CM-2018-1959 - 12/5/2018City of Round Rock
E ROLINOROCK Agenda Item Summary
Agenda Number:
Title: Consider executing a Lease and Supply Agreement with Direct Propane
Services for the installation of two (2) propane tanks at the Public Safety
Training Center
Type: City Manager Item
Governing Body: City Manager Approval
Agenda Date: 11/30/2018
Dept Director: Robert Isbell
Cost: $24,000.00
Indexes: General Fund
Attachments: Texas LPG LAF.pdf, Texas LPG Agreement 2018.pdf
Department: Fire Department
Text of Legislative File CM -2018-1959
This lease is for the two (2) six thousand (6,000) gallon propane storage tanks that supply the
fire props at the training center as well as the propane gas refills. The agreement is a
continuation of the service provided during the construction process for the Public Safety
Training Center by the general contractor. The project was bid out by the General contractor
during the construction phase as to ability to provide equipment and fuel for the needs of the fire
props.
Cost: Not to Exceed $24,000
Source of Funds: General Fund
Clty o/ Raund Rock Page 1 Printed on 1112912018
TEXAS LPG EQUIPMENT
LEASE AND SUPPLY AGREEMENT
DATE I0.i17i201a
DEALER (Lrssor) DIRECT PROPANE SERF ICES, P.O. Box 619, Nlnnor, Texas 78653 512-275.7800
(Name Address Zip Tel No)
CUSTOMER (Lessee): City of Round Rock 221 EastMain Street, Round Rock. Texas 78564
Description of Real Property where Equipment lobe located 2801 North Mays. Round Rock Texas 78664 (Publie Safety Training Center)
Tank Loc: one tank Q front ofpropery and one lank adjacent to Railcar rollover burn simulation
Tank NI - Serial N 3018 Tank Mfg: Trinity Steel Co. Year Built: 1961 Size: 5,000 Gallons
Tank N2 - Serial N 115422 Tank A1119: Trinity Steel Co. Year Built: 19.53 Size: 5.985 Gallons
Property Owner- City of Round Rock, 221 East Night Street, Round Rock Texas. 78664
Lease Period From September Ist, 2018 to August 31st. 2019 or return of tank
DEALER agrees to provide the propane storage iank(s) to the locanon(s) described above, tit consideration of aone 11) year propane service
agreement DEALER will deliver, set, valve and plumb these tank($) up to CUSTOMER'S appliance DEALER will coordinate die Teaas Railroad
Commission approval process and inspections The tanks remain the DEALERS property
CUSTOMER shall provide tank protaction by installing bollards or a fence surrounding each tank site
CHARGES
Installation
DEALFR will complete the installation as sel out and according to the plans provided and mann ed to Chasco Contractin .however. if
�txiee rontrart B brearhrrl._Ihe CILSTnNIM'R aerees r.. par to DEALER the +um of 55.000.00 trrmovgl fort ter tank installation This fee
raven the removal 4y crane and the freieht cost to our storaee vard.
Charges for propane delivered by bobtail truck will be SO.65 over the Mount Belvieu Posted Daily Rack Average as round in the OPIS Daily
Rack Price Update. The total charges paid to the Dealer over the term of this Agreement shall not exceed Twenty -Four Thousand and
No/[ D0 Dalian 1$24,0(10,00).
Terms
Net 30 (Interest may be charged on overdue payments pursuant to the terms set forth in the Texas Prompt Payment Art, Chapter 2251 of
the Texas Government Code)
CUSTOMER ACKNOWLEDGES THAT HE HAS READ THIS AGREEMENT. PARTICULARLY TILE T"I'll AN ONDI OH SE
FORTH HEREIN AND THAT HE UNDERSTANDS THEM AND THAT THEY CONSTITUTE THE ENTIRE AGREEh1ENT.
UNDERSTANDING, AND REPRESENTATIONS, EXPRESS AND IMPLIED BETWEEN DEALER AND CUSTOMER WITH RESPECT TO
THE EQUIPMENT RELEASED HEREUNDER. AND THE LPG SERVICE TO BE PROVIDED.
CUSTOMER AGREES AND UNDERSTANDS THAT THE EQUIPMENT. PROPANE TANKS, METERS, ETC HEREUNDER REMAINS THE
SOLE PROPERTY OF DEALER AND SHALL BE UNINSTALLED AND REMOVED BY DEALER IMMEDIATELY UPON TERMINATIO'
OF THE AGREEMENT
I H i . CUSTOMER ACKNOWLEDGES THAT PRIOR TO SIGNING THIS
AGREEAIENT HE HAS CAREFULLY REVIEWED THE LEASE SUMMARY INFORMATION SET FORTII AT TTI£ BEGINNING OF THIS
AGREENIEAND HAS ATISFIED HIMSELF CONCERNING THE TERMS AND PROVISIONS OF THIS AGREEMENT
N C''
Dated. Effective wh fully eeecuted.
CUSTOMER.
By - - - —
(Signah• ►r►��
Title -yr_ eager
DEALER
By
( ig rc-
TERN S 6ND CONDITIONS
I Pumose. The purpose of this Tank Lease and Supply Agreement (the "Agreement') is to make available to Customer one or
more LP -Gas tanks, meters, pumps, and related LP -Gas equipment as described above to permit Customer to receive. store and use LP -Gas products
(Propane. Butane, etc ) sold and delivered by Dealer la Customer from time to time as needed or desired
2 ryereemrnl Period. The tern of the Agreement covers the time period from date of installation to the end of the lease period, as
set out above.
3 Ran 1. Customer agrees to pay Dealer for the metaed propane fuel consumed as set out above on or before the thirtieth dad after
receipt of invoice from Dealer
4 Right nfCancrilation. Dealer shall have the right to terminate this Agreement at any time upon thirty (10) days written notice
and upon Ica (10) days written notice in die event of any default hereunder Customer shall have the right to lemnnate this Agreement upon ten (10)
days wYilten notice in the evmt of any default by Dealer hereunder Dealer shall have the further right to terminate this Agreement immediately and
without notice in the evert Customer shall fail to pay in a timely manner any other sums for products or services agreed to be paid by Customer, or
e kll,- 2vr �f- /0 s I
shall rake such actions as to cause in violation of law or hazardous to mons and property No termination or cancellation under the terms of the
Agreement shall be effective until Dealer shall be afforded a reasonatle opportunity for removal of the tanks and other healer equipment, and
Customer shall remain responsible for the rental fees and safekeeping ofthc equipment until such time
5. (rsc and Carc of E ui,mem. Taxes. Customer shall use the leased equipment solely for the purposes set forth herein Customer
shall exercise all reasonable rare and caution in the preservation and use of the egmpment. and shall comply fully wills all laws and regulations
relating to the possession, use and maintenance of the equipment, including but not limited to the LP Gas Safety Rules of the Railroad Commission
of Tcxas, 16 TAC chapter 9 (the "LP Gas Supply Rules"). Customer will not remove deface or obscure any name plate, decal, or other tdcntifyin 11
marking or insignia on the equipment, nor any safety or operating data set forth on the equipment or an plates or tags attached thereto. Customer shall
not tamper with, move, nor attempt any repair or maintenance an the equipment Customer is fully responsible for notifying Dealer of any required
maintenance Such maintenance shall be performed by Dealer at Cusionices expense unless attributed to normal wear and tear Dealer shall be
responsible for all sales, use, ad vak:rem or other taxes, if any, imposed by any governmental authorities upon the equipment or its use during the
Agreement Periods
6. Loss and Damage Customer shall be fully responsible for the care, preservation. security and safety of the equipment, against
damage caused by the customer, except for normal weathering, wear and tear Customer shall have exclusive control of the leased equipment so long
as a remains in Customds ossession, and shall hold Dealer liarm[ess from all claims for injury or damages, including attorney's fees, arising our of
Customer's improper use of the equipment. Such indemnity shall extend to any tnjury or damages or claims thereof, arising from the misconduct of
customer with respect to the equipment, Dealer, or any of the Dcalces employees and agents while acting within the scope of their employment.
7, installation. Removal. Dealer shall have full authority and responsibility for initial installation of the equipment. So long as this
Agreement is currently maintained and die leased equipment is maintained in good condition. then upon termination at the end of any lease period
the leased equipment shall be removed by the Dealer at no additional charge Should Customer defaull hereunder or elect to cancel the Agreement at
any time other Ilion at the end of agreement period. the Dealer shall be entitled to die removal fee set forth above. in neither event however, shall
Dealer have any obligation for restoration or change to the premises The installation obligations of Dealer arc expressly limited to the installation of
the LP -Gas rank, or ranks, regulators, and connections to the Cuslonices L Gas pipin �� and distribution system. Installation or modification by
Customer of the LP -Gas distribution system or conversion of appliances is expressly ex ler ed and must be the subject of a separate agreement if
desired
8Subsututians. Dealer reserves the right to substitute ether equipment from time to time All costs related thereto shall be home
by Dealer unless such changes are made at the request of Custanter or because of loss at damage to the equipment in Customer's possession Any
substitution ofequipment shall be retlected by a written memorandum, executed by both panics and attached to this Agreement.
9. 1tilrntiea Dealer warrants that he or it is the new owner of the Equipment, and that so long as Customer shall timely comply
with the requirements hereunder, including the requirement for timely payment, Customer shall have quiet and pcaceful possession thereof Customer
warrants that it is or they are the lessor of real property wherein the equipment is to be located. or if not owner, Customer has secured express
written consent and waiver of any claims from the owner.
10. Dealers Interests. Customer acknowledges that Dealer, in entering into this Agreement, is not rclinquishinb any ownership richt
m the equipment, and that the equipment is and remains personal property belonging to Dealer at all times. Customer expressly grams unto Dealer
the exclusive and irrevocable right to enter upon Customer's )premises, atter checking with the Plant Manager, for the purpose of Installing, servicing,
filing, repairing. and removing, said leased equipment. This right shall exist independent ofany other rights granted herein.
11. Pavmenrs and t3rnices, All payments for gas used shall be mailed by first class U.S. ,Mail, by wire transfer, or delivered in
person to Dealer at Dealers address set forth above. All written notices shall be given by Customer to Dealer at Dealer's address set forth above. All
wntien notices shall be given by Dealer to Customer at Customet's address set forth above All written notices 311,111 he deemed delivered on the
second business day following the day of posting by Registered or Certified Mad. postage prepaid and addressed as directed herein Notices may also
be given in person by verbal or written communication and shall be effective upon delivery. provided, any verbal notice must also be followed
nnmediately by written confirmation notice as provided herein. Either part), may change the address at which notice shall be received by giving
notice to the atm cr party as provided herein Such change ofaddsess shall be effective for all purposes seven (7) days aficr delivery of such notice
12 v . Dealer shall not remove the equipment from the premises descnbed above without the express
written consent at Custonner in advance. Any removal or attempted removal without such advance consent shall, at die option of Customer, constitute
a default hereunder
13 a i I This Agreement may not be assigned nor the leased equipment transferred leased. or subleased, without
express written consent of Dealer in advance.
lA Default. in the event Customer shall default equipment provided to Customer by the Dealer in the timely payment of rent as
provided herein or shall use the premises far the storage of LP -Gas products other than those supplied by Dealer, or shall permit the equipment to be
damaged, or shall use the equipment in a manner deemed hazardous by Dealer or contraryto any laws, rules or regulations, including but not limited
to the LP -Gas Safety Rules or shall take any other action which would or could jeopardize Dealer's interest in the equipment. or cause Dealer to
reasonably believe that such interest is in jeopardy, then in such event Dealer, at its option shall have the nght to declare this Agreement in default
In addition to any other remedies provided herein, in the event of any unsafe default Dealer shall have the right to enter on the premises immediately
and seal or "lock oft" the tank Reconnection after termination of service is at the sole discretion of Dealer and Customer. and reconnection Char gge
may be charged at the option of the Dealer This Agreement shall not be in default, however. of the Customer uses the leased equipment temporanl;
for the storage of LP -Gas products supplied by the other Dealers during any emergency period when Dealer is unable to supply all of Customer s
product needs
15 Remedies In the event of default as described above or default in the performance of any other duty or responsibility, by
Customer under this Agreement Dealer and Customer, at their option, shall have the right to all remedies permitted by law, and eeqquity For Dealer
.
these may include but are not limited to forfeiture of the Equipment, immediate lermination of this Agreement and the recovery aFpossession of the
Dealers equipment, arid. -or action for damages. In the event the equipment is removed from the premises or otherwise rendered unavailable or
unusable, as a result of equipment damage caused by the Customer, Dealer shall be entitled, in addition to any other damages otherwise permitted by
low, to an amount eqqual to the fair market value of the equipment at the time of removal or lenumation. in the event Dealer prevails, Dealer shall be
entitled to recover a!I costs incurred. including costs of court. reasonable attorney's fees and other directly -related costs to which Dealer may show
itself entitled. Venue for all actions shall be in the County of Dealces place of business as set forth above
17 Payment foLj,P Gas Payment for all LP Gas and equipment delivered or service providers to Customer is due upon delivery
Customer agrees to pay for a!1 LP Gas equipment and Service within 30 days of consumption and the customer's receipt of the invoice from Dealer
In the event Customer fails to make an
payment due under this Agrecmenl. Customer agrees that Dealer may assess fees in accordance with the
Texas Prompt Payment Act. Chapter 22511 of the Texas Government Code. The only exception to the requirement of prompt payment is a wmruen
agreement to the contrary between the parties
IB keen Full Dealer will deliver LP Gas to Customer on a routine route on a `keep full" basis which means Customer agrees that
Dealer has the right to fill Customer's tank(s) to capacity at the time of each routine route delivery Dealer will use its best efforts to prevent
Customer's supply of LP Gas from being exhausted. but shall not have any responsibility or liability for the exhaustion of Customer's LP Gas supply
or for any direct or indirect consequences of such exhaustion In addition Dealer shall not have any responsibility or liability for any interruption,
disruption or suspension ofCustomet's LP Gas supply, nor shall Dealer have any responsibility to make deliveries to Customer at any particular time
if Dealer is unable to provide an adequate supply of fuel, the Dealer will be in default of the untended Supply Agreement
19 out of GAs In the event Customer is 'out of gas" through the fault of Customer Customer will be assessed a service charge for a
leak lest of [he LP Gas system Adequate notice ofdelivery will be determined to be five (5) day s before the outage. In the event the Customer
is "out of gas" through the fault of Customer. Dealer shall have the right to terminate the Agreement immediately and enter the premises and take
possession ofthe aforesaid equipment without shirt) (30) days written notice
20 Safety ,An odorant is added to LP Gas to provide a warning in the event of a leak A hazardous situation may exist whenever the
smell of odorant is present, even if the smell is faun. If the smell of LP Gas is detected, Customer agrees to Immediately evacuate the budding. shut
the valve an the storage tank to the "Orr' position and Immediately contact Dealer or the public safety authorities (fire or police) from offsite so that
any potential hazardous situation can be corrected
21 Access. Customer grants Dealer full access to the premises for purposes of delivering LP Gas and for installing, maintaining,
servicing, or removing the equipment Customer shall bear any expense necessary to make the equipment accessible to Dealer
22Clean Area. Customer agrees to keep the area within ten (10) feel of the equipment clean and free from any Ignitable matenal,
Including weeds and long dry grass.
24 Force _Milieu rc. Customer agrees Dealer will not be held responsible for any failure to make deliveries or provide service which
is prevented by adverse weather, failure of transportation facilities, shortages of supply, fire not. war, act of God, or any other cause beyond the
reasonable control of Dealer
25 Customer" is a person(s) or business requesting or receiving services from Dealer "Services" means LP Gas delivery..
equipment installation. removal and Dealer determined Inspection and maintenance activities
26 Dealer will perform a safety check of the Gas System and appliances associated with the use of LP Gas (1) prior to connection of
service, (ii) prior to reconnection after a service interruption (when there has been a LP Gas outaget, or (iiiI at any other time as reasonably
rmi
detened by Dealer, and Customer
27 lire Gas System on the Premises shall remain the We property of Dealer The Gas System may only be used with LP Gas
purchased from Dealer. and as described in paragraph 14
2& Dealer shall have the right at any reasonable time without notice to Costumer to inspect, repair or remove the Gas System
29 Customer is obligated to inform Dca'er if there are anv changes on the Premises Iincluding the addition or deletion of LP Gas
appliances) that may increase or decrease usage Notwithstanding any special programs in effect for Customer, it is expressly understood and agreed
that it shall be the responsibility of Dealer to monitor the amount of LP Gas in the Gas System tank
30 Dealer shall not be liable for damages resulting from failure to deliver LP Gas to Customer, ifbeyond Dealers reasonable casts
31 Dealer shall nor be liable for damage to any person or property incurred as a result of storm, flood, weather conditions and acts
of Gad, strike, acts of war or terrorism or any other cause beyond Dealer control or by any third party or governmental action
32 Customer accepts and agrees to pay for all LP Gas delivered by Dealer at the price(s) and terms established by Dealer
Furthermore, all LP Gas sales arc final upon consumption by Customer
33 All accounts are subject to credit approval
35 Customer shall maintain a current account balance at all times If Customer's acc::um is not paid limcly. Customer agrees to ppav
the monthly late fee as set forth in paragraph 17 [f Customer's account is not paid limcly, any special pricing programs In effect for Customer shall
terminate immediately
37 Except for loss or damage caused directly by the negligent or deliberate acts of Dealers employees, contractors or agents. or
egwpm mi supplied and installed by Dealer. Customer assumes all nsks and liabilities whatsoever related to or ansmg from possession or use of the
LP Gas or the Gas System Customer hereby, indemnifies and holds Dealer harmless from and against all liabilities, claims and expenses of every
kind or nature related to or ansing from the use of the LP Gas Dealer hereby indemnities and holds Customer harmless from and a amst all
liabilities, claims and expenses of every kind or naturerelated to or ansing from the use of the LP Gas. for loss ar damage caused by the Dealer
39 In recognition of the on•gomg cast incurred by Dealer for safe operations and the comply with the laws and regulations attendant
to the providing of Services. Customer agrees to pay Hazardous Material (HAZMAT) Fees as set forth above, in the agreed prices Hazardous
Material I HAZMAT) fees do not represent a lax or fee paid to or imposed by any governmental authority, and Dealer will retain the entirety of the
fees
40Customer agrees to pay all applicable fees and charges as set forth above. The Fees & Charges are subject to change by Dealer
upon 30 days prior wriuen notice to Customer
41 Dealer and Customer may modify this Agreement by mutual consent and any of the terms and conditions hereof at any time upon
30 days prior written notice.
42 The provisions of the Agreement are severable Ifany provision of the Agreement is, for any reason, invalid or unenforceable. the
remaining provisions of this Agreement are valid and enforceable if the basic intent ofthe parties is still capable of being achieved
43 Dealer's delay or failure to enforce any provision of this Agreement will not operate will not operate as a waiver or estoppel of
Dealer's right to enforce any provision of this Agreement
d CERTIFICATE OF LIP
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONL
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITU
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the
the terms and conditions of the policy, certain policies may require an t
certificate holder in lieu of such endorsement(s).
PRODUCER
Ben Spurgin Insurance Agency
2521 Cedar Springs
Dallas TX 75201
INSURED
Webberville Propane, Inc. dba.
Direct Propane Services
19126-B PH 969; P O Box 619
Magor TX 78653
BILITY INSURANCE DATE(MMIDDIYYYY)
10/23/2018
Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
TE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
ndomemenL A statement on this certificate does not confer rights to the
NAMEp Joyce Wood
PHONE(214)871-3322 F C No: (214)971-7351
E -M .ADDRE , i wood6apurgin . cam
INSURERS AFFORDING COVERAGE NAIC 0
INSURER A ACE American Ins Company 22667
INSURER0:Illincis Union Ins Co 27960
INSURER C :ENDURANCE AMERICAN SPECIALTY 41718
INSURER D:
INSURER E:
INSURER F :
MVYCrwasCJ t:tK11r1AiAItNUME3ER:11i-ly GL AL UM
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
INSR ADDL SUBR LTR TYPE OF INSURANCE POLICY EFF POLICY EXP
POLICY NUMBER M MM!
LIMITS
X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE S 1,000,000
A CLAIMS -MADE OCCUR
-PREMISES Ea occurrence S 100,000
X Y G27301381 3/1/7418 3/1/2019
MED EXP (Any one person) S 5,000
PERSONAL &ADV INJURY S 1,000,000
GEML AGGREGATE LIMIT APPLIES PER
PRO
❑
GENERAL AGGREGATE S 2.000,000
POLICY JECT F]LOC
PRODUCTS - COMPIOPAGO S 2.000,000
OTHER.
S
AUTOMOBILE LIABILITY
C MIN INGLE LIMIT
Ea ac en S 11000,000
B X ANY AUTO
BODILY INJURY (Per person)ALLOS
ED SCHEDULED
X Y 808AUTOS AUTTOS8634 3/1/2018 3/1/2019
BODILY INJURY (Per acotlent) S
5 AUTSwNHO
HIRED AUTOO
TY DAMA E S
PPO PEer
S
Underinsured motorist $ 85,000
X UMBRELLALIAB X OCCUR
EACH OCCURRENCE S 4,000,000
C EXCESS LIAB CLAIMS -MADE
AGGREGATE S 4.000,000
DED I X I RETENTIONS 10 000 EXC30000593300 3/1/2018 3/1/2019
S
WORKERS COMPENSATION
PER TH
AND EMPLOYERS' LIABILITY YIN
TAT
ANY PROPRIETORIPARTNER/EXECUTIVE
OFFICERIMEMSER EXCLUDED? ❑
E L. EACH ACCIDENT 5
INIA
(Mandatory in NH)
II yes. describe under
E, L. DISEASE - EA EMPLOYEq S
DESCRIPTION OF OPERATIONS below
E,L. DISEASE - POLICY LIMIT I S
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached I mora apace Is required)
RE: Sale Source
PG�TIf•Ir+♦7C uAr rice
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE:
Assistant City Manager THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Round Rock ACCORDANCE WITH THE POLICY PROVISIONS.
221 East Main
Round Rock, TX 78664-5299 AUTHORIZED REPRESENTATIVE
Robert Spurgin, JOYCE
®1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014101 ) The ACORD name and logo are registered marks of ACORD
INS025 (201401)
CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDONYVY)
10/23/2018
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 C TA NAME: Joyce Wood
Ben Spurgin Insurance Agency PHONE(214j 8711AIC, No -3322 FAX (214)871-7351
2521 Cedar S !iA s E-MAIL A1C No
P g AM%ft.ae, jwood@ovurcrin.com
Dallas TX 75201
INSURERA:ACE American Ins Company
22667
INSURED INSURER8:Il11nois Union IIIc Co
27960
webberville Propane, Inc. dba.
INSURERC:6NDURANCE AMERICAN SPECIALTY
41718
Direct: Propane Services
INSURER D:
19126-B FM 969; P O Box 619
INSURER E:
Manor TX 78653
INSURER F:
COVERAGES CERTIFICATE NUMBER:18-19 GL AL UM 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
INSR
LTR
I TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
MMf D1Yyrr
LIMITS
X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE $
1,000,000
PREMIA occurrence 5
100,000
A
CLAIMS MADE OCCUR
X
Y
1327301381
3/1/2018
3/1/2019
ME0EXP (Any oneperson) 5
5,000
PERSONAL 8 ADV INJURY S
1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER
X PRD- F-]
E]
GENERAL AGGREGATE $
2.000,000
PRODUCTS -COMPIOPAGG S
2,000,000
POLICY JECT LOC
OTHER:
S
AUTOMOBILE LIABILITY
COMBINEDIN LE LIMIT
-lEeBI$
11000.000
B
X ANY AUTO
BODILY INJURY {Per person) $
ALL OWNED SCHEDULED
AUTOS AUTOS
X
Y
808518634
3/1/2018
3/1/2019
BODILY INJURY (Per accident) $
HIRED AUTD5AUTOS ED
PPReOPERTY pAMAGE S
Underinsured motorist S
85,000
X
X UMBRELL4LIA8OCCUR EACH OCCURRENCE S
4,000,000
C EXCESS LIAR CLAIMS -MADE AGGREGATE S
4,000,000
DED X RETENTIONS in,000 1 IEXC30000593300 3/1/2018 3/1/2019 $
WORKERS COMPENSATION PER O N-
AND EMPLOYERS' LIABILITY YIN T R
ANY PROPRIETORMARTNERIEXECUTIVE
IMN I A E L EACH ACCIDENT $
OFFICEREMBER EXCLUDED? ❑
(Mandatory in NH) E L. DISEASE - EA EMPLOYE $
If yS describe under
DESCRIPTION OF OPERATIONS below E L. DISEASE - POLICY LIMIT 1 $
DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Addltlonal Remarks Schedule, may be attached H more space Is required)
RE: Sole Source
CERTIFICATE HOLDER caucet t artntu
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City Attorney THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Round Rock ACCORDANCE WITH THE POLICY PROVISIONS.
309 East: Main
Round Rack, TX 78664-5899 AUTHORIZED REPRESENTATIVE
Robert Spurgin'JOYCE
®1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
INS025 (201401)