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RES 13-115
RESOLUTION NO.13-115 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 Utility Crossing Agreement to Seaway Crude Pipeline Company, LLC, substantially in the form attached hereto as Exhibit "A," to install a thirty inch (30") pipeline to cross a twelve inch (12") sanitary sewer line and a sixteen inch (16") water line West of West Port Arthur Road; a twelve inch (12") sanitary sewer line and a sixteen inch (16")water line East of West Port Arthur Road; two (2) twenty inch (20") and one (1) sixteen inch (16") water line and a twelve inch (12") sanitary sewer line North of FM 3514; a sixteen inch (16")water line and an eight inch (8") sanitary sewer line North of FM 3514; a fifteen inch (15")sanitary sewer line and an eight inch (8") water line South of Future Range Road; an eighteen inch (18") sanitary sewer line and a sixteen inch (16")water line South of Future Range Road and an eight inch (8")water line East of FM 347 located outside the corporate limits of the City 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. C�)Wr'decky Ames - APPLICATION FOR UTILITY CROSSING AGREEMENT OUTSIDE THE CORPORATE LIMITS OF THE CITY OF BEAUMONT THE STATE OF TEXAS § COUNTY OF JEFFERSON § Seaway Crude Pipeline Company LLC 713-381-8231 Business Name: Business Phone:( ) &WnesgAddress: 1100 Louisiana St; Suite 1000; Houston TX 77002 Attn: Tim Dyk The City of Begun ont, hereinafter called "City", for and in consideration of the sum specified herein $1, 062.50 (See Attached Fee Calculation sheet) hcreby $cants to 7 Seaway Crude Pipeline Company LC hereinafter called "Licensee", the license to lay,nxaintain, operate,replace,or remove a pipcliue for the transportation of oiI, gas, water, or products,on or across the following City easennent and/or property situated outside the City of Beaurnont,"Jefferson County, Texas, but being within our Extra-TerritorJa Jurisdiction (BTJ) and/or Certificate of Convenime and Necessity (CCN) and being more particularly , described in Exhibit"A"attached hereto and made a part hereof for all purposes. Ntarmt.Street Distarruu_�Eaas►m nt 'Len ( Linear FqM of Crossin WPA Rd 983 ' west - 12„sewer & 16 11water (30' ROW) WPA Rd 203, east - 12 1'sewer & 16"water (30' ROW) FM 3514 215' north - two 20" & 16” water & 12 sewer (60' ROW) FM 3514 216, north - 16 9water & 811sewer (50' ROW) Future Range Rd 243 ' south - 15 11sewer & 8 11water (50' Row) Future Range Rd 594 ' south - 1811sewer & 16 1(water (30 ' ROW) FM 347 east side in TxDOT ROW - 8" water (no ROW) I EXHIBIT "A" Cos T of Lxclx : Licensee shall make payment to the City of Beaumont as follows; b 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, 2011 and shall be reset every ten (10) years, thereafter, to a level to be determined by the City Cotuuarl or their delegated representative. All fees,including the first annual fee for lunar foot usage shall be made to the Water Utilities Department and payable to the City of Beaumont prior to construction. This 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 B). OBM1tAL COND TlQNS_ o Licensee does not intend to sell product for resale fi om the covered pipeline to custonws located within the City; however, Licensee recognizes that should it sell product for resale ftm 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 regulations controlling the payment of such fee will be those as lawfully established by the ordinances of the City. o All pipelines crossing City of Beaumont utility easemwts, waxer or sanitary sewer easements shall be boned from easement line to easement line. Within thew limits, the pipeline shall be protected by casing or other inethod approved by the City Water Utilities Department. o The pipeline shall be constructed in such a manner as approved by the City so as it does not interfere with the use of the City property.' o The pipeline shall be installed a minimum of three (3) feet below ground and a minimum of five(5)feet below the lowest existing or proposed ditch ....... .grades,_w.*dm's.,.sanitary..sewer lines or storm drainage lines, unless otherwise ar�orized by the City. Such grades and lines sha11 be indicated on nrap submittal, as well as depth of proposed pipeline(see page 3). 2 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 ditah grade curing constmoion or maintenance of the pipeline shall be corrected and the dito b grade shall be restored to the condition and grade at which it existed prior to construction or maintenance. Bore pits shall be backfilled according to City standards. o Excavations necessary for tho 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 Water Utilities Dement. o Operations along easements shall be performed in such a manner that 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 structures. The cost of any repairs to structures, sanitary'sewer lines,water lines or other easement features as a result of this installation will be borne by the owner of this line. 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. Written proof of said permission is to be provided to the City as part of the application process. Approval of this license agreement excludes permission to do any construction on property which is not owned by the City of Beaumont. o Any licenses, permits or agreements required by another governmental entity(County, State or Federal) to adjoining property shall be obtained and a copy of ouch doownent shall be provided to the City. o Licensee shall be responsible for acquiring all agreements necessary for the lawful use of any private property. o A map showing the location of the proposed pipeline shall be provided. The pipeline shall be maintained acrd operated in such a manner as not to O.uce-the a is-in . ...... leis aril/or`cause' age to'the Cr1ty"ptiroperty---. In .• . . .. -.. operation, any damage that occurs to the pipeline which results in exposure or release of product must be reported immediately to-the Oty F'ir'e Department and Water Utilities Department. Licensee shall fully 3 cooperate with the Fire Department and provide, or assist with providing, any and all necessary notifications, evacuations or other necessary adtions. Leaks or other defects are to be repaired immediately by Licensee 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 with said cleanup and remediation. o The Licensee shall be responsible for any and all costs associated with the relocation of the pipeline. As provided, the necessity for relocation of the pipeline shall be solely within the discretion of City. o Installation will be done in accordance with all City standards and statutes of the State of Texas. o Licensee shall famish the City with a Certificate of Standard Liability Insurance, including bodily iWwies and property damage, naming the City of Beaumont as an Additional Insured. Such policy shall provide for the following minimum coverage: o Bodily injuries: $ 3KO00.00 per person $1,000,000.00 per incident o Property Damage: $1,000,040.00 Such insurance shall be maintained in force and effect during the construction or required maintenance of the pipeline and during the life of the pipeline. Such catificate shall contain a provision that at feast fifteen (15) days written notice must be given to the City prior to cancellation, alteration,or modification of such insurance. o Licensee shall have in force with the City a surety bond in the principal amount of 519004,000.00. The bond shall be payable to ilm 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 ftom, or growing out of any violation of the terms of this-agieement. '1`hi bond shalTprovidotlia'ilrmiiy 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 from the date of completion of construction of the pipeline. o Licensee shall indemnify, save and hold harmless the City of Beaumont 4 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 occurrences under this license agreement. o If the pipeline or any part thereof installed by Licensee shall be in any respect damaged or injured by City or any of its agents or employees in connection with the performance of any work or repairs that may be done upon the property mentioned herein: Licensee shall not be entitled to prosecute or maintain a olaim against tale City of Beaumont •for any such damage or injuries so sustained by it; however, said conditions shall not prevent Licensee from recovCdag against any contractor who shall damage Licensee's property in the course of such contractor's performance of any contract with the City. OTHER CONSTR.UCTION{MAIN'IFITANCE WITONFR. EMY: 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 property involved with this license. , Notification, to Licensee, of other construction and/or maintenance permitted by the City and within the property 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 at local, or toll free, telephone number to be called for notification of construction or maintenance and for location of Dines. Such number,or charges to such rtutnbee,will be provided to the City (Water Utilities Department) and kept current at all times. This number shall be provided to entities permitted to construct, maintain or excavate within this City property and which are required to provide notifioation of such work. When information has been iQayed to Licensee} through the phone number • provided, such contact shall constitute notification for Licensee to provide location of its lines. Failure, by Licensee, to respond witlrirz the-- required time-frame shah alleviate the responsibility,of•the persons) requiring the lines to be relocated. o City reserves tine right to lay, and to permit to be laid,sewer, gas, water and other pipes and cables, and to do or perm t to be done any underground 5 work that may be deemed to be necessary or proper by City in, across, along, or under the properly. In doing or permitting any such work, the City of Beaumont shall not be liable to Licensee for any damage occasioned; it being understood that nothing herein shall be construed as foreclosing Licensee's rights to recover damages against any contractor or third party who may be responsible for damages to Licensee's facilities. o Whenever by reason of the change in the grade of the property occupied by Licensees'pipeline, or by reason of the location or manner of constructing drainage structures, water pipes, gas pipes, sewers, or other underground construction for any purpose whatever, it shall be deemed necessary by City to relocate, alter, encase, change, adopt or conform the pipeline of Licensee thereto, such change shall be made promptly by License 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 private corporation, except the City, Licensee shall be reimbursed fully by the person or corporation desiring or occasioning such change for any expense arising out of such change; Licensee will, upon notice from the City, make such change immediately and at its own cost; it being understood that City will not -participate in any part of the cost of any change involving zelocatiorn, altering,encasing, boring, or changing iri any manner of the pipeline where same is within City property. �jOTII~' jt3I�11_NSPECTION: o Any and all work to be performed on City property shall be observed and inspected by a City representative. Any work to be performed within the City limits will be subject to pcdodic inspection to ensure compliance with construction standards. o Licensee shall provide the City(Water Utilities Department)forty-eight(48) hours prior to the installation of the lines permitted by this Iicense. A representative will be scheduled to be present. The expense of such inspection services may be billed to the Licensee and such amounts will be reimbursed to the City. o Licensee shall notify the Water Utilities Department at least forty-eight(48) hours prior to completion of work and removal of equipment from the job site to permit the City to make an inspection. 6 SPECIAL CONDITIONS: Nww ;mable This license is personal to the Licensee. It is nonassignable and any attempt to assign this license will terminate the license privileges granted to Licensee hereunder. - �'eirnination This agreement is subject to termination by the City if any condition specified herein 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 speoif*g the date o f and the reason for,termination. Such notice shall be given not less than thirty(30)days prior to the termination date thm-ein specified. Any written notice may be effected 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 Licensce:Seaway Crude Pipeline Company LLC P.O.Box 3827 Attn: Tim Dyk Beaumont,Texas 77704 Address of Licemee: 1100 Louisiana St; suite 1000 Attn: City Manager City and State of Licensee: Houston, TX 77002 Upon cancellation,the pipeline shall be removed and property restored to a condition acceptable to the Water Utilities Director. 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. 7 Cowmen went of wotic on the pipeline by Licensee after the date of this fully executed license shalt be co3nstmed as evidence of Licensee's acceptance and approval of the conditions above set forth. IN WITNESS WHEREOF, the City of Beaumont,Texas,bas caused these presents to be signed by its City Manager and the seat of the City to be herewith affixed by the City Clerk this day of ,A.D.24 , CITY OF BEAUMONT, TEXAS By: Kyle Hayes, City Manager -ATTEST: Crry Cleric APPLICANT'S COMPANY NAME: (Licensee) . ri IJU� Represented b, tnr-� oqt Ar ft i ATTEST: sy: 8 Seaway Crude Pipeline Company LLC Beaumont Fee Calculation(Outside City Limits) license fee 1 $ 500.00 30'ROW 30 2.25 $ 67.50 30'ROW 30 2.25 $ 67.50 60'ROW 60 2.25 $ 135.00 50' ROW 50 2.25 $ 112.50 50'ROW 50 2.25 $ 112.50 30'ROW 30 2.25 $ 67.50 TxDOT ROW 0 2.25 $ - $ 1,062.50 JEFFERSON COUNTY, TEXAS DAVID CUNNINGHAM SURVEY A-15 - • ( !Ky t >. '�, °5'�`'°•taw �r � !.�wi � xa•3�i \:` `� • •x,1"•1 • i\ ' E [y / 1t•% a \ r'.L7 �- yl•, ! S tJ•i ~' L.li UP FARM SFAWAY � � • ~roc-�flKE733f4 •�,:��` :'' o --'•---- ,,, '-- � , � 'tee. �l '+' '_____-=____ _. ...sl`--- - •,�'_•__'.:��_ r�}•�w'� � PROJECT 1-_--•_'..:----•'••-.,����-� LOCATION , . . �r,• �` M VI!QI IT�AP my FEs UNVERSA1- GRAPHIC SCALE Qw l Fm A EM. TEXAS (330004-)A1) srAt ' tnstAtl�s sllowa PORT ACRES, TEXAS (29094-HI 0 2000' 4000' 8000' NO.I MATE MV. OV-1 REMON ( -04 SEAWAY CRUDE PIPELINE COMPANY LLC VICINITY MAP PROPOSED SEAWAY PIPELINE SEGMENT 7 OUTSIDE THE CITY LIMITS OF BEAUMONT JEFFERSON COUNTY, TEXAS DRAWN BY: EV SHEEP: 1 OF 6 « CHKD./APPD. BY: MC SCALE: AS-SHOWN N S ar .. UPDATED BY: DATE: 0418/13 mrr; P. Hebert Inc. 3U8 *mom am DATA BASE: 11246 JOB N0. 11246 i P.e =3199+ • LdNEMa 7C9s1 • A7#-2'!31 3 10101 Swww FtImo •l91FIE"o• ,MIS X4• 1 219-1470 MPH CAD FILE: 11246PER0001140.DWG JEFFERSON COUNTY, TEXAS DAVID CUNNINGHAM SURVEY A-15 B~ i� (NAD 83 N=13,942,066.57 E=3,533,186.3 LAT.—N29'59'38.51" ' s , ' a (N�w 83 + N=13,942,092. E=3,530,666. LAT.`N26`59'39.04 n suRVrrr ; 12/22,/#�rt. . . . AN whwcn"am m Nth >D ANO#NINE NOTE: a exam N1l m o t11 ETC. PLAN ALL EFANN65 AND NaINAT�S r ANY t MME to THE GRAPHIC SCALE Foar A5 A.=�oNru OF k0c mom R N�BCf, NIL � NOT t�R CNilg9, mm ON Aw me NELAM 01" 51RtNJ11m srsla+ DISTANCES SHM (MAIM PVC)NDT tOCATM OKM TNN CtMNkSE W THE SUIM 0 1000' 2000' 4000• HEFtmN WE IRLy. BY;l ; SEAWAY CRUDE PIPELINE COMPANY LLC L PLAN PROPOSED SEAWAY PIPELINE SEGMENT 7 OUTSIDE THE CITY LIMITS OF BEAUMONT JEFFERSON COUNTY, TEXAS DRAWN BY: EV SHEET: 2 OF 6 CHKD./APPD. BY: MC SCALE: AS—SHOWN AM p a UPDATED BY: DATE: 04/18/13 Morrais P. Hebert Inc. r . . DATA BASE: 11246 JOB NO. 11246 3 iD'°tm raee�N�r•W.M.• 773• 1 2t � MPH CAD FILE: 11246PER0002AO.DWG Af JEFFERSON COUNTY, TEXAS DAVID CUNNINGHAM SURVEY A--15 ,C yMi, il. ..r s ( r^- 0 M u�7 G PLAN VIEW a N.T.S. 0 No.I DATE REV. BY SEAWAY CRUDE PIPELINE COMPANY LLC a TYPICAL PLAN VIEW PROPOSED SEAWAY PIPELINE SEGMENT 7 OUTSIDE THE CITY LIMITS OF BEAUMONT JEFFERSON COUNTY, TEXAS m i DRAWN BY: EV SHEET- 3 OF 6 Do s CHKD./APPD. BY: MC SCALE: AS--SHOWN S"_ '*' '° P. Heber Inc. UPDATED BY: DATE. 04/18/13 Orris t DATA BASE: 11246 JOB NO. 11246 P.0.SOD!'3100 � � r17�-2731 IDf01 $ !RtEAf Si/IF mID 6 iF�W6 77574• t 219-t470 MPH CAD FH.E: 11246PER0003AO.DWG JEFFERSON COUNTY, TEXAS DAVID CUNNINGHAM SURVEY A—15 WAM x+-30' ROW-•-� I PROPOSED PPEUNE 5'6AN. SECTION "A-A' N.TS. 30' ROW 1 f 2' sayER P/1 I ' (PoSS�L I 6 NA7Uft .GRo pm TuHAL i �� I .:•.., .• •:..: � 00 r PROPOSED PIPEUNE 5. c SECTION "B--B" u► N.T.S. -+----WSW My 1 U11TS « -1 IDE OUTS My Mrs j- so'It RO I I 31 WN N \i\ 00 PROPOSED PMNE 51WN. ' SECTION 'C—C" N.T.S. NO,I WE SL&WAY CRUDE PIPEUNE COMPANY LLC TYPICAL PROFILE PROPOSED SEAWAY PIPELINE SEGMENT 7 Ira OUTSIDE THE CITY LIMITS OF BEAUMONT JEFFERSON COUNTY, TEXAS a DRAWN BY: EV SHEET: 4 QE 6 .r CHKD./APPD. BY: MC SCALE: AS—SHOWN laaft'l AM AlW UPDATED BY: DACE: 04/18/13 Morris P. Hebert Inc. •: * • . DATA BASE: 11246 JOB NO. 11246 i 011" + + 33� T 11 7w 0• #dPN CAD RM 11246PEFtO0O3AO.DWG JPFFERSON COUNTY, TEXAS DAVID CUNNINGHAM SURVEY A--15 60' ROW +- - 50' ROW+-+ a. ' o, 3' MIN. I�1 o� 1 NATIi 1 •m� 3' MIN. O O . O PROPOSED PiPEUNE 51W SECTION "D—D" S . N.T.S. f-+--r3O' ROW I a, SEWER PA I j 16` WATER P/L 3' MIN. ( ' 3' MIN. 00 b PROPOSED PIPELINE 5'MW. SECTION "E—E" N.T.S. N x 3' MN. amm o� PROPOSED PI'EUNE V 5'MtN. SECTION "F-F" N.T.S. N0.1 DATE kWi. Bs SEAWAY CRUDE PIPELINE COMPANY LLC TYPICAL PROFILE PROPOSED SEAWAY PIPELINE SEGMENT 7 OUTSIDE THE CITY LIMITS OF BEAUMONT JEFFERSON COUNTY, TEXAS !' DRAWN BY: Ev SHEET 5 OF 6 am CHKD./APPO. BY: MC SCALE: AS--SHOWN '® UPDATED BY: DATE: 04/18/13 Morris P. Hebert Inc. • + . • DATA BASE:: 11246 JOB N0. 11246 PA IM •10101 s � •s MPH CM FILE: 1124SPER0003AMM PROPOSED SEAWAY 30" PIPELINE DESIGN DATA 1.0 GENERAL INFOO,MATION 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 B31.4 2.2 DESIGN PRESSURE: 1440 PSIG 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 3.40 CATHODIC PROTECTION g 3.1 RECTIFIER IMPRESSED CURRENT 9 +� 4.0 CONSTRUCTION MMOD a 4.1 SEE CROSSING DETAIL DIRECTIONAL DRILL/BORE/OPEN CUT. u\i $.0 BORE AND/OR NDD LINE PIPE 5.1 OUTSIDE DIAMETER: 30" 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 MILS FUSION BONDED EPDXY (FBE) a: 30 MILS ABRASION RESISTANT OVERLAY (ARO) N 6.0 LINE PIPE 6.1 OUTSIDE DIAMETER: 30" 6.2 WALL THICKNESS: 0.429" v 6.3 PIPE SPECIFICATION: API 5L $ 6.4 SPECIFIED MINIMUM YIELD STRENGTH: X70 (70,DOO PSI) 6.5 MATERIAL: STEEL 6.6 PROCESS OF.MANUFACTURE: HSAW 6.7 EXTERIOR COATING: 14 TO 16 MILS FUSION BONDED EPDXY (FBE) i$ NO.I HATE SEAWAY CRUISE PIPELINE COMPANY LLC PIPELINE DESIGN DATA DRAWN BY: EV SHEET: 6 OF 6 N 6;i-pmorris CHKD.f APPD. BY: MC SCALE: N/A P. UPOATED BY: DATE: 04/18/13 Hebert Inc. DATA BASE: 11246 JOB NO. 11246 i 01 OM MM Ier•SWE 4W• ,7M 77674 • I 7fa-t 7o MPH CAD FILE: 11246PER0004AO.DWG CERTIFICATE OF LI ILITY I CE °A 0°013 " THIS CERTIFICATE IS ISOM AS A MATTER OF INFORMATION ONLY AND CONFERS NO MGM UPON THE CERTfWCAFi$HOLDER.THIS CERTIFICATE DOE'S NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT COMMUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. WPO hokler Is an ADDITIONAL INSURED,the poi )must rw onchirsed.If SUBROGATION 18 WANED,subject to a the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the rs certificate holder In lieu of such endorsement(s). e PRODUCaR ACT Aon Risk Services Southwest, Inc. (666) 283-7122 SW-363-0105 `e Houston Tx Office ' sui t s e15500 Felipe S AED ss:. Houston Tx 77056 USA INSURER(S)AFFORDING COVERAGE NAIL s INSURED NIUMRA: National union Fire Ins cc of Pittsburgh 19445 Seaway crude Pipeline company LLC INSURER& New Hampshire ins co 23841 1100 Louisiana Street, 10th Floor Houston TX 77002 USA NNSURNRC: Illinois Nations Insurance co 23817 NISURSK D: INSURRR E: INK"M P. ODVEPJNM COMM= 670040MII I �!Nl1119�t: THIS THAT OF HAVE ISSUED TO THE INSURED FOR THE POLICY PERIOD INDICATED.NOTWrlHsumm i ANY REUmEmEmr,MW OR OOKWTIoN OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE SUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH P!O.ICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits afio"are as requested TYPE OF NIaORAt= POLICY WINNER CMIM u mto OBNERAL LIABILITY GL2503112 EACH OCCURRENCE $1,000,000 x coMMelzcw GENERAL LIABILITY Commercial General Liab $1,000,000 CLAN4s-VIAM Mx OCCUR MEDEXP(Any mwPmean) Excluded PERSONAL a AOV NNNRY S1,000,006 GENERAL AGGREGATE $2,000,00 GEN'L AGGREGATE LMT APPLIES PER: PRODUCTS-COMP/OPAGG 52,000,000 X 1 POLICY � LOc n A AUTOMOBILE LIABILITY 14 COMBINED 81IILE LMT Ln Business Auto coverage (A Ma wckWO_ $1,000,000 X ANY AUTO BODILY IN.IURY(Pa pwwn) O ALL OWNED USCHEDULED BODILY INJURY(Per ad") AUTOS AUTOS PROPERTY DAMAGE HIREDAUTOSD t: UNIBRaLLA LIAR OCCUR EACH OCCURRENCE V EXCESS LIAa CIANAS44ADE AGGREGATE DED RET071 N B AND WC X T B Lmr YIN WC012948493 04/18/2013 04/18/2014 ` EL.EACH ACCI ,T $1,000,000 C ? MIA WCD12943494 04/16/201304/18/2014 a (Whowl y In NH) N WCO22949490 04/19/2013 04/18/2014 Ea-DISEASE-EA EMPLOYEE $1,000,000 e OF OPERATIONSbeh, WC012948491 04/18/201304/18/2014 E.L.DISEASE41OLICYUN4T $I,000,000_ DESCRIPTION OF OPMMTKM I LOCATIONS J VENIC E11{Al.eis ACORD 10i,AddMW W ftmarre Seiadah,Nw n apace o rogWndl 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. -gLil .Policy is excess of primary policies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OP THE ANOVB POLICUS BE CANCSLLM BEFORE THE EXPIRATION DATA T"INU P, NOTLCE WILL BE DBL.MERED IN ACCONDAHCE YAM THE POLICY PROVISIONS. _ City of Beaumont AUTID REPRESlNTATNE P. 0. Box 3827 Beaumont Tx 77704 USA a �' Vlt4aNlb� � 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 N: 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 DAM AODMONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE:. Cartifksate of LlabiNty 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 ADDL SUM POLICYNt)MBRR YOLMY LIAWS LTA TYPPOPINSURANCE INSR WVO 1D+FNr(.'nVL EXPIRATION DAIS DATE gNMIDD/YYYY) ou"O/Y1fM AUTONDBILE LIABILITY A CA 480-70-21 04/18/2013 04/18/2014 cos6ined 11,000,000 Truckers Policy single LiMi WORKERS COMPENSATION B N/A WC012946492 04/18/2013 04/18/2014 ACORD 101 rAMI) ®2908 ACORD CORPORATION.AN rights reserved The ACORD name and logo are registered marks of ACORD I I APPLICATION FOR UTM.ITY CRO 89M AGREEMENT flVMB THE CORPORATE IMM.OF Tim CITY'OF BBAuMOM THE SfiATR OF TEXAS � COUNTY OP j MOON Seaway 4qrude Pipeline Compaay LLC +713-�3$1�$ 31 .. . BUS�CS $LtSi�3S Imo: 11 Addrest11Ob Lou siand ,fit; Suite 1000. s HOU-stoni TX IZM12 At to: Tim Dyk ; 'The aty bf t3eha not;horem fat mid in c sirl tiou of fhe. Ono oi� hen $7 , 062 56 (See Attactied :Fee Calculation 8heetl greAft to x Seaway+* ode Pi)ellhe Com gnt yv *civAa called " eftse the libam to:lay,main-Wo,' ovft t mplace,,or ramve a e06ae&r ft t asgort4m of o% gas, vaftrs or :. t t and/or sifted vd tlt+e pioduuts,chi or actoo the Ila . of Brsi mo 'Seffe son Cowpktq; Tomas,bu W vnr Bxix Te ritxyrial 7nt 8ti titian (9m and/or Certificate of ConveWom and N ssiiy(C mom ga c alerty t described in Bxbibit"A"attached hereW and.made a part baeoffor all purposes. NOT-99 Suet ILam kzmmemt I n agar Toot)of Cr WPA Rd 983' west - 12"sewer & 16"water (34 ' Row.) WPA Rd 203' east - 12"sewer & 16"waster (3 0' ROW) FM 3514 215' north - two 20" & 16" water & 12 sewer (604 ROW) FM 35.14 2161 north - 16"water & 81'sewer (50' ROW) Future Range Rd 243 ' south - 15 1'sewer & S"wa.ter (501 ROW Future Range Rd 594 ' south - 181'sewer & 16"water (30' ROW) FM 347 east side in TxDOT ROW - 811 water (no ROW) i s S + con PH LMS-El. "come 11i{1. mow to &city of Ba ma •wbllp : .. p of ?$2 r w*?t Of P �} lu Ci f' � + a l be defuse by Gait " teat (10j � �s f,n Of fir delegated.%006W*� yft fi„ fir,f►r ItA40C fOO=W 9*ll bOltaft to it&sue, by ft do of`Bea oWt >40td Foatto to 0000Y 'with tie�...�aX rest��t a���it�f ��s�e�a�►.�'8). pfd .kwa t cqv�pie ter` I b` r "► slip o, ill c� tbo 1 w d.� , S t M- The e ►+ ' �fey be n ets a.4 i is *6 9wimm Cz . or theme j be; � by otx The pJi�Sb.Wl o`h* t in Awrh a*pm=w;M,myed,by 9w City, SQ a it doe$not nl with t�lie use ofiip ► y:' o The pipeli�.e be installed a min Mm of {3 feet below and a mWmum uf five(5)feet below fibs lowt$t�or PO Pd Mch des, ' ` gev�►er tines .��a�s��.��� Y� ox stern cireug ' e 1z�aes, ess othjcrw gutimfized by the City. Such grades and lines shall be w&cat on map subtaitW, as well as depth of proposed pipeline(see page.3). 2 N _ r J `#az Sad aeon of the p��p A4 �r.In * ;. IA DPI}L ow�of the wis,to t&Biaw Ct6 box s Hse�t w9wihM.Or Off'u #idea AP iD Dom OiStft' OW9Mde dUbgctson araace of sb ra�irscd t + '► s .. to vbmhudwu or Dom Pb aawAM to CIO sts�u - > s qf fcn xr, At nt n tbn did m ► P #t to- ' OMWOb 10 00*60 $lc l a a vAl !**tvd to or ;mss 6 e BS1 or . o '� t �`turd► � �n�r 4drr w% die dom by the Ow=of his lazes: Any rlo & � tpI466 � qr Aqrqu ealb,o to sal ++ MDtI# rc►o sead- t6 be y ilicictt c►# dais. dicese eiel� p to do ari.Y c+ �oaf POP Y wlis att c±w,�td.by the City nfBont Auy AG'w as d4,Pogrof wh docent pFo de thetGat3cx o Lich shall be s1e foF a .all as or the lam use of any paivato-pxtcipertY. A.map shaving The tion,Of#Ianpraposedp` �� vided. a TbA pipelsne SW br mabigaed and opetaftd in such Q mamer as not to is ixt cpeantaon,any damage that Occurs to The pipeRm which Tes itts in CKPOM re or release of product must be imported 6,m t* to lha City Fire Department and 'Water Utilities Department. Lceee shall fitly 3 caopW9e VA&the Fire D assist with pmvidi , any aad all neccswys. or hfte=7 Leaks or ittbj�r&*C S are to be re red 6MC&aWy by Lim at it's owncosL a The b6- X01 fut *0 r M"P and. nmodil nE O r00 -. . , a to. � Win.pvduct sod a� a alt co,0 . _-with std ct ►P and rt�d ` o ' sit be.r PDUW.h ibt' y aid u as with ft F��be.�alely � dssaic�m "Cx'(Y listion v4 be dons itt Frth %t3r staff and oftbo o�Tes. t bald t of APA A&Maw wftha ice" e "� 6 Bodily ftjina ' 304"Apw P d III � P�bpest`ty'Batts: i� Q.�O of psi ftbl 9 z tte zpel ►�: s ,�fi�, w� 4 pro�� least � ]5j days wt n Vusl i tea, a City tih a1 ox xn�catiai�ofs i&bSW + o L w b w 111,ftw %* CSy in ft pligpipal, amownt of S1 , Q,DOA:i The WOO shell be .payable to se CRY of of j eaitled theretO anal Beaaont fox the use and befit ���.�' Pin conditioned t1lat the 11indp4l and surety wig Pay all,dmages,to any POWn. caused , ox arising&om, o r gro g out of ay�'V wwo Of 1�C t of �F �. y this aunt. 'the bctncsiia�iTpi µvde isms nc�t be'caxic or otberwise rno:dried without giving f (1 days prior wAtten notice to the City. The bond shall be good and in effect for a period of one(1) year from the date of completion of conW0c60n of the PiPeline- o Licensee shall indemnify, save and hold haxniless the City of Beaumont 4 s firogm at and a)1 cW= fear WON sod daMA90S to PMM Or PrePMIY oco4simed by dr mising out of to c-r* twin c�, up on, MPOr r val of 8 s p ge i e. �4 expr y extends W b_ ft.,C of only it's t$, or e irns * ? & q actions or omu.rim Undo tus lice the :ot my paa*e __md kdAW by,Vvenseq SW be m any . s rP or * d by 10ity ti { M CorAbotion upoatbo pmpay�n 'hi an Ydpon=44 t4 be M*W to oom*o r apb*t&, of r my .w-h or ao by sMW �W t; bO r l t VOW 1�t�s ft ieiaotr r OMVM a of any,eatdt City. t . a pity wig Im Ag beg offorb to ► QSOd soar tip bio 46m :pity,fo rm or 'lad+boot4t for tl*'it 4 tpxopY irroi+edia lei }. To et'.ate # foxfi pearaorittW l , tbe_.0 mad"K► ? ► ice. ' e Will be the oav�obtobft saidpffmi M MOW ? the log, ,, bs y 60= MOO p£�n© out'm of od Cor# C On. ., r ' aJOCA or toli fto t horn ium�W to be li s SU&M', r domes to n ;v�ill lie, .provide, t City (Wattz Utilities DopkdmehO amt.kq cost at ail ft' m 'T'*�arlior shall be pMvid. to MtWeS omitted to oojot=4 mmtain co empate Vithi?n this Carty PMPejtY 41,14 vwb?*are equited to pcWo xio of such work. When izdoxma m has been ji)4 d jo'jAgoXiqm� ftou& the phoue number provided, such contact s1a11- oonstiti 166"0& Or Licensed to provide loon of iU lines. Fes,by Lice ,'to respond within °the., required time-wine sbaT alleviate fhe responsibility of•the. person(s) requiring the lines to be relocated, o City reserves the rigbt to lay, and to permit to be laid,sewer,gas,water and ether pipes and cables, and to do or permit to be done any underground 5 wnrk dvi may be demad to be Awemy or vmw by aloo& or under iffie PWatY. MW& Or pew'W"M guy mh wavJ4 ft cAy-of �;=�ont shall not be lisle io UOUSec fm MY dm=P occ %s d �t beog un&ntooad gw nodifig hewak.slmiU be cmirue d es oreal T,�o s+oe's rests to=over,daftgas agdnA.OnY OcOmdOr or for damages to Upensee a amities.. y � 3' o of o r AgM a O or other ofidetkromd: cp f0i 90 P °$6 � it shat d�x�s f by A� adgt � the n City #s? �, . � �, " . .. , ,. Memo such age "bo maide '� lis ' t .". rage is ci d i# , r t ' mod MI by the ± uY" �c pity, �j �, cl p A�[i out4 7 � 3Lo�. �. an �� �that' fl� �` O��`Pi ��`1�V samtaia wit�uupt� 1 i eat aoq by to ods i cimto O ` �atylimita�r�ll � l tonsturtion cli4 Povi4a a*C4 hot r tie t X � boul rc is TY +� of st�c cixgn sakes be bred to the Lim and snrh ailjouWs wiH be rein bored to-tho City, o L&mm shall mil*the Tha r Utif tes bepaftwt at Jewt.folly-ei (48) hours:prior to c©m_pietion of work amd rpaoval of equipment, fiom the job site to p&vi t the City to make an inspect im: 6 VBC This H is to too Lim It' t stdy t this pxZila to MOW=hoc. r . qf.. s t iScty tom.C a anyt�n ty met T*mMem- imilims the rya ,. a► # ! . ' oa thlo W(30 ; Ce eff+ l od pity Qf + aadnt N ie l .Sea. Vi a Ir an LLC 6i,;', im lk 190"Mt;Texas 77704 of s ltt b u�,�:� St: S4 to o "'O o Q*Mg C $W, -' o pvta god s a le tia� U,' 1'n#ha ev o qWtaeied for&0 ss ' W vtzl taac t°th+�property.of C01- �e�c� no rcaux 7 of as poefipc byjA4W= aftr ft dgft of this."+ homes �. a as e�m of L 'sc a of the coa ditsots W)i)ve sdIbTft IN WnNm, WMWWFJ, dw City ofBc m ,To^hu mmood&M pry to be ig M4Wal aftd ft W46fthO City th be I�ro*th.dAxe6l bg CAN Idyl t~C , �ac �s lVIJ iiklhi. i Ads Hy 8 Seaway Crude Mpel►ne Company LLC Beaumont Fee Calculation(outside City limits) i9cense fee 1 $ 500.00 3fl ROW 30 2.25 67,50 30'80W 30 2.25 $ 67.50 60'ROW 66 2.25 $ 1 35.00 50,AOW so } j 5&ROW 50 2.25 $ 11,2.50 3v ROW 30, 2.25 $ 67.50 TxDOT ROW 0 2.25 $ - JEFFERSON COUNTY, TEXAS DAB CUNNINGHAM SURVEY A-15 jo 3ks'� ry, ,vie._ 2T .. 7^^+..` ♦' ; �e'w J4 ry 0006 C"LIM f ti '+., '""', r• � '�, �� —Vii,, e; _ {t F ' S • • ,� v PR�►'�EST AAW { ft NITY MAP IIiIR _Rau in 711E UmlvarAL GRA,PHI� S 1.E; mra PoRt' D 0 2000' 4000' 866 {2909 SEAWAY CRUDE PIPELINE COMPANY LIZ o _ VICINITY 'MAP PROPOSED SEAWAY PIPELINE SEGMENT 7 OUTSIDE THE CITY LIMITS OF BEAUMONT JEFFERSON COUNTY, TEXAS DRAWN 8Y: EV SHEET: i Op 6 •• ^"` , . • CHKD./APPD. BY:. MC SCALE: AS-SHOWN �. UPDATED BY: DATE: 04/18/13 Morin .P. Hebert. Inc.pjjS. S DATA BASE! 1124$ JOB NO. 11246 / A.O.'M Sias s=3 owmw mw♦mmw L11U6m 71>aEt � e --j 731 3 10101 souk t1>9W• • 1=7M4+ tti9-two MPH CAD FILE: i 1246PERC#fl1 Afl.a YG JEFFERSON +CflLTNTY, TEXAS DAVID CUNMNGHAM SURVEY k--15 ad s M (NAD N=13,942,068.5. LAi': 7.9 59'38.51 M N JMf 011.1tE" 5 LOQM. 1 No= NOTE: ec: PLAN w. �� >0 Po to IN� ME 1E wmr „ : au o GRAPHiG SC�AI E tis x a�o�w"� �0 PIPii ice' QR , BEID�f 6#1HIID S>RlUl1E3 , HERE#1 C»! {YICIilaMB pvo�: too"111-00 111E 'OF TtIE'StlRyEY. 6 106Q 20=0, 460 3 NM WE M. py-1 SEAWAY CRUDE PIPELINE COMPS LW 0 PLAN PROPOSED SEAWAY PIPELINE SEGMENT 7 OUTSIDE THE CITY LIMITS OF BEAUMONT JEFFERSON COUNTY, TEXAS DRAWN 8Yt EV !OiMt: 2 OF 6 E + CHKD./APPD. BY: MC SCALE: AS—SHOWN WI UPDATED BY; DATA: 04/18/13 Morris P. Hebert Inc. .. DATA BASE; 71346 JOB NO, 13246 3 pfl DI +Sk 7m 7m� 1 219-1470 MPH CAD FILE. 11246PER0002ADJ)WG JEFFERSON C€ LINTY 2 'TEXAS DAVID CUNNINGHAM SURD A 15 I° M' r. °.� PLA��VIE W 0 Ha o - SEAWAY CRUDE PIPELINE COMPANY IIC TYPICAL PLAN VIEW PROPOSED SEAWAY PIPELINE SEGMENT 7 '3 OUTSIDE THE CITY LIMITS OF BEAUMONT JEFFERSON COUNTY, TEXAS _ DRAWN BY: EV SHEEP-- 3 OF B --- ,, CHILD./APPD. W. ABC SCALE- AS—SHOWN AM UPDATED BY DATE: 04/18/13 Morris P. Hebert Inc. DATA BASE: 11246 JOB NO. 11246 Pte. 80K 3106•49` + Ngpmk LOLEMM 70E1+ .31s-f476 2X31 3 10101 s SAM, t •:XN1E 8�D RU I=TA374+ 1 MPH CAD FILE: 11246PER0003AO.DWG � ARSON COUNTY, TEXAS DAVID CUNNINGHAM SURVEY A-15 MAMMAL Woumb 9 _0 SECTION- "A-A�' te 1 4pm,Q a � 0 N191AW OPAUND! t RdAf1iD i 1' ci - rim+ EC _ION ""— 8 YTY t1Yl�a pi,1T�IL1E Ski?' LIi17� -. � W. i;ow�i o. r SI�CTION "C--O" 0 as fa+►Tir . fihc °° i► A CRUDE PIPE TYPICAL PROFILE PROPOSED SEAWAY PIPELINE SEGMENT 7 OUTSIDE THE CITY LIMITS OF BEAUMONT JEFFERSON COUNTY, TEXAS FE BY EV SHEET: 4 OF APPD. BY- MC SCALE: AS-SHOWN AM m ED BY: DATE; 04/18/13 Morr s P. Hebert Ine. ASE: 11345 10H NO. 11248 P.O..i13 • (Df1P318f113fS#61 • 839- 73f 3 fotnf ft • ate+ 1Es 77074 • 21s-tlo MPH CAD PILE t 1246PER0003At3.D1iVG DAVID CUNNINGHAM SURVEY X-15 ;;s'' tam 5' Raw .- I`�� i 4 O 00-1 PROP�D P alum. SECTION -6—v 51m ROW fats. le S£IfItE#t PA y � � � 16" WAIIR P/l Y; o a , ofl SECTION °ESE" Mom powoim mum-/ m ► . r SECTION, "E_F�. id iml Dm n Vl SY UE PiLI CIIlr Y I�LG P TYPICAL PROFILE FII.,E PROPOSED SEA _ . WAY PEUME SEGMENT 7 OUTSIDE THE n CITY LIMITS OF BEAU'MONT JEFFERSON CO NTY, TEXAS - DRAPlN BY EV SHEET 5 OF 6 CRO./APPD. BY: MC SCALE: AS—SHOWN •• •• UPDATED SY: RATE: 04/18/13 Morris P. Hebert Inc. REM . . DATA BASE: 11246 JOB NO, 11246 800( 186• P0. #WAK t11GSM70MI 0;:?731 ` 3 18101 SMMNM ;Sm 19D•1f01i$tOta IM 7W4•MANI&-1470 MPH CC'S FIIE; 1 1246PEROGMAO-MG PRQPOSED SEvAWAY 3V PIPELME Q£51Gt+9 DATA 1.0 OENERAL 1lW TiON 1.1 APPUCANT/0w14EW SEAWAY CRUDE PIPELINE COMPANY L 1.2 ICE tom: sEAWA7 CRT PiPam - SEGMENT 7 1.3 PROPUCT; CRUDE 1.4 PROPOSED C014517 RUCTION ACTMTKS SCWDULED FOUR .JUNE 2013 2.0 POWNE DESIGN DATA 2.1 DESIGN C+E'M.THE DEPARTMENT OF IRANSPORTATM COW) STANDARD CFRi TITLE 49, PART 195, NSPO'ATMN OF' NAZARI DWS LIC mos BY �E" AND Tf4E RAILROAD 'C01MISM-M PIPELINE SAFETY RULES. AND VAK 631.4 2.2 DESIQN PRESSURE* 1+440 PSIG. 2.3 I YDWATIG TEST PREP: IBM PSIG MIN. 2.4 DESIGN FACTOR: 6.50 FOR #IbD,/aORE 2.5 DEIS GN FACTOR: 0.72 FOR LINE PIPE 3.0 OkUWC PIt9TE1wTI0 3.1 kCTIF10 IMPRESSED,C 1 T a ri 4.11 4.1 SEE'CROSSING DETAIL DIREG'TION& 011114AIORE/MN CUT. 5.0 am-ANAA69 go uwl elk .T 5.1 OMDE DIAI►#ETER 30" 5.2 WALL n*6K hS: #0.618" 5.S PIPE SPECIFICAT os- API 5L 5.4 SPECIFIED MINIMUM YWO STREWN: V-0 {70 PSI 5.5 MATERIAL: STEEL 5.6 PkOCESS OF MANJJFACTItiI 9 L5'A1N S,7 DOE �COA.TING; 14 TO, `I6 MIA IAN B tI# r E XY FS & ? MIf ANON RESISTANT OVERLAY (406) 6,0 LINE PIPE S-1 WTSIDE DU4f►1ETERa 6 2 WAS TNI!CI<N£SS1 6.429' chi 6.3 PI p£ SPECIFIGATIt3W# API S B.h. SPECIFIED M* I IUM 'YIELD STRENI&7f Ip X70 (70,000 P%) 6.5 MATERIAL. STEIN &6 PI3CIS5 OF IdANUFigCTUI(Ec HSAW 6.7 E)OtPIOR COMING: 1410 1 VMILS FUSION SONDEi1 EPD)(Y (FIE) NO.I DACE : sr: $EAWAY CRUDE PI LI E +C �, LAC PIPELINE DESIGN DATA i DR401 BY. EV SkM- . _6-`OF 6 - -- CHICD./APPD. BY: SCALE, N/A M UPDATED BY. DATE: 04/18/13 ='Morris P. Hebert Inc. 3 t . , DATA BASE: 1 T246 �t78 N0. 11246 3 io 81 SST f '*3 4W• 7704 1 419-ice MPH CAD FILE: 11246PF_R0004AD:DWG DATE05102/20113 �_. CERTIFICATE OF LIABILITY INSURANCE 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 policypes)must be endorsed. If SUBROGATION IS WAIVED,subject to m the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the s~ certificate holder in lieu of such endorsement(s). d PRODUCER - CONTACT Aon Risk Services southwest, Inc. (866) 283-7122 FAX 800-363-0105 Houston TX office NC.No.Ex •No.): 5555 San Felipe CRESS: _ Suite 1500 Houston TX 77056 USA INSURER(S)AFFORDING COVERAGE NAICM INSURED INSURER A' National union Fire ins co of Pittsburgh 19445 seaway Crude Pipeline company LLC NstsERS: New Hampshire ins co 23841 1100 Louisiana street, 10th Floor Houston TX 77002 USA INSURER C: Illinois National insurance Co 23817 INSURER D: INSURER E: INSURER F: COVERAGES CERTN"Irc HUM 570049W9111 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREO RWD ABOM 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 CLAMS. Limits shown are as requested TYPE OF INSURANCE POLICY NUMBER STS LTR GENERAL LIABILITY - GL7mlz EACH OCCURRENCE $1,000,000 Commercial General Liab $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) CLAIMS-MADE X❑OCCUR MESDEXP(Any one Person) Excluded PERSONAL&ADV INJURY $1,000,000 .r•. GENERAL AGGREGATE - $2,000,000 c APPLIES PER: GEN1 AGGREGATE LIMIT PRODUCTS-COMP/OP AGG $2,000,000 v 0 X POLICY PRO LOC A AUTOMOBILE CA 480-70-20 1 04/1812014 COMBINED SINGLE LIMIT $1,000 OOO Business Auto coverage (A (Ea accident) X ANY AUTO BODILY INJURY(Per person) Z ALL OWNED SCHEDULED BODILY INJURY(Per accident) a AUTOS AUTOS - PROPERTY DAMAGE HIREDAUTOS NON-OWNED Paracddent AUTOS 01 IMYIBRELLALWa OCCUR - EACH OCCURRENCE V EXCESS LIAR CLANS-MADE AGGREGATE DED RETENTION B WORIGM COMP IDMTI ON AND WC 2 4 9 1 1 4 8 0 4 X TORY USTATS OTH B EMPLOYERS'LIASemr YIN WC012948493 04/18/2013 04/18/2014 C ANY PROPRIETOR/PARTNER/EXECUTIVE N N/A WC012948494 04/18/2013 04/18/2014 E.L.EACH ACCIDENT $1,000,000 OFFICERI EMSEREXCLUDED4 a (Mandatory in NN) WC012948490 04/18/2013 04/18/2014 E.L.DISEASE-EA EMPLOYEE $1,000,000 ® tiyea Ond°r WC012948491 04/18/2013 04/18/2014 E.L.DISEASE-POLICY LIMIT $1,000,000_ DESCRm�TION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(AthcA ACC#m 101,Additional Remarks Sclwdule,If Mors spec is regUk*A .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. .Policy is excess of primary policies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLKAS SE CANCELLED BEFORE THE - EXPIATION DATE THEREOF,NOTICE WILL BE DELIVERED N ACCORDANCE WITH THE POLICY PROVISIONS. City of Beaumont AUTHORED REPRESENTATIVE P. 0. Box 3827 Beaumont TX 77704 USA 01 SSS-201 0 ACORD CORPORATION.AIL 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 NAMEDINSURED 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 ADDL SUER POLICY NUMBER POLICY POLICY LIMITS EFFECTIVE EXPIRATION LTR TYPE OF INSURANCE INSR wVD DATE DATE (MM/DD(YYYY) (MiMJDD/YYYY) AUTOMOBILE LIABILITY A CA 480-70-21 04/18/2013 04/18/2014 combined $11*000,000 Truckers Policy single Limi WORKERS COMPENSATION B N/A wc012948492 04/18/2013 04/18/2014 ACORD 101(2008/01) ®2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD CITY OF BEAUMONT BILLING REQUEST FORM Responsible Department& Division Public Works/EM&eering Dept/Division Contact & Phone # Patrick Donart. ext. 5744 Billing Type/Description: Resolution#: 13-115 Customer Name (Last, First) Seaway Cruel PW,i0e- Com# any. 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 uer linear foot x 250' = $562.50 (Unity grmaka 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: