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R-05-12-15-9E6 - 12/15/2005RESOLUTION NO. R -05-12-15-9E6 WHEREAS, the State of Texas, through the Texas Department of Transportation ("TxDOT") owns and operates a system of highways for public use, including US 79 in Round Rock, and WHEREAS, RunTex, Inc. has made a request to TxDOT that a portion of US 79 from County Road 122 to Harrell Parkway be closed on January 8, 2005 for the RunTex 10/20 Miler ("Event"), and WHEREAS, the City Council has determined that the Event will serve a legitimate public purpose, and WHEREAS, City Council wishes to enter into an Agreement for the Temporary Closure of State Right -of -Way with TxDOT authorizing the closure of US 79 as set forth above, Now Therefore BE IT RESOLVED BY THE COUNCIL OF THE CITY OF ROUND ROCK, TEXAS, That the RunTex 10/20 Miler will serve a legitimate public purpose, and BE IT FURTHER RESOLVED That the Mayor is hereby authorized and directed to execute on behalf of the City an Agreement for the Temporary Closure of State Right -of -Way with the Texas Department of Transportation. The City Council hereby finds and declares that written notice of the date, hour, place and subject of the meeting at which this Resolution was adopted was posted and that such meeting was open to the public as required by law at all times during which this Resolution and the subject matter hereof were discussed, considered and formally acted upon, all as required by the Open Meetings Act, Chapter 551, Texas Government Code, as amended. @PFDesktop\::ODMA/WORLDOX/0:/WDOX/RESOLUTI/R51215E6.WPD/sc RESOLVED this 15th day of December, 2005. ST: MAXW L, Mayor City of Round Rock, Texas CHRISTINE R. MARTINEZ, City Secreary 2 STATE OF TEXAS § COUNTY OF TRAVIS § Agreement No. AGREEMENT FOR THE TEMPORARY CLOSURE OF STATE RIGHT OF WAY THIS AGREEMENT is made by and between the State of Texas, acting by and through the Texas Department of Transportation, hereinafter called the "State," and the City of Round Rock , a municipal corporation, acting by and through its duly authorized officers, hereinafter called the "local government." WITNESSETH WHEREAS, the State owns and operates a system of highways for public use and benefit, including US 79 , in Williamson , County; and WHEREAS, the local government has requested the temporary closure of US 79 for the purpose of the Runtex 10/20 Miler , from January 8s 2006 to January 8, 2006 as described in the attached "Exhibit A," hereinafter identified as the "Event;" and WHEREAS, the Event will be located within the local government's incorporated area; and WHEREAS, the State, in recognition of the public purpose of the Event, wishes to cooperate with the City so long as the safety and convenience of the traveling public is ensured and that the closure of the State's right of way will be performed within the State's requirements; and WHEREAS, on the 15th day of December, 2005, the Round Rock City Council passed Resolution No. R -05-12-15-9E6, attached hereto and identified as "Exhibit B," establishing that the Event serves a public purpose and authorizing the local government to enter into this agreement with the State; and WHEREAS, 43 TAC, Section 22.12 establishes the rules and procedures for the temporary closure of a segment of the State highway system; and WHEREAS, this agreement has been developed in accordance with the rules and procedures of 43 TAC, Section 22.12; 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 agreed as follows: AGREEMENT Article 1. CONTRACT PERIOD This agreement becomes effective upon final execution by the State and shall terminate upon completion of the Event or unless terminated or modified as hereinafter provided. TRF - TEA30 CLOSURE (Incorporated) Page 1 of 8 Rev. 06/08/05 Agreement No. Article 2. EVENT DESCRIPTION The physical description of the limits of the Event, including county names and highway numbers, the number of lanes the highway has and the number of lanes to be used, the proposed schedule of start and stop times and dates at each location, a brief description of the proposed activities involved, approximate number of people attending the Event, the number and types of animals and equipment, planned physical modifications of any man- made or natural features in or adjacent to the right of way involved shall be attached hereto along with a location map and identified as "Exhibit C." Article 3. OPERATIONS OF THE EVENT A. The local government shall assume all costs for the operations associated with the Event, to include but not limited to, plan development, materials, labor, public notification, providing protective barriers and barricades, protection of highway traffic and highway facilities, and all traffic control and temporary signing. B. The local government shall submit to the State for review and approval the construction plans, if construction or modifications to the State's right of way is required, the traffic control and signing plans, traffic enforcement plans, and all other plans deemed necessary by the State. The State may require that any traffic control plans of sufficient complexity be signed, sealed and dated by a registered professional engineer. The traffic control plan shall be in accordance with the latest edition of the Texas Manual on Uniform Traffic Control Devices. All temporary traffic control devices used on state highway right of way must be included in the State's Compliant Work Zone Traffic Control Devices List. The State reserves the right to inspect the implementation of the traffic control plan and if it is found to be inadequate, the local government will bring the traffic control into compliance with the originally submitted plan, upon written notice from the State noting the required changes, prior to the event. The State may request changes to the traffic control plan in order to ensure public safety due to changing or unforeseen circumstances regarding the closure. C. The local government will ensure that the appropriate law enforcement agency has reviewed the traffic control for the closures and that the agency has deemed them to be adequate. If the law enforcement agency is unsure as to the adequacy of the traffic control, it will contact the State for consultation no less than 10 workdays prior to the closure. D. The local government will complete all revisions to the traffic control plan as requested by the State within the required timeframe or that the agreement will be terminated upon written notice from the State to the local government. The local government hereby agrees that any failure to cooperate with the State may constitute reckless endangerment of the public and that the Texas Department of Public Safety may be notified of the situation as soon as possible for the appropriate action, and failing to follow the traffic control plan or State instructions may result in a denial of future use of the right of way for three years. E. The local government will not initiate closure prior to 24 hours before the scheduled Event and all barriers and barricades will be removed and the highway reopened to traffic within 24 hours after the completion of the Event. F. The local government will provide adequate enforcement personnel to prevent vehicles from stopping and parking along the main lanes of highway right of way and otherwise prevent interference with the main lane traffic by both vehicles and pedestrians. The local government will prepare a traffic enforcement plan, to be approved by the State in writing at least 48 hours prior to the scheduled Event. Additionally, the local government shall provide to the State a letter of certification from the law enforcement agency that will be providing traffic control for the Event, certifying that they agree with the enforcement plan and will be able to meet its requirements. TRF - TEA30 Page 2 of 8 Rev. 06/08/05 CLOSURE (Incorporated) Agreement No. G. The local government hereby assures the State that there will be appropriate passage allowance for emergency vehicle travel and adequate access for abutting property owners during construction and closure of the highway facility. These allowances and accesses will be included in the local government's traffic control plan. H. The local government will avoid or minimize damage, and will, at its own expense, restore or repair damage occurring outside the State's right of way and restore or repair the State's right of way, including, but not limited to, roadway and drainage structures, signs, overhead signs, pavement markings, traffic signals, power poles and pavement, etc. to a condition equal to that existing before the closure, and, to the extent practicable, restore the natural and cultural environment in accordance with federal and state law, including landscape and historical features. Article 4. OWNERSHIP OF DOCUMENTS Upon completion or termination of this agreement, all documents prepared by the local government will remain the property of the local government. All data prepared under this agreement shall be made available to the State without restriction or limitation on their further use. Article 5. TERMINATION A. This agreement may be terminated by any of the following conditions: (1) By mutual written agreement and consent of both parties. (2) By the State upon determination that use of the State's right of way is not feasible or is not in the best interest of the State and the traveling public. (3) By either party, upon the failure of the other party to fulfill the obligations as set forth herein. (4) By satisfactory completion of all services and obligations as set forth herein. B. The termination of this agreement shall extinguish all rights, duties, obligations, and liabilities of the State and local government under this agreement. If the potential termination of this agreement is due to the failure of the local government to fulfill its contractual obligations as set forth herein, the State will notify the local government that possible breach of contract has occurred. The local government must remedy the breach as outlined by the State within ten (10) days from receipt of the State's notification. In the event the local government does not remedy the breach to the satisfaction of the State, the local government shall be liable to the State for the costs of remedying the breach and any additional costs occasioned by the State. Article 6. .DISPUTES Should disputes arise as to the parties' responsibilities or additional work under this agreement, the State's decision shall be final and binding. Article 7. RESPONSIBILITIES OF THE PARTIES The State and the Local Government agree that neither party is an agent, servant, or employee of the other party and each party agrees it is responsible for its individual acts and deeds as well as the acts and deeds of its contractors, employees, representatives, and agents. Article 8. INSURANCE A. Prior to beginning any work upon the State's right of way, the local government and/or its contractors shall furnish to the State a completed "Certificate of Insurance" (TxDOT Form TRF - TEA30 Page 3 of 8 Rev. 06/08/05 CLOSURE (incorporated) Agreement No. 1560, latest edition) and shall maintain the insurance in full force and effect during the period that the local government and/or its contractors are encroaching upon the State right of way. B. In the event the local government is a self-insured entity, the local government shall provide the State proof of its self-insurance. The local government agrees to pay any and all claims and damages that may occur during the period of this closing of the highway in accordance with the terms of this agreement. Article 9. AMENDMENTS Any changes in the time frame, character, agreement provisions or obligations of the parties hereto shall be enacted by written amendment executed by both the local government and the State. Article 10. COMPLIANCE WITH LAWS The local government shall comply with all applicable federal, state and local environmental laws, regulations, ordinances and any conditions or restrictions required by the State to protect the natural environment and cultural resources of the State's right of way. Article 11. LEGAL CONSTRUCTION In case one or more of the provisions contained in this agreement shall for any reason be held invalid, illegal or unenforceable in any respect, such invalidity, illegality or unenforceability shall not affect any other provisions hereof and this agreement shall be construed as if such invalid, illegal or unenforceable provision had never been contained herein. Article 12. NOTICES All notices to either party by the other required under this agreement shall be delivered personally or sent by certified U.S. mail, postage prepaid, addressed to such party at the following respective addresses: Local Government: City of Round Rock Jim Nuse, P.E., City Manager 221 E. Main St. Round Rock, Texas 78664 State: Texas Department of Transportation Lowell D. Choate, P.E. Director, Maintenance Operations P. O. Drawer 15426 Austin, Texas 78761-5426 All notices shall be deemed given on the date so delivered or so deposited in the mail, unless otherwise provided herein. Either party hereto may change the above address by sending written notice of such change to the other in the manner provided herein. Article 13. SOLE AGREEMENT This agreement constitutes the sole and only agreement between the parties hereto and supersedes any prior understandings or written or oral agreements respecting the within subject matter. IN TESTIMONY WHEREOF, the parties hereto have caused these presents to be executed in duplicate counterparts. TRF - TEA30 CLOSURE (Incorporated) Page 4 of 8 Rev. 06/08/05 THE CITY OF ROUND ROCK, TEXAS Execu on behalf of t e local government by: By Date /, 15-05 City fficial Agreement No. Typed or Printed Name and Title RtcLv- rncC ra,,cAD mw- Ira - -f em THE STATE OF TEXAS Executed for the Executive Director and approved for the Texas Transportation Commission 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 Transportation Commission. By Date District Engineer TRF - TEA30 CLOSURE (incorporated) Page 5 of 8 Rev. 06/08/05 TRF - TEA30 CLOSURE (Incorporated) Agreement No. Exhibit A Page 6 of 8 Rev. 06/08/05 dart of the ust1n stance .:Chat`.., TRF - TEA30 CLOSURE (Incorporated) Agreement No. Exhibit B Page 7 of 8 Rev. 06/08/05 RESOLUTION NO. R -05-12--15-9E6 WHEREAS, the State of Texas, through the Texas Department of Transportation ("TxDOT") owns and operates a system of highways for public use, including US 79 in Round Rock, and WHEREAS, RunTex, Inc. has made a request to TxDOT that a portion of US 79 from County Road 122 to Harrell Parkway be closed on January 8, 2005 for the RunTex 10/20 Miler ("Event"), and WHEREAS, the City Council has determined that the Event will serve a legitimate public purpose, and WHEREAS, City Council wishes to enter into an Agreement for the Temporary Closure of State Right -of -Way with TxDOT authorizing the closure of US 79 as set forth above, Now Therefore BE IT RESOLVED BY THE COUNCIL OF THE CITY OF ROUND ROCK, TEXAS, That the RunTex 10/20 Miler will serve a legitimate public purpose, and BE IT FURTHER RESOLVED That the Mayor is hereby authorized and directed to execute on behalf of the City an Agreement for the Temporary Closure of State Right -of -Way with the Texas Department of Transportation. The City Council hereby finds and declares that written notice of the date, hour, place and subject of the meeting at which this Resolution was adopted was posted and that such meeting was open to the public as required by law at all times during which this Resolution and the subject matter hereof were discussed, considered and formally acted upon, all as required by the Open Meetings Act, Chapter 551, Texas Government Code, as amended. CPFDesktop\::ODMA/WORLDOX/0:/WDOX/RESOLUTI/R51215E6.WPD/sc RESOLVED this 15th day of December, 2005. CHRISTINE R. MARTINEZ, City Secre 2 MAXW L, Mayor City of Round Rock, Texas ary TRF - TEA30 CLOSURE (Incorporated) Agreement No. Exhibit C Page 8 of 8 Rev. 06/08/05 J Special Events Permit Application Applications must be filed at least ftfteen.(15) days before the Special Event. There is a fifty dollars ($50.00) application fee for each event. If you are uncertain whether your event is considered a Special Event, please contact the City Ii4anager's office for further information and clarification. Date Applicant Name 2- 00 ►-� v ► D Address e 2. Z 14). mot` s i tOe Phone (Ci - 8 i 8--(1 9 Organization 12 v e.11• -e. ?� t.t L , Auth. Rep. %.t a " ,,:c 0 `Nc_c... Please check one: hoividual 0 DIB1A 0 Organization 0 Corporation Q Profit Itonprofit Address Event title a Partnership Phone iJ 2.0 d- / 0 L'1('. -is Event location: t( i c. o / o i l Event Coordinator cs n 0 `Me,— I Phone S t `Z-- GO? '-f? i` f On -Site Contact On Event Day © v� C {1 ��e�,. ( Phone VI 2._ 8 18 t f Event Start Date / /7 /2. 00 C Event End Date: l/F /2... ©oto Note: Event Cannot Exceed Three hays Event setup untie i/7/z-.° 66 y° "1" P (Not earlier than 7:00 a.m.) For eachday the w Event teardown time //(J .o o Co f :.3 c► e (Completed not later than 10:00 p.m.) Event day Sunday _ _ _ _ _ _ _ _ _ _ _ _ _____ Monday . _ __ ......„ ...................... . Tuesday Wednesday swot asu said Thursday. " Deiff7Vs Friday Saturday Start time 1: o o,,,,.,,efr - ar Stop time / .7 & o :..-k , wt Number of persons expected C Cc' 0 Number of animals /0 - Number of motorized vehicle $ Q Types of animals Thurber of inflatables Tents or Other Teumorary Structures (Must meet City's Fire and Budding Codes): Myatt are plying to erect tents, canopies, seating, awnings, booths, first aid stations, portable restroonns or other temporary structures, please describe: Qua�r Sizes S 5c 3O Food or Beverages Zzs Fire Retardant Letter ��f Yes No ��' L ►"c. -a a S Yes No Yes No Yes No If you are planning on serving or seiling food or beverages, please attach copies of any licenses or permits issued by the appropriate agencies for such vendors. Such vending shall be in compliance with ail state and local laws. Amplified Sound If you are planning to utilize any loudspeakers or other form of amplified sound, please indicate on the attached sketch or map the location and orientation of those systems. Speakers should not be positioned so as to adversely affect any adjacent residential area between the hours of 7:00 a.m. and 10:00 p.m. Menage If you are planning to use or allow signs at such event, please provide details of any planned signage: Disposal of Wastewater Applicant shall submit a plan for disposal of any wastewater in cormection with the Special Event and such plan must be approved by the Utilities Department. Events Layout. Equipment & Parking Plan Please attach a map or sketch of the Event indicating the following: Events Layout.. Equipment • Entrance(s) ▪ Exit(s) s Plan of evacuation and proposed fire lanes ` " Amplified SotnadsfLoudspeakers Parking arrangements ▪ Wilt parking spaces be utilized by this event? Yes No • Number of parking spaces provided mast accommodate projected attendees plus 10% surplus_ Also, provide information concerning layout ofpar including aisle widths and size ofproposed parking spm. • parking attendants? Yes No _ If ■ WM there be any offsite parking? Yes No hx i� 15� • If yes and parking is on private property, Applicant must submit a letter of permission from property owner. • How will attendees be transferred to the Special Event area and returned? 2 Place a check next to the items that will be utilized, and indicate location on map or sketch. S Tent(s) Size i l'' A 3 z7' 2 0 Portable Restrooms # Regular i 1 Handicap 1... # Others Dwnpster(s) Size Barricades Quantity Size Hot -Air Balloon(s) Quantity Supplier Amusement Rides or similar equipment (insurance required) Quantity Type insurance provided Yes No Yes No Yes No Alcoholic Beverages Giveaway Selling Type First Aid Stations Quantity Stag (eg. beer, wine) Fire retardant letter(s) Yes No Yes No Yes No Other Permits & Feel Please attached copies of any required insurance, surety bonds, permits or other documents as descn'bed in Section 13400 of the City ofRound Rock Code of Ordinances. all components that will bepart of your event. Addi Animals Banners/Signs Park property Electricity Police Security Barricadesltraflic cones Fireworks Alcohol Beverages (non -alcohol) Merchandise sales Portable restrooms Special parking Food Liquid propane Street Cleaning by City Bleachers/Seating Street Closures Fencing Water hydrant- Temp. Meter Other Security, Crowd Control and Traffic Control The Applicant may be required to provide police officers for security, crowd control, and traffic control at the Special Event. The total number of police officers working at the Special Event is determined by the Round Rock Police Department and in some eases may use planning variables, including: (1) the estimated number of participants and spec -taws; (2) the availability of alcoholic beverages; (3) topography and size of the event location (4) weather conditions; (5) the time of day during which the Special Event is conducted; (6) the need for street closures or rerouting of vehicular or pedestrian traffic; and, (7) the history of the particular Special Event. Public Notification lithe City Manager requies it, the Applicant shall, at least thirty (30) days before the Special Event begins, deliver written notice to - all owners or occupants of real property abusing the boundaries of the area in which the Special Event will be conducted. The notice must include the following information: (1) event date, time and location, and (2) statement that an Application for a Special Event Permit has been filed with the City of Rotund Rock. 3 Insurance and Bonds If a Special Event uses any portion of the City's rights-of-way, the Applicant shall provide a certificate of insurance to complies with the standards established by the City's risk manager. If a Special Event is on City property, a Ten Thousand Dollar ($10,000.00) surety bond shall be deposited with the Application to ensure that no damage is done to City property. lithe City Manager certifies That all conditions set forth in Section 13425, Code of Ordinances, are complied with, the bond shall be returned, If the City Manager does not certify that all the conditions are complied with, any costs expended fol policing andior cleaning shad be deducted from the bond and the remainder returned. Additional conditions are spelled out in Section 13425 as to additional costs. If a Special Event is fully on private property, Applicant shall deposit Five Winifred Dollars (5500.00) with the City as a condition that no paper, liter or other debris shall remain on the site after the Special Event is over. The deposit shall be returned to Applicant upon. certification by the City Manager that all conditions are met. If the conditions -are not met, such costs for cleaning shall be deducted from the deposit and the remainder returned. INDEMNITY AG tEEMENT I) As a condition of a Special Event Permit being issued, the Applicant acknowledges that he/she has voluntarily applied for a Special Event permit that in consideration of the privileges associated therewith, Applicant agrees to PROTECT, INDEMNIFY and HOLD HARMLESS, the City, its ofilcers, agents and employees, from and against suits, actions, claims, losses, liability or damage of any character, and from and against costs and expenses including attorney fees incidental to the defense of such suits, actions, claims, losses, damage or liabii on account of in` otherwise,to anyperson or g � I�5', death or damage to any property, arising from any negligent act, error or omission of the undersigned, its officers, employees or agents, arising out Q resulting from or caused by any act occurring as a result of the exercise of the privileges granted by this permit. 2) APPLICANT AGREES THAT THIS INDEMNITY AGREEMENT IS INTENDED TO BE AS BROAD AND INCLUSIVE AS IS PERMITTED BY THE LAWS OF 'tiiL+` STATE OF TEXAS, AND THAT IF ANY PORTION IS HELD INVALID, THEN IT IS AGREED THAT THE BALANCE SHAM., NOTWITHSTANDING, CONTINUE IN FULL LEGAL FORCE AND EF'F ECT. 3) This indemnity agreement contains the entire agreement of the undersigned and the City of Round Rock, and may not be modified or altered without the express written consent ofthe City of Round Rock. 4) This indemnity agreement is interpreted by Texas law and is performable for all purposes in the County of Williamson, State of Texas, or the County of Travis, State of Texas. I do solemnly swear (or affirm) that all the answers given and statements made on this Application are full, - true and correct to the best of my knowledge and beliefs. I have been given a copy of the ordinance and have read the provisions contained therein and agree to abide by them. Applicant: b ©vt. ett t,, D I hereby grant the Applicant and any affiliated organization permission to use -my property in connection with the Special Event and as described herein. Property Owner: 4 USE O Y****************fir************tic Application # Check # Cash Credit Card Reeeipt # Comments: ADDITIONAL EOUIPMENT OR PERSONNEL: Equipment: Public Safety Personnel Public Works Personnel TOTAL ADDITIONAL CHARGES: Y APPLICATION REVIEWED AND APPROVED CITY MANAGER OFFICE: DATE: POLICE DEPARTMENT: DATE: PUBLIC WORKS: DATE: PARKS AND RECREATION: DATE: DATE: FIRE DEPARTMENT: 5 CERTIFICATE OF INSURANCE This certifies that 0 STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois ❑ STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario [l STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida E) STATE FARM LLOYDS, Dallas, Texas insures the following policyholder for the coverages indicated below: Name of policyholder RUN TEX INC Address of policyholder 422 W RIVERSIDE DRIVE, AUSTIN, TX 78704 Location of operations RUN TEX 2 OMILER/ 10 MILER - JANUARY 8 u' , 2006 Description of operations The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is subject to all the terms exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD Effective Date i Expiration Date LIMITS OF LIABILITY (at beginning of policy period) 90-63-6525-2 90-63-6525-2 This insurance includes: Comprehensive Business Liability ; El Products - Completed Operations ID Contractual Liability LEI Underground Hazard Coverage r Personal Injury ® Advertising Injury ►Z2 Explosion Hazard Coverage ►Z� Collapse Hazard Coverage o 0 12/01/05 ' 12/01/06 12/01/05 12/01/06 BODILY INJURY AND _ PROPERTY DAMAGE Each Occurrence $1,000,000 General Aggregate $ 2,000,000 Products —Completed $ 2,000,000 Operations Aggregate EXCESS LIABILITY POLICY Effective Date PERIOD Expiration Date BODILY INJURY AND PROPERTY DAMAGE (Combined Single Limit) Each Occurrence $ 5,000,000 Aggregate $ 90 -EC -6743-2 El Umbrella E} Other 05/20/05 05/20/06 Workers' Compensation and Employers Liability Part 1 STATUTORY Part 2 BODILY INJURY Each Accident $ Disease Each Employee $ Disease - Policy Limit $ POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD Effective Date ; Expiration Date LIMITS OF LIABILITY (at beginning of policy period) 90-63-6525-2 HIRED/NON OWNED 12/01/05 12/01/06 1,000,000 - 2,000,000 THE CERTIFICATE OF INSURA NCE IS NOT A CONTRACT OF INSURANCE ANQ NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. Name and Address of Certificate Holder CITY OF ROUND ROCK 221 E MAIN ROUND ROCK, TX 78664 558-994 a.3 04-1999 Printed in USA If any of the described policies are canceled before its expiration date, State Farm will try to mail a written notice to the certificate holder days before cancellation. If however, we fail to mail such notice, no obligation or liability will be imposed on State Farm or its agents or representatives. it) _AL 444,/r1,A Signature of Authorized Representative AGENT 09/19/2005 Title Date Agent's Code Stamp AFO Cod MIKE MOORE Rock Ave. Texas 7868t t�'iz) i-3672 Proposed Run -Tex Route triiminti gum BMW( II nu "1 Pituomt. arm Sht 2 of 5 Revisions Tuen3 xeluriej pesodoJd .10d ueid la.quoooigaii . b . 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Isfkt�i:id .1. •NDO J (IN1101, 00+9LZ "V18 3NI1 HOIVW 00+£9Z "VIS S NI1HOIVIN 00+69e"VIS 3NI1 H lb'W "pnie EUISSO13 S1Ue�C� Sht5of5 Revisions duan and uaid xalu npesodojd I0JTU0O o!J4I r iii (11 Date: 12/14/05 .1.11�7it.IS(IN,14C)IS�tti3 :7}p;{�{�1,{ Type III Barricades (8') 660' Transition 0 O 12 drums @ 55' spacing 8 drums @ 50' spacing 00+ZOE 'vis N I i H CIVW SPECIAL 1.0 a 0 Channelizing Devices (Typ) MATCH LINE STA. 289+00 Os