licensed or principally garaged.
However, "auto" does not include "mobile equipmenY'.
5. "Bodily injury" means physical:
a. I nj u ry;
b. Sickness; or
c. Disease
sustained by a person and, if arising out of the above, mental anguish or death at any time.
6. "Coverage territory" means:
a. The United States of America (including its territories and possessions), Puerto Rico and Canada;
b. International waters or airspace, but only if the injury or damage occurs in the course of travel or
transportation between any places included in a. above;
c. All other parts of the world if the injury or damage arises out of:
(1) Goods or products made or sold by you in the territory described in a. above;
(2) The activities of a person whose home is in the territory described in a. above, but is away for a short time
on your business; or
Form SL 00 00 10 18
Page 18 of 22
O 2018, The Hartford
(May include copyrighted material of Insurance Services Office, Inc., with its permission)
52UEGCM9219
COMMERCIAL AUTOMOBILE
HA99161221
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
COMMERCIAL AUTOMOBILE BROAD FORM
ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
To the extent that the provisions of this endorsement provide broader benefits to the "insured" than other
provisions of the Coverage Form, the provisions of this endorsement apply.
1. BROAD FORM INSURED
Paragraph .1. - WHO IS AN INSURED - of
Section II - Liability Coverage is amended to
add the following:
d. Subsidiaries and Newly Acquired or
Formed Organizations
The Named Insured shown in the Declarations
is amended to include:
(1) Any legal business entity other than a
partnership or joint venture, formed as a
subsidiary in which you have an
ownership interest of more than 50% on
the effective date of the Coverage Form.
However, the Named Insured does not
include any subsidiary that is an "insured"
under any other automobile policy or
would be an "insured" under such a policy
but for its termination or the exhaustion of
its Limit of Insurance.
(2) Any organization that is acquired or
formed by you and over which you
maintain majority ownership. However,
the Named Insured does not include any
newly formed or acquired organization:
(a) That is a partnership or joint venture,
(b) That is an "insured" under any other
policy,
(c) That has exhausted its Limit of
Insurance under any other policy, or
(d) 180 days or more after its acquisition
or formation by you, unless you have
given us notice of the acquisition or
formation.
Coverage does not apply to "bodily injury"
or "property damage" that results from an
"accidenY' that occurred before you
formed or acquired the organization.
e. Employees as Insureds
(1). Any "employee" of yours while using a
covered "auto" you don't own, hire or
borrow in your business or your personal
affairs.
f. Lessors as Insureds
(1). The lessor of a covered "auto" while the
"auto" is leased to you under a written
agreement if:
(a) The agreement requires you to
provide direct primary insurance for
the lessor and
(b) The "auto" is leased without a driver.
Such a leased "auto" will be considered a
covered "auto" you own and not a covered
"auto" you hire.
g. Additional Insured if Required by Contract
(1) When you have agreed, in a written
contract or written agreement, that a
person or organization be added as an
additional insured on your business auto
policy, such person or organization is an
"insured", but only to the extent such
person or organization is liable for "bodily
injury" or "property damage" caused by
the conduct of an "insured" under
paragraphs a. or b. of Who Is An Insured
with regard to the ownership,
maintenance or use of a covered "auto."
The insurance afforded to any such
additional insured applies only if the
"bodily injury" or "property damage"
occurs:
(a) During the policy period, and
(b) Subsequent to the execution of such
written contract, and
Form HA 99 16 12 21
Page 1 of 5
O 2021, The Hartford
(Includes copyrighted material of Insurance Services Office, Inc. with its permission.)
(c) Prior to the expiration of the period of
time that the written contract requires
such insurance be provided to the
additional insured.
(2) How Limits Apply
If you have agreed in a written contract or
written agreement that another person or
organization be added as an additional
insured on your policy, the most we will
pay on behalf of such additional insured is
the lesser of:
(a) The limits of insurance specified in the
written contract or written agreement;
or
(b) The Limits of Insurance shown in the
Declarations.
Such amount shall be a part of and not in
addition to Limits of Insurance shown in
the Declarations and described in this
Section.
(3) Additional Insureds Other Insurance
If we cover a claim or "suiY' under this
Coverage Part that may also be covered
by other insurance available to an
additional insured, such additional insured
must submit such claim or "suit" to the
other insurer for defense and indemnity.
However, this provision does not apply to
the extent that you have agreed in a
written contract or written agreement that
this insurance is primary and
non-contributory with the additional
insured's own insurance.
(4) Duties in The Event Of Accident, Claim,
Suit or Loss
If you have agreed in a written contract or
written agreement that another person or
organization be added as an additional
insured on your policy, the additional
insured shall be required to comply with
the provisions in LOSS CONDITIONS 2. -
DUTIES IN THE EVENT OF ACCIDENT,
CLAIM , SUIT OR LOSS — OF SECTION
IV — BUSINESS AUTO CONDITIONS, in
the same manner as the Named Insured.
2. Primary and Non-Contributory if Required
by Contract
Only with respect to insurance provided to an
additional insured in A.1.g. - Additional
Insured if Required by Contract, the following
provisions apply:
(1) Primary Insurance When Required By
Contract
This insurance is primary if you have
agreed in a written contract or written
agreement that this insurance be primary.
If other insurance is also primary, we will
share with all that other insurance by the
method described in Other Insurance 5.d.
(2) Primary And Non-Contributory To Other
Insurance When Required By Contract
If you have agreed in a written contract or
written agreement that this insurance is
primary and non-contributory with the
additional insured's own insurance, this
insurance is primary and we will not seek
contribution from that other insurance.
Paragraphs (1) and (2) do not apply to other
insurance to which the additional insured has
been added as an additional insured.
When this insurance is excess, we will have
no duty to defend the insured against any
"suiY' if any other insurer has a duty to defend
the insured against that "suit". If no other
insurer defends, we will undertake to do so,
but we will be entitled to the insured's rights
against all those other insurers.
When this insurance is excess over other
insurance, we will pay only our share of the
amount of the loss, if any, that exceeds the
sum of:
(1) The total amount that all such other
insurance would pay for the loss in the
absence of this insurance; and
(2) The total of all deductible and self-insured
amounts under all that other insurance.
We will share the remaining loss, if any, by
the method described in SECTION IV-
Business Auto Conditions, B. General
Conditions, Other Insurance 5.d.
3. AUTOS RENTED BY EMPLOYEES
Any "auto" hired or rented by your "employee" on
your behalf and at your direction will be
considered an "auto" you hire.
The SECTION IV- Business Auto Conditions, B.
General Conditions, 5. OTHER INSURANCE
Condition is amended by adding the following:
e. If an "employee's" personal insurance also
applies on an excess basis to a covered
"auto" hired or rented by your "employee" on
your behalf and at your direction, this
insurance will be primary to the "employee's"
personal insurance.
Page 2 of 5 Form HA 99 16 12 21
4. AMENDED FELLOW EMPLOYEE EXCLUSION
EXCLUSION 5. - FELLOW EMPLOYEE - of
SECTION II - LIABILITY COVERAGE does not
apply if you have workers' compensation
insurance in-force covering all of your
"employees".
Coverage is excess over any other collectible
insurance.
5. HIRED AUTO PHYSICAL DAMAGE COVERAGE
If hired "autos" are covered "autos" for Liability
Coverage and if Comprehensive, Specified
Causes of Loss, or Collision coverages are
provided under this Coverage Form for any "auto"
you own, then the Physical Damage Coverages
provided are extended to "autos" you hire or
borrow, subject to the following limit.
The most we will pay for "loss" to any hired "auto"
is:
(1) $100,000;
(2) The actual cash value of the damaged or
stolen property at the time of the "loss"; or
(3) The cost of repairing or replacing the
damaged or stolen property,
whichever is smallest, minus a deductible. The
deductible will be equal to the largest deductible
applicable to any owned "auto" for that coverage.
No deductible applies to "loss" caused by fire or
lightning. Hired Auto Physical Damage coverage
is excess over any other collectible insurance.
Subject to the above limit, deductible and excess
provisions, we will provide coverage equal to the
broadest coverage applicable to any covered
"auto" you own.
We will also cover loss of use of the hired "auto" if
it results from an "accidenY', you are legally liable
and the lessor incurs an actual financial loss,
subject to a maximum of $1000 per "accidenY'.
This extension of coverage does not apply to any
"auto" you hire or borrow from any of your
"employees", partners (if you are a partnership),
members (if you are a limited liability company),
or members of their households.
6. PHYSICAL DAMAGE - ADDITIONAL
TEMPORARY TRANSPORTATION EXPENSE
COVERAGE
Paragraph A.4.a. of SECTION III - PHYSICAL
DAMAGE COVERAGE is amended to provide a
limit of $50 per day and a maximum limit of
$1,000.
7. LOAN/LEASE GAP COVERAGE
Under SECTION III - PHYSICAL DAMAGE
COVERAGE, in the event of a total "loss" to a
covered "auto", we will pay your additional legal
obligation for any difference between the actual
cash value of the "auto" at the time of the "loss"
and the "outstanding balance" of the loan/lease.
"Outstanding balance" means the amount you
owe on the loan/lease at the time of "loss" less
any amounts representing taxes; overdue
payments; penalties, interest or charges resulting
from overdue payments; additional mileage
charges; excess wear and tear charges; lease
termination fees; security deposits not returned by
the lessor; costs for extended warranties, credit
life Insurance, health, accident or disability
insurance purchased with the loan or lease; and
carry-over balances from previous loans or
leases.
8. AIRBAG COVERAGE
Under Paragraph B. EXCLUSIONS - of SECTION
III - PHYSICAL DAMAGE COVERAGE, the
following is added:
The exclusion relating to mechanical breakdown
does not apply to the accidental discharge of an
airbag.
9. ELECTRONIC EQUIPMENT - BROADENED
COVERAGE
a. The exceptions to Paragraphs B.4 -
EXCLUSIONS - of SECTION III - PHYSICAL
DAMAGE COVERAGE are replaced by the
following:
Exclusions 4.c. and 4.d. do not apply to
equipment designed to be operated solely by
use of the power from the "auto's" electrical
system that, at the time of "loss", is:
(1) Permanently installed in or upon the
covered "auto";
(2) Removable from a housing unit which is
permanently installed in or upon the
covered "auto";
(3) An integral part of the same unit housing
any electronic equipment described in
Paragraphs (1) and (2) above; or
(4) Necessary for the normal operation of the
covered "auto" or the monitoring of the
covered "auto's" operating system.
b. Section III, Physical Damage Coverage, Limit
of Insurance, Paragraph C.2. is amended to
add the following:
$1,500 is the most we will pay for "loss" in
any one "accidenY' to all electronic equipment
(other than equipment designed solely for the
reproduction of sound, and accessories used
with such equipment) that reproduces,
receives or transmits audio, visual or data
signals which, at the time of "loss", is:
Form HA 99 16 12 21 Page 3 of 5
(1) Permanently installed in or upon the
covered "auto" in a housing, opening or
other location that is not normally used by
the "auto" manufacturer for the installation
of such equipment;
(2) Removable from a permanently installed
housing unit as described in Paragraph
2.a. above or is an integral part of that
equipment; or
(3) An integral part of such equipment.
c. For each covered "auto", should loss be
limited to electronic equipment only, our
obligation to pay for, repair, return or replace
damaged or stolen electronic equipment will
be reduced by the applicable deductible
shown in the Declarations, or $250, whichever
deductible is less.
10. EXTRA EXPENSE - BROADENED COVERAGE
Under Paragraph A. - COVERAGE - of SECTION
III - PHYSICAL DAMAGE COVERAGE, we will
pay for the expense of returning a stolen covered
"auto" to you.
11. GLASS REPAIR - WAIVER OF DEDUCTIBLE
Under Paragraph D. - DEDUCTIBLE - of
SECTION III - PHYSICAL DAMAGE COVERAGE,
the following is added:
No deductible applies to glass damage if the glass
is repaired rather than replaced.
12. TWO OR MORE DEDUCTIBLES
(2) A partner, if you are a partnership;
(3) A member, if you are a limited liability
company; or
(4) An executive officer or insurance manager, if
you are a corporation.
14. UNINTENTIONAL FAILURE TO DISCLOSE
HAZARDS
If you unintentionally fail to disclose any hazards
existing at the inception date of your policy, we
will not deny coverage under this Coverage Form
because of such failure.
15. HIRED AUTO - COVERAGE TERRITORY
SECTION IV, BUSINESS AUTO CONDITIONS,
PARAGRAPH B. GENERAL CONDITIONS, 7. -
POLICY PERIOD, COVERAGE TERRITORY - is
added to include the following:
(6) For short-term hired "autos", the coverage
territory with respect to Liability Coverage is
anywhere in the world provided that if the
"insured's" responsibility to pay damages for
"bodily injury" or "property damage" is
determined in a"suit," the "suit" is brought in
the United States of America, the territories
and possessions of the United States of
America, Puerto Rico or Canada or in a
settlement we agree to.
16. WAIVER OF SUBROGATION
Paragraph 5. TRANSFER OF RIGHTS OF
RECOVERY AGAINST OTHERS TO US - of
SECTION IV - BUSINESS AUTO CONDITIONS
A. Loss Conditions is amended by adding the
following:
We waive any right of recovery we may have
against any person or organization with whom you
have a written contract that requires such waiver
because of payments we make for damages
under this Coverage Form.
17. RESULTANT MENTAL ANGUISH COVERAGE
Under Paragraph D. - DEDUCTIBLE - of
SECTION III - PHYSICAL DAMAGE COVERAGE,
the following is added:
If another Hartford Financial Services Group, Inc.
company policy or coverage form that is not an
automobile policy or coverage form applies to the
same "accidenY', the following applies:
(1) If the deductible under this Business Auto
Coverage Form is the smaller (or smallest)
deductible, it will be waived;
i2)
If the deductible under this Business Auto
Coverage Form i:
smallest) deductible,
amount of the
deductible.
not the smaller (or
it will be reduced by the
smaller (or smallest)
13. AMENDED DUTIES IN THE EVENT OF
ACCIDENT, CLAIM, SUIT OR LOSS
The requirement in LOSS CONDITIONS 2.a. -
DUTIES IN THE EVENT OF ACCIDENT, CLAIM,
SUIT OR LOSS - of SECTION IV - BUSINESS
AUTO CONDITIONS that you must notify us of an
"accident" applies only when the "accident" is
known to:
(1) You, if you are an individual;
The definition of "bodily injury" in SECTION V-
DEFINITIONS, C. is replaced by the following:
"Bodily injury" means bodily injury, sickness or
disease sustained by any person, including
mental anguish or death resulting from any of
these.
18. EXTENDED CANCELLATION CONDITION
Paragraph 2. of the COMMON POLICY
CONDITIONS - CANCELLATION - applies except
as follows:
If we cancel for any reason other than
nonpayment of premium, we will mail or deliver to
the first Named Insured written notice of
cancellation at least 60 days before the effective
date of cancellation.
Page 4 of 5 Form HA 99 16 12 21
19. HYBRID, ELECTRIC, OR NATURAL GAS
VEHICLE PAYMENT COVERAGE
In the event of a total loss to a"non-hybrid" auto
for which Comprehensive, Specified Causes of
Loss, or Collision coverages are provided under
this Coverage Form, then such Physical Damage
Coverages are amended as follows:
a. If the auto is replaced with a"hybrid" auto or
an auto powered solely by electricity or
natural gas, we will pay an additional 10%, to
a maximum of $2,500, of the "non-hybrid"
auto's actual cash value or replacement cost,
whichever is less,
b. The auto must be replaced and a copy of a
bill of sale or new lease agreement received
by us within 60 calendar days of the date of
"loss,"
c. Regardless of the number of autos deemed a
total loss, the most we will pay under this
Hybrid, Electric, or Natural Gas Vehicle
Payment Coverage provision for any one
"loss" is $10,000.
For the purposes of the coverage provision,
a. A"non-hybrid" auto is defined as an auto that
uses only an internal combustion engine to
move the auto but does not include autos
powered solely by electricity or natural gas.
b. A"hybrid" auto is defined as an auto with an
internal combustion engine and one or more
electric motors; and that uses the internal
combustion engine and one or more electric
motors to move the auto, or the internal
combustion engine to charge one or more
electric motors, which move the auto.
20. VEHICLE WRAP COVERAGE
In the event of a total loss to an "auto" for which
Comprehensive, Specified Causes of Loss, or
Collision coverages are provided under this
Coverage Form, then such Physical Damage
Coverages are amended to add the following:
In addition to the actual cash value of the "auto",
we will pay up to $1,000 for vinyl vehicle wraps
which are displayed on the covered "auto" at the
time of total loss. Regardless of the number of
autos deemed a total loss, the most we will pay
under this Vehicle Wrap Coverage provision for
any one "loss" is $5,000. For purposes of this
coverage provision, signs or other graphics
painted or magnetically affixed to the vehicle are
not considered vehicle wraps.
Form HA 99 16 12 21 Page 5 of 5
. ,
..�
��
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
TEXAS WAIVER OF OUR RIGHT TO
RECOVER FROM OTHERS ENDORSEMENT
Policy Number: 52 WEG BU1CUP Endorsement Number:
Effective Date: 07/19/25 Effective hour is the same as stated on the Information Page of the policy.
Named Insured and Address: 1836 Engineering LLC
5200 VESTA FARLEY RD
FORT WORTH TX 76119
This endorsement applies only to the insurance provided
by the policy because Texas is shown in Item 3.A. of the
Information Page.
We have the right to recover our payments from anyone
liable for an injury covered by this policy. We will not
enforce our right against the person or organization
named in the Schedule, but this waiver applies only with
1. (
(X)
Special Waiver
Name of person or organization
respect to bodily injury arising out of the operations
described in the Schedule where you are required by a
written contract to obtain this waiver from us.
This endorsement shall not operate directly or indirectly
to benefit anyone not named in the Schedule.
The premium for this endorsement is shown in the
Schedule.
Schedule
Blanket Waiver
Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver.
2. Operations:
All Texas Operations
3. Premium:
The premium charge for this endorsement shall be 2 percent of the premium developed on payroll in
connection with work performed for the above person(s) or organization(s) arising out of the operations described.
4. Advance Premium:
Form WC 42 03 04 B Printed in U.S.A.
Process Date: 07/15/25 Policy Expiration Date: 07/19/26
FORTWORTH
��
Routing and Transmittal Slip
TPW Capital Delivery
DOCUMENT TITLE: Geotechnical and Material Testing Services
M&C:25-0858 CPN CSO
Remarks:
DOC#
Reci ient: INITIALS DATE OUT
1. Endrias Wolde, TPW (Approver) ,�-J o9/zs/Zo25
2. Marvin Garcia — 1836 Engineering (Signer) M� 09/25/2025
3. Patricia Wadsack, TPW AD (Approver) pL�►N' 09/25/2025
4. Lauren Prieur, TPW Director A rover ��P 09/25/2025
5. Dou Black, Le al (Si ner) ��8 io 06/2025
6. Jesica McEachern, ACM — CMO Si ner :�fi� 10/13/2025
7. Ronald Gonzales CS Office A rover �� 10/13/2025
8. Jannette Goodall, CS Office Si ner ,� 10/13/2025
9. Allison Tidwell CS Office Form Filler �'�' 10/16/2025
DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all City
Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE
APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, Jay will review and
take the next steps.
NEEDS TO BE NOTARIZED: ❑ Yes X No
RUSH: ❑ Yes X No SAME DAY: ❑ Yes X No NEXT DAY: ❑ Yes X No
ROUTING TO CSO: X Yes ❑ No
Action Reguired:
❑ As Requested
❑ For Your Information
X Signature/Routing and or Recording
❑ Comment
❑ File
❑ Attach Signature, Initial and Notary Tabs