HomeMy WebLinkAboutContract 46935 Developer and Project Information Cover Sheet:
Developer Company Name: LQ Development,LLC c/o Wilson cot Stonaker
Address, State, Zip Code: P O Box 93898 Southlake TX 76092
Phone& Email: 817-791-7301 ,NA
Authorized Signatory, Title: William E. Stonaker
Project Name and Brief Landmark Quebec Addition
Description:
Project Location: Landmark
Quebec Addition Lot 4R1, 4R2
and 4R3. Block 1
Plat Case Number: FS-15-032 Plat Name: Landmark Quebec
Mapsco: Council District: 7 City Project Number: 02631
CFA Number: 2015-061 DOE Number: 7484
To be completed by staff
Received by: 4/ Date:
City of Fort Worth,Texas � �p( ,�Ii R 01tiD
P�IPA VY'�VQ �"�{',�'i6 µk(� �
Community Facilities Tri=Party Agreement �, , �
CFA Official Release Date: 07.01.2015 e a"�'�^ SEC ��,k �
Page 1 of 10 i i;„i i i`'� f, r
'y SECRETAW -(
CONTRACTNO,, q to
;J COMMUNITY FACILITIES TRI-PARTY AGREEMENT
Legal Description or Address: Landmark Quebec Addition Lot 4RI, 4R2,4R3, Block I
Project Name: Landmark Quebec Addition
WHEREAS, this Agreement is by and between the City of Fort Worth, a Texas municipal
corporation("City"), LQ Development, LLC c/o Wilson& Stonaker, authorized to do business in
Texas ("Developer"), and Conatser Construction TX, LP authorized to do business in Texas,
("Contractor"). The parties named herein may collectively be referred to as a "Party" or the
"Parties"; and
WHEREAS, the Developer is the owner and/or developer of that certain property located
within the City of Fort Worth's city limits at Landmark Quebec Addition Lot 4RI, 4R2, 4R3,
Block I (provide general description, street address, legal description) as shown on Attachment
"A" incorporated herein; and
WHEREAS, Developer desires to make improvements to the property consisting generally
of Landmark Quebec Addition Lot 4R1, 4R2, 4R3 (general description) as shown on Attachment
"B" ("Site Plan"), incorporated herein; and
WHEREAS, pursuant to City of Fort Worth planning policies, Developer is to install
certain community facilities consisting of Landmark Quebec Addition Lot 4RI, 4R2,4R3 Block I
(general description) and valued at no more than $200,000.00 (including construction costs)
("Improvements"), as shown on Attachment "C" ("Engineers Estimate of Costs"), incorporated
herein; and
WHEREAS, Developer has engaged Contractor under a private contract ("Developer
Contract")to perform the work described herein and as depicted on the attachments hereto; and
WHEREAS, Developer is not seeking City's financial participation, nor is City requesting
Developer to oversize the Improvements and City is not providing any funding toward the
Improvements.
NOW, THEREFORE, City, Developer and Contractor hereby agree as follows:
AGREEMENT
I.
Contractor hereby agrees to furnish all labor, materials, tools and the necessary equipment
for the construction and installation of the Improvements as indicated in Attachment C.
11.
The construction and installation of the Improvements shall be performed according to the
City's current Standard Specifications for Public- Improvements including the Standard City
City of Fort Worth,Texas ffflVAL RECC)0,Iffl�
Community Facilities Tri-Party Agreement
CFA Official Release Date: 07.01.2015 0111Y
Page 2 of 10
WC FIX'
...........
Conditions of the Construction Contract for Developer Awarded Projects,as each may be amended
from time to time,and any applicable Special Provisions as may be required for the Project. Where
any discrepancies occur between the Special Provisions and the Standard Specifications, the
Special Provisions shall govern. Such construction and installation and the location thereof shall
be approved by the City's Director of the Transportation and Public Works Department, or his or
her designee, prior to beginning work.
A. It is agreed by and between the parties that the City has an interest in the proper
performance of the installation of the Improvements. Developer and Contractor hereby grant to
the City a non-exclusive right to enforce the Developer Contract for the installation of the
Improvements, along with an assignment of all warranties given by Contractor, whether express
or implied. Further, Developer agrees that all contracts with any contractor shall include
provisions granting to the City the right to enforce such contracts as an express intended third party
beneficiary of such contracts.
B. The Policy for the Installation of Community Facilities dated March 2001,
approved by the City Council of the City of Fort Worth and as subsequently amended (the
"Policy"), is hereby incorporated by reference as part of this Agreement for all purposes. Unless
otherwise specifically stated herein, Developer agrees to comply with all provisions of the Policy
applicable to a "Developer" in the performance of its duties and obligations hereunder and
Contractor agrees to comply with all provisions of the Policy applicable to a Developer's
contractor as described by the Policy.
C. Developer shall not be required to provide a developer's financial security.
D. Contractor agrees to cause the construction of the Improvements and that said
construction shall be completed in a good and workmanlike manner and in accordance with all
City standards and the City-approved construction plans, specifications and cost estimates
provided for the Improvements and the exhibits attached hereto.
E. Developer shall pay to the City, in cash, fees for the construction inspection (4%)
and material testing (2%) based on the construction cost of the Improvements.
F. Prior to acceptance of the Improvements by the City, Developer and Contractor
must provide in writing a statement that Contractor has been paid in full by Developer for all
services related to the Improvements. Additionally, Contractor will submit an Affidavit of Bills
Paid and Consent of Surety signed by the general contractor's surety (if any) to ensure that all
subcontractors and suppliers for the Improvements have been paid in full.
G. Developer shall award and oversee all contracts for the construction of the
Improvements.
City of Fort Worth,Texas
Community Facilities Tri-Party Agreement
CFA Official Release Date: 07.01.2015
Page 3 of 10
H. Except as otherwise stated in this Agreement, Section 11, Paragraph 8,
Administration of the Construction Contract, Subsections B., C. 1, C. 3, C. 4, C. 6, F. and G. of
the Policy do not apply.
I. Contractor must be prequalified to perform work by the director of the department
having jurisdiction over the infrastructure to be constructed, said contractor to also meet City's
requirements for being insured, licensed and bonded to do work in public streets.
J. Contractor shall give 48 hours' notice to the City's Construction Services Division
of intent to commence construction so that City inspection personnel will be available; Contractor
shall allow the construction to be subject to inspection at any and all times by City inspection
forces, and shall not install or relocate any sanitary sewer, storm drain, or water pipe unless a
responsible City inspector is present and gives his consent to proceed, and Contractor shall make
such laboratory tests of materials being used as may be required by the City.
K. Developer and Contractor shall have fully executed contract documents submitted
to the City prior to scheduling a Pre-Construction Meeting. The submittal should occur no less
than 10 working days prior to the desired date of the meeting. No construction will commence
without a City-issued Notice to Proceed to Contractor.
L. Developer agrees to provide, at its expense, all engineering drawings and
documents necessary to construct the improvements required by this Agreement.
M. The City shall not be responsible for any costs for the relocation of any utilities that
are or may be in conflict with any of the community facilities to be installed hereunder.
The following checked items are associated with the project being undertaken; checked
items must be included as Attachments to this Agreement:
Included Attachment
N Attachment "I"
E Location Map
71 Exhibit A: Water Improvements
N Water Estimate
M Exhibit A-1: Sewer Improvements
N Sewer Estimate
N Exhibit B: Paving Improvements
N Paving Estimate
M Exhibit B-1: Storm Drain Improvements
Cl Storm Drain Estimate
Cl Exhibit C: Street Lights and Signs Improvements
El Street Lights and Signs Estimate
IV.
City of Fort Worth,Texas
Community Facilities Tri-Party Agreement
CFA Official Release Date: 07,01.2015
Page 4 of 10
A. It is agreed by and between the parties that a Maintenance Bond, in the form as
provided by City, in the amount of One Hundred Percent (100%) of the Improvements shall be
furnished by Contractor in favor of City for a period of two (2) years from the date of acceptance
of the Improvements.
B. In the event the amount of this contract is in excess of the sum of Twenty-Five
Thousand Dollars ($25,000.00), a Performance Bond, in the form as provided by City, in the
amount of One Hundred Percent (100%) of the Improvements shall be furnished by Contractor in
favor of Developer and City.
C. In the event the amount of this contract is in excess of the sum of Twenty-Five
Thousand Dollars ($25,000.00), a Payment Bond, in the form as provided by City, in the amount
of One Hundred Percent(100%) of the work shall be furnished by Contractor in favor of City and
Developer and is intended for the benefit of all persons, firms and corporations who may furnish
materials for or perform labor under this Agreement and the Developer Contract.
V.
Developer hereby agrees to pay Contractor for the work performed hereunder pursuant to
the Developer Contract.
VI.
A copy of the Standard Specifications for Public Works Construction can be obtained by
the Contractor the City of Fort Worth's Buzzsaw site at lit :/J1zitlWgOy
VII.
This contract shall bind the parties, their heirs, successors, assigns and representatives for
the full and faithful performance of the terms hereof,jointly and severally.
VIII.
It is understood and agreed that all installations of Improvements made under the terms of
this Agreement shall, upon acceptance of same by the City, immediately become the property of
the City, as provided for by separate instrument, or this Agreement.
IX.
A. The Developer covenants and agrees to, and by these presents does hereby,
fully indemnify, hold harmless and defend the City,its officers, agents and employees from
all suits, actions or claims of any character, whether real or asserted, brought for or on
account of any injuries or damages sustained by any persons (including death) or to any
City of Fort Worth, Texas
Community Facilities Tri-Party Agreement
CFA Official Release Date: 07.01.2015
Page 5 of 1.0
property, resulting from or in connection with the construction, design, performance or
completion of any work to be performed by said Developer,his contractors,subcontractors,
officers, agents or employees, or in consequence of any failure to properly safeguard the
work, or on account of any act, intentional or otherwise, neglect or misconduct of said
DEVELOPER, his contractors, sub-contractors, officers, agents or employees, whether or
not such injuries, death or damages are cause yd, in whole or in part, by the alleged
negligence of the City of Fort Worth, its officers, servants, or employees.
B. Contractor covenants and agrees to, and by these presents does hereby, fully
indemnify, defend and hold harmless the City, its officers, agents and employees from and
against any and all claims, suits or causes of action of any nature whatsoever, whether real
or asserted, brought for or on account of any injuries or damages to persons or property,
including death, resulting from, or in any way connected with, the construction of the
infrastructure contemplated herein, whether or not such injuries, death or damages are
caused, in whole or in part, by the alleged negligence of the City of Fort rr'orth, its olfflicers,
servants, or employees. Further, Contractor indemnifies, and holds harmless the City for any
losses, damages, costs or expenses suffered by the City or caused as a result of said
contractor's failure to complete the work and construct the improvements in a good and
workmanlike manner, free from defects, in conformance with the Policy, and in accordance
with all plans and specifications.
X.
Contractor shall, at its own expense, purchase, maintain and keep in force during the term
of this Agreement such insurance as set forth below. Contractor shall not commence work under
this contract until it has obtained all the insurance required under the Agreement and such
insurance has been reviewed by the City; nor shall the Contractor allow any subcontractor to
commence work on his subcontract until all similar insurance of the subcontractor has been
obtained. All insurance policies provided under this contract shall be written on an "occurrence"
basis.
WORKERS' COMPENSATION INSURANCE
Workers' Compensation Statutory Limit
Employers Liability $100,000 Each Accident.
$500,000 Disease Policy Limit
LIABILITY INSURANCE
City of Fort Worth,Texas
Community Facilities Tri-Party Agreement
CFA Official Release Date: 07.01.2015
Page 6 of 10
Commercial General Liability $1,000,000 Per Occurrence
$2,000,000 Aggregate
(No standard coverages are to be excluded by endorsement)
AUTOMOBILE LIABILITY INSURANCE
Commercial Auto Liability Policy $500,000 Combined Single Limit
(Including coverage for owned, hired, and non-owned autos)
UMBRELLA LIABILITY $1,000,000 Each Occurrence
(Following Form and Drop Down provisions included)
It is agreed by all parties to this contract that the insurance required under this contract shall:
(A) Be written with the CITY OF FORT WORTH as an additional insured on
General, Automobile and Umbrella Liability Insurance policies.
(B) Provide for thirty (30) days written notice to the CITY OF FORT WORTH,
before any insurance is cancelled, non-renewed or material changed, or any
other cause.
(C) Be written through companies duly authorized to transact that class of
insurance in the State of Texas. Companies shall have a minimum A.M. Best
rating of A VII.
(D) Waive subrogation rights for loss of damage so that insurers have no right of
recovery or subrogation against the CITY OF FORT WORTH, it being the
intention that all required insurance policies shall protect all parties to the
contract and be primary coverage for all losses covered by the policies.
(E) Provide Certificates of Insurance evidencing the required coverage. Each
original copy of the Agreement shall have a copy of the valid certificate of
insurance attached.
I.
If any of the terms, sections, subsections, sentences, clauses, phrases, provisions,
covenants,or conditions of this contract are held by a court of competent jurisdiction to be invalid,
void or unenforceable, the remainder of the terms, sections, subsections, sentences, clauses,
phrases, provisions, covenants, or conditions of this contract shall remain in full force and effect
and shall in no way be affected, impaired, or invalidated.
I.
This Agreement is performable in the State of Texas and shall be governed by Texas Law.
Venue shall be in the county in which the work under this Agreement is performed.
City of Fort Worth,Texas
Community Facilities Tri-Party Agreement
CFA Official Release Date: 07.01.2015
Page 7 of 10
This Agreement is performable in the State of Texas and shall be governed by Texas
Law. Venue shall be in the county in which the work under this Agreement is performed.
XIII.
This Agreement may be executed in multiple counterparts which, when taken together,
shall be a part of one document.
EXECUTED by the parties in multiples, effective as of the later date subscribed by a
Party hereto, as set forth below:
CITY OF FORT WORTH
M&C No.
Date:
By:
By:
Jesus J. Chapa NAME
Assistant City Manager TITLE
Date: Date:
Recommended by:
Auested by:
t4Se6eUtry
Wendy Chi-pabulal, EMBA, P.E. 04�
"coo
Development Engineering Manager
/
Water Department
t'j C
Douglas Wiersig, P.E.
Director
Transportation & Public Works Department
Approved as to Form & Legality:
Douglas W. Black
Assistant City Attorney
City of Fort Worth,Texas OFFICIAL RECORD
Community Facilities Tri-Party Agreement CITY SECRE'171AY
CFA Official Release Date: 07.01.2015
Page 8 of 10 F1' WORTH, TX
DEVELOPER
Name: LQ Development, LLC c/o Wilson
tonaker
Title: <,ritle> o-aii `�M..... .
Date:
CONTRACTOR
Name: contaser construction TX,L.P.
Title: Brock Huggins,V.P.
Date: -------
City of Fort Worth,Texas
Community Facilities Tri-Party Agreement
CFA Official Release Date: 07.01.2015
Page 10 of 11
ATTACHMENT"1"
Changes to Standard Agreement
Community Facilities Tri-Party Agreement
City Project No. <City Project#>
<Insert "None."if there are no negotiated changes. If changes have been negotiated,please insert them
below citing to the paragraph for reference.
City of Fort Worth,Texas
Community Facilities Tri-Party Agreement
CFA Official Release Date: 07.01.2015
Page 10 of 10
AC40RV CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD Y)
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(les) 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 NAME: T
NMEo
The Sweeney Company F Y PH Via. (817)4,57-6700 - ..._. �aI tB.."Yp4°sT Yztl6
1121 E. Loop 520 Sou E-MAIL
ADDRESS
P O Box 8720 INSURER_(S AFTORDIr.G c_. _. .„ __..._... NAic a
,
Fort Worth TX 76124-0720' INSURERA.BitCO National. Insurance Co 20109
.-__ - -.-. ._.....__ _..... _....,.,_.__ .. _ ..... ._.. - ....
INSURED INSURERS,Bituminous General Insurance C® 20095
... ._.-_.
Connatser Construction TX, LP INSURER C:
P.O.Box 15446 INSURERD.
INSURER E
Fort Worth TX 76119 INSURERF:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY TFIAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWTHSTAN'DING A114Y REQUIREMENT', TERM OR CONDITION OII' A114Y CONTRACTOR OTHER DOCUMENT” TH RESPECT TO WHiCH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, TFIE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALI...THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
dIS F� _ ......�._.-°- ----..,...._,__ A[9D1 90S'I _._ _. POLICY EFF...... POLYCW... P ..,..__._ ......... IT „_,..... _.
LTR TYPE OF INSURANCE POLICY NUMBER IMMiDDNYYYI IMWDDPCrYY) LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
I ... _.
...__ L7AMAC`E TC�REN"TED
A ......_�CLAIMS-MADE 1. CUR PAC;.IOSES�ta.-sacdnarranca,L..,, $ ....__. 1a0 000„
X „ ..,.__C s..._ T] ._ ....., CLP 3 624 273 8/1/201.5 8/3./2016 MED EXP(Any one person) $ s,000
.......
X INDEP_...._NT, BE`PD. .�._,.. _..._. PERSONAL&ADV INJURY.. $ 1,000,000
_._.___ .._.I.. _._._ .__...
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
_ _.
F,rA..ICY LOD PRCADUCTS..C C M.P..1...e PA,GC $ 2....0......0......0...... aao
OTHER'.
SMEINEC3
. : ...u..N..... L LIMIT AUTOMOBILE LIABILITY 1ETsc:i $ 1,000,000
................._
A X A21Y AUTO r a BODILY INJURY LI"er p er anml S
....,.,. ._......... ........_._.. .. ,.___._, ............... ....__....
ALL OWNED SCHEDULED 3 624 272 5/1./201,5 8/1./201.6 BODILY INJURY QPer arrlde nQ $
_...
AUTOS AUTOS
.......a.... ., _...m....,...
NON-OWNED �5R—CFPENTY DAeVi.SGE $
,...,....... HIREDAU'TOS ......,__ AUTOS _(F��rr._accedxrat) ..._ .. ._..
_ _ ....
$
X UMBRELLA UAB X 6.'.1ccurk P EACH OCCURRENCE $ 51000 0�-�....
B EXCESS LIAB CLAIMS-MADE AGGREGATE' $ S OCIp�000
_ .. _ _.......,__.
DED X RETENTION$ LD 0p0 CUP 2 807 688 8/1/201.'5 8/1/201.6 $
WORKERS COMPENSATION X PER 'H
AND EMPLOYERS'LIABILITY YIN ..".'p -rum _. , ....... m ..
ANY PROPRIETORPPARI'NERtEXECUTIVE L L.EACH ACCIDENT $.. _..-------1,000,000
OFFICEWMEMBER EXCLUDED? �� NIA -....--. -
H Mandatory In NH) °' WC 3 624 273. 8/1/2015 - 8/1/2015 E I,DISEASE-EA EMPLOYE E_$_ 1�000 a 000.
y Ie under __............. .........- ...
I es,daac'ae
O as, OF OPERATIONS below E.L..DISEASE-POLICY LIMIT $ 1 000 000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached H mom space Is required)
PROD 02651 DOE 7484 LANDMARK QUEBEC SANITARY SEWER, PAVING & WATER IMPROVEMENTS. ALL POLICIES INCLUDE
BLANKET AUTOMATIC WAIVER OF SUBROGATION ENDORSEMENT & THE GL, AUTO & LICIES INCLUDE A BLANKET
AUTOMATIC ADDITIONAL INSURED ENDORSEMENT PROVIDING ADDITIONAL INSURED & WAIVER OF SUBROGATION STATUS TO
THE CERTIFICATE HOLDER WHEN THERE IS A WRITTEN CONTRACT BETWEEN THE NAMED INSURED & THE CERTIFICATE
HOLDER THAT REQUIRES SUCH STATUS. THE GL ADDITIONAL INSURED ENDORSEMENT CONTAIN'S SPECIAL PRI14MY &
NONCONTRIBUTORY WORDING. THE POLICIES INCLUDE AN ENDORSEMENT PROVIDING 30 DAYS NOTICE OF CE TION(10
FOR NON'-PAY OF PREMI )TO THE CERTIEICA HO ER,
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
TIC OF FORT WORTH THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
1000 THROCKHORTON ST ACCORDANCE WITH THE POLICY PROVISIONS,
FT WORTH, TX 76102
AUTHORIZED REPRESENTATIVE
Charles SwEhe4eey"/n;I'OYCTlzro
(J
1988-2014 ACORD CORPORATION, All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
INS025 o1lwi
°4C R" CERTIFICATE OF LIABILITY INSURANCE DA IM DD 1
7/30/2015
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 pollcy(les) 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 ONTA r...
NAME:
..........
The Sweeney Company PHONE�e[xBL (817)457 6700 �Aare PSI 18A II467 T2�6
1121 E. Loop 820 South MAIL
ADDRESS.
P 0 Box 8720 INSURERISJ-AFFORDING COVERAGE NAIC#
Fort Worth TX 76124-0720 INSURERA-Dikco-_Na tonal _Insurance Co _ 20109
.. ._..... _._a.._._. _ ..—_. -_._ .... ----
INSURED INSURER B Bituminous inous neT l Insurance Cq 20095
.. _ .. ... ......
Conatser Construction TX, LP INSURERCc
P,O.Box 15448 INSURERD:
INSURER E„
Fort Worth TX 76119 INSURERF
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TILE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT vwm RESPEC"I''TO WHICH 'PHIS
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.LIMk"I'S SI°IO MAY HAVE BEEN REDUCED BY PAID CLAIMS.
__, ...... .. ......
UNSP --_ DO SUB ,.._ _,._.. _.POLICYEFF ,.POLICYEXP_ .... ... -_..,...w.
LTR TYPE OF INSURANCE if POLICY NUMBER 1MWDDfYYYYI (MMIDDMYYI LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE_ $ 1,000,000
A CLAIMS-MADE _ ..., OCCUR I fEMP6 (Ea omen tl. $ 100,000
..-
.,.. _CON CONTRACTUAL X---.CU CLP S 624 278 8/:1/201.5 8/1./201.6 MLD EXI (Any one person) $ 5,000
.._ -__. ... .........m ..... ,_...... ...... >......
X IMT? CO F D PERSONAL 8 ADV INJURY $ 1,000,000
_.. .__.n A m _.._.,..— ........ .__-._._ _._.. _.........
GEN'L AGGREGATE LIMIT AI>'PLIES DER: GENERAL.NE:RAL.AGGREGATE: $ 2,000,000
PO_ICY ..X PRO- LCD" PRODI ICTS-COMPA)P AGG $ 2,000,000
OTHER: $ .....
AUTOMOBILE LIABILITY COMBINED SINGLE E L IMk $ 1,000,00 0
A ...... ANY ALITO 11301:LY INJURY(Per Inrwn) $ __.... ...---
. _. ...—. ._....... .._ ... m.—---------
ALL OWNED SCHEDULED 0 624 272 8/1/2015 8/1/2016 BODILY INJURY(Perscaadantfl $
_ AU (..)S _......... AUTC`:*
NON.:OWNED PROPER'T'Y D1+14"lAG,�C
IiVRE,OAUT'G)F, AtlUTQ1E JPer_ac6dee t.......
X UMBRELLA LIAB i....X OCCUR I EACH 0C.CURREFkCPc-. ....._._ $ 5A.000 000
EXCESS LIAB C L.AIMS MADE AGGREGATE $ 5 e 000,000
B __�...... ,,...,._,.-_._. ......�.__...-----
DEL) X RETENTION$ 10 DDO CUP 2 807 688 8/2/2015 8/1/2016 $
WORKERS COMPENSATION XT P v TII
AND EMPLOYERS'LIABILITY YIN
P AT UTE .. ,EIS,,,,_„ ,.,
-n ....
ANY PROPRIETORIPARTNERtEXECUTI'VE _.._ 1=I...EACH ACCIDENT $ ,... ,T e 000 000
OFFICER./MEMBER EXCL.UDED'T �._ .1 N 1 A .. ,..... ,.... .... ......
H (MandatcaryInNH) - 0 624 2"I'.L III/:II./20:p..a 8✓:L/20.T6 .E.L DISEASE q,,.EAEMPLOYL
It gges,descnbe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES (ACORD 981,Additional Remarks Schedule,may be attached H more space Is required)
OJ 02631 DOE 7484 LANDMARK QUEBEC SANITARY SEWER, PAVING & WATER IMPROVEMENTS. ALL POLICIES INCLUDE A
BLANKET AUTOMATIC WAIVER OF SUBROGATION ENDORSE, NT & THE GL, AUTO & UMB POLICIES INCLUDE A BLANKET
AUTOMATIC ADDITIONAL INSURED ENDORSEMENT PROVIDING ADDITIONAL INSURED & WAIVER OF SUBROGATION STATUS TO
THE CERTIFICATE HOLDER WHEN THERE IS A WRITTEN CONTRACT BETWEEN THE NAMED INSURED & THE CERTIFICATE
HOLDER THAT REQUIRES SUCH STATUS. THE GL ADDITIONAL INSURED ENDORSEMENT CONTAINS SPECIAL PRIMARY &
NONCONTRIBUTORY WORDING. THE POLICIES INCLUDE AN ENDORSEMENT PROVIDING 30 DAYS NOTICE OF CE TION(10
R NON-PAY OF P MI )TO THE CERTIFICATE HOLDER.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
LQ DEVELOPMENT LLC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
% WILSON & STONAKER ACCORDANCE WITH THE POLICY PROVISIONS.
P 0 BOX 93898
SOUTH LAKE, Tx 76092 AUTHORIZED REPRESENTATIVE
Charles Sweeney/JOYCE
1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
I S025 milodmi
---------- . ..................
Lj
V) z
z
..............
TEL p— E
CHA E
OMANCH Y >-CRAH-.
YEAR
_AE'A H
9UEBEc MANOR 199
� r . ��
< r
0
0 w.
-y
<
820
M A P
VI C'N I N
IT`S
A
Wir i ke I rn a r i rl LAAgMW' QMMV AVMDW
& Associates, Inc. f T,!MM MOUNT COINTY. TX
..............—,
IWFICS�..........C"N"H ING111141FRAS . SlWwyoln J. W. BASQUES SUIRVEY, ABSTRACT NO,. is's
"'ll"G I
�w::!�490-709n FAX�972) 490 7099 CITY OF FORT VMTH
ANT COUNTY TEXAS
Scuts , NTS Date : 07-01-2015 ILLC
Dwg. no 47419 CFA WTR I1R. P.O. BOX 93898 4
47419.00
...................................................--.......................................................--.................................................--.-.................................
........... ..................................... ............ ........-- ....................
F' l........ ........---------------------- .......
WA 7ER PROP. 8
7 D FH
WA 7ER CONNECT TO EXIS
rr712" WA 7ER
2.-.-12.-12.---12.......................... 12-V.2---12-
IMMUSULTINC,OAll INGINEIRS m SURVEYORS jyo�
:117:i!�490 1090 IAX �972� 490 ,1099 CITY OF FORT WORTH 2
07-114-2015 LO DEVELOPMENT. L,LC
SCUTHLAXE. TX 760
........... ...............
CONNECT TO EX. 4 SSMH
CC JD2 PROP. 10" SS �
1
6® SM
STUBOUT
_.
® CONS774. 4' SSMH
ms ms — __ _ ... un
PROP. ' SSW &
STUBOUT P
Pf?OP. 6- STUBOUT I u mm
fdW L®T� �
( I LOT .J
p (� ACRES
FT)
—
A-11
sir e r�
dates,
wmSw"o��a,r cwou rtiaaod ■ SURVEYORS 7 YCkT BASQUES Q 972�90 7090 vAx(97 D 4mw,.mqq CITY OF FT WORTH 3
COUNTY ,TEXAS S� B� 4
sea's :91""a auto ; 07-14— P.O. BOXII ENT, LLC
T�4
^
.......... .................
JL JR, BLOCK I
CC jV214096079
CC kV214096079
Dc
L492A 1.074"
NC
ACC TO 82
Ap
lwxm 110ING CiAll Eliql[AMEER's a SURVEYORS I M. BASWES SURVEY, AUSTRART NO, 55
Votm; 07-01--T2015 TARRMI&OUNM 'MXA.S OF
Prnject No, r 474400 _a F. TX 79nQ2
CD O d d d d O d d d d 0 d d
CA CA O d d d d CA O d d d d O d
CA O d CA d d d d d O CA d O d
CA O CA d d d us ul d M d CV CV CA d
co CV 4S uj to d Pte- CV M CV (D M r Cf� aC3
u3 r Cri (14 W, 6C8 �°' 61> r I°4 M
CA 6s 6q
0 04
O O
W C d O O 70 d d d d p o d O d d
d d CJ d d d d d M N d d d
C•C) OU d C7 d d 9 d f i17 d" d d
� to to sri u7 to �.? hW- tCi CV Efl �! QC? d0
�1 N CV cf� C4 M M
CA CA on
CF3 C!3 ffl Ef3 Eflr
O
U7
h
L
m
LWL UJ d X X X X X X
0 U) M X X X X X X X X
N X X X X X X X
r-
I®
c a < w d w d S d
� a w w w w w � w w w w w
G,x,7 u w
.. aa cA2
M 04
od C ?
®
c.u.�
Fcrw m r a
ES
W
Z
W z
LJ ~ �
, . . ~
69 ul