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HomeMy WebLinkAboutContract 46830 CITY SECRETAW �30 CONTRACT NO. EASEMENT ENCROACHMENT LICENSE AGREEMENT Commercial THIS AGREEMENT is made and entered into by and between THE CITY OF FORT WORTH, a home rule municipal corporation of Tarrant County, Texas ("City"), acting by and through its duly authorized Planning and Development Director, and AMTEX Avondale, L.P., hereinafter referred to as "Licensee", owner of the property located at Avondale Apartments on Avondale Farms Drive ("Property"). RECITALS WHEREAS, Licensee is the owner of certain real property described as Lot 1, Block 3, Vista Crossroads Addition, located in the City of Fort Worth, Tarrant County, Texas, as recorded in Instrument No. D215105341 of the Plat Records of Tarrant County, Texas (P.R.T.C.T.), an addition to the City of Fort Worth, Tarrant County, Texas as recorded in County Clerks Document No. n1a or Volume and Page No. n1a of the Real Property records of Tarrant County ("Property"); and WHEREAS, the City has a 15 foot wide utility easement (the "Easement") in the property as shown on the map attached to this Agreement as Exhibit "A" and incorporated herein; and WHEREAS, Licensee desires to construct/place and maintain two thirty-six inch (36") reinforced concrete storm water pipes which will be used to convey storm water from the Property to the onsite detention pond (the "Encroachment") and which will encroach onto the City's Easement as shown on the attached survey and only to the extent shown thereon; and WHEREAS, to accommodate the needs of the Licensee, the City will allow the Encroachment under the terms and conditions as set forth in this Agreement. NOW,THEREFORE, the City and Licensee agree as follows: AGREEMENT 1. The City, in consideration of the payment by the Licensee of the fee set out below and covenants and agreements hereinafter contained, to be kept and performed by the Licensee, hereby grants permission to the Licensee to encroach upon and occupy a portion of the City's Easement as described in and at the location shown Exhibit A for the purpose of installing two thirty-six inch (36") reinf ater drainage 2014 Easement Encroachment Agreement-Commercial OFFICIAL RECORD Page 1 of 9 CITY SECRETARY FT.WORTH,TX pipes (the "Encroachment"). Upon completion of the Encroachment, Licensee agrees to be responsible for maintaining any and all structures and buildings within and above the Easement. Licensee shall not expand or otherwise cause the Encroachment to further infringe in or on the City's Easement beyond what is specifically described in the exhibit(s) attached hereto. 2. All construction, maintenance and operation in connection with such Encroachment, use and occupancy shall comply and be performed in strict compliance with the Charter, Ordinance and Codes of the City and in accordance with the directions of the Director of the Transportation and Public Works Department or the Director of the Water Department of City, or his duly authorized representative. Prior to the construction of the Encroachment, Licensee shall submit all plans and specifications to the applicable Director or his duly authorized representative. Licensee shall not commence construction of the Encroachment until such approval shall be indicated in writing by the Director. However, such approval shall not relieve Licensee of responsibility and liability for concept, design and computation in the preparation of such plans and specifications. 3. Licensee agrees that City may enter and utilize the referenced areas at any time for the purpose of installing, repairing, replacing or maintaining improvements to its public facilities or utilities necessary for the health, safety and welfare of the public for any other public purpose. City shall bear no responsibility or liability for any damage or disruption or other adverse consequences resulting from the Encroachment installed by Licensee, but City will make reasonable efforts to minimize such damage. In the event that any installation, reinstallation, relocation or repair of any existing or future utility or improvements owned by, constructed by or on behalf of the public or at public expense is made more costly by virtue of the construction, maintenance or existence of the Encroachment and use, Licensee shall pay to City an additional amount equal to such additional cost as reasonably determined by the Director of Transportation and Public 2014 Easement Encroachment Agreement-Commercial Page 2 of 9 Works or the Director of the Water Department of the City, or his duly authorized representative. 4. In order to defray all costs of inspection and supervision which City has incurred or will incur as a result of the construction, maintenance, inspection or management of the encroachments and uses provided for by this Agreement, Licensee agrees to pay to City at the time this Agreement is requested an application fee in the sum of Three Hundred and Twenty Five Dollars ($325.00). 5. The term of this Agreement shall be for thirty (30) years, commencing on the date this Agreement is executed by the City of Fort Worth. Provided however, this Agreement shall terminate upon the non-compliance of any of the terms of this Agreement by the Licensee. City shall notify Licensee of the non-compliance and if not cured within thirty days this Agreement shall be deemed terminated. 6. It is further understood and agreed upon between the parties hereto that the easements to be used and encroached upon as described herein, are held by City as trustee for the public; that City exercises such powers over the easement 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 easement for the use and benefit of the public. It is accordingly agreed that if the governing body of City may at any time during the term hereof determine in its sole discretion to use or cause or permit the right of way to be used for any other public purpose, that does not preclude the use of the Encroachment on the Property, including but not being limited to underground, surface of overhead communication, drainage, sanitary sewerage, transmission of natural or electricity, or any other public purpose, whether presently contemplated or not, that the parties agree to negotiate in good faith in order to accommodate the Encroachment and the public purpose. 2014 Easement Encroachment Agreement-Commercial Page 3 of 9 7. LICENSEE COVENANTS AND AGREES TO INDEMNIFY, AND DOES HEREBY INDEMNIFY, HOLD HARMLESS AND DEFEND CITY, ITS OFFICERS, AGENTS, SERVANTS, EMPLOYEES AND ELECTED OFFICIALS FROM AND AGAINST ANY AND ALL CLAIMS OR SUITS FOR PROPERTY DAMAGE OR LOSS AND/OR PERSONAL INJURY, INCLUDING DEATH, TO ANY AND ALL PERSONS, OF WHATSOEVER KIND OR CHARACTER, ARISING OUT OF OR IN CONNECTION WITH, THE CONSTRUCTION, MAINTENANCE, OCCUPANCY, USE, EXISTENCE OR LOCATION OF SAID ENCROACHMENTS AND USES GRANTED HEREUNDER, WHETHER OR NOT CAUSED, IN WHOLE OR IN PART, BY THE NEGLIGENCE OF OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, LICENSEES, ELECTED OFFICIALS OR INVITEES OF THE CITY; AND LICENSEE HEREBY ASSUMES ALL LIABILITY AND RESPONSIBILITY FOR SUCH CLAIMS OR SUITS. LICENSEE SHALL LIKEWISE ASSUME ALL LIABILITY AND RESPONSIBILITY AND SHALL INDEMNIFY CITY FOR ANY AND ALL INJURY OR DAMAGE TO CITY PROPERTY ARISING OUT OF OR IN CONNECTION WITH THE ENCROACHMENTS AND ANY AND ALL ACTS OR OMISSIONS OF LICENSEE, ITS OFFICERS, AGENTS, SERVANTS, EMPLOYEES, CONTRACTORS, SUBCONTRACTORS, LICENSEES, OR INVITEES. 8. While this Agreement is in effect, Licensee agrees to furnish 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 "A". The amounts of such insurance shall be not less than the following: $1,000,000 Commercial General Liability with the understanding of and agreement by Licensee that such insurance amounts shall be revised upward at City's option and that Licensee 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 ten (10) days prior written notice to the Building Official of the City of Fort Worth. A copy of such 2014 Easement Encroachment Agreement-Commercial Page 4 of 9 Certificate of Insurance is attached as attached as Exhibit "B". Licensee agrees to submit a similar Certificate of Insurance annually to City on the anniversary date of the execution of this Agreement. Licensee agrees, binds and obligates itself, its successors and assigns, to maintain and keep in force such public liability insurance at all times during the term of this Agreement and until the removal of all encroachments and the cleaning and restoration of the city streets. All insurance coverage required herein shall include coverage of all Licensees' contractors. 9. Licensee agrees to deposit with the City when this Agreement is executed a sufficient sum of money to be used to pay necessary fees to record this Encroachment on Easement Agreement in its entirety in the deed records of Tarrant County, Texas. After being recorded, the original shall be returned to the City Secretary of the City of Fort Worth, Texas. 10. Licensee 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 Encroachment and uses. 11. Licensee agrees to pay promptly when due all fees, taxes or rentals provided for by this Agreement or by any federal, state or local statute, law or regulation. 2014 Easement Encroachment Agreement-Commercial Page 5 of 9 12. Licensee covenants and agrees that it shall operate hereunder as an independent contractor as to all rights and privileges granted hereunder and not as an officer, agent, servant or employee of City, and Licensee shall have exclusive control of and the exclusive right to control the details of its operations, and all persons performing same, and shall be solely responsible for the acts and omissions of its officers, agents, servants, employees, contractors, subcontractors, licensees and invitees. The doctrine of respondeat superior shall not apply as between City and Licensee, its officers, agents, servants, employees, contractors and subcontractors, and nothing herein shall be construed as creating a partnership or joint enterprise between City and Licensee. 13. Licensee agrees and acknowledges that this Agreement is solely for the purpose of permitting Licensee to construct, maintain and locate the Encroachment over or within the described Easement and is not a conveyance of any right, title or interest in or to the Easement nor is it meant to convey any right to use or occupy property in which a third party may have an interest. Licensee agrees that it will obtain all necessary permission before occupying such property. 14. In any action brought by the City for the enforcement of the obligations of the Licensee, City shall be entitled to recover interest and reasonable attorney's fees. 15. The parties agree that the duties and obligation contained paragraphs 3 and 4 shall survive the termination of this Agreement. 2014 Easement Encroachment Agreement-Commercial Page 6 of 9 16. Licensee covenants and agrees that it will not assign all or any of its rights, privileges or duties under this contract without the written approval of City Planning and Development Director, and any attempted assignment without such written approval should be void. 17. Any cause of action for breach of this Agreement shall be brought in Tarrant County, Texas. This Agreement shall be governed by the laws of the State of Texas. 18. This agreement shall be binding upon the parties hereto, their successors and assigns. EXECUTED thi ay of 201 . City Licensee: City of Fort Worth AMTEX Avondale, L.P. N By: By: � r Randle Ha od, Director Name: Planning and Development Title: 1`Q FNO M&C REQUIRED ATTEST: voRr Approved As To Form and Legality ,N o %0 o ° g o� a itySecret °�°,o°°°°� ssistant City Attorney 2014 Easement Encroachment A �X gercial OFFICIAL RECORD Page 7 of 4 CITY SECRETARY FT. WORTH, TX CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 ri rt rcdr=c. �Y�hrr?r cc ear�c.r_.n Irl r�rfe i t or7 rr�r�c wt�rasa t rt c o�c c�^ crr.c(c rc��rc. A notary public or other officer completing this certificate verities only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness,accuracy,or validity of that document. State of Cal fornia County of On Abefore me l F A0.1 Date Here Insert Name and Title," f the Officer personally appearedNA&Ih% Name(s�o1 Signerp who proved to me on the basis of satisfactory evidence to be the person(d) whose named is/ subscribed to the within instrument and acknowledged to me that he/stt/tb6y executed the same in his/t—W/Weir authorized capacity(iW,and that by his/hese/their signatureja'on the instrument the person(,sy, or the entity upon behalf of which the person(pi acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. SHERI D. wILHELM WITN n ,end fticial seal. Commission# 2013862 z -� Notary Public-California zz Ventura County Signat ' M Comm.Expires Apr 2,20171 Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑ Partner — ❑ Limited ❑ General ❑ Partner — J Limited ❑General ❑ Individual ❑Attorney in Fact ❑ Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑Trustee ❑ Guardian or Conservator ❑Other: ❑ Other: Signer Is Representing: Signer Is Representing: ©2014 National Notary Association •www.National '-o 1-800' RY(1-800-876-6827) Item#5907 OFFICIAL- r-iXIDRD CITY SECRETARY FT.WORTH,TX STATE OF TEXAS COUNTY OF TARRANT BEFORE ME, the undersigned authority, a Notary Public in and for the State of Texas, on this day personally appeared Randle Harwood, known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that he/she executed the same for the purposes and consideration therein expressed, as the act and deed of the City of Fort Worth, and in the capacity therein stated. I EN UNDER M AND SEAL OF OFFICE this day of 20 `"ox°ppCASSANDRA F. FOREMAN n Notary Public. State of Texas / My Commission Expires s!� Aptif 26. 2017 Notary Public in and for the State of Texas OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX 2014 Easement Encroachment Agreement-Commercial Page 8 of 9 Awado/e Forms Dr. LEGEND u PROPOSED CONTOUR KE WATER LINE EASEMENT Ac. MF Fy FIRE HYDRANT ' WL WATER LINE n N KEY ANAP a� Private 36" RCP Storm a W Public Storm F FH 15, 12 Va/ve D l Encroachment 1 12" valves ' 36„ RCP Crossing 15, Water Line Easement Detention Pond e / / W Encroachment 2 36" RCP Crossing 15, Water Line Easement D PLAN VIEW o N.T.S. 2 Slope Back to Existing Grade 843 Top of Bank Public Water Easement 3, b N +� Prop Private 36" i �• RCP Storm � 837 Toe 837 Toe — 110, 2, Min Clearance u 26' Prop Public 12 WL SECTION A-A 16 RN N.T.S. 6 ENCROACHMENT EXHIBIT A AVONDALE APARTMENTS U r JON E S & C A R T E Ro.,. AMTEX AVONDALE, LP 2.� ENGINEERS•PLANNERS-SURVEYORS CITY OF FORT WORTH, TEXAS Texas Board of Professional Engineers Registration No.F-439 0. 6509 Windcrest Ddve,Suite 600 Plano,Texas 75024 (972)488-3880 JONES & CARTER, INC. APRIL 2015 ACC)Ro® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 6/15/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER SullivanCurtisMonroe Insurance Services NAME:CONTACT 1920 Main Street Suite 600 PHONE FAX Irvine, CA 92614 0.No.ExD:_ 949.250.7172 A/C No: 949.852.9762 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC 0 www.SulIivanCurtisMonroe.com License#OE83670 INSURER A: Mt.Hawley Insurance Company 37974 INSURED INSURER B: Liberty Insurance Underwriters Inc. 19917 Amcal General Contractors, Inc. 30141 Agoura Road. #100 INSURER C: Agoura Hills CA 91301 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 25105496 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, IICYEXP LTR TYPE OF INSURANCE INgQ WVQ SUBR POLICY NUMBER M WUDDY/YYYYEFFMM/DD/YYYY LIMITS A COMMERCIAL GENERALLIABILITY MGLO182813 6/1/2015 6/1/2016 EACH OCCURRENCE $ 1,000,000 DAMAGE T RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $ 50,000 V $2,500 deductible MED EXP(Any one person) $ 5,000 PERSONAL 8 ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000PRO ' POLICY ✓❑ ECT F1 LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident)_ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ B UMBRELLA LIAB �/ OCCUR 100009859502 6/1/2015 6/1/2016 EACH OCCURRENCE $ 20 000 000 EXCESS LIAR CLAIMS-MADE AGGREGATE $ 20,000,000 OED ✓ RETENTION$NOne $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1f yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached K more space Is required) Re:AMTEX Avondale,LP-13101 Avondale Farms Drive,Fort Worth,TX 76052 Certificate holder is included as additional insured per attached form. TRIA Coverage Excluded CERTIFICATE HOLDER CANCELLATION City of Fort Worth SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CI f Fort Worth Street OFFICIAL RECORD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Fort Worth TX 76137 CITY SECRETARY FT. WORTH, TX AUTHORIZED REPRESENTATIVE Jessica Lund ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 25105496 I AMCALGEN I Master Dev GL/EXcesa 6.15 1 Jessica Lund 16/15/2015 4:06:39 PM (PDT) I Page 1 of 6 EXHIBIT B AGENCY CUSTOMER ID: AMCALGEN _ LOC#: ACC)RDO® ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED SullivanCurtisMonroe Insurance Services Amcal General Contractors,Inc. 30141 Agoura Road.#100 POLICY NUMBER Agoura Hills CA 91301 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE:Certificate of Liability(01114) HOLDER:City of Fort Worth ADDRESS: 1000 Throckmorton Street Fort Worth TX 76137 Named Insureds: AMCAL General Contractors, Inc. 456 South Lake, L.P. 6050 E1 Cajon, LLC Amcal Andalucia Fund L.P. AMCAL Argyle Fund, LP AMCAL Avenida Fund, L.P. AMCAL Broadway Fund, L.P. Amcal Brookfield Place Fund L.P. AMCAL Casa Bella Fund, L.P. AMCAL Casa de Angeles Fund, L.P. AMCAL Casa Figueroa Fund, L.P. AMCAL Casa Grande Fund L.P. AMCAL Casa La Paz Fund, L.P. AMCAL Casablanca Fund XXXX,L.P. AMCAL Castellar Fund, L.P. AMCAL Cielo Azul Fund, L.P. AMCAL Communities Inc. Amcal Cordova Fund LP AMCAL Country Park Villas Fund XXXIII, LP AMCAL Enterprises, Inc. AMCAL Equities, LLC AMCAL Flores Del Valle Fund, L.P. AMCAL Hollenbeck Fund, LP AMCAL Homes Inc. AMCAL Investments Fund L.P. ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ATTACHMENT 25105496 1 AMCALGEN I Master Dev GL/Excess 6-15 1 Jessica Lund 1 6/15/2015 4:08:39 PM (PDT) I Page 2 of 6 AGENCY CUSTOMER ID: AMCALGEN _ LOC#: A C D® ADDITIONAL REMARKS SCHEDULE Page of AGENCY i NAMED INSURED SullivanCurtisMonroe Insurance Services Amcal General Contractors,Inc. 30141 Agoura Road.#100 POLICY NUMBER Agoura Hills CA 91301 CARRIER NAIC CODE EFFECTIVE DATE; ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE:Certificate of Liability(01/14) HOLDER: City of Fort Worth ADDRESS: 1000 Throckmorton Street Fort Worth TX 76137 Named Insured, Continued. . . Amcal Las Brisas Fund, L.P. AMCAL Las Terrazas Fund, LP AMCAL Linda Vista, L.P. AMCAL Los Vientos Fund, LP AMCAL MacArthur Fund, L.P. AMCAL Management, Inc. AMCAL Maywood Villas Fund, L.P. AMCAL Mercado Fund, L.P. Amcal Mirandela Fund LP AMCAL Mission Fund, L.P. AMCAL Montecito Fund LP AMCAL Montecito Terrace Fund LP AMCAL Mosaic Fund, L.P. AMCAL Multi - Housing, Inc. AMCAL Park Place Fund, L.P. AMCAL Portofino Villas Fund, L.P. AMCAL Pujol Fund, L.P. AMCAL Regency Fund LP Amcal Royale Fund L.P. AMCAL Sandstone Fund, L.P. AMCAL Santa Barbara Fund, XXXVI Amcal Santa Fe Fund L.P. AMCAL Serena Fund, L.P. AMCAL Serenity Fund, L.P. Amcal Summer Hill Fund LP ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ATTACHMENT 25/05496 1 AMCALGEN I Master Dev GL/Excess 6-15 1 Jessica Lund 1 6/15/2015 4:08:39 PM (PDT) I Page 3 of 6 AGENCY CUSTOMER ID: AMCALGEN _ LOG#: A�® ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED SullivanCurtisMonroe Insurance Services Amcal General Contractors,Inc. 30141 Agoura Road.#100 POLICY NUMBER Agoura Hills CA 91301 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE:Certificate of Liability(01/14) HOLDER: City of Fort Worth ADDRESS: 1000 Throckmorton Street Fort Worth TX 76137 Named Insured, Continued. . . AMCAL Sunrise Fund, LP AMCAL Terracina Fund, LP AMCAL Tesoro Del Valle Fund, L.P. AMCAL Urban Village, LLC AMCAL Valle Del Sol Fund, LP Amcal Villa Escondido Fund, L.P. AMCAL Villa Esperanza Fund, L.P. AMCAL Villas Las Americas Fund, L.P. AMCAL Wood Ranch Children's Center AMCAL Wood Ranch Fund XXXVII AMTEX Construction LLC AMTEX Development LLC AMTEX Multi-Housing, LLC AT Villages at Cypress, LP Camino AL Oro Fund, L.P. Palmdale R40 Sommerset Place, L.P. Temple Villas, L.P. AMCAL Alegre Fund, L.P. Alegre GP, LLC AMCAL Multi-Housing Two, LLC AMCAL Oceana Fund, L.P. AT Justin GP, LLC AMCAL Verano Fund, L.P. AMCAL Monterey Bay Manager, LLC AMCAL Pacific Pointe Fund, L.P. Sycamore Station Fund, LLC AT Villages At Justin, LP AMCAL Monterey Bay LLC AMCAL Hayward LLC ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ATTACHMENT 25105496 1 AMCALGEN I Master Dev GL/Excesa 6-15 1 Jessica Lund 1 6/15/2015 4:08:39 PM (PDT) I Page 4 of 6 AGENCY CUSTOMER ID: AMCALGEN _ LOC#: ARO® ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED Amcal General Contractors, Inc. SullivanCurtisMonroe Insurance Services 30141 Agoura Road.#100 POLICY NUMBER Agoura Hills CA 91301 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE:Certificate of Liability(01/14) HOLDER: City of Fort Worth ADDRESS: 1000 Throckmorton Street Fort Worth TX 76137 Named Insured (continued) AMCAL Meadowbrook Fund, LP ANICAL Urban Village LB1, LLC AMCAL Rancho California Fund, LP AMCAL Alegre Fund, LP AMCAL Pasadena LLC AMTEX Avondale, LP AT Avondale GP, LLC ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ATTACHMENT 2SIOS496 I AMCALGEN I Maser Dev GL/Excess 6-15 1 Jessica Lund 1 6/15/2015 4:08:39 PM (PDT) I Page 5 of 6 Amcal General Contractors, Inc. 6/15/2015 POLICY NUMBER:MGLO182813 COMMERCIAL GENERAL LIABILITY CG 20120413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: City of Fort Worth Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to 2. This insurance does not apply to: include as an additional insured any state ora. Bodily injury", property damage or governmental agency or subdivision or political '.personal and advertising injury" arising out subdivision shown in the Schedule, subject to the of operations performed for the federal following provisions: government, state or municipality; or 1. This insurance applies only with respect to b. "Bodily injury" or "property damage" operations performed by you or on your behalf included within the "products-completed for which the state or governmental agency or operations hazard". subdivision or political subdivision has issued a permit or authorization. B. With respect to the insurance afforded to these additional insureds, the following is added to However: Section III— Limits Of Insurance: a. The insurance afforded to such additional If coverage provided to the additional insured is insured only applies to the extent permitted required by a contract or agreement, the most we by law; and will pay on behalf of the additional insured is the b. If coverage provided to the additional amount of insurance: insured is required by a contract or 1. Required by the contract or agreement; or agreement, the insurance afforded to such additional insured will not be broader than 2. Available under the applicable Limits of that which you are required by the contract Insurance shown in the Declarations; or agreement to provide for such additional whichever is less. insured. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 12 04 13 ©Insurance Services Office, Inc., 2012 Page 1 of 1 25105496 I AMCALGEN I Master Dev GL/Excess 6-15 1 Jessica Lund 1 6/15/2015 4:08:39 PM (PDT) I Page 6 of 6