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Home My WebLink AboutC2006-363 - 6/16/2006 - NA MONITORING \VELL PERMIT AGREEMENT THE STATE OF TEXAS S COUNTY OF NliEC'ES ~ fhat the City of Corpus Christi (heremafter the "City"), acting by and through its duly authorized City Manager, George K. Noe, for and in consideration of the sum of Two Hundred and Fifty Dollars ($250.00) to be paId In hand by APT/SSP Partners. (hereinafter the "Pennittee") of2935 Cactus Road, Corpus Christi, Texas, does grant, upon the conditions heremafter stated, unto said Permittee, a monitoring well permit for the right to mstall, operate, maintain, and remove a monitoring well, approximately 2-inches in diameter, 20- feet in depth, with a lO-inch sealed metal manhole cover, with a 2-foot square flushed mounted traffic- rated well vault, for approximately a 24 month period, to be located on the south side of the Alameda Street right-of-way and on the southwest corner of the Alameda Street and Airline Road intersection, in association with APT ISSP Partners. 111 the City of C ()rpus Christi, Texas as shown on the attached drawings marked Exhibit" <\" fO HA VE AND TO HOLD the same unto Permittee, its successors and assigns, together with the right and pnvilege under the conditions and tem1S hereof, at any and all times to enter upon the above described nght-of-way for the purpose of constructing, operating, maintaining, and removing of said monitorIng wells, and it IS futher understood that the foregoing monitoring well permit is granted upon the following condItions. .; This monitoring well permIt may be revoked at any time upon the giving of60 days notice in writing by the City of Corpu" Christi's City Manager, or designee ("City Manager"). B. PERMITTEE, ITS OFFICERS, MEMBERS, PARTNERS, EMPLOYEES, AGENTS, AND LICENSEES (HEREINAFTER CALLED "PERMITTEE") SHALL FULLY INDEMNIFY, SAVE A.ND HOLD HARMLESS THE CITY OF CORPUS CHRISTI, ITS OFFICERS, EMPLOYEES, AGENTS, LICENSEES, AND I~VITEES ("INDEMNITEES") AGAINST ANY AND ALL LIABILITY, DAMAGE, LOSS, CLAIMS, DEMANDS AND ACTIONS OF ANY NATURE WHATSOEVER ON ACCOUNT OF PERSONAL INJURIES (INCLUDING, WITHOUT LIMIT A TION ON THE FOREGOING WORKERS' COMPENSATION AND DEATH CLAIMS), OR PROPERTY LOSS OR DAMAGE OF ANY KIND WHATSOEVER, WHICH ARISE OUT OF OR IS IN ANY MANNER CONNECTED WITH, OR IS CLAIMED TO ARISE OUT OF OR BE IN ANY WA Y CONNECTED WI rH, THE PERFORMANCE OF THIS PERMIT, INCLUDING SAID INJURY, LOSS OR DAMAGE CAUSED BY THE SOLE OR CONTRIBUTORY NEGLIGENCE OF THE INDEMNITEES OR ANY OF THEM. PERMITTEE SHALL, AT ITS OWN EXPENSE, INVESTIGA TE ALL OF SAID CLAIMS AND DEMANDS, ATTEND TO THEIR SETTLEMENT OR OTHER DISPOSITION, DEFEND ALL ACTIONS BASED THEREON WITH COUNSEL SATISFACTORY TO INDEMNITEES AND PAY ALL CHARGES OF ATTORNEYS AND ALL OTHER COSTS AND EXPENSES OF ANY KIND ARISING FROM ANY OF SAID LIABILITY, DAMAGE. LOSS, CLAIMS, DEMANDS AND ACTIONS. C Permittee must have and maintain cummercial general liability insurance pertaining to the Monitonng Well Pellllit Agreement and the activities authorized by this Agreement, in the minimum amounts set Corth ill the attached anj incorpurated Exhibit B The insurance policies must name the City as an Page I of 5 2006-363 06/16/06 APT/SSP Partner~ ....... , "'O!Ii$ additional msured. The insurance policies may not be canceled, renewed, or materially changed without 30 days advance written notice to the City's DIrector of Deve]opment Services, or the Director's designee. The Pennittee, or a representati\ e or contractor of the Permittee, may not perform any work authorized by this permit until the Pennittee i1as presented eVidence of the insurance coverage specified in Exhibit "B", sufficient to satisfy the Citys Risk Manager Upon request of the City's Risk Manager, the Permittee shall provide copies of all insurance policies to the Risk Manager. D Except as l,therwise proVIded herein, all work proposed will equal or exceed the Texas CommIssion on Envlronmenta] Quality (TCEQ) and the Texas Water Well Drillers Board rules, regulations, and requirements for the installation, monitoring, and removal of monitoring wells. EAt the time of removal, the Permittee is required to backfill the monitoring well. At a mimmum, d" the well falls lOside eXisting asphalt pavement, the top ] O-feet will be filled with 3000 psi concrete and remainmg depth with bentonite The City may elect, however, to fill the top 2-3 feet with soil, the next 10-feet with 3000 psi (()llcrete and any remaining depth with bentonite. The alternate elective applies primanly to those monitor wells which fall outside of existing asphalt pavement. r' All applicable FederaL State. County, and City laws and ordinances shall be complied with and all necessary permits shall be secured from the appropriate agencies prior to obtaining this permit. Copies of said permits shall be pro\ Ided to the City and attached hereto for all purposes as Exhibit "C". (j No public street, or any portion thereo1~ shall be closed or barricaded to use by the public for the purpose of installing, repairing, or mamtaining the monitoring wells until after the Permittee or its contractor has filed WIth this office an approved traffic control plan from the City Traffic Engineering Office. II All City utility departments, AEP (American Electric Power), SBC (Southwestern Bell Company I Time Warner, and Grande Communications and any other companies that may be affected by the monitonng wells must be notified 48-hours prior to construction. 1-800-DIG-TESS, Lone Star Notification Center 1-SOO-669-~344) and Southwestern Bell Te]ephone (1-800-828-5127) numbers must be notified 48 hours prior to construction tor existing utilIty locations. 1. Construction plans and specifications for all work proposed will be submitted to the Department of Engineering (or approval pnor to beginning construction. The plans must show the depth and location of the proposed construction and distance from the existing water, storm, wastewater, and gas lines. I Permittee wil] repair or cause to be repaired any damage to any landscaping, sidewalks, curb and gutter, driveway, street, sanitary sewer. stonn sewer, drainage facility, underground lines, wires or pipes owned by the City of Corpus Christi or holders of any franchise from the City, resulting from or caused by reason of construction, operation. mall1tenance andior removal of said monitoring wells. K A CIty Inspector ma) request a utility line to be uncovered to verify its depth and/or location. All backfill and repairs of any kind will be made according to City standards and/or City Inspector's request. All work ;.md repairs will be at Permittee's or its contractor's expense. L I f a City Inspector is required at the job site, the Permittee shall pay a daily rate of$30 1.31 for each day spent inspecting ~~onstruction. maintenance, repair, replacement, relocation or removal of the monitOring wells pursuant Ii) the monitoring well pennit. Any time in excess of eight hours per day and any Page 2 of 5 h:\... \gen\dgOc. ,mon- we lI\apl-ssp.agr - .- time on Saturday, Sunday or Holiday~ shall be calculated at a daily rate of$56.49 per hour. These funds shall be paid to the appropriate City department within the City of Corpus Christi. These amounts will be adjusted annuallv 011 August 1 to reflect any pay increase. ;\1 Should damage occur to a utility line so that sand or soil enters service lines causing problems and/or damage to plumbing In pnvate structures, Pennittee shall have sole responsibility for resolution with mdividual owner~, including all costs associated with resolution. \J No equipment or material may be stored or left overnight in City right-of-way. r, \.,J The Permittee and/or Its Contractor will not clean equipment or material on site. P Monitoring wells will not protrude above the existing natural ground elevation, and a sealed covering wi II be provIded tc prevent surface water from entering into said monitoring wells. Q Permittee shall adjust or relocate the above described monitoring wells at its own expense, if necessary for the present or future constructIOn of any public utilities, or change in street grade or pattern on the streets or for any other reason of the City stated in writing to Permittee. R The construction of the mOllltoring wells and the use of said area hereby granted shall in no way interfere with the construction or operation by the City or any of its franchisees of any existing or future proposed sidewalks. utility lines, or other uses, or the maintenance thereof. If City (or any company with existing utilities located m said right-of-wayl needs access to the right-of-way containing the monitoring wells, Pem1ittee shall be responsible for either repairing the monitoring wells to their original condition orremoving the monitormg wells at whil'h time this Momtoring Well Permit shall terminate immediately. S The rights II f construction conferred herein shall not be assigned by Permittee without the prior written consent of the CIty of Corpus Christl 1 The Monitoring Well Pennit remains in effect during the Permittee's investigation and assessment of possible petroleum contamination. However, the Monitoring Well Permit expires 24 months from the date of issuance. l pon completion of the investigation and assessment the monitoring wells will be removed 1I1 accordance Wilh the then current requirements of the City of Corpus Christi and the Texas CommIssIon on Environmental Quality, or its successor agency in Austin, Texas. Provided, however, that ifat the end of said 24-month penod, the TCEQ requires additional monitoring of the well, then the City shall grant to Pemnttee an additional 1.. -month period in which to perform the work under this permit provided Permittee pays an additional $ ] 00.00 i $1 OO/per yr. I to the City for the 12-month extension. The Permittee shall notify the City's Department of Development Services. ATTN.; Special Services Engineer. 48 hours Door to removal of said JJllmito[i!!g~y~ll l Wntten notice shall be dllected: 11, ro CITY City Development Services Director 2406 Leopard Street, Suite 100 Corpus Christi, TX 78408 IF TO PERMITTEE: APT/SSP Partners 2935 Cactus Road, Corpus Christi, Texas 78415 Page 3 of 5 h:\.. \gen ,ag06.rllon-vvell\apt.,sp.agr _. .- rhe City of Corpus Christi shall cause this Permit to become effective upon date of execution by the City Manager, as indicated below Acceotance c The above Permit is,~r~~y ~ccepted and its terms and conditions agreed this the 7 day of :fuJ"C , 2006, by ~. r l. tz( ., on behalf of SSP Partners, a Texas Limited Partnership. SSP Partners, agrees to keep and perform the conditions imposed by said Permit and to be bound by all of the tem1S of same. By: ~ku;t~. ~. Name: ~tiJ(o'-'rf S~ /1i.or Title: ~/ l) f;J<c I I./; ;ria vtaJe meJ1 f Acknowledt!:ment TillE STATE OF TEXAS COUNTY OF NUECES This instrument wa~ acknowledged before me on J IJ#/.-.. 1 , 2006, by 8'O/) JlUI Y ..__________ of APT/SSP Partners, a Texas Limited Partnership, on behalf of said limited corporation. cI;~ f{. ~t? .) Notary Public. State ofTexa Printed Name: 1?IJ.tAA 1?;J-{$tf}le Expiration Date: Fe/J ItlAr( ~ I ~7 II ~"''''~'t'~'::'" I! ~"..9lt'!:.. "!;.'~ I;;;... .~;; - . . - ~J;. ..~J '..Jfr', "\~" ....',If,~I~.;'..'...' LINDA K. RAGSDALE !\Jotar\, PubliC, State of Texas f,~\ Con1fl1"sion Expires February 26, 2007 Page 4 of 5 h:\.,. \gen ,a gOb ,man- welllapl-ssp.agr .....,.-,... ......... ~ITESI , '\ ---L City Secretary /" By: 'l/L-.- orge ,Noe, City Manager (/~ 10- o~, Date: APPROVED: ~ day of Jllf\e.,.. ,2006 BY:~~ ____ G ry . Smith. Assistant City Attorney THE STATE OF TEXAS COUNTY OF NUECES This instrument was acknowledged before me on Noe, CIty Manager, of the City of Corpus Christi, Texas, a T corporation .',", ,I~ ( Y , 2006, by George K. 4:/NuniciPal cnrport7, on behalf, of said 'C&Ltw-. r~ Notary Public, State of Texas Printed Name: Expiration Date: R J "pS'V Pu. ! ~ *~ Connie Park II' (' S ,',i,1 ~ , ~" .;, Mv CornmJsslon E ,"1, "," xpires ~~b~ 09, 2007 Page 5 of 5 h:\..,lgenlag06Irnon-welllapt-ssp,agr "1I!IIIP" ..-... "A'N~" '9-- OCA -'ON QCLE K 47 S p COf:; CriP " ~ ::l :J ) G) ~ -' ,- "'-.'" <7> <-y: %', <:0-7 . MW-4 r~,~ ~'O~'~ t":' "~ , "SID " ~t<~:' ~~c'''> ~ "'~ I>JWM.~ - o~~~ W'S R ~\Iv 8~ S8~ " 6i<, '0 o r- 8K I Ii II ,fl_/~ ) :1 ~UMP~ R vi RASS .1 SE-.4 10K",,~ In 's1l 'r' AN_ . \ S8 " FORMER + SEPARATOR. .- TANKS C + . ~ MW-2 _GNCREl' M\Iv f:JRM,'-' 500 WAS1E "ANi< / ~ : ,/' I ~~"', _.f(Qi! ~~:o f;Y// c" EB"-"~~''v~~~:\ ",,' I, cORMEk , SIO"lf.: ' II 'YDRAULC "1/ j j' !WT .~ # " SB '2 " FORMER '--, sac gai IOR"HAN ~TA'JK \01( ,")RIN, WI ',,< " ';" JOR,',: 9CR~";( I ~ ,.,,~/ ~~~, ,', ,,/., "W" ~,~_-.. ,'"", ~j IV! I ~~'::~ :----,\ ~~,,~ ~/,,, ,,~- SA~::ARY ',[WeR S1 'PM SEWER NA ME'L.R ", '::-RICA., I[S ~ --RICA ~A IAITt' ..:) DR iPERT'r :...iN~ )v'RHEA,' ELteR SA'" ARY,EW' R ::i : hiM Sl W[R oN/' ' PROPOSED MONITORING WEL. LOCATION ~nE. ,-2~A! iJ~{' UF SAMiJuNG :J(' H"c APPRO,; MATi' "5TH 1'447~ ~CALF lRAWiNG # DRAWING 'HLf iTF ',,1M Wi , PROPC';,[ V 'Nil ORi~j~ Wi: ~::AT If 6'~ j,~v1 EDA T-x.A~ =4:)' 21 65pmw' -06 lWN BY APP'D: DA'E 24/:)6 iT , .~ <<'~/ ~ ----- PROPOSED 2" MONITOR!NG WELL '" lI) lI) f2 " ,,.S6 6 MW-3. S8-10 ... SB 9 E? 3 '" ".~ Ot s, 20' I GRAPHIC SCALE: FEET o I 20' I 40' ---1 ~ NDRTH O~','" , 55 ~ I I I I ~ ~ ~ ~ ~ ~ '" '" Applied Petroleum rT~chnologies 2935 CACTUS r f' ~ cY I I I EXHIBIT A CORPUS CHRISTI. TEXAS x ,~ (\!' (=R~ -JUA,r;E A ;~OJ\j I ~L~~- -f'I-~-lrl illl~:-.'J //// -"-'-~I~r .. .4 / 1~~I!IIIIII&':"'.i ~J ,'" 7 III ~TD-~-m In.: ..'.~. -~-~-.;- -.;.....1 ~~ ~-..- ~~7'~-'-; ;'. '.11 I t'Jn ffi;'-', ......-:... ......1 '. -: ......: '.: . -: III=- -11::--=111 I 1==111==1 11==111 III 1 I III III III III II -II i=~111 111--11 i===: II I~ I i II III III III! III~I '! I III-! '-=! II , II TIT I I TIT I ITL TfT- ~ :-1 ! 1- . 'I I==i i 1- :I! - " MANHOLE CCiVER / EjETcr\!T~- '-- ., F'::; RiSEF S ,A N [) PACY 1-, [,' f' -- .~ L S'REE[\' ::~~D CAP TC1 LL D_PTh 20 EXHIBIT A IRe LE 1-<, # L 1 65 4- 4- 7 SAu'lMEDA CORcS CHF 5-' ~EX,A'3 MO\lITORING WEU DiAGRAN NTS DRAWING # I Applied WELL ,Petroleum -~~~~-~ Technologies LOCATION CPST# l' 44 '., DRAWINI TITLE SCALE DATE 3/8/06 LM 2935 CACTUS CORPUS CHRISTI. TEXAS - ..- EXHIBIT B INSURANCE REQUIREMENTS I. PliRMITTEE'S LIABILITY INSURANCE A Permittee must not commence work under this agreement until all insurance required herein has been obtained and such insurance has been approved by the City. The Permittee must not allow any subcontractor to commence work until all similar insurance required of the subcontractor has been so obtained. B Permittee must furnish to the City's Risk Manager, two (2) copies of Certificates of Insurance, showing the following minimum coverage by insurance company(s) acceptable to the City's Risk Manager. The City must be named as an additional insured for the General liability policy. A blanket waiver of subrogation is required on all applicable policies. -'~'-'-~~-"'------- .,-----_.~ I TYPE OF INSURANCE MINIMUM INSURANCE COVERAGE i '-- -_.._..~-.~ _._., I I 3D-Day Notice of Cancellation, non-renewal, material , Bodily Injury and Property Damage chan~ or termination required on all certificates Commercial General liability including: I $1,000,000 COMBINED SINGLE LIMIT 1 Commercial Form 2 Premises - Operations 3. Explosion and Collapse Hazard 4. Underground Hazard 5 Products/ Completed Operations Hazara 6, Contractual Liability ., Broad Form Property Damage I 8. Independent Contractors AUTotJ10BILE LIABILITY-OWNED NON-OWNED $1,000,000 COMBINED SINGLE LIMIT OR RENTED .~ WHICH COMPLIES WITH THE TEXAS WORKERS' WORKERS' COMPENSATION COMPENSATION ACT AND PARAGRAPH II OF THIS EXHIBIT EMPLOYERS' LIABILITY $500,000 -- PROFESSIONAL POLLUTION L1ABILlTY/ $1,000,000 COMBINED SINGLE LIMIT ENVIRONMENTAL IMPAIRMENT COVERAGE Not limited to sudden & accidental discharge; to include long-t.m environmental impact for the disposal of contaminants - ----_.- C In the event of accidents of any kind, the Permittee must furnish the Risk Manager with copies of all reports of any accidents within ten (10) days of any accident. Applied Petroleum Technologies Monitoring well permit ins, req, 3-'9-06 ep Risk Mgmt II. ADDITIONAL REQUIREMENTS 6" Permittee must obtain workers' compensation coverage through a licensed insurance company in accordance with Texas law. The contract for coverage must be written on a policy with endorsements approved by the Texas Department of Insurance. The coverage must be amounts sufficient to assure that all workers' compensation obligations incurred by the Permittee will be promptly met B Certificate of Insurance: * The City of Corpus Christi must be named as an additional insured on the General liability coverage, and a blanket waiver of subrogation is required on all applicable policies If your insurance company uses the standard ACORD form, the cancellation clause (bottom right) must be amended by adding the wording "changed or" between "be" and "canceled", and deleting the words, "endeavor to", and deleting the wording after "Ieft" In lieu of modification of the ACORD form, separate policy endorsements addressing the same substantive requirements are mandatory. The name of the project must be listed under "Description of Operations". At a minimum, a 30-day written notice to the City's Risk Manager of material change, cancellation non-renewal or termination is required. C If the Certificate of Insurance on its face does not show the existence of the coverage required by items 1.8 (1 )-(8), an authorized representative of the insurance company must include a letter specifically stating whether items 1.8. (1 )-(8) are included or excluded. Applied Petroleum TechnOlogies Monitoring well permit ins. req 3-9-06ep Risk Mgmt EXHIBIT B CERTIFICATE NUMBER HOU-00067234 7-05 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE L AFFORDED BY THE POLICIES DESCRIBED HEREIN. f--- \ MARSH ! PRODVCEF( . Mallh USA Inr; 1000 Main Street, SUite 30UC Houston, TX -7002 CERTIFICATE OF INSURA.~CE COMPANIES AFFORDING COVERAGE I F~~43-P&C-P&C-2005 i INSURED I APlllied Petroleum Technologies , pO. Box 9036 Corpus Christi TX 78469 ~OMPANY A AMERICAN HOME ASSURANCE CO Ltd COMPANY B NIA COMPANY eN/A COMPANY D N/A . This cert1ficat~jlJpers~desand THIS IS 10 CERTIP, THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE INDICATED. NOTWITHStANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, '!tiE INSURANCE AFFORDED BY THE POliCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES, AGGREGATE liMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS 1-- - I ~T~ TYPE OF ,NSuRANCE A GENERAL LIABILITv I I I POLICY NUMBER POLiCY EF~;~~I~~~~~;~~~~PIR~~~ DA TE (MMIDDIVY) DA TE (MM/DDIYY) , GL4571932 12/31/05 12131/06 I GENERAL AGGREGATE $ PRODUCTS. COMP/OP AGG $ $ $ $ $ $ x COMMERCI~" GE "0 RAl.IABILlT ~] CLAIMS MADE X OCCL,~ OWNER'S & CONTRACTOR'S PRC ' EACH OCCURRENCE PERSONAL & ADV INJURY :X. iSIR _ $?OO.Oill: FIRE DAMAGE (Anyone fire) i !A A MED EXP (An one elllon) AUTOMojlLE LIABILITY 12/31106 12/31/06 12131105 12!:J 1/05 CA146H189 (OK) CA146'.i190 (TX) COMBINED SINGLE LIMIT > ): ANY AUTO ALLOWNEC' .cn SCHEDULEL~U ~. X rllReD AUTC~ BODILY INJURY (Per person) I BODilY INJURY (Per aCCIdent) X NQN-OWNE [ AU' . PROPERTY DAMAGE $ GARAGE lIABILIF AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: ANY AUTO I t--. AGGREGATE EACH OCCURRENCE AGGREGATE EXCEst LIABILITY UMBRELLA 'URr, i r OlltER THAN UMBRElL;' FORM WORK. COMPENSATiON AND ,,--- ._._h___. ._. --. -----. EMPLOVlRS'L1ABiLlTV "E PROPRIETOR PARTNEtlSIEXEU;TI\ t OFFICEI!IS ARE _ _ _-2~l__. OTHER El DISEASE.POLlCY LIMIT El DISEASE-EACH EMPLOYEE 1\,j1 liMITS 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000 25,000 1,000,000 $ $ DESCRIPTION f OPERA TIONSILOCATIONS/VEHICLESISPECIAllTEMS RE Appli8!l Petroleum Technologies Monitonng Well Permit - Alameda/ Airline Intersection Certificate 80lder is included as an Additional Insured (except as respects all coverage afforded by the Workers Compensation Policy) and is granted a waiver of sUbrogatlbn as reqUired by written contract but only for the liability arising out of the operations of the Named Insured. CERTIFIC EHOLDER CANCELLATION SHOUL:J ANY Of THE POLICIES OESCRIBED HERE!N BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, 'HE: iN.SURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL --3.0.. DAYS WRITTEN NonCE TO THE Ci*y of Corpus Christi 2* Leopard Street. Suite 100 Corpus Christi. TX 78408 i'E:R~IFjCATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTtcE SHALL IMPOSE NO OBLIGATION OR IA,BllIT/ OF ANY KIND UPON THE iNSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE SSUER OF THIS CERTIFICATE MARSH USA INC. BY K. Bayard MM1(3/02) I{ 134.rw( EXHIBIT B ......- ADDlt9NAI4..I~FORM_TION DA TE (MM/DD/YY) 05/03/06 COMPANIES AFFORDING COVERAGE PRCDUCER Marsh USA Inc 1000 Main Street. Suite 300( Houston, TX ~7002 ~;OMPAN) E COMPANY F 016443-P&C-P&C-2005 INSURED COMPANY Aptlied Petroleum TechnOlogies, Ltd P:O. Box 9036 COfJlUS Chnstl TX 78469 G COMPANY H TEXT '1': Property Insurance Companies Primary Layer LeXington Ins Co POIICy# 8754640 $10.000.000 Excess La)'llr Essex AWAC ACE Wesld1estei POIICy# ESP 4230 Policy# 4162538 Policy# 035904335 002 $5 M excess of primary $10 M $5 M eXJCess $15 M $5 M excess $20 M Quota Shat!e Layel $50 M excess $25 M Swiss ~: Everest Re, XL Re Axis SPlIiPalty Ace WE!IItchester }-POlicy# 5723-93.33 1 Policy# EAF723738-01 Policy# 036064481 001 $11 M $4 M $ 5 M $25 M $ 5 M Flood Insuqmce: The Property PoliCies include Flood Coverage for alllocations/all zones $50,000,000 Per Occurrence. $50,000.000 Aggregate. Deductible is $50.000 Ptir Occurrence. except for Zone A in which coverage is excess of NFIP or $1 ,000,000 retention applicable to buildings and contents. Windstorm is included subject to $75,000,000 Per Loss limit Deductible is $10,000 except Named Windstorm for Tier Counties, which is 5% of values at the time of loss. $100 000 Minimum Per Occurrence The Named Insured is completed 10 read -Stripes ~ings, L.L C -Susser Hcldings, L,L C -SSP Partlers -SSP partilers dba Circle K -SSP paE'" rs dba Stripes -SSP Ho .. . gs Limited Partnership -SSP Se.' s. LP -Susser Cfmpany Lld (Limited Partner) -SSP Be.age, LLC -Sam L, Slsser -Sam J, Slsser -Jerry Su8er -Susser pttroleum Company, LP _ sus~....",.., Petroleum companY'.LP dba Rusche Distributing Company -Susser " oleum Management Company, l.LC -SSP Se. s Management Company, LLC -S Intere Management Company, LLC -Applied ' troleum Technologies, Ltd. -APT MariJgement Company, LLC MARSH USA INC, BY K. Bayard Pa e ~.,,- ADDllIaNALINFORMAmlON PRODUCER Mallh USA Inc lOot Main Street, SUite 3000 Houston, TX 77002 016443-P&C-P&C-2005 INSURED AppJed Petroleum Technologies, LId P.O. Box 9036 Corpus Christi TX 78469 TEXT -C & G Im...tmenis LLC -Corpus Clltsti Reimco, LLC -SSP BEV(IIp II, LLC -SSP BEVao I, LLC -Susser Fil1Jnce Corporation -TND Bevedage LLC CERTIFIC C COMPANY E COMPANY F COMPANY G COMPANY H DA TE (MMIDD/YY) 05/03/06 COMPANIES AFFORDING COVERAGE MARSH USA INC, BY K. Bayard Pa e i MARSH I PRO(),iCH Marsh USA tne '000 Main Street, SUite 30:< iouston, ~~,( -7002 CERTIFICA lEOF INS, i I L- THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN, COMPANIES AFFORDING COVERAGE OMPAN', p1 ~~43AP --2005 I !NSlJREC , I A ILLINOIS UNION INSURANCE CO COMPANY AppI, ied Petroleum Technologies Ltc pO, Box 9036 Corpus Christl IX 78469 B COMPANY C COMPANY This certificatEli$upersEldes and fE!places any pre\Aously THS is TO CERTIF-' -HAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE INDICATED, ',CTWITHSTANDING ANY REQUIREMENT, TERM OR :ONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY "EcRTAIN, ltiE INSURANCE AFFORDED BY THE POL ;(~IES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE MITS SHOWN MA{ YA'JE BEEN REDUCE] BY PAIC-LAIMS I I i co Ie TR ! TYPE OF INSURANCE POLICY NuMBER POLICY EFFECTIVE POLICY EXPIRATION DA TE (MMIDDIVYI OA TE IMMIDDIYY) LIMITS ":OMMERCl~_ GF'\iFRAL. uABIL!l ] CLAIMS MACE OeCL" )WNE R'S & DN' RACTO"'S "'R( GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ PERSONAL & ADV INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED EXP (An one erson $ COMBINED SINGLE LIMIT $ GENERAL LIABIL'" r- AuTOMOflLE LIABILITY ,NY AUTO ,~eL OWNEL ..JT 'C SCHEDULEr ...;IRED AUT' BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ "JQN..()WNE~ .....L PROPERTY DAMAGE $ I r-'--CARAGE LIABILI~{- ANY AUTO He PROPRIETOR F'4RTNERS/EXEC i.)Ti\.- ~. OFFICERS ARE I A OTHER Contractors PollullOf LlabilitylErrors & OmiSSions EX-'::L AUTO ONLY - EA ACCIDENT OTHE R THAN AUTO ONLY: f-- EXCESS LIABiliTY AGGREGATE EACH OCCURRENCE AGGREGATE ~ uMBRELLA ")RI~" OTl1ER THAN UMBRELLA FORM WORK. COMPENSATION AND EMPLOYIRS' LIABILITY CEO G22085979 Oil2 12n1/05 12/31/06 EL DISEASE-POLICY LIMIT EL DISEASE-EACH EMPLOYEE Per Claim Aggregate 2,000,000 DESCRI PTION OF OPERA TlONSILOCA TlONSIVEHICLESIS P ECIA L ITEMS RE Applied Petroleum Technologies MonitOl1ng Well Permit - Alameda/ Airline Intersection CERTIFIC E HOLDER CANCELLATION SHOULC ANy OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE Tl-iEREOF, THE iNSURER AFFOROING COVERAGE WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE Citr of Corpus Christl 2406 Leopard Street. SUite 100 CarpUS Christl TX 78408 ;ERTIFlCATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR ~ iABILlTy OF ANY KINe UPON THE !NSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THiS CERTiFICATE MARSH USA INC. BY: K. Bayard MM1(3/02) K ~/aItI( EXHIBIT B t'P ....- 4,PDlt.QlNAI!.1 NFORM_TION PRODUCER Marsh USA Inc 1000 Main Street, Suite 300(- Houston, TX 77002 016443-APT--2006 INSURED Aptlied Petroleum TechnOlogies, Ltd P:O. Box 9036 Cotpus Christl TX 78469 TEXT Named Insured list Completed to read -Stnpes Hollings, LL C -Susser HlIiIIdings, i..L C -SSP Partrlers -SSP pa.rs dba Circle K -SSP Partlllrs dba Stripes -SSP Holdljlgs Limited Partnership -SSP Ser+s. LP -susser~. .... pany, Ltd, (Limited Partner.1 -SSP Be.ge, LLC -Sam L, Sf4laser -Sam J. ~ser -Jerry sui.... r -Susser P' oleum Company, LP -Susser, oleum Company, LP dba Rusche Distnbuting Company -Susser ptIroleum Management Company, LLC -SSP Ser>ees Management Company, LLC -s Interei.......'..Management Company, L.LC -Applied oleum Technologies, LId -APT Ma . ement Company, LLC -C & G In' tments, LLC -Corpus '. 'sti Reimco, LLC -SSP BE . 0 II, LLC -SSP BE\C:O I, LLC -Susser FJilance Corporation - TND Be'otlltage LLC CERTlFIC @LPER ~ of Corpus Christi 2* Leopard Street. Suite 100 CClrpus Christi, TX 78408 - ,- c.OMPANl E COMPANl F COMPANY G COMPANY H Pa e MARSH USA INO, BY K. Bayard OA TE (MM/OO/YY) 05/03/06 COMPANIES AFFORDING COVERAGE f,/ , l MARSH NUMBER HOU-000680666-08 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTlFICA TE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN. PRODJCER Marsh USA ine t 000 Main Street SUite lOCo ~iouston T\ 7'002 COMPANIES AFFORDING COVERAGE :)MPA,NY b1644~j ,'X NONSU-LGO: I'NS'URED i A ILLINOIS UNION INSURANCE CO .;OMPANY B Applied Petroleum Technologies. Ltd pO. Box 9036 :orpus Christi TX 78469 :::OMPANY C :::OMPAN'r o This certiftcateJupersedes and replaces any prelliously issued n;\5 15 TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE INDICATED ',OT\fi'THstANDING AN. REQUIREMENI. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY "ERTAN 1'l1E INSURANCE AFFORDED B'r THE POLl:::IES DESCRIBED HFRE IN IS SUBJECT 'TO ALL THE TERMS CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE M.TS SHOWN MA' HAVE BEEN REDUCED BY DAID I ,.AIMS i I i co ! ....TR ~ TYPE OF .NSUR~NCE POLICY NUMBEP POLICY EFFECTIVE POLICY EXPIRATION DATE (MMIDDIYY) DATE (MMIDDIYY) GENERAL LIABILIT' I GENERAL AGGREGATE , PRODUCTS - COMPJOP AGG PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Anyone fire) MED EXP (An one lSon :::OMMERCIA ':;E 'iF ~AL . iABIL" ,] CLAIMS MAm OCCU,. )WNER'S &'. ~)N--'RACTOR'S F--'RC AUTOMOIltLE lIABiLlT' COMBINED SINGLE LIMIT ~.NY AUTO ~.LL OWNED SCHEDULED rlIRED,o,UTO' BODILY INJURY (Per person) BODILY INJURY (Per accident) 'JQN.OWNEl "U (j; PROPERTY DAMAGE ~ I GARAGE UABILIT' AUTO ONLY - EA ACCIDENT OTHE R THAN AUTO ONLY: .....Ny AUTO ~_._.~ --_..~,..._"--_.._--'--' ----. -"-"'-'---- -'-'--' I EXCESS LIABILI'" JMBRELLA 'uRI\' AGGREGATE EACH OCCURRENCE AGGREGATE A . "",E PROPRIETOR FARTN68S/EXECUI\, , OFFICE~ ARE: OTHERexaS Employers Excess Liabilih EL DISEASE-POLICY LIMIT EL DISEASE-EACH EMPLOYEE Voluntary Benefits Excess Employers Liability Aggregate NC EX''':., TNS C42798952 12/='1/05 12/31/06 DESCRIPTION Of OPERA TlONSILOCATIONSiVEHICLESISPECIAL ITEMS RE Appliecl Petroleum Technologies Monitoring Well Permit - Alamedal Airline Intersection LIMITS $ $ $ $ $ $ $ $ $ $ 1,000,000 1,000,000 CERTlFIC'E t10LDER CANCELLATION Citv of Corpus Christl 2406 Leopard Street SUltet 00 Corpus Chrisli TX 78408 -:ihOULL::; ANY OF fHE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, HE .NSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL --3.Q. DAYS WRITIEN NOTICE TO THE ERTIFICATE HOLDER NAMED HEREIN. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR ~A8IlIT" OF AN\ KI~D UPON THE !NSURER AFFORDING COVERAGE. ITS AGENTS OR REPRESENTATIVES, OR THE i t;:lfi iSSUER 01== THIS CERTIFICATE MARSH USA INC. BY: K Bayard MM1(3/02) 1{: /!;4tj.aM{ EXHIBIT B ~ ADDI1QNAL: I NFORMl liON PRODUCER Macsh USA Ine 1 DOll Main Street. SUite 300C Houston, TX 77002 016443- TX-NQNSU-2005 iNSURED APQIi. 'ed Petroleum Technologies Ltd P:O. Box 9036 Corpus Christi TX 78469 TEXT The Named Insured is completed te read -Stripes HoIfings. L.LC -Susser Hdlillings. lL C -SSP Partlltrs -SSP par\tllitrs dba Circle K -SSP par1l!lfrs dba Stnpes -SSP HOlctljgs limited Partnership -SSP Se"s, LP -Susser ctlnpany. Ltd. (limited Partner) -SSP Be"ge, LLC -Sam L. Salser -Sam J. S*er =~~~e~UI' ~Ieum Company, LP _ sus.... ... Petroleum Company, LP dba Rusche Distributing Company -Susser oleum Management Company, LLC -SSP Se _ s Management Company, LLC -S InteresManagement Company, LLC -Applied I.".'.'.. oleum Technologies, Ltd. -APT Ma ement Company, LLC -C & G In . tments, LLC -Corpus 'sti Reimco LLC -SSP BE . 0 II, LLC -SSP BE . 0 I, LLC -Susser . nee Corporation - TND Bellllage LLC CERTIFIC I:'JlLDER GIN of Corpus Christi 2es Leopard Street. Suite 100 COrpus Christi, TX 78408 - '~OMPANY E COMPANY F COMPANY G COMPANY H DA TE (MM/DDIYYI 05/03/06 COMPANIES AFFORDING COVERAGE MARSH USA INC. BY EXHIBIT B TEXAS COMMISSION ON ENVIRONMENTAL QUALITY LPST CORRECTIVE ACTION RESPONSE FORM I" r / ::ft -;;;;-1 (.. ~ ~~ LPST -ID: 11447. GENERAL INFORMATION LPST -10 R.ponsible Party Fa$ility # and Name F_lIty Address Facility City CAPM & Name CAS 10 & Name 114474 SSP PARTNERS 0023208 4747 S ALAMEDA CORPUS CHRISTI CAPM01146 RCAS00469 Priority: 4.1 TEL: 361/993-1150 CIRCLE K 2165 FORMER CESARS ~p Nueces RATHBUN JR. RICHARD M APPLIED PETROLEUM TECHNOLOGIES L TO TCEQ TECHNICAL RESPONSE 12/11/2004 Proposal For LPST: 114474 - OTHER - ASSESSMENT P~.d activIty Is approved as proposed. ". preapproval is for the installation of 3 monitor wells to a depth of 20' bgs; however, if a reduced scope of work is tompleted, the maximum reimbursable cost will be adjusted accordingly. All work must be technically justifiable tote eligible for reimbUlSement. Following completion of the preapproved assessment work. an Assessment RlPort Form (ARF) should be submitted. Tl'illnformation is being sent to you only. Please forward this response to your Corrective Action Specialist ACTIVITY COST SUMMARY --.--- Proposed Cost $10,327.00 Maximum Pre-Approved: 510.327.00 ~-\ ~~ __._~ () u ~ Signatute: ..-.J ~~ Date: 1/14/2005 Tim Rupert, P.G Project Manager Telephone: 5121239-2200 @;@~~ Job # Co 5').5 (I lnitials ~ Page: EXHIBIT C fNRCC .; LPS'T~ FKilitp~.: Fae1litJ,.....: Faclll".ddl'ess : Oete: p~by: A. ~""MI j i Ipre(trllllW'Y Planning i Seart:hellSurwys ! i OIfaile AIceU IRepon.~ ~ 0IIee PenonneJ l'Addltl.. F1eIf PttSOnMl S\JbtDult~1lrlIdeCI P~nel !&.oco.~ M~ % ~-~eWJn A, Tot P onnel Activity O~: Site Assessment Preapproval Worksheet ~ -- T HDHIl'IIW' 111m Au . MI. 114474 1IofIllg& 0 2320B ,-. ~ =1 z..... 3 Clrel. K $to", .21&5 L IV.,. .- W... 0 4747 80th Alameda Street. Corp~ Chrtt.. I - "WeIll 0 '3~n.o5 ~ l."'WeUs 0 TSR DirKt 'u.h D. AMI "caJ Type THRCC 1005 - SOil BTEX . SoIl THRCC 1005 . WeIer I'T'EX . VAW BlEX lIlITeE . waler TotalLAIId - ~I PAH(I100)-1Oi1 PAH('10) - wa1llt PAH(8270) . solI PAH(II270) . waler TOS VOC - soil vo<:. waler 8 RCRA M8ta18 . lOil T olBI SolI Pwarneters VIIa_ WeIlIOll\ef facility s-cn Walq Rl!CI!ptgr S~ SI~1IOr 'MIll Surwy :( . 01 properti81l .it : Uk So 10% so S,,~ 52 525 '" B.ort..- IType . ~ S,.rnlAir or Mud Rotary''''r Coiing . . A"O. Oepltl i Bon"'JI 0 ~ It I 2" weill ~ 20 rt 1.- we.. 0 25 ~. i 6'"weJlt 0 25 It o 25 II. 2 $II. Clays \ OI'Iar i SrlIa. iWN ~ ,OriNe,...., DIem I Direct "'-'IT IIOil9Ct 'WIt wefb Small -.,.. Mo~ Drillerl. ,., Olltm 0 : Su~"8IIl1COr1tradBd Drilling !:~~JI ::UHo C. WIIIh ..naaement ~,..,.. Casing Diil. N/A NlA NlA NtA SO S3.075 $0 SO $0 $40 Q&6 SO SO SO SO SO SO o . in cnNt Q ll:llal fOotage o feet o slll8 clays 10 o mileS a rMI way days HalT daYII . j'l CI9W ."iles one _y days U.3eO 15% Unl~ SfUnU S75 SO $~ ~S'O.5OI"l' z:;o 1Ia... $o46fllNm $0 S864 10Y. 7hx 0,00 x e x Ii x Units IlUniC TOUII iQlllomlnt TI\Id\ 3 X $140 .. S420 One way mlluge 10 1M 10 SO MIIeIgI (>100 r.l) o X SO. :J7 = $0 TT I;IGIH . r.t. , ~pl\ 0.11 z $6S.00 = 552 iT TecI\. . r.t f SOmph 0.8 . 140.00 .. .32 Per o;em o . SlO.OO .. $0 AirfBre o 1I SUO . 10 Subllltal SU~ Travel " SO SuDcOlllraaor MllritUD % 1 5.,. = SO E. Total Travel $504 F. Other nsa Wnit TQUJI Di....ble lIaIle" .. S2A 01111'1'1& ..0 .. MOO SO SO S4~'l 15"1. . $488 TCllal SO SO SO $300 SMO 1415 '\DO $825 , $alt\1lleS 10 I 10 I ax Ox 3ll Ox Ox Ox all Ox Ox Ox Ox OX Ox Ox MoDIIe Lab 0 x Lab mob-tee DP ~ 0 . Shipping :zex SucmMaI S"lIalnlnIded Anelybl S r '!4 O. Tolal Analytical Z5 20 26 25 25 0 lIunit TOlIlI ~ s&25 S63 . 5825 .3 $1811 S8:S SO $&5 . IZ5S $31 SO 11411 $0 1158 SO ~~ . so 1240 . SO $15 so 1295 10 $295 " 10 11S0 SO ~OO $0 $0 " SO 1825 SO SO .. SO 55 S1aO .".23 10% " $2.005. P 11M AIn't SiAl'd Total Am" Sub'd TellaI so S2,eSD $0 12.525 1",-, 12iI $.3.~llQ $3,1184 n.3S0 S3.M4 t.-, LI $835 1919 5814 .951 $1,103 SI.i72 $1,123 S2.00s SO .500 SO 1504 13M ~~ <4 Mil $6372 $10 :!27 471 $10337 E Travel 1504 3884 T olal $225 530 10 $11'0 $0 $951 EXHIBIT C