Loading...
HomeMy WebLinkAboutContract 29671 CITY SECRETARY CONTRACT NO. CONSENT AGREEMENT FOR TEMPORARY USE OF PUBLIC PROPERTY STATE OF TEXAS COUNTY OF TARRANT THIS AGREEMENT is made and entered into by and between the City of Fort Worth, a municipal corporation of Tarrant County, Texas, acting herein by and through its duly authorized Building Official, herinafter referred to as the "City"' and acting by and through its duly authorized K-4�ITiA t-tLA V—(ZPr-C� V I , hereinafter referred to as "Grantee". WITNESSETH: 1. For and in consideration of the payment by Grantee of the charges set out below and the true and faithful performance of the mutual covenants herein contained, City hereby grants to Grantee permission to temporarily encroach upon, uses and occupy portions of the space under, on and/or above the streets, alleys, sidewalks or other public rights-of-way as follows: Gcro!:�e r!m� SI-o" �EGT�o r-t Off' 1�GT-lt�L�L✓� ���E t,,c�►A�. ��'�. Tf-�'>✓- PtT`T"r�4C�E� �ht ALT 57 RCVD Pne location and descriptioii of said encivaclu-nent is more particularly described in Exhibit "B" attached hereto, incorporated herein and made a part hereof for all purposes. 2. All use and occupancy of public streets, alleys, sidewalks or other public rights-of-way under this agreement shall be in strict compliance with the Charter, Ordinances and Codes of City and in accordance with the directions of the Building Official and the Director of Transportation and Public Works of City. 3. Upon expiration of this agreement and the privileges granted hereunder, there shall be no encroachment by Grantee in, under, on or above the surface of the public rights-of-way involved. 4. Grantee agrees to pay in advance an encroachment fee for the temporary privilege 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 0. 015 K ':z 3S ' X 5 X t l Li t>v�5 Z009. 25 9 HCOID ��,, 5. Grantee, at no expense to City, shall make proper provision for the relocation and/or installation of any existing or future traffic control devices or other improvements affected by such encroachment, use and occupancy, including the securing of approval and consent from the appropriate agencies of the State and its political subdivisions. In the event that any installation, reinstallation, relocation or repair of any existing or future traffic control device or improvement owned or constructed by or on behalf of the public or at public expense is made more costly by virtue of the existence of such encroachment and use, Grantee shall pay to City an additional amount equal to such additional cost as determined by City. G. The term of this agreement shall be for MRST —days, from D�{ to (03o I provided, however, should the need for the encroachments granted hereunder at any time cease, Grantee agrees to immediately notify City of such condition; and, upon receipt of such notice by the Building Official of the City of Fort Worth, this agreement shall terminate. 7. It is expressly understood and agreed that this Consent Agreement is for a temporary encroachment in, under, over and upon the public property as located and described in Exhibit `B". This agreement shall not be construed as the granting of a permanent easement, encroachment or license upon City's public street, alleys, sidewalks or other rights-of- way. 8. City, through its duly authorized representatives, shall have the full and unrestricted right to enter upon all public rights-of-way for the purpose of making inspections to determine compliance with the terms, covenants and conditions herein. In the event that any inspection should reveal a breach of any terms, covenants or conditions herein, City shall give Grantee notice of such breach. Should such breach not be corrected by Urani,e widuin twenty-four (24) hours of receipt of fine notice, or within such shorter period of time as deemed necessary by the Building Official for the protection of public health or safety, City may terminate and cancel this agreement. 9. Upon expiration or termination of this agreement for any reason whatsoever, Grantee shall, at no expense to City, restore the public rights-of-way and adjacent supporting structures to a condition acceptable to the Director of Transportation and Public Works or his duly authorized representative and in accordance with the en`s specifications, and Grantee shall remove all barricades, ec uiet-, supplies, materials or other property from said location. cc-. :nants and agrees that for a period of one (l) year after the termination of this Consent Agreement, Grantee will repair all conditions or damages too the streets and sidewalks or other rights-of-way that have resulted from Grantee's use or occupancy of the streets and sidewalks or other rights-of-way, as determined by the Director of Transportation and Public Works or his designee. Grantee agrees to begin such repairs within thirty (30) days of receipt of notice from the Director of Transportation and Public Works or his designee. All repairs shall be performed in an expeditious and workmanlike manner and shall comply with all applicable laws, codes, ordinances and City specifications. In the event that Grantee fails to comply with the covenants herein contained with respect to such removal or restoration, the City shall have the right to remove or dispose of any barricades, equipment, supplies, materials or other property and repair any conditions which in the opinion of the City are necessary to bring the public rights-of-way to the 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 cost and expense of such removal and/or repairs immediately following billing for same by City. Nothing herein shall be construed as a waiver by City,to enforce penal sanctions prescribed by the Code of the City of Fort Worth and the laws of the State of Texas for Grantee's continued encroachment upon the public rights-of-way following termination of this Consent Agreement. 10. It is further understood and agreed between the parties hereto that City holds the city streets, alleys, sidewalks and other public rights-of- way, including the portions of such streets used and encroached upon as described herein, as trustee for the public; that City exercises such powers over the streets as have been delegated to it by the Constitution of the State of Texas or by the Legislature; and that City cannot contract away its duty and its legislative power to control the streets for the use and benefit of the public. It is accordingly agreed that if the governing body of City, to wit, its City Council, should at any time during the term hereof determine 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 this agreement shall be automatically canceled and terminated. 11. Grantee agrees to comply fully with all applicable federal, state and local laws, statutes, ordinances, codes or regulations in connection with the construction, operation and maintenance of said encroachments and uses. 12. Grantee agrees to pay promptly when due all fees, taxes or rentals provided for by this agreement or by any federal, state or local statute, law or regulation. 13. Grantee covenants and agrees that it shall exercise all rights and privileges granted hereunder as an independent contractor, and not as an officer, agent, servant or employee of City; that Grantee shall have exclusive control of and the exclusive right to control the details of its operations and activities on said described public property and all persons performing same, and shall be solely responsible for the acts and omissions of its officers, agents, servants, employees, contractors, subcontractors, licensees and invitees; that the doctrine of respondeat superior shall not apply as between City and Grantee, its officers, agents, servants, employees, contractors and subcontractors, and nothing herein shall be construed as creating a partnership or joint enterprise between City and Grantee. 14. %J TEF COVENANTS ANDAGREES TO INDEMNIFY, AND DOES HEREBY INDEMNIFY, HOLD HARMT.ESS AND DEFEND CITY, ITS OFFICERS, AGENTS, SERVANTS AND EMPLOYEES, FROM AND AGAINST ANY AND ALL CLAIMS OR SUITS FOR PROPERTY DAMAGE OR LOSS AND/OR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, OF WHATSOEVER KIND OR CHARACTER, WHETHER REAL OR ASSERTED, ARISING OUT OF OR IN CONNECTION WITH, DIRECTLY OR INDIRECTLY, THE MAINTENAN OCCUP�;NCY, USE, EXISTENCE OR LOCATION OF SAID ENCROACHMENT AND USES GRANTED HEREUNDER, WHETHER OR NOT CAUSED, IN WHOLE OR IN PART, BY ALLEGED NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, LICENSEES OR INVITEES OF CITY; AND GRANTEE HEREBY ASSUMES ALL, LIABILITY AND RESPONSYBi-LITY OF CITY, ITS OFFICERS, AGENTS, SERVANTS AND EMPLOYEES, FOR SUCH CLAIMS OR SUITS. GRANTEE SHALL LIKEWISE ASSUME ALL LIABILITY AND RESPONSIBILITY AND SHALL INDEMNIFY CITY FOR ANY AND ALL INJURY OR DAMAGE TO CITY PROPERTY, ARISING OUT OF OR IN CONNECTION WITH ANY AND ALL ACTS OR OMISSIONS OF GRANTEE, ITS OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, LICENSEES, INVITEES OR 'TRESPASSERS. 15. Grantee agrees to fumish City with a Certificate of Insurance, naming City as certificate holder, as proof that it has secured and paid for a policy of public liability insurance covering all public risks related to the proposed use and occupancy of public property as located and described in Exhibit `B". The amounts of such insurance shall be not less than the following: - . Property damage, per occurrence $ 00;600 Bodily injury, per person $250,000 Bodily injury or death, per occurrence $5003000 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 shall provide that it cannot be canceled or amended without at least thirty (30) days' prior written notice to the Building Official of the City of Fort Worth. A copy of such Certificate of Insurance is attached as Exhibit "A". Grantee agrees to submit a similar Certificate of Insurance annually to City on the anniversary date of the execution of this agreement. Grantee agrees, binds and obligates itself, its successors and assigns, to maintain and keep in force such public liability insurance at all times Awing the term of this agreement and until the removal. of all encroachrrer.,c and the cleaning and restoration of the city streets. All insurance coverage required herein shall include coverage of all of Grantee's contractors. 16. Grantee covenants and agrees that it will not assign all or any of its rights, privileges or duties under this contract without the prior written approval-of City, and any attempted assignment without such prior written approval shall be void. 17.„ 1 1 This agreement shall be binding upon the parties her to.,?t1wir successors and assigns. Should any action, whether real or asserted, at law or in equity, arise out of the terms and conditions of this agreement or out of the use and occupancy of City property as permitted 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 Grantee, City shall be entitled to recover interest and reasonable attorneys' fees. EXECUTED This_ day of GRANTOR: GRANTEE: CITY OF FORT WOR +c,s - s- 8`l K�-4e- L:r c> . BUILDING OFFICIAL APPR IED TO FORM AND LEGALITY: If V t T TITLE 5{ CIT TT Y DATE: I�f7.'► IY 1�L. 1 V�T� ._ contract Authorization q=SECRETARY DATE: L4 - - D��.a } a i``y'X�j r STAVE OF TEXAS COUNTY OF TA MATT. .BE'FORE.61E,the undersigned authority; a Notary Public in and For the State o Tewas, on this dg personally appeared - %,W', ,kno}vii to me to be tlzepersoii 3vliose name is subscribed to th oregoitig instrument, and acknowledged to me that he/she executed the sante forth .purposes and consit,�r tion: herein expressed, as the act and deed of. 13` -1 and in the capacity therein stater GIVEN UAVE.R MYHAAD4 D SEAL OF OFFICE this day of Affiant ANGELA EMADA * ' STATE OF TEXAS Nota*,,Ptt lic in and for Mra�w.up.0e12112007 The State of Texas II STATE OF TEXAS COUNTY OF TARRANT BEFORE AM, the undersigned authority, a Nota P hk in and Foy the State of Texas, on this day personally appeared �►'' ` � �' ,known to me to be the person whose name is subscribed to tine fo,-egaing inst7rume;-,t, and acknowledged to me that he/she executed the same for the purposes and considerafaon therein ccpressed, as the act and deed of , and in the capacity therein stater. Of ��UAID ER MY LK ND�S.EA1 OF OFFICE'this day f , 24.E Affiant LAURA DENMAN NotagPublic in and for * * Notary Public u STATE OF TEXAS The State of Texas My Comm.Exp.08/21/2006 r 12 Contractors Name: Tl+o5. 5, g•{�ti{E LSO Point of Contact: -SosL&e Phone Number: all- 3 357 Building Permit Number: .. —� Purpose for Closure: t.1 Begin Date: End Date: 30 Type of Taper according to posted speed limit: Tapers @ 30 MPH 1Oft Offset 30ft minimum Tapers @ 35 MPH loft Offset 35ft minimum Tapers @ 40 MPH 10ft Offset 40ft minimum Noa� f}rr©w 3T N cy F- � N N OQ 1? _ N N Q � L � M0�TP,PINI °YS e DAYS 4� -,�. !y /i AYE cX'c' 2-T TOTS WWMi AND MC"ANS ML'MON ANTE" ALL OR OOSWA)CTIM ARE W PLACE firm u _ . .. ... F_&_27_ s : � ,li+l�ll�. o�TE�NaJD�lYY1 '"` ' n /FTHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIONONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Inc. HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE rort worth, TX 76117 COM (817) 776-8520 AANY ANE1lICAb1 EORICH IlidUr,ANCE CO, COMPANY AK13UCAU GUAEAJM= L LIAEZLITY TROY. S. BYRNE, LTD. 900 SLIKIT "ME 7rORT MO1tTA, TX 76102 C NLSTC8ESTLR riRB IXBVP.ANCs CO. COMPANY D r�CC W'.:�, , 1's...'Sx'rr Y,.n„ „i..S S r,. �7„'t ..�.='r .LsL.,:, .-r.F.iM.t•{-1, :'f'I,,.< �......� THIS IS TO CERTIFY THAT THE POUCH=$OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TH5 INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO W?ilctl THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LJMRS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO Ty"OF INSURANCE POLICY NVIceER POLICY EFFECTIVE POLICY EVWATION LIMITS LTR DATE(MM/OnrM DATE(MM/DD/YY) GENERAL UARILITY GENERAL AGGREGATE I 21000,000 D X COMMEACUILOENEnALUABiLITY CF03994415 10/01/03 10/01/04 PRODUCTS-COMPLOPAGG 3 21 000,ODD CLAIMS MADE [.]OCCUR PERSOryAt L ADV INJURY S 1,000,000 OWNEnACONTRACTORS PPOT EACH0=9VIENCE I 11000,000 X rER 7=rxCT Aciour 1ATE FIRE DAMAGE(Any One Tstr) S 10010DO MED EJ(P(My one porwn) 8 10.000 AUTOMOBILE UAR(LITY COMBINED SNJGLELrIfiT S A ANY AUTO AAUTO TAP3994416 10/01/03 10/01/04 1,000,000 ALL OWNED AUTOS /DOILYBJJLWY 8 SC�l1LED AMOS (For persor0 A X HIRED AUTDS DODILY INJURY S A X NON•OWNED AUTOS -- PROPERTY TIASJAGE $ GAMAOE t1AEUM AUTO ONLY•EA ACCIO T S ANY AUTO OTHO)THAN AUTO ONLY: ?'+; ' EACH ACctOENT 9" AGGREGAIp i EXCESS LuwuM EACH OCCUF9ENCE E 25„000,000 C X UMORELLAFORM CUW7731147 10/01/03 10/D1/04 AGGREGATE S 25,000,000 OTHCR THAN L NABRT;LLA FOAM S WORKERS OOMPENSAY]ON AND 7 >F[Y LAPAR IFf EWLOYERS•LIABILITY EL EAOTAGCIDBJ'F s 1,0D0,000 A THEPROPFCTOFV X INCL WC3904414 10/01/03 10/02/Ot ELDISEASC-POUCYUMIT 6 11000,000 PARTNEF0j!EfO7CUTNE OFfTCERSARE: EXCL ELD`L;EASC-EAEMr'L0YEE 2 1,000,000 oTIIEa DESCRIPTION OF OPERATIONS/LOCATION"EMCLEi/SPECIAL ITE'M5 CITY 07 PUT XORTR, ITS OFr7['tlt9 L LRLN f= Us ADDITIONAL 199VRED OM Gs27LpAL I,IABILITT L Avco LIAsniTII rOLICta3. xxtvza Or suww GA73:ow III rAVOX or ciry OF FONT wirE. �.I/�T. .'<, n-A. :q Ye:-- Gs6 +tire...... `��� :..fin •.y.,�::. 'O. .. ., •.�•!,""t+.,.,,:n..>[.I<':�•_.:,s^.:<,,.w: �.rTt£."s:.,.etrtxs.:,.,?.�,.rt...,,:ti'A.» .,,.,,,.�..._. .,�r:.:s"+a...t�I.:i•: ��:� �f.is?ia,f".!:i.'it�:,�f..r..:: . !'t'a. r.{.r,..... f &WUL.D ANY OF TT4r ANOVL 06SCRIBCD POLTCWS OE CINCELIED BEFORE THE EMRAY*N DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL CITY Or ,ORT TR)RTR IL DAVE TMIITT•EN NOTICE TO 7hE CERTIFICATE MOLDER NAM90 TO THE LEFT, 67"NT KATIAGZKzxe LECTION Mill FAWLDRE TO MAN.SUCH NOTICE SHALL IMPOSE N OBUOAT]ON OR UARMIYV 311 wX= /OTR :i,rRz r OF ANY KWD UPON THE MPAKY, ITS RErRESENTATIVES. PORT MOkT]t, TX 76102 AUTHORREO REPRESENTA ��,,.,,-��,�{ ...�..:,•: ,:''<ia':fC?;7�Ttiix':)-�21 iir.i�'::1.tt 7i'S:."Ki"�: ':,'.rte-r-y�x.,��.�.�.., s<.n.:2 x�:wr'-,ra.. ��.1�{.,_ „Y;,^g. ..y, _ ftSn.Tt43��[ �, �'�+"� r,�t,�``..,F,,_t=rL3, 3-,.�r.'a 7T,. •.._:R ...�;�3 ,t i ' Wy�,,,,,, ...,� .aj •o i_.fG .F�' �`.•f';T s'' Lis, :ZX= G. . .��J'ti. �N.�� City of Fort Worth Transportation and Public Works Street Use Permit Page 1 ot- 1 FORTO RT H CITY OF FORT WORTH TRANSPORTATION AND PUBLIC WORKS STREET USE PERMIT DATE 3/11/2004 PERMIT#49413 MAPSCO 76M D.O.E.#NA (if applicable) STREET BLOCK FROM TO DATE Mon.-Fri.Time TIME TIME BEGIN END BEGIN END SAT. SUN. 1.W MAGNOLIA ST 800-900 1 TRAVIS AVE LIPSCOMB ST 3/12/2004 7/3/2004 24 HRS 124 HRS 124 HRS TYPE OF WORK TO BE PERFORMED_(CHECK ALL THAT APPLY) ❑RESIDENTIAL ❑COMMERCIAL(SITE PLAN# ) ❑FUND RAISER ❑CURBIGUTTER ❑DRIVE APPROACHES ❑SIDEWALK ❑d OTHER ❑SPECIAL EVENTS ❑HANDICAP RAMP ❑STORM DRAIN ❑UTILITY(TYPE ) ❑BLOCK PARTY PARTIAL SIDEWALK CLOSURE FOR WORK ON BUILDINGS—TRAFFIC CONTROL PLAN NOT REQUIRED. THIS PERMIT IS GRANTED TO THE CONTRACTORIAPPLICANT UNDER THE FOLLOWING CONDITIONS. • CONTRACTOR IS REQUIRED TO HAVE THIS PERMIT AND TRAFFIC CONTROL PLAN AT THE WORK SITE AT ALL TIMES. • 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 FOR ALL PERSONAL INJURIES ON WORK PERFORMED UNDER THIS PERMIT WILL BE THE RESPONSIBILITY OF THE CONTRACTOR • 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. THOMAS S BYRN LTD GORDON ALDERMAN CONTRACTORIAPPLICANT PERMIT ISSUER EMERGENCY CONTACT NAME JOSUE REYES � 24-HOUR 817-334-0356 MOBILE 817-538-1198 PGR# FAX#817-8775507 PHONE TRANSPORTATION AND PUBLIC WORKS DEPARTMENT STREET MANAGEMENT SECTION 311 W 10th STREET FORT WORTH,TX 76102 (817)392-6594 FAX(817)392-8941 http://tpwpennit.cfwnet.org/popup permit.asp?permit id=49413 03/11/2004 FORT WORTH February 11, 2004 RE: NEW FEE FOR STREET USE PERMITS Dear Applicant: Beginning March 15, 2004 the City of Fort Worth.will.implement a-new fee for Street Use Permits. The Street Use Permit fee is $50.00 per permit and payment is required at the time of permit application. If you have any questions regarding this change please contact the Traffic Engineering Street Management Section at 817/392-6594. Sincerely, Charles R- Burkett; P.E. City Traffic Engineer TRANSPORTATION AND PUBLIC WORKS DEPARTMENT TRAFFIC ENGINEERING DIVISION/STREET MANAGEMENT THE CTTY OF FORT WORTH * 311 WEST LOTH STREET* FORT WORTH, TEXAS 76102 (817)392-6672 * FAx (817)392-8941 1;,Printed on recycled paper I R-Pr T'GH16 I -F bV L I-45Ju pq t-4 ©X1 O 1:: o PELF. ° I $+L �+G c�GLt�fLS N z Q J � 1 1-4 0 V—`CP fJ NO Gttp.r-►-��t-�s j� �°� 1��t-tti�i-fl ��1�� 0 CD This plan is submitted for TCP. I certify thisAlo n will be used for the follo ing location(s): �} 0 and that all channelizing devices will conform to "General Notes" as shown on the back. Q / f � Signatures � Date $ ID CITY OF FORT WORTH SIDEWALK CLOSURE DETOUR TRANSPORTATION AND Note= II PUBLIC WORKS See reverse side for General Notes and Device Spacinq. P�AN "P- 2 Contractors Name: Ttd5. S. g�{pC:+-{E LTD Point of Contact: tc L- e Phone Number: - 5 3-T- 339 Building Permit Number:__ -OD`1Z Z .�— Purpose for ClossurreY - t Begin Date:ao End Date::k/3707TOG A Type of Taper according to posted speed limit: Tapers @ 30 MPH 10ft Offset 30ft minimum Tapers @ 35 MPH 10ft Offset 35ft minimum Tapers @ 40 MPH loft Offset 40ft minimum Noy farrow 3 � �3 cy � N e0 44 11<1 w� � Iron VO LUV'I IUL SL•U-1 III ilIVI vIll a tV1 .. `{j DATf If/WODIYYI iuc✓ ,rte..,..r., .. , t �'.;� 3- r Y^» .3,,i rLQ,.. r, ,a-.Rim ...�- �. ,s,"`t;.:`.i s. .:�4}<r..Z :�f x„.o G,w ..20/01/07 i .... ,.. .....,...... ......,tet.-. ,, FNOGucEA T1416 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Tuekcr agency, Ino. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.0, Nox 2705 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE Fort worth, TX 76117 (917) 376-9520 GOMAANY AKEllIC112i EO'RICH I)i9URANC'E CO, NtSUREp _. •. ..— . COMPANY ASLIUCAM GUABAXTIM A LIAZZY-M 5909. S. fiYAliE, LTD. B _ 900 SUNKIT AvXWUE - rORT MORTR, TX 76102 MANY NZSTCU%STXR rXILE ZN SVJ4AACZ CO. COMPANY D C ,y' r ''"'•_; F i s+, '.F, f < -._4 r f.i ; .it�•L r > �r.'�i' I) -r ovk j/ �! 'S. �:r (-er. s%�;: `� , _ } �,,a�. i .ri::'RR.n t.,,.s't..! ,T„ ! s.r_:<.. ..,..-.�:"•1 .£ 2r.: L. THIS IS TO CERTIFY THAT THE POUCIE:S OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TFOS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLl1SIONS AND CONDITIONS OF SUCH POUCIES.LJMfTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ^� CO Ty"OF INSURANCE POLICY NVMBER POUCY EFFECTIVE POLNSY WMIFATION UMt7S 1T11 DATE(MM/OTI^ DATG(M14/DDNY) GENERAL UAAILIT)r GENERAL AGGREGATE s 1,000,000 n X COMMEACIA-0ENERN,LIA07Lrrr CP03994415 10/01/03 10/01/04 PRODUCTS-COMPA7PAGG s 2,000,000 _ QAIMS MADC EXI OCCLAI PER 4DNAL a ADV INJURY 9 1,DOD,600 OWNER'S A CONTRACTOR'S PACT EACH OCCURRENCE s 1,000,000 X rZR PIIOJRCT ADOAXGATE FIRE DAMAGE(Any One Lrr) S 300,00D MEO EXP(Any one porion) s 10,000 AUTOMOCKE UASILITY A X ANY AUTO SAr79l4416 10/01/0] 10/01/04 OOMBINEDSINGLPLrMiT S 1,000,000 ALL OWNED AU703 ��YoY t 3CHMX)LEDAUNOS t A X HIRED AUTOS VO L� U ! A X NON-OWNEOALITOS (Pa --- - -- PROPERTY DAWAGE t GARADE LIAM 9M AUTO ONLY•EA ACCID<WT s ANYAUTO OTHM THAN ALTTT)ONLY; _ EACH AGCtDFNT s AGGREGATE s Excm LLBtiTTY EACH OCCURFIENCe 6 25,000,000 CZ UMDREU.APORM CUW773147 10/01/03 10/01/04 AGGREGATE 1 25,000,000 OTHeq THAN UTABRrLLA FORM 6 WORKERS GOWENSA"ANDZ ATU IM i EM'FLOYERS'UABIUTY CRY s•, EL EACrIACCICCI DEI'JT r 7.1000,000 A THEPROPHIGTOFY X INCL HC39l4414 10/01/03 to/01/111ELOISEASE•POLICY LIMIT 5 1:000,000 PARTNERSAFOCVTIJE OFPICEFOARE: EXCL ELD,'TASC-EAEMmZYEE s 1,000,000 OTHER DE6c1t{FTSON OF OFERATK*S/LOCATION"EHICLE"?tCJAL ITEMS CITY Ol TORT VORT9, ITS OPFICIM k EMrL0TEE8 ARE ADDITIONAL TUCURzD OM G8LAAL LLMrLITT i AUTO t XABILIT7 POLIeTzs. 11A.1vxa OT SunItOGATION IN rATTOTL or CT" or roNT NOItTN. _..,,, . ..._ :., oy7 . T' �.X it sYak, _ �,Y y,. �•F:, ..r.;'_ ', >} /.G�» i. 7 .. ..R �.�xi.sw f�t... ..... .. ...... ...,•c»..�.N�.rf:,`!"{Y:.. �3.1..�.3v i:'.'ii.��`�:.�1�i�f :.`?':✓��f. .Y.s &HOULD ANY OF 19•IE A/OK 066CRIMI) POU CNES of CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMMNY WILL ENDEAVOR TO MAIL CITY OF YORT IIORTII 4L DAYS 110"tr EN NOTICE TO THE CERTIFICATE HOLDER NAMGO TO THE LEFT, STREET MANAGZKMr' SECTION BUT FAIWRE TO MAL SUCH NOT tHAL.L IMN 06LIOATIO0 OR UAMLITY 311 f mZT 10TH —raz= OF ANY KWO UPON THE M , n, REPRESENTATIYES. 11 WORT NOk7K, TX 761D2 AUTHORRED RFM"ENTA ����-y�,.,{ ...!•,c': �`f!'3:•i^t,.Jyf.=+_ss:-..`L��`z i•>v'';:,Y•=, ei3�"i.�,:'a.:��;'>r:�i:',4-p-��-r+.' 1�c6'%6_"r l.r->•�.2;'r. -r;�}rs,;;aj •n:,1 iJ'. S ..,y,.�(�1._ Fry' �.adw -RIj;Wt(n...1S i"- 3 ...s.. .•..Y„ �:�w1'a;��fs.n:��.iwi'>.;•,s ..::4f.:PrY).1,'',. .67. ".4h?< �,I..-•y .`1 ,,t tf.... ,Z ,:.Y.Yi1i'�. �J.flN..Fv.PP.