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HomeMy WebLinkAboutC2007-016 - 1/4/2007 - NAMONITORIN(: WELL PERMIT AGREEMENT THE STATF OF TEX.~S ~ ~~,~)LT`TI' OF NU~:CES ~ That the Cit~ or Corpu4 Christi (h~reinafter the "('itv'1, acting by and through its duly authorized City vlanager, ~reorge K tioe~ for azid in consideration of the sum of Seven Hundred Dollars ($700.00) to be paid ~n hand b~ ATC Grc~up Sen-ices, Inc.. i hereinafter the "Permittee") of 140 Heimer Road, Suite 675, San ~~ntonio, Texas, does grant. upon the conditions hereinafter stated, unto said Permittee, a monitoring well permit for t~e right to mstall, o~erate, ma~ntain. and remo~~e t~-o monitoring wells, approximately 2-inches in ~iiameter, 30-feet in depth. witl~; a~-lnch ~:ealed metal manhole cover, with a 2-foot square flushed mounted t;affic-rate~i well vault. f~or approximate;~~ a~4 month period, to be located on the west side of the South Staple~ Street right-of-v~•ay south of Kt~>ar Street. in the C itv c~f Corpus Christi, Texas as shown on the tittached dra~l~ings marked Exhibit "A" Tt ? I I.AVE .~'~I? T`O }[OLD thc ~ame unto Perniittee, its successors and assigns, together with the nght and privilege uiide.- the ~.ondition~ and terms hereof. at any and all times to enter upon the above described n~ht-of-w~a}~ for the purposc of constructin~;, operating, maintaining, and removing of said r~~oriitorin~~ ~ ells, and i: is furtiier under~tood that the foregoing monitoring well permit is granted upon the followi~g conditions: A This moiutoring well pe3znit mav be revaked at any time upon the giving of 60 days norice in writinr b~~ the Cir,~ c~f ('orpus ~'hristi~s (~~tv Manager, or designee ("City Manager"). B. PERMITTEE, TTS OFFICERS, MEMBERS, PARTNERS, EMPLOYEES, AGENTS, .4ND LICENSEES (I~REINAFTER CALLED "PERMITTEE") SI3ALL FULLY INDEMNIFY, SAVE AND HOLD HARMI.ESS THE CITS" OF CORPUS CHRISTI, ITS OFFICERS, EMPLOYEES, :4GE1~~TS. LICF.NSEES, AND IN~'[TEES ("INDENL'~1ITEES") AGAINST ANY AND ALL LIABII.I7I , DAMAGE. LOSS, C1.ALMS, DEMANDS AND ACTIONS OF ANY NATURE WHATSOEVER ON ACCOUl\T OF PERSOI~AL INJURIES (INCLUDING, WITHOUT LIlVII'TA~TION ON TH~: FOREGOING WORKERS' COMPENSATION AND DEATH CLAIM S), OR PROPERTS' LOSS OR DAMAGE OF :~N1' I~ND WHATSOEVER, VVHICH ARISE OUT OF OR IS IN .A1~Y MANNER CONNECTED V4 ITH, OR IS CLAIMED TO AR1SE OUT OF OR BE IN ANY VVAY CONNECTED WITH, THE PERFORMANCE OF THIS PERMIT, INCLUDING SAID [NJURY, LOSS OR DAMAGE CAUSED Bl' THE SOLE OR CONTRIBUTORY NEGLIGENCE OF "THE ~TDE!vINITEES OR .aN~" OF TFIF:M. PERMITTEE SHALL, AT ITS OWN EXPENSE, IN~'ESTIGATE ALL OF S 41D CL~1S Ati D DEMANDS, ATTEND TO THEIIt SETTLEMEN'I' OR OTHER DISPOSITION, I)EFEND ALL ACTIONS BASED THEREON WITH COLTNSEL SATISFACTORY" TO INDEMNITEES :~'~1D PAI' :~I,L CHARGES OF ATTORNEYS AND ALL OTHER COSTS ANll EXPENSES OF .A.~Y KIND 4RISING FROM ?~NY OF SAID LIABILITY, DAMAGE, L,OSS, CL:~IlVIS. DEMA'~`DS .A~D ACT[ONS. Page 1 af ~ zoo~-oib Ol/04/07 AT(` Group Services ,f . ~ . ,~,,. .,~..._. m. _ _ .. r._ _ _ _ _.. ._ __ _.w _ .~ o_ ._ ~. .~. C. Permiut.e must tiave and ~Yia~ntain commerciai general liability insurance pertaining to the ?~tonitoring t~ ell Permit Agreement and the acti~~ities authf~rized by this Agreement, in the ininiinum amounts se? forth in the attached and iz~:;orporate;~,' E~;llit~it B, The insurance policies must name the City as an ac'tditiona~ insured. The insurant~e policie~, ma~ not be canceled. renewed, or materially changed without 30 cavs advance- written noric~e to tile Cin~'s I>irector of Deveiopment Services, or the Director's designee. The F'erniittee, <}~- <~ representative o~ contractn~ of the Permitt~e, may not perform any work authorized by this permit unti! tne Permittee has ~resented ~vidence of th~ insurance coverage specified in Exhibit "B", sutficient t~~ satisfy the ~:~~-'s Rsk Mana~~~r. l!pun request of~the CitS~'s Risk Manager, the Permittee shall pr.~vide eopie~ of all insarance ;~olicies tc `he R~sk Manager. D. Except a~ othet~~ise pro . ided herein, al work proposed will equal or exceed the Texas C~~mmissior~. cTn Environmental t,~ualit~~ (~ CEQI and the T exas Water W ell Drillers Board rules, regulations, and requirements far the installation_ mor~tonng, and remo~~al of monitoring wells. E. At the ~ime of :emo~'al. :he Permittee i~. required to backfill the monitoring well. At a minimum, .~ the well falls inside e~istin~r asp6alt paven~ient, the top 10-feet will be filled with 3000 psi c.oncrete and remaining depth ~~~tl~ bentol~~te. ~he City mav elect, however. to fill the top 2-3 feet with soil, th~ nex? 10-teet with 300C? psi c~?ncrete an~ an~~ remaining depth with bentonite. The alternate elective applies pnmariiy tc~ those monitar well~ which falf outside of existing asphalt pavement. F. Ali appi~cable ~-ederal, Sr~te. C'ounty, and Cit~ laws and ordinances shall be complied with and a11 ~iece~sary permits shall b~ secured from the appropl-iate agencies prior to obtaining this pernlit. Copies c~i said permit~ shall he vm~~ideci to Che C~y anc~ attached hereto far all purposes as Exhibit "C". G Ncj pubii~ stree?, or an} p<}rtion thereof, siiall be closed or barricaded to use by the public for the purpose ~~f installmg. repairing, or ~z~aintaining the monitoring wells until after the Permittee or its c~~ntractor has filed wtth this off ice an appr:~ved traffic control plan from the City Traffic Engineering Office. H. All Crtv utilit. departments. ~~P (American Electnc Power), SBC (Southwestern Bell ('ompany). TimeW arner. and Grande Colnmunications and anti~ other companies that may be affected by the m<~nitoring wells must he notified ??-hours pnc~r to eonst:-uction. 1-800-D1G-TESS, Lone Star Notification Center t 1-REl(~-669-~~441 and S~~uthwestern Be]i Telephc~ne (1-800-8?8-5127) numbers must be notified 48 hc~ui~s priar to construction f~r e~xisting u~ilit~~ locations I. Construction ~ians and ,pec~fications i~or all work proposed will be submitted to the l~epartment of Engineenng for approval ~rior io beginnin~ construction. The plans must show the depth and 1~~~:ati~r~ of ~hc~ proposed e~nstn~ction and .iistance from tr~e existing water. storm, wastewater, and gas lines. J. Perm~ttee v~~ill repair or c<~~se tt? be repair~~d any damage to any landscaping, sidewalks, curb and ~utter, cinveway, street, san~tary sewer, storm sewer, drainage facility, underground lines, wires ar pipes i~v~>ned by the City of C~~rpus C'nristi or t:c~lder~ of anv franchise from the City, resulting from or caused by reason of constructioii.. operatio~i, maintenance and/or rer~io~~al of said monitoring wells. K A C it~v Inspectc>r may rea uest u utility linc~ to be uncovered to verify its depth and/or location. :~ll backfill and repairs of any kind will be made accordin~ to City standards and/or City Inspector's request. ~11 work and repairs will be at Permittee'~ or ~ts contractc~r's expense. t~ ,gen ag06 ~~~or~-well~atc.agr Page 2 af ~ L If a(~ it;~ lnspecior is required at the job si,_e. the Permittee shall pa5~ a daily rate of $30131 for ~acl~, ciay ~pent inspectu~g construction. maintenance. repair, replacement, relocation or removal of the wn~~nitori~g v~ ells pursuant tc~ thu monitonng u ell perniit. An~ time in excess of eight hours per day and any ~ t.~rt: ~~n Sat~r~iay, Swida~~ or H<<liday~ sh<,: ( be ~~alculated at a daily rate of 5~6.49 per hour. These funds shall ~e pa~d to tlle appropnate C'itv ciepartmeni withif7 the Cit~~~ of~C,~~rpus Chnsti- These amounts will be adjusted annuaiiy oi~ ~'~ugust ' t~~ reflec? an~~ pa~~ ~~r~crea~c~ M Shouid dama~c~ occur t~~ ~ util~t~~ tine so tliat sand or soil enters service lines causing problems and~or dama~e ta plumbina in ~rrivate structur~~_ Permittee shall have sole responsibility for resolution with .ndi~~idual >>u~ners_ includina ai= costs as~~~ciatecl u~ith resolution. N No equipment ~~r materia~~_ ma~ be stored or left overnight in City right-of-way. O The Pennittee .ind~ar its i'ontractor will not clean equipment or material on site. P Monitorin~ w::lls ~~°i11 n~.x protrude abov~ the existing natural ground elevation, and a sealed ~t~vering ~~ili be pro~~ided to pr~vent sur"t~ace ~~ater from entering into said monitoring wells. Q Pemimee shall adiust or ~-elocate the abo~~e described monitoring wells at its own expense, if necessary Eor the present or futt:re construction of any pu~lic utilities, or change in street grade or pattern on the streeEs or for anv ~~tner reas~~n ~~f the +'it~~ ~tated in writing to Permittee. R The constructiun of the rnonitoring well~~ and Che use of said area hereby granted sha11 in no ~~a}~ mterfere with the construction or operation by the Ciry or any of its franchisees of any existing or future proposed s~dewalks, utilitv lines, or other uses. or the maintenance thereof. If City (or any company with existing uti lities located iri said ~ ight-of ~ ay j needs access to the right-of-way containing the monitoring wells, Permittce shall be responsible f.~r either repainn~= the monitoring wells to their original eondition orremoving the tr~onitoring wells at U hich ume this ?~~1onitt~nng w'ell Permit shall terminate immediately. S. The n~hts of constructi~~~i conierred herein shall not be assigned by Permittee without the .~:~ior ~~ritten :,onsent of the C'it~~ of~Corpus Chri;,ti. T. The Monitoring Well Perm~t remains in effect during the Permittee's investigation and assessment ot possible petroleum contamination. Howe~~er, the Monitoring Well Permit expires 24 months from the date of issuance Upot~ eomplet<<~n of the invest~gation and assessment the monitoring wells will be removed ir: accordance with the then c:~rren~ requirements of the City of Corpus Christi and the Texas t'ummissic?n :~n En~•ironmentai Qualit~ ..~~ its successor a~:enc~ in Austin, Texas. Provided, however, that if at the end of sai~ 24-montn perioci. the TC~ C1 requires additonal monitoring of the well, then the City shall grant tc~ Permittee an additi~nal 24-m~~nth peric ~d in u hich to perform the work underthis pernutprovided Permittee ~~avs an ac~ditiona! ~~'?C~_OC~ to Cit~~ for xhe ~~~-month extension. The Permittee shall notify the City's I~e~art~en± ~f Development Services, A7'TN.._ S ep cial S~n~ices Engineer 48 hours prior to removal of said monitoris~„.T ~ e11 . L w"ritten notice ~hall be r~irected: IF TC) CITY ~ IF TO PERMI'TTEE: City Development Sen ices Director ATC Group Sen~ices, Inc. 2406 Leopard Street, Suite I OG 140 Heuner Road, Suite 675 Corpus Christi. T?~ 78~08 San .Antonio, Texas 78232 Page 3 o f ~ ,_ ~gen~-agF)6~vnon-welPatc ay~ The t'ity of (:o~us Ch~ isti shall ~~ ~ause this Permi~ to become effecti~~e upon date of execution by the i ~~t~ 'vlana~=ea . as indicr:ted ~el~ ~w. ~cceptance The above Permit is~hereb~° acctepted and its ternis and conditions agreed this the ~ day of ' C.~ t ~_, 2006, b~ _ ,. ~. E"..~~ Cl+_ ti , on behalf of ATC Group Services, Inc., a foreign corparation aathorized tc~ do business in Texas ATC Gr~oup Senices, Inc. agrees to keep and perform the ~~onditions ~.mposed h~~ sa~d Per~nit and tr~ be liound bv al( of the terms f same. ~ B~~ Z~ ~~~ .~ ~IaII1e: ~ r~ ~;~tr~ ~i (:~~-~C Title: ~l~l~ ~'~~V1CL(:~C~r Acknowledgment `I'HE STA"I F. OF T'E~AS C'QI??~TY t~I 'v[JECES /~ This ins nt was a~ l:nowledged beYore me on ~~~ ~I,~,~Y / , 2006, by ___ ~Y ,,_ ~~G~ ,~Q'!~ _ o' ATC Group Services, Inc., a foreign co 'on authorized to dn busines4 ir~ Texas. on behalf of said c~~rporati<~n. ~ ~' Notary Public. te of Te as ~ Pnnted Name: Expiration Date: ~ ,,,,. „~,--a--,------ ~!,,.~;T""~:;., TERESA DUDLEY s'?' ~' `° Notary Public, State of Texas `=1~ '..~ `,,` My Commission Expires ` ` July 30, 2006 '~~N 11~~~~~ Page 4 of ~ h genae46'snon-well''~atcag! ~ [.'~_EST: ,ti ~ , _ ~it~ Secretan. ----- ~--- '~PPR( )VFD --~ C3a~ o" ~._--° ~f~9b .: ; Bv: ; ~ ; . , ;'.R~ _~ , , ~?~. Gat^y VJ~'5mith, Assistant ~:"it~~ _Attorne~ `I'HE STA~I'E OF TEXA~ C'()i?1~TY f)F'.vUEC'ES C'ITY OF RPUS CHRISTI B~: G'eorge I~. N~. City Manager , j~, L)ate: _ ! - ~~ `~ ~ ,, ,, ~ zc~ I Th~s znstrum~nt was acicnowledged before me o~_. ' ~~' , 2966, by George K. Noe. City ?~lanager, of the Cit~ of Corpu> Chrrsti, Texas. a ~xas Munici~ l C oration, on behalf of said corporation r ~ •~ , ~ _ ~ -~, , I, / =~`~t~Y P~ . ''3ik5 ~~~~ ~~ Y^~ 6' ~lP t, ': ~~ 1,. ,s~ ~~~ ~~` `-'~' . ot~ry Public. State of Texas ~~ ,c ~! U~ ht %y J "^ v, «-Y.: ~ ~- ~ - Printed Name: Expiration Date: Page ~ of ~ h ,gen ag06',mon-weli~atc.agr i ~ , ~~ ~~ ~8 R ~ ~~ S~ =, < Q ° ~ r ~ ~m , ~- ~ . ~~• W ~ I . ... ..._ . .. .. ._..... i',. ,. i , . ~ LL N ~ . I . Uf\~AiV ~ ' ~ ~ - vG~NE~R~N ~ ~ Q m^ ~ <[ I ~ ! ~ O ~ i ~ J .._ ...._. . _ __ _. _ . 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'____"__'._. . ^~i Q ~ o~; .2 u p O a ~~~ ~~~ W u ~ o U 0 3 ~ W ~'- ~ $ ~=~Q~ ~ < P c ` ~ ~ "Z~..~a V22up <2 1W~~~C_~W O~ ~ 0 ~ ~ O -P r ~ . W ~mZ~~~~2~~ "!bl' ~ '~ N = N N = ~ ~ ~ ' Y ~Y~ c~ m°'""u°~a~ii u s u c s Y ~ o ?~ , ! 0 0 '" 0 0 E "~' ,. i mm ~ a ~ Y c o f c m ° o ~ ~ v °~ ~ 4 4 m R i i k ~ 3 3 ~ m ~ ~ ~~ ~ t Y 2'X2' SLOPEp CONCRETE PAa ~'~ , ~ ,,\ , ~ /~//,~/~'~ 2" DU. PVC RISER PIPE / / BENTONITE/CEMENT ~ GROUT SEAL. WEl.L SCREEN 0.010 MICH SLOT 20-40 COUNT SAND PACK " "~ _ i = i ( - FIUSl1 THREADED PVC BOT?OM PLUG TYPICAL MO~IITORlNG WELL SCHEMAT~C DIAMOND SHAMROCK #972 2702 SOUTN STAPLES STREE? CORPUS CHI~ISTI, TEXAS ~PST #113596 PROTECTIVE MANHOIE COVER ~ LOCKING WELL CAP WELL HEAD CAP (BELOW GRAOE) BENTONITE SEAL 0.5 TO 1.5 FT. NOTE: TYPICAL TYPE II MONITORING WELL SCHEMATIC-2 INCH DIAMETER. FLUSHMOUNT PROJECT NUMBER: EXHIBIT CHECKED SCALE: " BY: 1 = 10F ~B.7rJZSO A DRAWN BY: ~Mw oa-2i ORAUnNG FILE: 1995.0025\U025-C.DWG RENSE BY: u TC EXHIB[T B INSURANCE REOUIREMENTS ~. PERMITTEE'S LIABILITY INSURANCE ~. Perrnittee must not comrnence 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 unti l all similar insurance required of the subcontractor has been so obtaine~i. B Perrnittee must furnish to the City ~ Risk Manager, two (2) copies of Certificates ofInsurance, showing the follo~ving minimum cuverage E~y insurance company(s) acceptable to the City's Risk Manager. The City must be named as an additional insured fc~r the General liability policy. A blanket waiver of subrogation is required on all appl~cable policies CYPE OF INSUR~NCE MINIMUM INSURANCE COVERAGE 30-Day Notite of Cancellation, non-renewal, material Rodity Injury and Property Damage ch~nge or tetminatian required on all certificates ('orrunercia~ General Liability includir.g: 51,000,000 COMBINED SINGLE LIMIT t Commerc~a! Form _ Prer~ises - Operations 3 Exp~sion and Collapse Hazard ~ Undergro und Hazard ~ Pro~icts/ Completed Operations Hazar~j ! 6 Con~actual Liability ~ Bro~d Form Property Damagc 8. Independent Contractors AUTOMOBILE CiA$ILITY-OW~1ED NON-OWNF,I~ $I,000,000 COMBINED SINGLE LIMIT C)R RENTED ~ ~- ~ __. ~ WHICH COMPLIES WITH THE TEXAS WORKERS' ~ wORKERS' COMPENSATIO'v COMPENSATION ACT AND PARAGRAPH II OF THIS ~ E XHIB IT EMPLOYERS' LIABILITY $500,000 PftOFESSIOItiTAL POLLUTION LIABILITY! $ I,000,000 COMBINED SINGLE LIMIT ENVIRONMENTAL IMPAIRMENT COVERAGE Not limited to sudden & accidental discharge; to ~nclude Iong- term environrqental 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. ~006 ATC Associates Monitoring weil perrrti~ ins, req. 5-18-06 ep Risk Mgmt II, :~I~DITIONAL REQUIREMEl~TS ~. Permittee must ~btain workers~ ~ompensation coverage through a licensed insurance company in accordance with Texas law. The eontract for coverage must be written on a policy with endorsements appr~ved by the Texas Departm~nt of (nsurance. The coverage must be amounts sufficient to assure that all workers' t•ompensation ~~bligations inciirred by the Permittee will be promptly met. ~3. Certiticate of Insurance * The City of Corpus Christi must be narned as an additional insured on the General liability :;overageu and a~lanket ~G aiver of subrogation is required on all applicable policies. * lf your insuranc~ company uses the standard ACORD form, the cancellation clause (bottom ~ight) must be amended by adding the wording "changed or" between "be" and "canceled", ~nd deleting the words, ~`endeavor to'', and deleting the wording after "left". In lieu of ~:nodification of the ACt)Ri) form, s~;parate policy endorsements addressing the same ~ubstantive requ~rements are mandatory * The name of the project must be listed under "Description of Operations". * ~t a minimum, a 30-da~~ written notice to the City's Risk Manager of material change, :;ancellation, non-renewal or terminatiori is required. t:_ . If the Certificate ot Insurance on its face does not show the existence of the coverage required by items I,B (1)-~S), an authorized representative of the insurance company must include a letter specifically stat~ng whether items 1. B. (1)-(8 ~~ are ~ncluded or excluded. ~Oab ATC Asscic;ates Monitoring well perrnit ins. reG `-1$-06 ep Risk Mgint .,. _~ r . ,,,,p, ~ ,~ ~, ~. i _. . ~ ,_ ~ ~..._._ ~.. ~ . ~_ _ _ , - _ ~~ ~-~~ ! t ~.! .ra[_:iiViMiD~^"") t ~C"tV~~~ ~` t~J~~e~-~.[v~C '128.?Od5 I ~_ oR~D~ F ~ T~i.: ~"TIFIC~,T~ !~ IJSUEL AS A MA~R 0= INFpRMATION ~ oc,ctor or*cari~ ~ustor J~,,_t 4,'D ,^,pN'ER~ N~ RIGHTS UPON TH~ CcRTIFICATE ~~8~ ' Sa -eiine 5ua~ ?.. ,-~G~.~_R 'HIS ..~R71=1C=,Tc DOcS N~T AM~ND, EXT~ND OR (-ic.:~tor _X _~~~, l86E ~sC-- :~~c ~7on~ AL"R 'H~ C~V~2Hu= Ai-rORDED BY THE POL1Cf~5 B~LOW. `80"~-=9~ :~: =ax: 1N5URcRS ArFORDING COVERAGE IIt~ISJR~: ICISUCBT ~: ICommercE & intlustry (AIG) ji,T~ 3rcu~ ~=ry-=res °~ InSUrer B_ Ha~ord Casuatty ~nsuranrz Company ~AT: Kssoaat~° ,~c ~^ Amerl;ar Intemationel Speaaliy Lin=s InsuranrP Co ~ao -eime• Roa~ su,:~ 4'c insurer t,. ~Sar ~nte^~r '~` '82u' InSUref ~: IMultiple Harlf6rd Companies Insurer E: i CQV~RAC,E5 ?H~ ?D_I~IcS D= INSUFJaN~E ;,lSTEC B~LOVv HAVE BEEN 'SSUED T~ 7NE INSUREC NAMED A80VE FOR THE POLICY PER~OD INDIGAT2ri_ ~ NC'VJTN,STANDING AhIY R°_QU~Rr-v1EMT, 'ERN OR GONDIT;Oti OF AN~' CONTR,4CT OR OTM~R DOCUMENT WfTH RESPECT TO WH1CH TMIS '~'IFICh`_ hiC r 9: ISSUcC DF MAY ~FF.TAIt~, `H~ ih5URAN~:~ AFFORDEi' 8` TH~ pOLlCIES DESCRIBeD HERcIN 1S JUB~Ev I TO ALL TH: TERMS, ;~;~~~~IpN$ ANC C~NAITIONJ 0= SUCh °O:IvIE~ Au~2E~9:,TE LIMf'S SHOWN MFY B~ ~HAUSTED B`' PAID CLAIMS. ; INS~ i pF t pOUCY NUMBER =~ECTWE ~ATE Fx p~T~~f` LIMITS ~ ~ ~ TY~ _ 4~F fNSURANCE ~ i ~G:11lERAL JABl~~'Y ' IEACH OCCURR'cNCE ~ 1,DOO,ODO f ~ ~ ~FIRE DAMAGE (ANY ONCPIRE) ~ ~ _OOU,OOO ~ x !CDMMERGA. 3ENERAL ~~~_~A8'.~ ~" r--- _ __ __ __ _ D~vURRP.AIC_ X . , - ~ ~ :. .p : ~ 30; ~~ ~zco~ .,. ~ , r -- ~Xp lvEa aER° N) ~ ~sro ,zoo i~McD ~ . ..0 $ 1 ~~000 ~.._-._ . -._- - -- .._, SONAL&ADVINJURY (PEP $ 1,00O,OOD ~ x XC'.i~N^'.UDEt , I GcNcFi.4L AGGREGATE $ Z.ODO,DOO x; i>C FORM Gc ]C J' 7D 01 ___ __T-~~___. ____ _~ 1PRODUGT5IGOMP.O~, ~ Z,OOD,DOD vE~+'. AG3ftEuATE LiMf' APOLIE:. ~=? ; ~ IAGG 1~ROJ~CT ~ ____.~._~ _, _ , , AU70MOBI LIABIUTY ICOMBINED SIN~LE L1MIT $ ~,OOD,OOO . --..- -~ i ~ f ~ACN ACCiDtH~ . . '~~AM~ ~;U'0 ~,! . i i, .. ,_._._. _.... ;a~~o~mA~-os =~~ ~~'_ti~~=sac osir~,.2ooE ios~~,~2oa~ ~_ . B __ __. 'SCHEJUt.EDA:^'C. ~~ ~ ~ jNIREGAU'i'0£ ; . ~. X -._.-_.. . I ~r INON-OWN~AvT.JS i . I~ C~SS _t L1~lU1111tRcLLA , jFS+Ch oCCURRENCE 5 S,DOQ,D00 ^ ~tCE ~~ ioCCURR: UL ~C'S~~98 ~~~ ~o~C1;2006 ~ 061012DG? ~AGGREGATe $ 5,000,000 `' . , ~ --- IC;AIMS MApE I ' ' ' i WORKERS GOMPENSATION ( ~ STATUTORY C MPEUSATION eRS WORK i ~ ~ ;and cMPLO ~ L3ASILiT' ~^ WBNV~='92 OoIC1;2006 D6/01l2007~ELE4CNACCIDENT $ 1,000,000 ~ 000 1 000 ~------ ~- , IEIDIS~ISE-EAEMPLO~P ~ , , ---- ---- ` - '- E~ DtSEASE-P061CY llMIT $ 1 ,ODO,OOO ^ iDTHER ~'rofe#sionaUPoliu6on ^;9g6?" I ' 06/C1;200E D6lD1l20071~HC~~~"~ ~ $ ~,OOO.D00 DOD ODO 1 / ;=~abifitv- 4;aims Made _ i IAGuREGhTE , , , iZ~MARKS: DESCRIP; IQN OF JP~ATIONS/LOCATION5NEH1CLcSlEXCLJSIONS ADO£D BY ENDDP.SEMENT PROVI510t~tS: CNECK BUNKET WUV1~R Of StIBRD~ATO#11~ OitANTED ~N FAVOR 01 C~RTiF~C.ATE HO:.DER D~l ALi oOLICIE+ PXCEPT PR~FES'pNP'UP~'~ON LIABILT7Y M1ffM KFSPECTTO LABIUTY ARt31N6 0U7 0F eox OPERA110N PSlFORMED 91~ OR ON 9EMALF Df NAMEO INYURE~ WXERE NJD TO'Mp fSTENT f.EOURED &Y WR~7'7EN CONTUI..1' ESCEPT wNEAE PRONIBfTEO BV yGW. v~j ~ERTiPICATEf10~EF 15 NAMED a5 AN ADDITfONA:. INSURED ON A~:_L POLtCiES (EXCE~T FO~'i wORKERS' COMPIEL nND P~OFESSIONpL LIABIUTI~ WITN RESVEC"~D LIA64fTY aF19NG OVT OF OPERATIONS FERFD 'Rldm BY OF DN BEHA~ OF NAME.'D 1NSU(tPD WNER£ .~W~ TD ~'HE E)CfE~'1T R`-GUIRED By WRR7FJ~ CONTRAG`. UMBRL•:il+ LIM111'S n~ @1COESS OF GENERd.L UAB~LITY, AUTOMOBU.E UAB~IiT" AND EMPLOYER'S ~1A8iLlTY- Re. 0~emon0 ~smrOCK11Y72 morvtor woll mstalleiior~. AOa~onsl insutetl ~n Fava of Gp' v~ Coryus G~nsfi (on 91i pelioc exocol Wa1c9r'~ CDmDenaetiONE: and Prvlc:SiD~BI LIeDUYry) rmere and tu ~e meern reqfirod ay wnuen conuse_ CERTIFICATE HC'~1.DER: (CANCELLATIOI~: SMOULD ANY OF TNE ABO~ DESCRIBEG POUC~-S 5c GANCELLED BE?ORE THE 0 THETCERT~iFlC0.TE NOLDER NAMED T 7HE ~FT.'EXCEPT ~0 DAYS N T CE FOR O7iCE Giry o` ~..orpus Cn-ist 1a0E Leopard 5tree;, Suite "~~C r~nrp~5 ~hr,5tl, '7' '8408 iJTN,~RI2ED R~PRESENTATIVE A ~.~~ c./~ EXHIBIT B~iam~r.d 5hamrock# 972 Monitor Well Ins~all _' ~-?_ ~, Fq~; ~ _~'r ":E'~ R~F!ED f~002/004 T~S C4MM~SION ON ENVIRQNMENTAL QUALITY LPST CC~RRECTIVE ACTiC~N RESPONSE ~ORM LpST-ID:113596 GENERAL INFORMATION LPST-ID: 113598 Prioriry: 4.1 Respons~ie Party: L1LTRqMAR DIAMOND SHAMROCK TEL: 210/592~669 Facility #: C 032968 Facility Narne~ DIAMQNO SHAMROCK 972 Facility Ac~dress : L7Q2 S STAPLES County~ NIJECES Faci~ity Cfl~: CORPUS CHRISTI CAPM ~ Name: GAPM01602 KqTH , SHAWN CAS ID & Name: RCAS00641 ATC ASS4CIATES INC TCEQ 7ECHNICAL RESPON$E 1012112005 Proposal For LPST: 113596 - O~HER - A~.SSESSMENT Rropo~acl iictivit~/ i~ approv~d with the foliowing modi~icatbns; The TCEQ has reviswed and ~pprows the workplan tp inst~l the two monitor wells in the ~xoposed IaCatibns with tl'te fdlowir~ modf~cetion~ (1) The p~fosed v~cuum truck is denied. Please cambine and dispose of gtnundwater generated during this preapprove~l activily with put"ged groc~dwater from groundwater monitoring activities. If a reduced ~oopa cf waic Is comple~d. the maxlmum reimbursabie oost will be edjusted accordingly. ACTIVITY COST SUMMARY ~} - Signatut+~ ~- ~~I Date: 11/17/2U05 Telephone: 512 / 23~22Qp Scott Projec:t Msnager Page : 1 EXHIBIT C