HomeMy WebLinkAboutRES 13-116 RESOLUTION NO.13-116
BE IT RESOLVED BY THE CITY COUNCIL OF THE
CITY OF BEAUMONT:
THAT the City Manager be and he is hereby authorized to grant a Pipeline License
Agreement to Seaway Crude Pipeline Company, LLC, substantially in the form attached
hereto as Exhibit'A,"to install a 30"(thirty inch)pipeline which will cross a twenty inch(20")
water line and a twelve inch (12") sanitary sewer line East of West Port Arthur Road and
a thirty inch (30") right-of-way crossing North of FM 3514 within the city limits of Beaumont
for the purpose of transporting crude oil, said pipeline is to be constructed in compliance
with City requirements.
PASSED BY THE CITY COUNCIL of the City of Beaumont this the 21 st day of May,
2013.
A*Y) A-�
C
- o B Ames -
YO
d
,i
CITY OF BEAUMONT
APPLICATION FOR
PIPELINE LICENSE AGREEMENT
THE STATE OF TEXAS §
COUNTY OF JEFFERSON §
Seaway Crude Pipeline Company LLC 713-381-8231
Business Name; Biisluess Phone: (
Business Address:1100 Louisiana St; Suite 1000; Houston, TX 77002
Attn: Tim Dyk
The City of Beaumont,hereinafter called"City",for and in consideration of the sum
specified herein $567.50 (See Attached Fee Calculation. Sheet)
hereby grants to
Seaway Crude Pipeline Company LLC
hereinafter called"Licensee",the license
to lay,maintain,operate,replace,or remove a pipeline for the transportation of oil,gas,water,
or their products, on or across the following property situated in the City of Beaumont,
Jeffbrson County,Texas,and being more particularly described in Exhibit"A"attached hereto
and made a part hereof for all purposes.
,,+ eet Name or R.O.W.De iWon Leneh( 'nmr Feat)
20" water & 12" sewer E of WPA Rd, N or FM 3514 in 30 ' ROW
1
EXHIBIT"A"
COST OF LICENSE.
Licensee shall make payment to the City of Beamnont as follows:
c License Agreement fee-$500.00
o Annual fee of$2.25 per linear foot of pipeline located within City Property,
Said fee shall be reset on January 31,2021 and shall be reset every ten
(10)years, thereafter, to a level to be determined by the City Council or their
del®gated representative.
All fees,including the first annual fee for linear foot usage shall be made to the
Engineering Division and payable to the City of Beaumont prior to
construction.
TlAs license is granted by the City of Beaumont subject to conditions. Failure to comply with
the following may result in termination of agreement(see page 8),
GENERAL COMMS:
o Licensee does not intend to sell product for resale from the covered pipeline
to customers located within the City, however, Lice=recognizes that
should it sell product for resale from this covered pipeline to customers
within the City, it will be required to report such distribution and when
lawfully required to do so, pay a street rental fee based on revenues. The
annual fee and the regulatim controlling the paymaat of such fee will be those
as lawfully established by the ordinances of the City.
o All pipelines crossing public rights-of-way shall be bored from right-of-way
line to might-of-way line. Within these limits, the pipeline shall be
protected by casing or other method approved by the City and/or the Texas
Department of Transportation.
0 The pipeline shall be construoted in such a manner as approved by the City so
as it does not interfere with the use of the City property.
2
a The pipeline shaill be installed a minimum of five(5)meet below the lowest
exist or proposed ditch grades,waterlines, sanitary sewer lines or storm
drainage limes, unless otherwise authorized by the City and/or Texas
Department of Transportation. Such grades and lines shall be indicated on
map submittal, as well as depth of proposed pipeline(see page 4).
The construction and operation of the pipeline shall not interfere with the
natural drainage in that area nor with the drainage system of the City, nor
with sanitary sewer lines, waterlines,or other utilities.
Damage to existing ditch grade during construction or maintenance of the
pipeline shall be corrected and the ditch grade shall be restored to the
condition and grade at which it existed prior to construction or
maintenance. Bore pits shall be bacMIled according to City standards,
e Excavations necessary for the construction; repair, or maintenance of the
pipeline shall be performed in such a manner that will cause minimal
inconvenience to the public. Licensee shall promptly restore the area to as
good a condition as before working - thereon and to the reasonable
satisfaction of the City's Engineering Division and/or the Texas
Department of Transportation.
d Operations along roadways shall be performed in such a manner that all
excavated materials will be kept off the pavements at all times, as wall as
all operating equipment and materials. All property where operations are
performed will be restored to original condition or better. No equipment
or installation procedures will be used which will damage any road su dhoe
or structures. The cost of any repairs to road surface, roadbed, structures
or other right-of-way features as a result of this installation will be borne
by the owner of this line.
a Barricades, warning signs and lights, and flagpwons shall be provided by
the contractor or owner when necessary. Only under extreme
circumstances, as deemed necessary by the City Engineer, will open cutting
of a street'or roadway be allowed. All barricading must be by permit and
approved by the City(Public Works Department)in advance.
o
Any construction which takes place in, on under, above, or across
Property not owned by the City shall require additional permission:by the
owner(s).of the.property.involved_.Writtenxoof of said,permission is to be
provided to the City as part of the application process, Approval of this 1icai se
agreement excludes permission to do any construction on property which is
not owned by -the City of Beaumont.
3
f
o Any licenses,permits or agmelnents required by another governmental entity
(County,Stmid or Federal) shall be obtained and a copy of such document
shall be provided to the City,
if agreement is not required by said governmental entity,then documentation
regarding such will be provided to the City of Beaumont.
o Licensee sMH provide copies of all necessary agreements to be obtained
from other City Departments.
o Licensee shall be responsible for acquiring all agreements necessary for the
lawful use of any private property.
4 A map showing the location of the proposed pipeline shall be provided.
(ill. 2100(Y City of Beaumont map or United States Geological Survey
male)
o The pipeline shall be maintained and operated in such a manner as 'lot to
leak and/or cause damage to any City streets, alley, easements or other
property. Once the pipeline is in operation,any damage that occurs to the
pipeline which results in exposure or release of product must be reported
immefttely to the City Dire Department and Pic Work's
Depatlment. Licensee shall fully cooperate with the Fire Department and
provide, or assist with providing, any and all necessary notifications,
evacuations or other necessary actions. Leaks or other defects are to be
repaired irmnediately by Liomme at it's own cost.
o The Licensee shall be responsible for the cleanup and remediation of
contaminated areas due to exposure or release of product and any and all costs
associated wi$r said cleanup and reniediation,
o The Licensee shall be responsible for any and all costs associated with the
relocation of the pipeline. As provided, the necessity for iviocation of the
pipeline shall be solely within the discretion of City and/or the Texas
Department of Transportation.
o Permits which allow lines to be maintained or oonstructed in City right-of-
way shall be obtained by Licensee or it's contractor prior to beginning
maintenance or construction. The fee for such permits is in addition to this
License.Agrmsnent.fee. (See CO$,t.Of
o Installation will be done in accordance with all City standards and statutes
of the State of Texas.
4
MIME M COVERAGE:
o Licensee shall furnish the City with a Certificate of Standard Liability
Insurance,including bodily injuries and property damage,naming the City of-
Beaumont as an Additional Insured. Such policy shall provide for the
following minimum coverage:
• Bodily injuries: $ 300,000.00 per person
$1,000,000.00 per incident
• Property Damage: $1,000,000.00
Stich insurance shall be maintained in force and effect during the
construction or required maintenance of the pipeline acid during the life of
the pipeline.
Such certificate shall contain a provision that at least fifteen (15) days
written notice must be given to the City prior to cancellation, alteration, or
modification of such insurance.
e Licensee shall have in force with the City a suuety bond in the principal
amount of$1,000,0A0.00. The bond shall be payable to the City of
Beaumont for the use and benefit of any person entitled thereto and
conditioned that the principal and surety will pay all damages to any person
caused by, or arising from, or growing out of any violation of the terms of
this agreement. The bond shall provide that it may not be cancelled,altered,
or otherwise modified without giving fifteen(15)days prior written notice to
the City. The bond shall be good and in effect for a period of one(1)year
fl-orn the date of completion of construction of the pipeline,
o Licensee shalt indemnify, save and hold harmless the City of Beaumont
from any and all claims for injuries and damages to persons or property
occasioned by or arising out of the construction,maintenance, operation,
repair or removal of the pipeline. This indemnity expressly extends to
claims alleging negligence by the City of Beaumont,it's agents, officers or
employees, arising from actions taken or accurrenow under this license
agreement.
o If the pipeline or any part thereof installed by Licensee shall be in any
_ _. . respect..�laruaged oi,.,ipj�trett by..Ci#y.or„any of its.agetiis or employees in..
connection with the performance of any work or repairs that may be done
upon the property mentioned herein:
5
Licensee shall not be entitled to prosecute or maintain a claim against the City of
Beaumont for any such damage or injuries so sustained by it; however, said
conditions shall not prevent Licensee from recovering against any contractor who
shall damage Licensee's property in the course of such contractor's performance of
any contract with the City.
QT R CONSTROCT[OlYMAZMNAhM WITHIN R.O.W.:
o City will use its best efforts to notify Licensee of any proposed
construction and/or maintenance, to be done by City forces or by contract
for the City, within the R.O.W. involved with this license.
Notification, to Licensee, of other construction and/or maintenance
pm7nitW by the City and within the R,O.W.involved with this license will
be the responsibility of the company obtaining said permit.
Licensee shall mark the location of its lines within forty-eight(48)hours
after receipt of such notification of proposed construction.
Licensee shall maintain a local, or toll free, telephone number to be
called for notification of construction or maintenance and for location of
lines. Such number,or charges to such number, will be provided to the City
(Department of Public Works)and kept current at all tunes. This number
shall be provided to entities permitted to construct, maintain or excavate
within this City R.O.W. and which are required to provide notification of
such work. When information has been relayed to Licensee, through the
phone numbea provided, such contact shall constitute notification for
Licensee to provide location of its lines. FaH=, by Licensee, to respond
within the required time frame shall alleviate-the responsibility of the
persons) requiring the lines to be relocated.
a City reserves the right to lay, and to permit to be laid,sewer, gas,water
and other pipes and cables, and to do or permit to be done any underground
work that may be deemed to be necessary or proper by City in, across,
along,or under any of the streets,alleys and easements, and to change any
curb or sidewalk or the grade of any said streets. In doing or permitting
any such work, the City of Beaumont shall not be liable to Licensee for any
damage occasioned; it being undorstgod that nothing herein shall be
construed as foreclosing Licensee's rights to recover damages against any
contractor.oX.fjord parly_Whp may be iespol;sible for damages to Licensee's
facilities.
. 6
o Whenever by reason of the change in the grade of any street occupied by
Licensees'pipeline or construction of a new street or highway along or
over said street, or by reason of the location or marn;er of constructing
drainage structums, water pipes, gas pipes, sewers, or other underground
construction for any purpose whatever, it shall be doomed necwsaty by
City to relocate, alter, encase, change, adopt or conform the pipeline of
Licensee thereto,such change shall be made promptly by Licensee at its cost
and without claim for reimbursement or damages against City. If the
change is demanded by the City for the benefit of any other person or I
private corporation, except the City or the Texas Department of f
Tmsportation, Licensee shall be reimbursed fully by the person or
corporation desiring or occasioning such change for any expense arising out
of such change; provided,however, should the change be requested by the
Texas Department of Transportation or be required due to construction of
a state or federal highway, Licensee will, upon notice from the City,make
such change immediately and at its own cost; it being understood that City
will not participate hi any part of the cast of any change involving
relocation, altering, encasing, boring, or changing in any manner of the
pipeline where same is in a City street,alley, easement or other right-of-
way.
N07'll?ICATION/INSPECTION:
o Any and all work to be performed on City right-of-way (R.O.W.) shall be
observed and inspected by s City representative. Any work to be
performed within the City limits will be subject to periodic inspw iion to
ensure compliance with construction standards.
0 Licensee shall provide the City (Public Works Department - F.ugineering
Division) twenty four (24) hours prior to the installation of the lines
permitted by this license. Licensee shall also notify the City twenty-four
(24) hours prior to any street or R.O.W. crossing. A represartative will
be scheduled to be present. The expense of such inspection services may
be billed to the Licensee and such amounts will be reimbuused to the City,
o Licensee slmll notify the Engineering Division at least forty-eight(48)
hours prior to completion of woAc and removal of equipment from the job
site to permit the City to make an inspection.
7
S,PEML QaA 3MONS:
Nonas�iQnable ,
This license is personal to the Licensee. It is nonamOgnable and awl attempt to assign this
license wlll terminate the license privileges granted to Licensee hereunder. �
Tenon,
This agreement is subjoct to tennination by the City if any condition'specified berein is
not met. This agreement may also be terminated by the Licensee. Either party attempting
to terminate this agreement shall give written notice to the other specifying the date of,
and the reason for, termination. Such notice shall be given not less than thirty(30)days
prior to the termination date therein specified. Any written notice may be effecW either
by personal delivery or by registered or certified mail, postage,prepaid with return receipt
requested. Mail notices shall be addressed to the addresses of the parties as follows:
City of Beaumont Name.of Licensee:Seaway Crude Pipeline Company LLC
Attn: Tim Dyk
P.O.Box 3827
Beaumont,Texas 77704 Address of Licensee: 1100 Louisiana St; Suite 1 o o o
Aft: City Manager City and State of Licensee:Houston, TX 77002
,Ipon cancellation, the pipeline shall be removed and property restored to a condition
cccptable to the City Engineer. In the event of cancellation, any and all monies
collected for fees associated with this agreement will remain the property of the City,
There will be no reimbursements.
8
Commencement of work on the pipeline by Licensee after the date of this Adly executed
license shall be construed as evidence of Licensee's acceptance and approval of the
conditions above set forth.
IN WITNESS WHEREOF, the City of Beaumont,Texas,has caused these presents
to be signed by its City Manager and the seal of the City to be herewith mixed by the City
Clerk, this day of ,A.D.24
CITY OF BEAUMONT, TEXAS
By:
Kyle Hayes,City Manager
ATTEST:
City Clerk
APPLICANT'S COMPANY NAME:
(Licensee)
r OBI(V—'
Represented b
Tibe
ATTEST:
1
By:
WpolineA V041ne-ifemse-a eee 9 Revised 12-14-2007
Seaway Crude Pipeline Company!lC
Beaumont Fee Calculation(Inside City Limits)
license fee 1 $ 500.00
30'ROW 30 2.25 $ 67.50
$ 567.50
JEFFERSON COUNTY, TEXAS
DAVID CUNNINGHAM SURVEY A-15
. ,k: y �• f..,.F :l �. .`. r f' riii` , 0-C:l3~I
ro
I
J h
��1^ I4 Ar1►, (r!`N•i s'`��e ti.��r. ..�. �� .� . �'• 7,it'��.
� !�i t �!. .Cyy,�. Vii-.•-•• r ,, i�` =
,��, �kits f.••-,•�' �,� .i .�,, . � 4'��'' .. �. � •'r-~-_
�• % `day' '� �� E ..+�i •�'N^'�°t�-��,�+' F��,�'{�t� � +a•~
1,.+�! •a.,fit,' •�. !' PROPS ,.►� Y "'.-'_
SEAWAY 1, ±
PAM
TOM
_..•—�� .-. � :.. nor.; r ! ����.
summ Cr11Y um
PROJECT
----' LQ C AT I O N he
VICINITY MAP
NOTE:
ALL 8Fi112MMDS AND 0O0R9tNATES REFER TO THE urNERSA. GRAPHIC SCALE om MAPS:lszmi gy ps t Ol�y Y�I711 Aµ40 Y 9EAl A4=EAST, TEXAS (30084-At)
11 p ON !� DISIMM SHOW U 2000' 4000' 8000, PORT ACRES, TEXAS (28094-H1)
NO.I DATE 19Y
SEAWAY CRUDE PIPELINE COMPANY LLC
a
VICINITY MAP
PROPOSED SEAWAY PIPELINE SEGMENT 7
3 INSIDE THE
CITY LIMITS OF BEAUMONT
,,, JEFFERSON COUNTY, TEXAS
DRAWN BY: EV SHEET: i OF 4
... CHKD./APPD. BY: MC SCALE: AS—SHOWN
•r.
UPDATED BY: DATE: 04/15/13
MoiTT19 P. Hebert I1aC,
w . ., DATA BASE: 11246 JOB N0. 11248
101 • • 1lR16YItfl -7131 MPH CAD FILE: 11246PERMOODIAO.DWG
18101 A011�'ST 9110 i TIXAS 77474 319-t470
JEFFERSON COUNTY, TEXAS
DAVID CUNNINGHAM SURVEY A—I5
(NAD 83)
N=13,942,066.577
E�3,533,188.
.: LAT.-N29'59'38.51"
(MAD 85 '
N-13,942,012.8
E-3,530,666.
LAT.—N29'59'39.04
c
SuwEy ON t Ot 1. s
eM ahnE-MIND ffm wall wallm YAM to tOME A INWAE NOTE:
ALL BELOW BOOM ROM 611011.t 11A mm�mnaes►m PLAN ALL ass AMO TES TO
cnom By mE t ro tM> r THE Mao
er
LSMI tts OF cATOi(i Eo tr, GRAPHIC SCALE a
MMIS P. NMff FOR Nn OIN r.... FOOT AS R
P[PHntESy Uaill@! OR Aw ow No mm SIRtlC11m SYS M DISTANCES SHOWN
(M WO O PVO Mot'LOOMED otl M try MIRSE OF 1HE sung. 0 1000' 2000' 4000' HEREIN ON
NO.I ME M ml REVISION
ti
SEAWAY CRUDE PIPELINE COMPANY LLC
4
PLAN
PROPOSED SEAWAY PIPELINE SEGMENT 7
INSIDE THE
o CITY LIMITS OF BEAUMONT
JEFFERSON COUNTY, TEXAS
DRAWN BY: EV SHEET: 2 Of 4
aw
i CHKD./APPU. 9Y: MC SCALE: AS—SHOWN
UPDATED BY: DATE: 04/16/13
a Morris P. Hebert Inc• DATA BASE: 11246 JOB NO. 11246
P.M ot • *gm m• 77!074
0 1 2th1470 AIPN CAD FlLE: 1 i 246PER�10002A0,DWG
JEFFERSON COUNTY, TEXAS
DAVID CUNNINGHAM SURVEY A-15
a
t
OUTSIDE CITY Uwas INSIDE CITY uAATS +-
�.
NATURAL OROUND NATURAL. GROUND
O
5'MIN.
v y DRILL
PROFI
N.T.S.
ml DATE REV, aY:
0
SEAWAY CRUDE PIPELINE COMPANY LLC
TYPICAL PLAN ANS PROFILE
PROPOSED SEAWAY PIPELINE SEGMENT 7
INSIDE THE
CITY LIMITS OF BEAUMONT
JEFFERSON COUNTY, TEXAS
Y
a
�w DRAWN BY: EV SHEET: 3 OF 4
i
CHKO./APPO. BY: MC SCALE: AS—SHOWN
" UPDATED BY: DATE: 04/16/13
Morris P. Hebert Inc.
r r e DATA BASE: 11246 JOB NO. 11246
soiol + 1• TI] Z 1• 2�9.st+wt MPH CAD FILE: 11246PERMOO'03AO.DWG
PROPOSED SEAWAY 30" PIPELINE DESIGN DATA
1.0 GENERAL _INFORMA-110
1.1 APPLICANT/OWNER: SEAWAY CRUDE PIPELINE COMPANY LLC
1.2 PIPELINE NAME: SEAWAY CRUDE PIPELINE - SEGMENT 7
1.3 PRODUCT: CRUDE
1.4 PROPOSED CONSTRUCTION ACTIVITIES SCHEDULED FOR JUNE 2013
2.0 PIPELINE DESIGN DATA
2.1 DESIGN CODES.-THE DEPARTMENT OF TRANSPORTATION ("DOT") STANDARD CFR
TITLE 49, PART 195, "TRANSPORTATION OF HAZARDOUS LIQUIDS BY PIPELINE"
AND THE RAILROAD COMMISSION PIPELINE SAFETY RULES AND ASME 831.4
2.2 DESIGN PRESSURE: 1440 PS1G
2.3 HYDROSTATIC TEST PRESSURE: 1800 PSIG MIN.
2.4 DESIGN FACTOR: 0.50 FOR HDD/BORE
2.5 DESIGN FACTOR: 0.72 FOR LINE PIPE
3.0 CATHODIC PROTECTION
3.1 RECTIFIER IMPRESSED CURRENT
o.
a
4.0 CONSTRUCTION EIS THOD
i�
4.1 SEE CROSSING DETAIL DIRECTIONAL DRILL/BORE/OPEN CUT.
5.0 BORE AND/0R fjQQ LINE PIPE
5.1 OUTSIDE DIAMETER: 30"
w 5.2 WALL THICKNESS: 0.618"
5.3 PIPE SPECIFICATION: API 5L
5.4 SPECIFIED MINIMUM YIELD STRENGTH: X70 (70,000 PSI)
5.5 MATERIAL: STEEL
5.6 PROCESS OF MANUFACTURE: LSAW
5.7 EXTERIOR COATING: 14 TO 16 AILS FUSION BONDED EPDXY (FB'E) do 30 MILS ABRASION RESISTANT
OVERLAY (ARO)
6.0 LINE PIPE
P 6.1 OUTSIDE DIAMETER: 30"
6.2 WALL THICKNESS: 0.429"
6.3 PIPE SPECIFICATION: API 5L
6.4 SPECIFIED MINIMUM YIELD STRENGTH: X70 (70,000 PSI)
6.5 MATERIAL: STEEL
5.6 PROCESS OF MANUFACTURE: HSAW
6.7 EXTERIOR COATING: 14 TO 16 MILS FUSION BONDED EPDXY (FOE)
N0.I DATE m sy.1 REVPADN
a
SEAWAY CRUDE PIPELINE COMPANY LLC
PIPELINE DESIGN DATA
DRAWN BY: EV SHEET. 4 OF 4
CHKD./APPD. BY: MC SCALE; N/A
UPDATED BY: DATE: 04/16/13
--
(5;;AVMO P. Hebert Inc.-Ow mm,-m mwii-jum Anim-aw [DATA BASE: 11248 JOB NO. 11246
is of soun»IIMSi •srl 400 >bas r�o I 20-I M MPH CAD FILE: 11246PERM0004A0.DWG
AC4�i?
�. DATE(MMOONYYYCERTIFICATE OF L LITY INSURANCE )
(16102/20,3
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,9 the o@dMcsb holder Is an ADDITIONAL INSURED,the poll;;W)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 �T
Aon Risk Services southwest, Inc, l PAX
HOUStOn TX Office E C866} 283-7122 : 800-363-0105
5555 San Felipe
suite 1500 s
Houston TX 77056 USA
INSURERS)AFFORDING COVERAGE MAIL*
INSURED NNKWARA: National union Fire ins CD of Pittsburgh 19445
seaway Crude Pipeline company LLC INSURIBa; NOW Hampshire ins Co 23841
1300 Louisiana street, 10th Floor
Houston Tx 77002 USA MNMIRIWC: Illinois National insurance Co 23817
INRIMa.
I INSURER E.
INSURER F:
CO4ERA11 TII: •5700499111
mem' .
HAVE TO THE INSURED THE POLICY PERIOD
INDICATED.NOTWITHSTANDING ANY AEOUI EMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY 09 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. Limits shown are aS tsd
TtTa of#MNIR+YIaE POLICY NUIBaR LUSTS
(IMMORAL LIABILITY 111.2503712 EACH OCCURRENCE $1,000,000
X COMMERCIAL GENERALLfABIITY commercial General Liab i TtfR $1,000,000
CLMMS-MADE ❑X OCCUR MED EXP s m —
(Anyonapmatn) Excluded
PERSONAL&ADV INJURY $1,000,005 ."
GENERAL AGGREGATE $2,000.000
GOM AGGREGATE LIMIT APPLIES PER: PRODUCTS•ODMPIOP AGO $2,000,000
X POLICY M P, LOO A
A - 0-L
AUTOMO�.E ABIJ,Y CA SnM[iLE LINT $1,000,000
Business Auto Coverage (A fee submal
X ANY AUTO BODILY INJURY(Pow penan) Z
ALL OWNED SCHEDULED SOOI.Y INJURY(Par aaddwd)
AUTOS AUTOS Y
HItEDAUTOS NOWMNED PROPERTYDAMAGE
AUTOS Pwacddmn
ie
D
UMBRELLA LIAR TIL-AMWMADE EACH OCCURRENCE V
EXC233 LIAa AGGREGATE
OED I jRETEJmON
a WOMON SIAM �
B �LMBLITY MIC012948493 04/18!2013 04/1$/2014 X 'I 1 r
ANY C PROPRIETOR/EXCLUDED? N NIA WC012948494 04/38,(2.013 04/18/2014 E.L.EACH ACCIDENT $1,000,000
a (NYndenmy In NH) WC012948490 04/18/2013 04/18/2014 E.L.DISEASE-EA EMPLOYEE S1,000,000
s OFFOOPERATgNS yam„ wC012948491 04/18/2013 04/18/2014 EL.DIBEABE•POLICY Lwr S ,000,000
IMISCRIPTION OF OFiRAVIONe I LOCATIONS I VI NLEe y1rieM ACOND 101.AddMIMM A a 800& .I tom I Y n p*"
certificate Holder is included as Additional Insured as required by written contract, but limited to the operations of the _
insured under said contract, per the applicable endorsement with respect to the Auto Liability and General Liability policies. a�
*"Policy is excess of primary policies. i
CERTIFICATE HOLDER CANCELLATION fo
a=" AW OP THS AeOVII DasCFMM POLCM aE CANCILLED WOO THE
EXPIRATION DATe THImaw,NOTICE WILL BE DEL MMO N ACCORDANCE WITH THE
paNCr PaoaNONS. _
City of Beaumont AUTHORRIED RIPFAMR 'ATM
P. 0. Box 3827
Beaumont Tx 77704 USA rp ��
01998-2010 ACORD CORPORATION.All rights Teamed.
ACORD 25(2010!05) The ACORD name and logo are registored marks of ACORD
AGENCY CUSTOMER ID: 10638949
y ----� LOC 0:
ADDITIONAL REMARKS SCHEDULE Page _ of _
AGENCY NAMED INSURED
Aon Risk Services Southwest, Inc. Seaway Crude Pipeline Company LLC
POLICY NUMBER
See Certificate Number: 570049809111
CARRIER NNC CODE
See Certificate Number: 570049809111 EFFECTIVE DATE.,
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 25 FORM TITLE: Certificate of UablRty Insurance
INSURER(S)AFFORDING COVERAGE NAIC 0
INSURER
INSURER
INSURER
INSURER
ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD
certificate form for policy limits.
INAR ADM BUBO POLICY NUMBER POLICY
LTR TYNE OF INSURANCE I]Y8R IYVD POLICY EFFECTIVE EXN®MTWN LIMrr3
DATE DATE
(MM/Dp/YYYY) (MMMAO/YYY1�
AUTOMOBILE LIABILITY
A CA 480-70-21 04/18/2013 04/18/2014 CoMbined 51,000,000
Truckers Policy single Limi
WORKERS COMPENSATION
B N/A wcOI2949492 04/18/2013 04/18/2014
ACORD 101(2008/01) 0 2008 ACORD CORPORATION.AO rights reserved.
The ACORD nmw and logo are repiatered marks of ACORD
CJTy'OF BEAt'.IMONT
AMUC liliJN FOR
PRELMUCEN AGkEB MT
C£3CJM"T OF JI i tSON
Seaway Crude Pipeline Company LLC 713-381-8231
B AddV S100 Louisiana St. sine 10061 Xgg� t pn, TX, 77,062
Atf, "Tim Lark
no hd6ukOo WW"(W,for * cons14 6011 oOth
aum
heim7, Q Seettaed Pee Cal+ uJ ►ti She )
herebygnuoto.
Seaway Crude Pipeline, 22Many L,LC
hna t��fC:c��ss�e;the li
to]ay,.mica,%goon,iqg=;or mtove a p Ane for the toTotgon of ,voter_
or their producs, an Or acr6sa ttts following pimp std iu ft City of bout
Jeftnon Cou ,Tom,alad being z,mparticukdydembediia "A"aftwhrA hr r
and made-a par#hereof fbr all pm?ows.
Si Nam or WIN,Dmdpdm
20" water & 12" set or H of WPA Rd, N or, F14 3,514 in 301, ROW
1
i •a • a
R
COST M.s
Lice Mg&t p4y9&d tQ$!e tit cf'BeObMOnt A)90":
• Licesse Agwoment The-$5M.00
• And fm of$225 por lit er=A)O04 1
Sand fb6 sbali be rat on Imajoy 1, {?11 snxL sU4U be miet vvtzy tau
(1,Q) tb, atr, t+n a be debesmedY rix t
delegated puree t i e,
Enoumft Divls w ara MUb1a to fle Gitp of B prior to
%"MQd3WoOJGCOA&* OM 10 40b"*Wl&
�cans"truction.
tb�lo�tri�g any�t �tesrnnati�ofag`�?e��se�. aq ��
X Mend to s 11 a�clt facr rOM the v d
WOOMM hilt t Katy; lv , Lim k
shwid it wO pmdud e,ft- M Ws ems pig to c�u mers>
wiffik&a "1 ,, it will be =juW to zopW ft*E�st=Wuu a�
la'�vfly-ni #o do, pale a stns o ,rnvtGUs= 'The
aauu £eed#1 ;��lcs1 pof. wMboe
as lawny esWj*ed ty the ew cf tlZa City.
All PtpeLUO pubis =w +
line toigt-nf- lire, "G tie Cii#s p 4i bo
MftW by osing or 4m=%lbo d approval by tip City mWor the.Ted
Department of TrausparWon
Q The pipeline s be IoW nn such a mequer as approved by te City.so
M it does not interfere vAth the use of W City proper,
2
T4ce sb be inS.Med a Mmhmmof m`(5)fod WOW tto 10VIca
p rqxW ,d i VxdCO,W*16M=Am MVVW Uses tai dorm
DVodm,Ant. of��i Suh Wide*Md ."bo Wicatedoji
mop subwod, ae wmn as deph of proposed pkwfift(see paw
Tbo oot 4jo-o *pWx%on of the pipelim 1 to ", P►ilh tbr-
wtuxd OM
. in gut me tM wi t t1&Fbw of to Cf WO nor
with sidtary wvw des, off`OOM des,
Danar to wdsft 41-tch goade duting oxwmdon or malMomm of dm
pip o shaft be w ed. and c#it& radd shall be tostored to $e.
=4 tion eAd at wlllah it WdSW per to COAMOW00 or
Dore Pits sw be badmed acooang to City#=do.
tic ' the oonS iW" �* or ZOM #
p b " .. . ed is awl a. � f VAU cow
it n to lac€ ,Di a WI pvvptly r"lort the am to as
goad 4 condition, a$ W ,w . temon and to tho mewbWe
sadshias ' of the WS EnghwwMig DhAden =A/Or the Teas
Deparimnt ofxtah`pn.
o t}p vatic d?t ys 4a ,b pew it std a ': w Out
e , vAbd b * bb
+ toff a ail + s we1C s
oratit pm and maWals, All pRpOW,*Am Opb%fimx are
paw.vM be xWorod to e4glud eoaMdw or be r. No
of 1nsoon 1 ' wild*used wbich wMAaww mw Sufma
or sfiwtams. TbO cast OfWW VOPOA to road WtAU3% xaad ,.stxr ku=
or Otha right-of-awry a$ a � of1h auah w ba bow
by tb,aww,of this line, . .
Batri es, vftln *nd I%hb, uA *W, mons ill be ad by
the col*adtof or n r' 00m ncc MM- O*Y Wdcr OXWOO
c wains cu > as dam. n6cess 'by ft W OAW. vin qP%Vdft
of a., etor roai�yay bd ailo�+�d, A� ��'be �'�t
apparred
by the City(Public 'Works Departmiat)in advance;
a Any cotistruetion which Uk" ply filv on mom, aboye� or moss
property not owned by the City s1>ail requ xn adMoW pem*don'by the
s oft1�e o prly 1. Witted f of pe,mik O'
......_._.. . __ cry.�.,.�_���'.�� .. ..�. _,. _ _.
,u. ?� ^T n is to be
provided to the City as part oftl application pros, Approval of Ws 1166ne
agreement excsludes permission to do any eonst action on prape tty which is
not owned by the City of Beaumont.
3
Any. ,p or aVmxob raqqW by Vwdw; vest'aWd entity
(CjD=jN or Pedal) shall be obW d and a copy of tmb dommt
shaft be pntw;ded to the City.
If qpeMOA is DDt requited I)ygWtthi. l
mg g.swih wM be povided to&a M ofBOUM"t-
Ucs ee shan pmvi& wpW of an necomy agnommo to be obi=
from odw Chy DVaUmIlts.
o
Licmsee shall be responsible for�uft ail O(w ft
lawN use of any#i aft PWPOKY*
t*, lOcAU00 Of*01Mloped,p"
A MV - 7(l"�0 0' City of Boas od map or ooed Suxvry
o ' - pi o, ,.. xe
fed in a as wt to
Ieak Ih � � W � � query a tither
the pipe U in apendw.t� a*A �b
p remits is eVo 'e or xej of p��'m be n
t to the Oty Fhv I)qartm a W WOWa
Devofteut. Uceme lina fay co6pavac wA the Piro Dopatnd and
provide, Ova -rim pit vl g. MY and 4n Wcemgy nofificom B,
e or ne sary 94060 ts: l�s otbear � �► � �
r tcly byLiWt SW at It's o
Umsee. be -fox rlaMV and samation of
a " duo a ?rreie
asso W with said,ole€aaup and mmodiation.
o The Ucamoa,"I be ar onsi* for any ad all.cnM ao)Wu d
Moaaticm of the p#aw, As pr yided, the amity ft Idpoidw cif the
pika a be solely within the dismretion of City =&Or ttbt TCOS
yep to of Traasportaflon.
o Pmft which allow tines to be mah*Ialed or caukad d in(*rigbtyof
way b obtained by Licensee or it's c04twWr prior to beaming
mahaMr,O or commotion. The fee for swh permits is in W t tm to this
cerise Agmment fee. (See Cost cf 14 ccs e
lnsWlation will be done in acoor&mcc with all City sbamdRrds and statutes
Of the State of Texas.
4
0 Aw*h the city TA a C wb� of Mmwwd Usbaity
80 pmpedy ib city of
B oat as an Additional Inmed. Snob Porky shaU Vow for tip
Bodily iri was $ x,140.0 pot P€O n
SIAO,00.00,pariaddwt
0 1'ropy T} : BQ6Od
Such IDSOMMA s be nwjaW4ed lit fam aid eft dusing
comsowdon Cr M maidwszoe of the poe4ine OW&Ving The M of
thepipt .
Such =tWoft c a pVAdm 1W at lead Meft(15)days
motion of std instxahiee
b idmi s d
The bond sji�g be: pq*Je to 910 bi q Of
BMV Ozt foi the ate. bawfit of ,
do that ae"Priw* ili�a11 tip ptn
ori , br ► cifiplict ofa tifto of
thus Weement 1U brad per► + s wit aoa r E bey c.� t d
or 0twise Vie.d l" i'vi . 13 Pow W*tVA U0400 to
t C net d in for a mad of�a 3
from 00 die ofcs000etaon. ofile
a L. AWI ind i , save and b UWa t City of*MMMA
-fr wW end all dooms eyes add dwaaW to lbw yr PIMPOly
oWoned bar or afiXipS OUt of the eonst4CfiDiI,6 nt duiin,
sepirnatial of amine. indty thda to
claims afteg ng n*ige w by the City of BwaaA Wr, 894148,uMUM or
einployeoS, arising from actions taken or occ1Amuc s under this h m
agreement.
0 If the pipeline o: any part theraef. installed by L o==sbali be in any
aged._ .
. . , , .� emgl In .. .
connection with the perfonnance of any work or xeiems that xn 6 done
upon the property mentioned h+ereei ti:
5
Iaiacxtasee t Vin# be =wad d to pwwoute,tv nuh%Wxr,a claim avivA ft CAY of
t3 for =y mch dente or injurl" so j I by k l��vc�r , said
t� 1ow IItit�7t?4 wt ,from 1�1g ' �� whq
y t3on with the city.
City *M use .s best a0do to MW UWMO of aw PXOP
to be dope by Q* fown or by contrad
for tbg)My, wI&M the IPLIA involved with this became;
NbfifiOXacnN to � of of r coon �O n�a�ce
p icy#fie Cityie : l►. Va1�rct �v ' hcaviI
and
s t.
W tk�e xestior��of#�o trey otntrag pe�ni
r�
Lipmm s2aalt mark the toe Or of jK lines vAt fq* ( hmm
after fooeipt of M14 n '°"_�dw bn of,p"Osel vClion.
t mantm& a 1904 or tve, Wophom umber tv be
called jor notificgtion of c trwdc A of maual�and for low of
line$. $uc nuEm$er,or ctiaxgos to such n arrt w�be rvi�ed�
(DejWwod of F&licWor )Foci =pterit at all tines. TbW�er
shall be pro d to esatatt� � to clot, tar erxesv e
with this try .R.Ci, . es t h are t d tc►Pra vide as i+c ion f
such wmt �i�mat tm has bpi r$�to I3 throes
Awnp number rv" owh Wt tobl tIft no es for
LiOMM to ,provide 100404 pf its,:tiers. Faibuo,by Jacewvg� to tespond#mar shall .alleviatexthe res�oa"h�ty of�e
pears*W) itquidng the 11hes to be reI6zvU .
o City resuves to ri& to Jay, *to peemit to be tail,W' M�4 on),W
and otlwps pas And cab* Aud to do-orpamit to be zc uuIvqpxmd
by City In# =DUN
wcwk that may be deed to be nemiMyOr-proper
gong,or under any of the str",alloys and es tams, and to Oump Any
curb or .sideway or the grade of any said s4cots. In doing draining
any such work, the City of Beavftont oW twt be Hable to Ljco SW iV Sft r.
dan*p owm ionim; it being undatood that noftg $ran i tie
const med as faredosing Lic m's rights to recover dues Agahat any
contratc cox Qr. p rty u►ho MAY be Vic? , _ . _ ._damn ...
'ble to Licensee's.
facilities.
I
6
Whmm by reason of ft t 6 1II $e of any stwd owqiW by
lc'*am or cowthou of it new sbvd lor hV1 F alit or
ova W4 soot or by no= of 41w i am or wanner of oonshwft
cansum ion for any pqxo v&onw, it dWI be .bowd�rY b
City to rd � d� � or �m HW of
T.i a M=vto,suph Amp b6 m Vou4 byLi aibvo4
ate.,witfraod clehu for ab1jr nil t of dims agdug QW. If the
dmp is 4ownded by the Ofty for tans b.WK&trf any otba Pas ft� or
private coqX03ficn, =ept ft �V of thts Texas Depsftot of
TMWWM60, 3.ieds6t; s be mbftsed fit1ly hY tt pewon
of su&vb" , � ho"M,; Awdd#ip oXuo U rpm$I)y the
fi Dcpart of f On or ba ctr**wda�x�hf
a � k toma sa er i d va3 um"Q make
mib change im is at xts t� it b t d City
wiff not of fits. clbst . #raving
lao n and borint b r c a aay Mss of ft,
*cline *hM is fft a C4 start,gi%y, a seine;t or O&W rigs-af-
way.
Any W A wo&to be put=W � � �,.�4.'!�'.) be:
obs ad and apt d bq a to bo
permed wig' t �h ots '10 owjed to pedo4k inspocom to
e�comic with oarao� �.rc�s '
e The Ofty (�c
partitn?d by 400A . UOMM � nwrify es ditty iwonty6f our
(24) ha ,prior to my shed or it. :'9 . qQ010g. ac tine vet
be wed to b T#e cc you wvim may
be bad to the tAcewce and s h amoWs wIV be rekobw"to f City,
a L40epsee Alan notify the Monceft Dives at IqW " (49)
horurspfor to oop*cdonr of work.abdrdooval of oquipmzt fim the job
site to permit the City to make an i rls n.
7
AMCIAL
i - p
T'hi8�'L$�#D ��P I�xs 1�ta����and ' . jugs
iii tm i664nmte ft&enob plivil tD I4000ift he6uudae.
T
+ `
taAmWonb ►
MIS
npt not Tiffs affooWd mWAlm beftm bytes Urea*, mar
pgt M- to ,e of
.. ecL Any wiftai.vfirA mq be eidxar
]�iarto.the d*tboaft bit 4 or o&wod or' otOed,.Ut, P K
requ"k& AUR todo c ate Wtmed to ft ad&eBM46f imp s. llavvs:
Y of sent N=o-of L cmw8—,.Sep y 2M- de V ne. Co -any LLIC
Attm: Tita Dyk
P.O.Box 3827
7 t)4 of L : 31,fl8 Lowy.i� 6t Suite 100,0
Amu . Citq and State of Ut.elww t bon, 71 170ID2
MY-MMAPW
Haan opgoan tb* pipa0up AW be ro pe*tesMftd to s coon
t* the +CW . .;. in ft evmt of ma"o, sAy md All =Wo
cvTlec far f eiaW wft Sis Wnent will nwain the Mp of ft
Where wall be ate reutouzet ,
8
pmt of vm&cm the pig by Lie aft the date of dib fully ex=W
lip sW be cmWnjed as dykknot Of 's =Xgft= gad "wva of the
oon&t!DW abm sd forth.
IN' mew WHK F3 the City of BOMA04 T ,but cal"d*mits
to be signed by. its City Mass=ad the seW of the Cry to bo h wUh afted by the Ow
Clark, this jj.'cry of � __. ,.AR 20 L I _
C rY O� DEMSO d"Y TUM
$y: �L
city
7 owk
city Clerk
APPUC; ;NrS CO&A MW;
Rat
1pre�fncs� ►eli �li aee 9 Revised 12-14-2007
Seaway Crude Pipeline Company U..0
Beaumont Fee Calculation(inside City Limits)
I%nse fee 1 5W.0
3a'ROW 30 2,25 $ 67.50
%7.50
JEFFERSON COUNTY, TEXAS
DAM CUNNMGHAM SURVEY A--16
s"
f r �
I
s:
1.
r
a w !
1
w �"`T - � • yi>• • �r7 far >''�.w, ,..
1 *+�� ±J�� fi'�C^?+C'�V*_� Cif • s r�� �•�•.. �+
R
+ ��_ T6
y F
T' umm
i
AY
;.
F
./"`_"_� _.,.�.- —;�`" -�gib ��,,,,r'" r_�� � w • i� �� f yX d"
VICINITY NIA
tz£s rya To lK GRAPHIC SCALE cu�w wiPS:
iW�IM:A
snti�c MARY": MOM ..r��`, , ,mss
H ARE 0 2000 4000 Boa
om NMI WA
SRAWAY CRUDE PIPEIM Compoy LLLC
VICINITY MAP
PROPOSED SEAWAY PIPELINE SEGMENT 7
INSIDE THE
CITY UMITS OF BEAUMONT
JEFFERSON COUNTY, TEXAS
DRAWN BY. EV SHEET: 1 OF 4
.� CHKD./APPD. BY: UC SCALE: AS—SHOWN
` � UPDATED BY: DATE: 04;/15/13
Mori.s P. Hebert Inc.
• DATA BASE: 11248 JOB NUJ. 11246
iot+al * eta* tts-t1 MPH FILE 11246PFtGI00U1A0.DYVG
JEFFERSON COUNTY, TEXAS
D Ai A-1 5
NAD �
N=13,9 2,066.6
E—x,533,9 8.s.
LAT.=N29'S9'3851,r.
A1�13,942,01,2. "
E=3,530,866,. ,
LAT.—M2 9-
•r.
M:
r
r
AN MOTE:
Au ter► i� �r s; PLAN � �,taw M,FAM TO
a SIC SCALE
Tt
`�: ter. �. �t.� w�r �.�►
� t trt mY oft
0 1 006 t 2000,
(giau lqr our c®u of 1NE 4000
MO.
AWAY CRUDE PIPEUNE COMPANY LLG
0
PLAN
PROPOSED SEAWAY PIPELINE SEGMENT 7
INSIDE THE
CITY LIMITS OF BEAUMONT
JEFFERSON COUNTY, TEXAS
LDATA BY: EV SHEET* 2 OF 4
PD. BY: MC SCALE: AS—SHOWN
�" •* j.,,, 8Y: DATE: 04/16/13
— MQrrf P. Hebert lliCi. SE: i 1246 J08 NQ. i i 246
3 flt� ,s * try aroma+ a n� FILE: 11246PF RMOMeA0X"
JEFFERSON COUNTY, TEXAS
DAVID CVNNI +tG [ t SURVEY A-15
r
atJt51DE ilY um" M—INSIDE ON UWM--�-
y NA'ItUW. �.
NMUR& OMM ( 1
Q
5*Mbil.
PROEI
N.T.S.
ND. DATE
SEAWAY C tUDE PIPELINE COMPANY LLC
TYPICAL PLAN AND PROFILE
PROPOSED SEAWAY PIPELINE SEGMENT 7
INSIDE THE
CITY LIMITS OF BEAUMONT
JEFFERSON COUNTY, TEXAS
DRAWN BY: EV SHEET: 3 OF 4
Oft r C KD./APPD. BY: MC SCAI..E: AS—SHOWN
UPDATED BY:BY: DATE: 04/16/13
Morrie P. Hebert Inc.
3 • • oil DATA BASE: 11246 JOB NO. 11246
v
P EN Aw.I mol MT Mows m• TE7(Ii8 77m+ ms u-m NPH CAD FILE: 1124SPERM0003AO.DWD
PROPOSED-SEAWAY 30' PiPELlA1E DESii;N DATA
OLIMAL
1.1 APPLICANT/oWNER: SEAWAY CRUDE PIPELINE COMPANY U-C
1.2 PIPELINE NAME: SEAWAY CRUDE PIPELINE - SEGMENT 7
1.3 PRODUCT. CRUDE
1..4 PROPOSED CONSTRUCTION ACTIVITIES SCLIEDULED FOR JUNE 2013
2.0 PHMMIEE DES 109 DA A
21 DESIGN CODES-.THE tNr AR`MENT OF TRANSPORTATION ('DOT') STANDW CfR
TITLE 49. PART 195, "TRANS VWATION OF HAZARDOUS UWM BY PV"E"
AND TIIE RAILROAD COMMISSION PIPELINE SffM RULES AND ASME 831:4
2.2 DESIGN PRESSUIW- 144E FOG
2.3 HYDROSTATIC TEST PRESSURE 1800 PSIG MIN.
2.4 DESIGN FACTOR: 0.50 FOR HOD/BORE
2.5 DESIGN FACTOR: 0.72 FOR LINE PIPE
3.0
E 3.1 RECTIFIER IMPRESSED CURRENT
a
40
iV
41 SEE cROssiNG DETA L rnOwnOmAL t LL/ROREj00w CUT.
&O I MR&E fir, ice£
A. 5.1 OUTSIDE DIAMETER: 30"
5.2 WAM,THICKNESS: 0.518"
a 5.3 PIPE SPECIFICATION: API 51.
3.4 SPECIFIED MINIMUM YIELD ;tTREIOGT11: X70 470.OQO PSO
5.5 MATERIAL- STEEL,
5.8 PROCESS OF MANUFACTURE: LSAW
5.?
EXTERIOR COATING: 14 7t1 16 MIL'S FCIS IN eOWOE0 EPDXY ) ik 36 MILS ABRASION NESIS7'ANT'
OVERLAY (Al O)
6.0 LINE PIPE
6.1 OUTSIDE DIAMOER- 30"
:3 6.2 WALL THICOIESS: 0420
6.3 PI PC SPECMATI0th API. 61.
6.4 SPEGIF0 .#iMWM YYIELD StAEWt11'I`I: X70 (70,000 PSI)
6.5 MATERIAIs ,'PEEL.
6.6 PROCESS OF MANUFACTURE: HSAW
6.7 EXTERIOR iCOArWG; 14 TO 16 MILS AZION BONDED EPDXY (FOE)
m
WA 4ky CRUDE PIPE M- LO AiY LLC
PIPELINE DESIGN DATA
:00016 DRAWN BY- E1/ SHEET 4 OF 4
-- „ , cHKD./AF'Pp. Br: MC SCALE: N/A
N UPDATED B1'. DATE: 04/16/13
Morris I', Hebert ,,Inc,
.. r DATA BASE: 11246 JOB NO. 11246
10. 8{ • TI>i�3?1ir14+ 1 CAD FLF; 112�PERA40p0r1;A DWG
DATE(MMIDDIY YY)
CERTIFICATE OF LIABILITY INSURANCE F 0510 13
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 Rider Is an AD—DMONAL INSURED,the poticy(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 andorsement(s). w
PRODUCER CONTACT O
Aon Risk Services Southwest, Inc. PHUM (866) 283-7122 800
. -363-0105 m
Houston Tx office AIC.No.E A/CNo.
5555 San Felipe HESS: _
Suite 1500
Houston TX 77056 USA INSURER(S)AFFORDING COVERAGE NAIL#
INSURED INSURER A. National Union Fire In`s co of Pittsburgh 19445
Seaway crude Pipeline Company LLC INSURER B: New Hampshire ins Co 23841
1100 Louisiana Street, 10th Floor
Houston Tx 77002 USA INSURER C: Illinois National insurance Co 23817
INSURER D: .
NRJRER E:
INSURER F:
COVERAGES TE R:5 9809111 REVISION NUMBER-
THIS IS TO CERTIFY THAT THE POLICIES LISTED OW 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 POLCIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as irequested
NOR
LTR TYPE OF NOURMNCE POLICY NUMBER LIMITS
GENERAL LIABILITY GLZ30311Z EACH OCCURRENCE $1,000,000
X COMMERCIAL GENERAL LIABILITY Commercial General Liab 51,000,000
PREMISE Ea occurrence
CLAIMS-MADE ❑X OCCUR MED EXP(Arty one person) Excluded -
PERSONAL&ADV INJURY S1,000,000
GENERAL AGGREGATE 52,000,000
GENT.AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000
X POLICY PRO- LOC o JECT
A AUTOMOBILE LL&BRy CA - - 1 COMBINED SINGLE LIMIT $1,000,000I 1,000,000 �
Business Auto Coverage (A IEa accident),
X ANY AUTO BODILY INJURY(Per person) O
2
ALL OWNED SCHEDULED BODILY INJURY(Per accident) y
AUTOS AUTOS q
NON-OWNED PROPERTY DAMAGE V
HIRED AUTOS AUTOS Per accident)
10
UMBRELLA LIAR OCCUR EACH OCCURRENCE V
EXCESS LIAR CLAIMS-MADE AGGREGATE
DED RETENTION
B WONG= MN AM WC 4 1 04/19/2014 X I WC ST OTH-
B EMBrLOVERa'LIABB.rrY YIN wC012948493 04/18/2013 04/-8/2014 TORY L11MITS
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCENT $1,000,000
C OFFICERI EMBER EXCLUDED? N N/A WC012948494 04/18/2013 04/18/2014
B (MandallmryInt" wC012948490 04/18/2013 04/18/2014 E.L.DISEASE-EA EMPLOYEE $1,000,000
e It yes,aa°N°e Under wc012948491 04/18/2013 04/18/2014 E.L.DISEASE-POLICY LIMIT S1,000,000—
DESCRIPTION OF OPERATIONS below
DEscRIPTmOF opewrioNB!LOCATKINS/vBHICLES( h ACORD 181,AddMmW Rwewks sdodub.w nto spaco le►awlred) V
certificate Holder is included as Additional insured as required by written contract, but limited to the operations of the _
Insured under said contract, per the applicable endorsement with respect to the Auto Liability and General Liability policies. a�
"Policy is excess of primary policies.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIED POLCES BE CANCELLED BEFORE THE
EXPBIATION DATE THEREOF, NOTICE VVLL BE DELAY IN ACCORDANCE WITH THE
_ POLICYPROVISIOME.
City of Beaumont AUTHORIZED REPIESENTATNE
P. 0. Box 3827
Beaumont TX 77704 USA
01988-2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: 10638949
LOC#:
ADDITIONAL REMARKS SCHEDULE Page _ of _
AGENCY NAMED INSURED
Aon Risk Services Southwest, Inc. seaway crude Pipeline Company LLC
POLICY NUMBER
see certificate Number: 570049809111
CARRIER NAIC CODE
See Certificate Number: 570049809111 EFFECTIVE DATE:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance
INSURER(S)AFFORDING COVERAGE NAIC#
INSURER
INSURER
INSURER
INSURER
ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD
certificate form for policy limits.
INSR POLICY POLICY
ADDL SUBR POLICY NUMBER LIMITS
LTR TYPE OF INSURANCE INSR wVD EFFECTIVE EXPIRATION
DATE DATE
(MM/DD/YYYY) (MM/DD/YY YY)
AUTOMOBILE LIABILITY
A CA 480-70-21 04/18/2013 04/18/2014 combined $1,000,000
Truckers Policy single Limi
WORKERS COMPENSATION
B N/A WC012948492 04/18/2013 04/18/2014
ACORD 101(2008101) ®2008 ACORD CORPORATION.AN rights reserved.
The ACORD name and logo are registered marks of ACORD
CITY OF BEAUMONT
BILLING REQUEST FORM
Responsible Department& Division Public Works/g,ra9ineering
Dept/Division Contact & Phone # Patrick Donart ext. 5744
Billing Type/Description: Resolution #: 13-116
Customer Name (Last, First) Seaway Crude PIRL9line ComRany, LLC
Address line 1 1100 Louisiana Street, Suite 1000
Address line 2
City, State Houston, Texas
Zip Code 77002
Phone Number (713) 381-8231
Fax Number
Individual or Business Business
Contact Name Tim Dyk
Social Security or Tax
ID number
G/L number
Total Contract Amount
Billing Amount Fixed Variable (if variable, describe terms)
Billing Amount $2.25 per linear foot x 30' = $67.50 (RW@ fnte Lfsense A meat)
Billing Frequency: Monthly Bi-Monthly Quarterly Semiannual Annual
Contract Start Date June 1, 2013
Contract End Date
Months(periods) to bill
If contract includes any of the following provisions, describe the terms in detail:
Discount:
Penalty:
Interest:
I