Loading...
HomeMy WebLinkAboutResolution - 2002-R0095 - Transportation Contracts - Acosta Drilling - 03_14_2002Resolution No. 2002-R0095 March 14, 2002 Item No. 27 RESOLUTION BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK THAT the Mayor of the City of Lubbock BE and is hereby authorized and directed to execute for and on behalf of the City of Lubbock, contracts between the City of Lubbock, Texas Department of Transportation, and Acosta Drilling for temporary use of highway right-of-way during groundwater nitrate investigations. Said Contracts are attached hereto and incorporated in this resolution as if fully set forth herein and shall be included in the minutes of the City Council. Passed by the City Council this 14th day of March , 2002. /4LJ WINDY SITT N, MAYOR ATTEST: City Secretary APPROVED AS TO CONTENT: Ed Bucy Right -of -Way Agent APPROVED AS TO FORM: William de Haas Contract Manager/Attorney Dh/Ccdocs/Acosta,TxDOT,COL.res February 14, 2002 14 a Resolution No. 2002-R0095 Texas Department of Transportation P.O. MOX 771 * LUBBOCK, TEXAS 79408-0771 * (806) 745411 02/20/02 Temporary Substance Investigation Permit FM 835/FM 1729 Lubbock, County Carrie G. Dorrance Environmental Compliance Specialist City of Lubbock, Texas Dear Mr. Dorrance: Enclosed for your files is one fully executed copy of the Agreement for Temporary Use of Highway Rights of Way between the TNRCC and TXDOT. We urge that proper safety measures as outlined in the Texas Manual Of Uniform Traffic Control Devises be employed to protect the public at all times. Drilling must be accomplished on the back slope of the highway facility at three (3) feet from the right of way line. The Lubbock District records do not indicate any recorded utilities in this area, but this should be investigated to determine the true on -site situation. It is suggested that the utility locator services be contracted before any digging commences. The 800 number is 1-800-DIGTESS (344-8377). At the request of Ron Baker PE., Area Engineer, please advise James Phillippe Maintenance Supervisor for Lubbock County Maintenance Section Supervisor, by calling (806) 745-4688 or by mail PO Box 771 Lubbock, TX 79408 respectively, when actual work will begin. Wells must be placed no closer than 3 feet behind the back of curb & gutter sections and no closer than 16 feet from the edge of travel lanes where no curb & gutter exists. We appreciate your patience and cooperation in this matter and if additional information is needed, please advise Mr. Guy Sledge at P.O. Box 771, Lubbock, TX 79408 or Phone (806) 748-4486. Si .. erely, aude Kneisley District R.O.W.Administrator Lubbock District CCK/jt cc: Ron Baker PE., Area Engineer James Phillippe, Maintenance Supervisor Lubbock, TX An Equal Opportunity Employer Resolution No. 2002-R0095 March 14, 2002 Item 27 AGREEMENT FOR TEMPORARY USE OF HIGHWAY RIGHT OF WAY DURING GROUNDWATER NITRATE INVESTIGATIONS State of Texas County of Lubbock This Agreement is made by and between the Texas Department of Transportation, hereinafter referred to as the "State" and both Acosta Drilling, hereinafter referred to as the "Contractor(s) and the City of Lubbock, hereinafter referred to as the "Owner(s)". WITNESSETH WHEREAS, the Contractor(s) and Owner(s) desire to perform/install a flush mount monitoring well within highway right-of-way on East 50"` Street and to establish the presence, extent, or absence of nitrates in ground water in connection with the Owner's Land Application site, with a Texas Natural Resource Conservation Commission TPDES Permit No. 10353-002, Agreed Order dated 16 Nov 1989, and the Ground Water Remediation Plan. WHEREAS, the Contractor(s) and Owner(s) have requested permission from the State to use East 50" Street Right-of-way approximately 4100 ft. east of the intersection of F.M. 835/FM 1729 and about 55 feet south of the road centerline in the County of Lubbock, for the purpose of constructing, maintaining, and operating a water quality monitoring well hereinafter referred to as the "Activity" as shown on Exhibit "A" and hereby made a part of this Agreement. AND WHEREAS, the Texas Natural Resource Conservation Commission (TNRCC) has given the State written concurrence that the Contractor(s) and/or Owner(s) may need to access and temporarily use said highway right-of-way for purposes of investigation for nitrates in connection with TPDES Permit No. 10353-002, Agreed Order, and the Groundwater Remediation Plan, and said written concurrence is hereby attached as Exhibit "B' and made part of this Agreement. NOW, THEREFORE, in consideration of the premises and of the mutual covenants and agreements of the parties hereto, to be by them respectively kept and performed as hereinafter set forth, it is hereby agreed as follows: 1. It is expressly understood that except as set forth herein, the State does not purport hereby to grant any right, claim, title, or easement in or upon this highway. Furthermore, approval of this Agreement by the State does not constitute approval by any other Texas State Agency. 2. The Activity shall be conducted in compliance with all governing laws and State regulations and policies. 3. The Contractor and Owner shall have the Activity performed in such a manner so as to minimize inconvenience to or interference with highway traffic. Any traffic control devices required by said Activity shall be installed by the Contractor or Owner and shall be in accordance with the Texas Manual on Uniform Traffic Control Devices for Streets and Highways. 4. The Contractor and Owner shall provide necessary safeguards to protect the public during the Activity including adequate insurance for payment of any damages which might result from the Activity, and shall save the State harmless from damages, to the extent of said insurance coverage and insofar as the Contractor and Owner can legally do so. 5. The Contractor and Owner agree to indemnify and save harmless the State, its agents and employees, from all suits, actions or claims, and from all liability and damages for any and all injuries or damages sustained by any person or property as a consequence of any neglect in the performance of the Activity and any related action by the Contractor or Owner and from any claims or losses arising or recovered under the "Workers' Compensation Laws"; Article 6252-19 of Vernon's Civil Statutes (Texas Tort Claims Act); or any other laws. 6. The Contractor and Owner shall further indemnify the State and accept responsibility for all damages or injury to property of any character, including utilities, occurring during the prosecution of the Activity resulting from any act, omission, neglect or misconduct on the part of the Contractor or Owner in the manner or method of executing the Activity. 7. The Contractor's and Owner's attention is directed to the fact that utility installations owned by others exist in the right-of-way. The Contractor or Owner shall provide adequate notice of the Activity to all utility companies potentially impacted by the investigations. 8. The referenced Activity shall conform to a plan of action with intent to: (a) establish the presence, extent or absence of nitrates in the ground water within the referenced highway right-of-way, (b) determine ground water flow direction, or (c) provide information for proposal of site remediation. 2 9. Prior to termination of this Agreement, the Contractor and Owner agree to remove the Activity and all of its facilities from the highway right-of-way and restore the right-of-way to its approximate original condition, free of any right- of-way damage, including ruts or any other injury to the environment. It is further agreed that the Contractor and Owner shall be liable for and obligated to clean up and remediate any contamination of substances in the right-of-way found to originate from the Owner's property. All liability and obligation shall be borne by the Contractor and Owner until such time as a letter from the Texas Water Commission (TWC) is received by the State stating that the said site investigation and remediation is complete. Any costs incurred by the State for repairs to the highway facilities, for removal of the Activity, or for any other necessary restoration/remediation work performed by the State will be billed to the Contractor and Owner at cost. 10. The Contractor and Owner have provided the State with a Certificate of Insurance on a Department's standard form covering the below listed insurance limits for the duration of the Activity. Contractor Certificate of Insurance shall be endorsed with a Wavier of Subrogation in favor of the State. Such Certificate of Insurance is attached as Exhibit "C" and is hereby made a part of this Agreement. A. Workers' Compensation Insurance Amount - Statutory The Contractor and Owner have provided the State a Certificate of Insurance on a Department standard from covering the below listed insurance limits for the duration of the Activity. Contractor Certificate of Insurance shall include Contractual Coverage and shall be endorsed with a Waiver of Subrogation in favor of the State and shall endorse the State as an Additional Insured. B. Comprehensive General Liability Insurance Amounts - Bodily Injury $500,000 each occurrence Property Damage $100,000 each occurrence $100,000 for aggregate or Commercial general Liability Insurance Amount $600,000 combined single limit each occurrence and in the aggregate C. Comprehensive Automobile Liability Amounts - Bodily Injury $250,000 each person $500,000 each occurrence Property Damage $100,000 each occurrence 11. It is mutually agreed and understood that this Agreement shall terminate after a period of not more than one (1) year from the date of the final execution of this Agreement. 12. The State reserves the right to terminate this Agreement at any time after notifying the Contractor and Owner in writing thirty (30) days in advance of the intended termination. The State also reserves the right to extend the period of this Agreement within thirty (30 days of receipt of a written request from the Owner). The state shall review the Owner's request for time extension and if acceptable, shall execute an amendment to this Agreement. Said amendments to this Agreement shall be executed by the Contractor and Owner, and must include all supporting documentation from the Contractor and Owner addressing all proposed revisions to the Activity's limits and period of work. Said amendments shall be attached hereto and shall be made a part of this Agreement. In Testimony Whereof, the parties hereto have caused these presents to be executed on the dates below stated. city pboc By. �/ Name: Windy Sitton Mayor Address: P.O. Box 2000 1625 13d' Street Lubbock, TX 79457 Date: March 14, 2002 ATTEST: By: Rebecca Garza City Secretary Date: March 14, 2002 THE STATE OF TEXAS Certified as being executed for the purpose and effect of activating and/or carrying out the orders, established policies, or work programs heretofore approved and authorized by the Texas Department Of Transportation Commission under the authority of Minute Order 82513. -(�; t s District engineer Lubbock District Date: Z- Zy- o z 4 APPROVED AS TO CONTENT: Ed Bucy Right of Way Agent Date: APPROVED AS TO FORM: By: William 4e-ass— Contract Manager/Attorney Date: CONTRACTOR NAME: Acosta Drilling By:1 Name: Victor M. Acosta Owner/Operator Address: P.O. Box 1181 Lamesa, TX 79331 Phone: (806) 872-5850 Date: � — ?--- 02 List of Attached Exhibits A --Site Layout & Proposed Activity B_--TNRCC Concurrence C--Certificate of Insurance Robert J. Huston, Chairman R. B. "Ralph" Marquez, Commissioner Kathleen Hartnett White, Commissioner Jeffrey A. Saitas, Executive Director Resolution No. 2002—R 0095 j LJ �_ , 4 1 2001 DISTRICT FIVE TEXAS NATURAL RESOURCE CONSERVATION COMMISSION Protecting Texas by Reducing and Preventing Pollution December 19, 2001 Mr. Guy Sledge Texas Department of Transportation P.O. Box 777 Lubbock, Texas 79408-0771 Re: Request for approval for the installation of additional monitoring wells in TxDOT Right of Way at the Lubbock Land Application Site. TPDES Permit No. 10353-002 Dear Mr. Sledge: The Texas Natural Resource Conservation Commission's Ground Water Protection Team is currently working with the City of Lubbock in their effort to install additional groundwater monitoring wells at their land application site. During this effort it has come to our attention that up to three (3) additional monitor wells will need to be installed in the Texas Department of Transportation (TxDOT) right of way. Since these additional wells are necessary in the City's effort to define the groundwater conditions at the site we are requesting approval from TxDOT to install up to three (3) monitor wells in your right of way. If you have any questions, please contact Mr. Mike Chadwick at (512)239-0996 of the Groundwater Protection Team, or if by correspondence, include MC 150 in the letterhead address following his name. Sincerely, Richard Eyster, Team Leader Groundwater Protection Team Water Quality Division RE/sa ccs: Mr. Keith A. Pardue, Pardue & Associates, 16047 Fontaine Ave., Austin, Texas 78734 Mr. Jim Estes, Region Office 2 Mr. Patrick Cooke, Region-2 Mr. Michael Meyer, MC-149 Mr. Steve Musick, MC-147 Mr. Mark Fisher, MC-150 Exhibit B P.O. Box 13087 Austin, Texas 78711-3087 ' 512/239-1000 Internet address: www.tnrcc.state.tx.us , printed on receded paper using uw-hased ink CERTIFICATE OF INSURANCE Resolution No. 2002—ROO95 TO: CITY OF LUBBOCK DATE:g J R Jn t P.O. BOX 2000 LUBBOCK, TX 79457 ITB #193—01/R.TYPE OF PROJECT:Construction of Acosta Drilling Remediation Manirnrlsampli„g water wells THIS IS TO CERTIFY THAT P.O. Box 1181, Lamesa, Tx. 79331 (Name and Address of Insured) is, at the date of this certificate, insured by this Company with respect to the business operations hereinafter described, for the typed of insurance and in accordance with the provisions of the standard policies used by this company, the further hereinafter described. Exceptions to standard policy noted hereon. TYPE OF INSURANCE POLICY NUMBER EFFECTIVE EFFECTIVE LIMITS DATE DATE GENERAL LIABILITY Commercial General Liability MP1924442E 5/8/01 5/8/02 General Aggregate$ 2.000,000 0 Claims Made Products-Comp/Op AGG $ _ Occurrence Personal & Adv. Injury S1 , 0 Owner's & Contactors Protectivi Each Occurrence $ 1>130U,UUU Fire amage (Any one Fire) S 100,000 MedE 5 p (0 y one Person) 0 U S AUTOMOTIVE LIABILITY lK Any Auto AU1397742E 5/8/01 5/8/02 Combined Single Limit $1 .000,000 0 All Owned Autos Bodily Injury (Per Person) S 0 Scheduled Autos Bodily Injury (Per Accident) 0 Hired Autos . Property Damage S 0 Non -Owned Autos 0 GARAGE LIABILITY 0 Any Auto Auto Only - Each Accident S 0 Other than Auto Only: Each Accident S Aggregate S 0 BUILDER'S RISK ❑ 100% of the Total Contract Price $ 0 INSTALLATION FLOATER S EXCESS UABILITY 0 Umbrella Form Each Occurrence S Aggregate S 0 Other Than Umbrella Form S WORKERS COMPENSATION AND NW131224 2E 5 / 8 / 01 5/8/02 EMPLOYERS' LIABILITY The Proprietor/ 0 Included Statutory Limits Partners/Executive Z Excluded Each Accident S 500,000 Officers are: Disease Policy Limit S 500 0,� 0 Disease -Each Employee S 500,000 OTHER The above policies either in the body thereof or by appropriate endorsement provide that the may not be changed or canceled by the insurer in less than the legal time required after the insured has received w%en notice of such change or cancellation, or in case there is no legal requirement, in less than five days in advance of cancellatio FIVE COPIES OF THE CERTIFICATE OF INSURANCE . (Name o :er) MUST BE SENT TO THE CITY OF LUBBOCK By: Title: Partner, Trimble—Batier Insurance Associates, L.L.P. Exhibit C " HIV CERTlFlCATE OF LIABILITY INSURANCE ACOST-z 09 27 01 asw THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE mble-Bat jer Ins. Assoc LLP HOLDER. ?HIS CERTIFICATE DOES NOT AMEND, EXTEND OR Box 2480 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Angelo TX 76902-2480 on1e: 915-6'.53-6733 Fax: 915-653-3754 INSURERS AFFORDING COVERAGE so WUffllA National Aminrican Ins Cc INS~ a Acosta Drilling VaURCRC V . 0. Box 1181 INSUFeR Q Lamesa TX 79331 INSURER E: .VERAGE3 •HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING WY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ,AAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH ,IOLICIE3. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. %+ TYFB OP INIPVRANCB TOLLY ON POLICY B-POLICYMODIT)DMI LOAM a 00AWALLIABILITY EACH OCCURRENCE $1, 000, 000 _ z Z COMMERCIAL GENERALLNBIUIY CLAM MADE ® OCCUR *SEE SPECIAL MP1924442E 05/08/01 05/08/02 FIREDAAIAGE(IVvmmrle) 1100,000 MED EXP (Ary or* vmm) s 5 000 PeRMONAL&ACV INAXiY s 1,000,000 PROVISIONS OENERALAGGREGTB s2,000,000 GEmL AGGREGATE LMT APPLIES PER:. z PouCY 7'O LOC PRooucm-coMP/OPAGO s2,000,000 j A ITOMOERE z �+. Z x LIABILITY /WAUTO ALL OWNED AUTOS SCHwuLW A/TOS HIRED AUTOO N• NOOYNen AUTOS +++SEE SPECIAL AU1397742E 05/08/01 05/08/02 coMFFEDAr srjmaLr (ea acc0m $1, 000, 000 SOOLY wuar (Perm—) = eoolLr wlurtr Mw �ccgsAa s yMAM (Pp acOaw G f PROVISIONS DAIUDE L "D"TT .ANY ALTO AUTO ONLY. a^ AOCCeNr s 01"mPTHAN VA ACC AUTO ONLY. AM $ f EXCE9E LNBNRY 317 OCCUR Q CLAM MADE OEOUCTTae Z RET@NDON Is 10,000 ME1356542E 05/08/01 05/08/02 EACH OCCURRENCE $1, 000 , 000 AGGREOATB S1,000,0 s $ Is 11101440M COAOENEATION AND EMFLOYEPW LYIEs.ITY NW1312242E -­s= syscZAL FRAMSZORS 05/08/01 05/0.6/02 TORT MITE EA eicACNAcccww s 500000 E.L.Olsrese-VAeMPLOYM 9500000 e.L.OISeAse- POLICY Uwr s 500000 O►IIMTIONSILOCATIONMnmCLBN%CLUs10Nt ADDED BY VAORS"w lwaCNL PROY1IIII01" AL PROVISIONS-polls Intl blkt 30 day notice of canal/Taatl chg nonpay, 10); addl insd (except wc) i waiver of subro in favor of any Or Organization as required by s1gaed, written contract. Re: Ition of Rowd-Iatlon Monitor/Sampling Water Well ITS #193-01/RS :HOLDER N I ADOMONIALINEUKED:W40UMRLETTEIt CANCELLATION CITLUTZ SHOULD ANT OF THE ASOYE OESCIWOC PQUClss" CANCELLED EBOM THE EXPAMTMON DATE TMEgOP, THE ISILMM M 5UOMR PILL ETIDEAYOR TO AAA. 3fL- DATE 1MOTTEN City of Lubbock NOTICE TO THE CIRTIFICATIN HOLOM NAMED TO TM LEFT, EUT FALUAE TO DO so 04N.L P P.O.Box 2 Dept. WPOSE NO 08UBATION Oft WAEAJTY OP ANY KIND U►ON THE NEUV0% ITS AGENTS Oft ,O. Sox 2000 Lubbock TX 79457 n&I-KESENTArrAL 1988 Resolution No. 2002—R0095 Department of Human Resources P.O. Box 2000 • 1625 13th Street Lubbock, Texas 79457 (806) 775-2311 • Fax: (806) 775-3316 CERTIFICATE OF SELF-INSURANCE The undersigned officer of the City of Lubbock, Texas, a Texas home rule municipality, hereby certifies that the City of Lubbock is self -insured for workers' compensation, auto liability, and general liability in accordance with the laws of the State of Texas and that the current balance of the self-insurance fund is $9,264,699.00. The existing cash asset balance is $10,420,094.00 as of the date stated below. Leisa Hutcheson Date: September 30, 2000 Risk Management Coordinator Resolution No. 2002-R0095 March 14, 2002 Item No. 27 AGREEMENT FOR TEMPORARY USE OF HIGHWAY RIGHT OF WAY DURING GROUNDWATER NITRATE INVESTIGATIONS State of Texas County of Lubbock This Agreement is made by and between the Texas Department of Transportation, hereinafter referred to as the "State" and both Acosta Drilling, hereinafter referred to as the "Contractor(s)" and the City of Lubbock, hereinafter referred to as the "Owner(s)". WITNESSETH WHEREAS, the Contractor(s) and Owner(s) desire to perform/install a flush mount monitoring well within highway right-of-way on East 501h Street and to establish the presence, extent, or absence of nitrates in ground water in connection with the Owner's Land Application site, with a Texas Natural Resource Conservation Commission TPDES Permit No. 10353-002, Agreed Order dated 16 Nov 1989, and the Ground Water Remediation Plan. WHEREAS, the Contractor(s) and Owner(s) have requested permission from the State to use East 50" Street Right-of-way approximately 1,040 ft. east of the intersection of F.M. 835/FM 1729 and about 50 feet south of the road centerline in the County of Lubbock, for the purpose of constructing, maintaining, and operating a water quality monitoring well hereinafter referred to as the "Activity" as shown on Exhibit "A" and hereby made a part of this Agreement. AND WHEREAS, the Texas Natural Resource Conservation Commission (TNRCC) has given the State written concurrence that the Contractor(s) and/or Owner(s) may need to access and temporarily use said highway right-of-way for purposes of investigation for nitrates in connection with TPDES Permit No. 10353-002, Agreed Order, and the Groundwater Remediation Plan, and said written concurrence is hereby attached as Exhibit "B' and made part of this Agreement. NOW, THEREFORE, in consideration of the premises and of the mutual covenants and agreements of the parties hereto, to be by them respectively kept and performed as hereinafter set forth, it is hereby agreed as follows: It is expressly understood that except as set forth herein, the State does not purport hereby to grant any right, claim, title, or easement in or upon this highway. Furthermore, approval of this Agreement by the State does not constitute approval by any other Texas State Agency. 2. The Activity shall be conducted in compliance with all governing laws and State regulations and policies. 3. The Contractor and Owner shall have the Activity performed in such a manner so as to minimize inconvenience to or interference with highway traffic. Any traffic control devices required by said Activity shall be installed by the Contractor or Owner and shall be in accordance with the Texas Manual on Uniform Traffic Control Devices for Streets and Highways. 4. The Contractor and Owner shall provide necessary safeguards to protect the public during the Activity including adequate insurance for payment of any damages which might result from the Activity, and shall save the State harmless from damages, to the extent of said insurance coverage and insofar as the Contractor and Owner can legally do so. 5. The Contractor and Owner agree to indemnify and save harmless the State, its agents and employees, from all suits, actions or claims, and from all liability and damages for any and all injuries or damages sustained by any person or property as a consequence of any neglect in the performance of the Activity and any related action by the Contractor or Owner and from any claims or losses arising or recovered under the "Workers' Compensation Laws"; Article 6252-19 of Vernon's Civil Statutes (Texas Tort Claims Act); or any other laws. 6. The Contractor and Owner shall further indemnify the State and accept responsibility for all damages or injury to property of any character, including utilities, occurring during the prosecution of the Activity resulting from any act, omission, neglect or misconduct on the part of the Contractor or Owner in the manner or method of executing the Activity. 7. The Contractor's and Owner's attention is directed to the fact that utility installations owned by others exist in the right-of-way. The Contractor or Owner shall provide adequate notice of the Activity to all utility companies potentially impacted by the investigations. 8. The referenced Activity shall conform to a plan of action with intent to: (a) establish the presence, extent or absence of nitrates in the ground water within the referenced highway right-of-way, (b) determine ground water flow direction, or (c) provide information for proposal of site remediation. 2 9. Prior to termination of this Agreement, the Contractor and Owner agree to remove the Activity and all of its facilities from the highway right-of-way and restore the right-of-way to its approximate original condition, free of any right- of-way damage, including ruts or any other injury to the environment. It is further agreed that the Contractor and Owner shall be liable for and obligated to clean up and remediate any contamination of substances in the right-of-way found to originate from the Owner's property. All liability and obligation shall be borne by the Contractor and Owner until such time as a letter from the Texas Water Commission (TWC) is received by the State stating that the said site investigation and remediation is complete. Any costs incurred by the State for repairs to the highway facilities, for removal of the Activity, or for any other necessary restoration/remediation work performed by the State will be billed to the Contractor and Owner at cost. 10. The Contractor and Owner have provided the State with a Certificate of Insurance on a Department's standard form covering the below listed insurance limits for the duration of the Activity. Contractor Certificate of Insurance shall be endorsed with a Wavier of Subrogation in favor of the State. Such Certificate of Insurance is attached as Exhibit "C" and is hereby made a part of this Agreement. A. Workers' Compensation Insurance Amount - Statutory The Contractor and Owner have provided the State a Certificate of Insurance on a Department standard from covering the below listed insurance limits for the duration of the Activity. Contractor Certificate of Insurance shall include Contractual Coverage and shall be endorsed with a Waiver of Subrogation in favor of the State and shall endorse the State as an Additional Insured. B. Comprehensive General Liability Insurance Amounts - Bodily Injury $500,000 each occurrence Property Damage $100,000 each occurrence $100,000 for aggregate or Commercial general Liability Insurance Amount $600,000 combined single limit each occurrence and in the aggregate C. Comprehensive Automobile Liability Amounts - Bodily Injury $250,000 each person $500,000 each occurrence Property Damage $100,000 each occurrence 11. It is mutually agreed and understood that this Agreement shall terminate after a period of not more than one (1) year from the date of the final execution of this Agreement. 12. The State reserves the right to terminate this Agreement at any time after notifying the Contractor and Owner in writing thirty (30) days in advance of the intended termination. The State also reserves the right to extend the period of this Agreement within thirty (30 days of receipt of a written request from the Owner). The state shall review the Owner's request for time extension and if acceptable, shall execute an amendment to this Agreement. Said amendments to this Agreement shall be executed by the Contractor and Owner, and must include all supporting documentation from the Contractor and Owner addressing all proposed revisions to the Activity's limits and period of work. Said amendments shall be attached hereto and shall be made a part of this Agreement. In Testimony Whereof, the parties hereto have caused these presents to be executed on the dates below stated. OWNER NAME: City o ubbock __ By: Name: Windy Sitton Mayor Address: P.O. Box 2000 1625 13`b Street Lubbock, TX 79457 Date: March 14, 2002 ATTEST: By: _ �QL" Rebecca Garza City Secretary Date: March 14, 2002 THE STATE OF TEXAS Certified as being executed for the purpose and effect of activating and/or carrying out the orders, established policies, or work programs heretofore approved and authorized by the Texas Department Of Transportation Commission under the authority of Minute Order 513. District Engineer Lubbock District Date: Z - ZD - o z APPROVED AS TO CONTENT: C /-� u� Ed Bucy Right of Way Agent Date: APPROVED AS TO FORM: By:_ William fie -amass--- j� f Contract Manager/Attorney Date: CONTRACTOR NAME: Acosta Drilling By:2% - 271- e�Z� Name: Victor M. Acosta Owner/Operator Address: P.O. Box 1181 Lamesa, TX 79331 Phone: (806) 872-5850 Date: 2 — ,' --r 2- List of Attached Exhibits A --Site Layout & Proposed Activity B_--TNRCC Concurrence C--Certificate of Insurance Resolution No. 2002—R 0095 City of Lubbock Monitor Wells in Lubbock County.:p�'i °....... }y%1t IV UL7, NREED : JR. SCOPE OF WORK: 83376 ••_ IZCET15��•G���'. This project shall include the furnishing of all equipment, mate ria1S'`V:�0NAL��'` power, labor, tools, fuel and transportation necessary or incidental to 101a61o1 completing approximately 10 monitor/sampling type water wells in Lubbock County. Drawings of the proposed well construction and a general location map are attached to these specifications. All materials used in this project shall be NSF approved. Contractor must have a current State of Texas Well Drillers License. 1.0 Material Specifications: 1.1 Gravel: The gravel for gravel packing shall be silicate particles of rock, as obtained from sources near Brady Texas, referred to as Brady 8-16 or an approved equal. Any other well rock shall be subject to the approval of the ENGINEER prior to bidding. Gravel Specifications 100% passing No. 6 screen 40% retained on No. 8 screen 65% retained on NO. 12 screen 25% retained on No. 14 screen 4% retained on No. 16 screen crushed rock not acceptable less than 5% soluble in HCL 1.2 Production Casing: Production casing shall be 5 inch schedule 40 flush threaded joint PVC well casing as manufactured by Eagle or Jet Stream or an approved equal. Casing centralizers shall be spaced on approximately 40 foot intervals throughout the well. A 5 inch slip on cap shall be provided on the bottom section of casing or screen. 1.3 Screen: The screen shall be 5 inch schedule 40 flush threaded joint PVC well screen as manufactured by Eagle or Jet Stream or an approved equal. The screen shall have the same outside diameter as the production casing and shall have openings of .035 inch. Each well shall be screened throughout the water bearing formation. Exhibit A 1.4 Concrete: Class B concrete shall be required for the concrete surface seal and well pad." The cement shall conform to Standard Specifications and tests for Portland Cement, "A.S.T.M." Serial Designation C-150-41, and C77-40. Class B concrete shall contain not more than 7 gallons of water per sack of cement. The concrete mix shall contain not less than 4-1/2 sacks of cement per cubic yard of mix and shall have a minimum 28 day compressive strength of 2500 P.S.I. Maximum additional water of 1-1/2 gallons per cubic yard of mix will be allowed with the approval of the ENGINEER. Concrete aggregates for class B concrete shall consist of natural clean washed sand and gravel. The aggregates shall be well graded form coarse to fine and the maximum size of the coarse aggregate shall not exceed 3/4 inch. The aggregate shall be free from injurious amounts of clay, soft or flaky materials, loam or organic impurities. 1.5 Surface Pioe: The surface pipe shall extend from 2 feet below the surface to 2 feet above the surface. The pipe shall be 8-inch schedule 40 steel pipe, cleaned and painted with two coats of red primer. The surface pipe shall include a lockable cap. Surface pipe is required for 8 wells (see attachment 1). NOTE: Two of the wells require flush mount completions with manhole cover embedded in concrete for well access (see attachment 2). Manhole cover should be a high load capacity cover with the following specification: Morrison 418XA Limited Access Manhole (or equivalent) Cast Iron, Bolt -Down, Cover Seal, 12" by 12" . 1.5 Casing Seal: The five -inch plastic casing shall terminate 2 feet above the surface and be sealed with a watertight cap. NOTE: Two of the wells are flush mount and require the plastic casing and cap/seal shall terminate just below manhole cover (see drawing). 2.0 CONSTRUCTION SPECIFICATIONS: 2.1 Drilling: The use of slush pit or portable mud boxes will be CONTRACTORS choice The slush pits shall be dug by the contractor and shall be filled and leveled by the CONTRACTOR during final cleanup. Note: Two of the estimated number of wells may be located within road right of ways. The drilling shall be standard rotary drilling or air jetting: bentonite mud additives shall be used sparingly. The well shall be drilled a minimum of 8.75 inches in diameter from the surface through the water bearing formation 5 feet into the pre -Pliocene (redbed) strata. An accurate log showing the changes in the formation shall be kept by the driller and presented to the OWNER after completion of the well. 2.2 Installation of Production Casing:. Before the production casing is installed, the hole shall be clear of sand and cuttings to a point five feet below the top of the red bed formation. The casing shall be centered by attaching guides at approximately 40-foot intervals. Approximately five (5) feet of blank casing shall be installed below the bottom screen. 2.3 Gravel Packing The wells shall be gravel packed immediately after the production casing and screen have been set in place. The drill stem, without the drill bit, shall be lowered into the casing and screen to a point a maximum of 5 feet from the bottom of the screen. Gravel shall then be placed slowly into the annular space from the surface, taking precautions against mixing the gravel with drill cuttings or other debris at the surface near the well. After placement of the gravel pack, water, mud and sand shall be pumped from the interior of the screen and into the slush pit or mud box through the drill stem acting as an air lift pump. As the discharge clears the gravel level shall be checked and maintained at.a point 5 feet above the top of the uppermost screened section. 2.4 -Concrete-for Surface seal --and Well Pad: The annular space between the production casing and the wall of the hole shall be open from the surface to a depth of 10 feet. Bentonite pellets or clean sand may be used to fill the annular space from the top of the gravel pack to-10 feet below the surface. The concrete seal shall then be poured from the surface to a depth of 10 feet. A 6-foot by 6 foot by 6-inch well pad shall be poured at the surface centered around the casing. The well pad shall be reinforced with 6 by 6 mesh wire. NOTE: The two flush mount wells concrete must be sloped in order to allow for a vehicle to drive. over it easily (see drawing). The concrete may also conform to the slope of the surrounding terrain. 2.5 Development: Development shall be high volume airflow through the drill stem adjacent to the screen throughout the screened section. The volume of air shall be sufficient enough to separate sand, mud, silt and drilling mud from the gravel pack. This procedure should begin at the top of the screened section and proceed slowly to the bottom of the screened section. This procedure shall be repeated until the gravel level is stable at 5 feet above the uppermost screened section and the discharge, is clear. 2.6 Clean Up: During all phases of construction the work site shall remain free of construction debris, boxes, paper, plastics, bottles and cans. The CONTRACTOR shall provide a receptacle at each work site and no debris shall be placed in the slush pits. 2.7 Reports The drilling company shall be responsible for filing the State of Texas Well Report. A copy of this report for each well shall be submitted to the OWNER prior to final payment. 3.0 Special Information: The CONTRACTOR shall be especially cautious regarding fires. No firearms shall be allowed on the project. All losses, injuries, damages and claims for the same that result from activities of the CONTRACTOR shall be the responsibility of the CONTRACTOR. Damage to surface shall be kept to a minimum. Local farm roads provide access to the well sites. Farm roads are unimproved. The OWNER will provide very limited assistance to free vehicles that become stuck. The contractor shall be responsible for all utility locates. The contractor shall enter into agreement with Owner and the Texas Department of Transportation, for installation of two wells on highway right of way (see attachment 4, or equivalent document). Contractor is required to provide sufficient notification of work schedule, so that the owner can notify contract farm owners prior to entering private property. The contract farmers are aware of the project, but require notification before driller's enter the property. Water for drilling will be available in the Lubbock area, i.e. a meter hook- up to a fire hydrant for a $50.00 deposit. The contractor will need to supply self -owned double check back -flow preventer. The exact location of all wells will be designated at a later date. However the attached drawing shows general locations: - Schoppa Contract SE corner monitoring well 1 - Foerster Contract east side monitoring wells 2 & 3 - Jones Contract monitoring wells 5 & 6 - Adams Contract monitoring wells 7 & 8 - Monitoring well 10 is SW of plot 27 on the far east of the map - Flush mount monitoring wells 4 & 9 are located east of the intersection of FM 1729 & FM 835, south side of the road on E. 50th Street in State Right-of-way. Robert J. Huston, Chairman �;- R. B. "Ralph" Marquez, Commissioner _,�� ;. /` J L C 2 7 Z 0 Q 1 Kathleen Hartnett White, Commissioner i Jeffrey A. Saitas, Executive Director _ D � S ; � C T � V I TEXAS NATURAL RESOURCE CONSERVATION COMMISSION Protecting Texas by Reducing and Preventing Pollution December 19, 2001 Mr. Guy Sledge Texas Department of Transportation P.O. Box 777 Lubbock, Texas 79409-0771 Re: Request for approval for the installation of additional monitoring wells in TxDOT Right of Way at the Lubbock Land Application Site. TPDES Permit No. 10353-002 Dear Mr. Sledge: The Texas Natural Resource Conservation Commission's Ground Water Protection Team is currently working with the City of Lubbock in their effort to install additional groundwater monitoring wells at their land application site. During this effort it has come to our attention that up to three (3) additional monitor wells will need to be installed in the Texas Department of Transportation (TxDOT) right of way. Since these additional wells are necessary in the City's effort to define the groundwater conditions at the site we are requesting approval from TxDOT to install up to three (3) monitor wells in your right of way. If you have any questions, please contact Mr. Mike Chadwick at (512)239-0996 of the Groundwater Protection Team, or if by correspondence, include MC 150 in the letterhead address following his name. Sincerely, Richard Eyster, Team Leader Groundwater Protection Team Water Quality Division RE/sa ccs: Mr. Keith A. Pardue, Pardue & Associates, 16047 Fontaine Ave., Austin, Texas 78734 Mr. Tim Estes, Region Office 2 Mr. Patrick Cooke, Region-2 Mr. Michael Meyer, MC-149 Mr. Steve Musick, MC-147 Mr: 'Mark Fisher, MC-150 Exhibi t B P.O. Box 13087 • Austin, Texas 78711-3087 • 512/239-1000 • Internet address: wvw.tnrcc.state.tx.us printed on recycled paper using sov-based ink CERTIFICATE OF INSURANCE Resolution No. 2002-ROO95 TO: CITY OF LUBBOCK DATE: 4/ 1 R /n i P.O. BOX 2000 LUBBOCK, TX 79457 ITB #193-01/RTYPE OF PROJECT:Construction of Acosta Drilling Remediation Manirarjsamgt� warPr WP11s THIS IS TO CERTIFY THAT P.O. Box 1181, Lamesa, Tx. 79331 (Name and Address of Insured) is, at the date of this certificate, insured by this Company with respect to the business operations hereinafter described, for the typed of insurance and in accordance with the provisions of the standard policies used by this company, the further hereinafter described. Exceptions to standard policy noted hereon. TYPE OF INSURANCE POLICY NUMBER EFFECTIVE EFFECTIVE LIMITS DATE DATE GENERAL LIABILITY - N Commercial General Liability MP1924442E 5/8/01 5/8/02 General Aggregate$ 2.000,000 0 Claims Made Products-Comp/Op AGG S Occurrence Personal & Adv. injury $1 , ❑ Owner's & Contractors ProtectiveEach Occurrence S 1 , UUU Fire amage (Any one Fire) �?100,000 S . Med Exp rAn one Person) $5,000 $ AUTOMOTIVE LIABILITY Any Auto AU1397742E 5/8/01 5/8/02 Combined Single Limit $1,000,000 ❑ All Owned Autos Bodily Injury (Per Person) S ❑ Scheduled Autos Bodily Injury (Per Accident) S ❑ Hired Autos Property Damage $ ❑ Non -Owned Autos 0 GARAGE LIABILITY ❑ Any Auto Auto Only - Each Accident $ 0 Other than Auto Only: Each Accident $ Aggregate S 0 BUILDER'S RISK 0 100% of the Total Contract Price $ 0 INSTALLATION FLOATER $ EXCESS LIABILITY 0 Umbrella Form Each Occurrence $ Aggregate $ 0 • • Other Than Umbrella Form $ WORKERS COMPENSATION AND NW1312242E 5/8/01 5/8/02 EMPLOYERS' LIABILITY The Proprietor/ 0 included Statutory Limits Partners/Executive Z Excluded Each Accident $ 500,000 Officers are: Disease Policy Limit S 500,000 Disease -Each Employee S 500.000 OTHER The above policies either in the body thereof or by appropriate endorsement provide that the may not be changed or canceled by the insurer in less than the legal time required after the insured has received written notice of such change or cancellation, or in case there is no legal requirement, in less than five days in advance of cancellation FIVE COPIES OF THE CERTIFICATE OF INSURANCE Narinnat sx/ri ran Tn-z r:l'___�_ MUST BE SENT TO THE CITY OF LUBBOCK Title: Partner, Trimble—Batier I Insurance Associates, L.L.P. Exhibit C LCQBD CERTIFICATE OF LIABILITY INSURANCE Or10 ME) ACOST 2 oAre.Am°af.., 1 09 27 01 voeR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE mble-9atjer Ins. Assoc. LLP HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Box 2 480 ALTER THE COVERAGE AFFORDED 4Y THE POLICIES BELOW. IN>iURGR>: AFFORDING COVERAGE Angelo TX 76902-2480 3ne : 915-653-6733 Pax: 915-653-3754 too MSURERA National American Ins Co "SURM e WauaERC'. Acosta Drilling P . 0. Box 1181 Lamesa TX 79331 NSURCR a INSURER E: NERAGE3 E POLICIES Or INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING WY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR WAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGOREOATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R TYPt copWOUMNCt POUCY NUMBER OAT.CY µFOOWG,TM POO T.Y OXP ,PION LAW" OQNaIULLMYIUTY EACH OCCURRENCE S 1,000,000 z COACRCW.GENERAL wEurf ML31924442E 05/08/01 05/08/02 FIREOAMAGEwwamNO) S100,000 GLARES MADE a OCCUR MED E)w (Am am pmw) S 5 000 **SEE SPECIAL PeRSONAL &AOV MLAMY 31,000,000 PROVISIONS GENERALAGGREGATG s 2 000 000 OEM. AOOREOATE LAOr APPLIES PER. PROOucrs.eawrov AC.O s 2 000 000 z POUCY PRDF7LAC AUTOMOYLY LOOIUTY z AWAUrO AU1397742E 05/08/01 05/0$/02 COIAG E OHMS L"r (20ace m S1,000,000 ALL OVMRI® AUTOO 90DLY MAJRY s Sp BOULM AUTO% leer oAlsonl HFeD AUTOS . ODDLY KMT/ s NOWOVMM A rOS [Pef acttlRnl z ***SEE SPECIAL s PROVISIONS 'aodem aAPAM usam TY •-^' �' ^*+ AUTO ONLY. eA ACCIOENr s eA ACC s K7 OCCUR F7 CLAAs MADE >C RETewn— s to , WCWMRS CONMONSATION A" eilmLOYERe• LIASIM OTHM MS1356542E 101113122 42E ­ONOT, SVCCW. OSOVLOSOSS 05/08/01. 1 05/08/02 OS/08/01 1 03/o.8/02 OfHERfrom Auto ONLY, AQO s _ eAGHOCCURRSNca 's 1,000,000 AGOPEOATR s 3,000,000 s s eN..eACHACCCENr 1 s =YULIVY ZOW.h0e-PADOWYee s 500000 ML. WFASe-POLICY LAfr s R00000 MMON OF O►IMAT10N8LOCATIONWVKMCLSWUCLUOIOM ADOOO SY 0WQPt VANTMF%CML /mwmONs *SPECIAL PROVISIONS-Pol's incl blkt 30 day notice of canal/mail chq adept nonpay, 10); addl insd (except wc) i waiver of subro in favor of any arson or organization as required by signed, written contract. Re: astruction of Ramidiation Monitor/Sampling Water Well ITS #193-01/RS :HOLDER N I AcorrlONALINSWPAW.WeURORLETTRm CANCELLATION CITL= -OULU ANT OF TMV PAC" DOSCMto POUCes tt CANCELLED WFORt THt EINMTWN OATO T"wwoP, THS IMUMO WSURON VOLL OMOOAVOR To MAIL .'An DATS WMTTON City O= Lubbock NOTICE TO TRIO Cfff"ICATR HOLDER NAMED TO THE LEFT, WT FALYRE TO 00 60 SHALL P BoDept. P.. O.. Soxx 2000 WOOt NO 0914DATION OR LMtIU" OF ANY KIND UPON THE teURER ITS AONKM OR Lubbock TX 79457 REPRESENTATIVEO. __ Resolution No. 2002—R0095 Department of Human Resources P.O. Box 2000 • 1625 13th Street Lubbock, Texas 79457 (806) 775-2311 • Fax: (806) 775-3316 CERTIFICATE OF SELF-INSURANCE The undersigned officer of the City of Lubbock, Texas, a Texas home rule municipality, hereby certifies that the City of Lubbock is self -insured for workers' compensation, auto liability, and general liability in accordance with the laws of the State of Texas and that the current balance of the self-insurance fund is $9,264,699.00. The existing cash asset balance is $10,420,094.00 as of the date stated below. Leisa Hutcheson Date: September 30, 2000 Risk Management Coordinator Resolution No. 2002—ROO95 Robert J. Huston, Chairman R. B. "Ralph" Marquez, Commissioner Kathleen Hartnett White, Commissioner Jeffrey A.. Saitas, Executive Director DEC 2 7 2001 DISTMCT FIVE TEXAS NATURAL RESOURCE CONSERVATION COMMISSION Protecting Texas by Reducing and Preventing Pollution December 19, 2001 Mr. Guy Sledge Texas Department of Transportation P.O. Box 777 Lubbock, Texas 79408-0771 Re: Request for approval for the installation of additional monitoring wells in TxDOT Right of Way at the Lubbock Land Application Site. TPDES Permit No. 10353-002 Dear Mr. Sledge: The Texas Natural Resource Conservation Commission's Ground Water Protection Team is currently working with the City of Lubbock in their effort to install additional groundwater monitoring wells at their land application site. During this effort it has come to our attention that up to three (3) additional monitor wells will need to be installed in the Texas Department of Transportation (TxDOT) right of way. Since these additional wells are necessary in the City's effort to define the groundwater conditions at the site we are requesting approval from TxDOT to install up to three (3) monitor wells in your right of way. If you have any questions, please contact Mr. Mike Chadwick at (512)239-0996 of the Groundwater Protection Team, or if by correspondence, include MC 150 in the letterhead address following his name. Sincerely, Richard Eyster, Team Leader Groundwater Protection Team Water Quality Division RE/sa ccs: Mr. Keith A. Pardue, Pardue & Associates, 16047 Fontaine Ave., Austin, Texas 78734 Mr. Jim Estes, Region Office 2 Mr. Patrick Cooke, Region-2 Mr. Michael Meyer, MC-149 Mr. Steve Musick, MC-147 Mt.'Mark Fisher, MC-150 Exhibit B P.O. Box 13087 • Austin, Texas 78711-3087 • ' 512/239-1000 • Internet address www.tnrcc.state.tx.us printed on recycled paper using sov-based ink. CERTIFICATE OF INSURANCE Resolution No. 2002-ROO95 TO: CITY OF LUBBOCK P.O. BOX 2000 LUBBOCK, TX 79457 ITB #193-01/RTYPE OF PROJECT:Construction of Acosta Drilling Remediation Monirnr/samiting wntpr wA11s THIS IS TO CERTIFY THAT P.O. Box 1181, Lamesa, Tx. 79331 (Name and Address of Insured) is, at the date of this certificate, insured by this Company with respect to the business operations hereinafter described, for the typed of insurance and in accordance with the provisions of the standard policies used by this company, the further hereinafter described. Exceptions to standard policy noted hereon. TYPE OF INSURANCE POLICY NUMBER EFFECTIVE EFFECTIVE LIMITS DATE DATE GENERAL LIABILITY Commercial General Uability MP1924442E 5/8/01 5/8/02 General Aggregate$ 2,000,000 p Claims Made Products-Comp/Op AGG S Occurrence Personal & Adv. Injury S1 , Q Owner's & Contactors Protectiv Each Occurrence S . Fire amage (Any one Fire) f100,000 $ Med E p Anyone Person) U g AUTOMOTIVE LIABILITY Any Auto AU1397742E 5/8/01 5/8/02 Combined Single Limit SI,000.000 Q All Owned Autos Bodily Injury (Per Person) S p Scheduled Autos Bodily Injury (Per Accident) S ❑ Hired Autos Property Damage $ ❑ Non -Owned Autos 0 GARAGE UABIUTY Q Any Auto Auto Only - Each Accident S ❑ Other than Auto Only. Each Accident S Aggregate S Q BUILDER'S RISK Q 100% of the Total Contract Price S Q INSTALLATION FLOATER S EXCESS LIABILITY Q Umbrella Form Each Occurrence S Aggregate $ ❑ . •• Other Than Umbrella Form S WORKERS COMPENSATION AND NW1312242E 5/8/01 5/8/02 EMPLOYERS' UABIUTY The Proprietor! Q Included Statutory Limits Partners/Executive 10 Excluded Each Accident S 500,000 Officers are: Disease Policy Limit S 500,Q00 Disease -Each Employee $ 500,900 OTHER The above policies either in the body thereof or by appropriate endorsement provide that canceled by the.insurer in less than the legal time required after the insured has received cancellation, or In case there is no legal requirement, in less than five days in advance of FIVE COPIES OF THE CERTIFICATE OF INSURANCE MUST BE SENT TO THE CITY OF LUBBOCK not be changed or Itice of such change or By:_, Title: Partner, Trimble-Batier 1 Insurance Associates, L.L.P. Exhibit C lCjWD CERTIFICATE OF LIABILITY INSURANCE OF 10 blD I "Till PAAIDO"" ACOST-2 09 27 O1 uc�R THIS CERTIFICATE 13199UED A3 A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE mble-Batjer Ins. Assoc. LLP Box 2480 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED By THE POLICIES USLOW. IN>IiURiFiSAFFORDWGCOVGRAGi Angelo TX 16902-2480 one: 915-653-6733 Fax: 915-653-3754 too rgVReRA National American Ins Co ftSVR Re IN3VRCR Cl. Acosta Drilling P . 0. Box 1181 Lamesa TX 79331 eovaeR ¢ NUMMR e: VERAGES HE POLICIES Of INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE POR THE POLICY PERIOD INDICATED. NOTWITHSTANOINO NY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR LAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH 10LICIE3. AOOREOATC LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. PE OF INSVRANCE POLICY NUMBER Pau GFFGeTIvs OATS mY POLICY GX►IRATION OATS OIY LMSTV elurr eACHOCCURRENCe S1,000,000 FReoAmAwwgoMnre) 1100,000 RCtALGENERALUABUTY LAMS MADE a OCCUR MP1924442E 05/08/01 05/09/02 MED I0 (Am am Peron) S5,000 PeRSONAL&AOVSLIUFr' s1 000 000 E SPECIAL F"PAL ISIONS GENERALAGGREGATE s2000000 G ATE LMTT APPLIES PER PRODUCTS-COMP/OP AGO f2 00D 000 LOC UAWUTY AU1397742E 05/08/01 05/08/02 COMBMED"'"aL"rTO (Esscceent)s1,000,000 BOOLv INulxry (Per PAfIgI) f NNED AUTOC SCHWUUM AUTO& OOOLY WMW =10/I14 I HFOW AUTOS NON OYMCD A UT03 rROPeR'T'/ O^"Ge (PW"cNGM s Z ni-SEE SPECIAL PROVISIONS OUPAOS uAmuYY AUTO ONLY - eA ^ccx)eNT I OII�TNAN eAACC S ANY AUTO AUTO CNLY AQO f §XCWMUADUM RACHOCCURaiNce "$ 1, 000 , 000 L x OCCUR CLAM" MADE WH1356542E 05/08/01 05/08/02 AaasmaAT8 $1 000 000 s s DeDucrlels I Z RETENTION S10,000 r/ORIOM COM►SNSATION AMC L orLoraTrLumrtY NW1312242E 05/08/01 05/0.8/02 Y TogyWC r 101 ER el..eAcNAGcaerT s 500000 •••ea srsC AL WROV19101119 e.LO9WAM-eAeM►1CYM 1500000 e.L. OeeASe• POUCY LM? 1,500000 OTHM 09GRIF I ON OF OPERATON&%O CATIONIMMMCL EINEXCLUSIONS AOO W SY YNOOR1fMfNTIE/[ONL ►ROVIVONE +SPECIAL PROVISIONS -Polls incl blkt 30 day notice, of eanel/matl ehq except nonpay, 10) ; addl insd (except we) 4 waiver of subro in favor of any son oz organization as required by signed, written contract. Re,: traction of Ram Uation Monitor/Sampling Water Well ITH #193-01/RS fEHOLDER IN IAoornoNALMsuneu;MsuRERLernIe CANCELLATION CITLDTZ SHOULD ANT OF THE ANOYI OIfCWEO POUCIES W CANCELLED BSPOM THEdX►BLATNTN OATS TWMO►, TM ISItIS S WMIRNIR V4" NNWAVpw TO WAIL r f, OATSWOUTTs" City of Lubbock NOTICE TO TH! CfRMICATI HOLOiR NAMW TO Tme L[FT, fuT FAILUM TO DO to wuLL PtDept. P.. O.. Box IMFOSO NO ONLICLIABILITYATION OR LIABILITY OF ANY KM UPON TNa M3URR ITS ACOM OR Sox 2000 Lubbock TX 79437 REPRaSMITAT^1e1L 1983 �3v o�ns�rxl�t� r 0 0 m a t: .�5 }-. 14 a, tD No 1 �.Z11 N LO SQL WJ I � n �, 0 a I I m LOCKING WELL CAP 4' RLSE-FRoM Gpa= SURFACE TO MANHOLE COVER,,,, , S44 6' X 6' UNCRETE 51 IREND) Pvc CAP Resolution No. 2002-R0095 BOLT DOWN WATER -TIGHT MANHOLE COVER 12m x 12' MCRRISON LIMITED ACCESS MANHOLE 418 XA OR EQUIVALENT D I Ait TER T_ SEAL CLASS B st� TYPE THICKNESS — —RISER PIPE fTK _SCHEDULE 40 DIAICTER 5' —GROUT ell, CLEAN SAND BETONITE PELLETS FILTER MATERIAL AROUND SCREEN M GRAVEL PACK GRAIN SIZE SEE BID SPECS WELL SCREEN M SCHEDULE 40 PVC DIAMETER LENGTH -LEE BID SPECS SLOT SIZES 0.0350 12' *C'000 MANHOLE '7 N J ? -����=hew-�� 0000" t. aLE 'Y-