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Home My WebLink AboutContract 49788-FP2 City Secretary Contract No.49788 -FP2 FORT WORTHO. Date Received Sep 6,2018 54008- 1 o102a NOTICE OF PROJECT COMPLETION (Developer Projects) The Transportation and Public Works Department upon the recommendation of the Project Manager has accepted the following project as complete: Project Name: OAK CREEK TRAILS 38 City Project No.: 101022 Improvement Type(s): O Paving 1Z Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Price: $448,317.50 Amount of Approved Change Order(s): -$3,840.00 Revised Contract Amount: $444,477.50 Total Cost of Work Complete: $444,477.50 A� s(Au� Aug 20,2018 Contractor Date Contract Manager Title Burnsco Construction,Inc. Company Name MlchaeI'Mte(A�0�- Aug 20,2018 Project Inspector Date G.SAU PM Aug 20,2018 G.SAHU,PM(Aug 20,2018) Project Manager Date e Scariett Morales(Sep S,2018) Sep 5,2018 CFA Manager Date Cf9fae/4�aly, Susan Alam(Sep 5,2018) Sep 5,2018 Asst. City Manager Date �oQ�y OFFICIAL RECORD 3 oQ� CITY SECRETARY 9e 1 of 2 Pa v�v�� FT.WORTH,TX Notice of Project Completion Project Name: OAK CREEK TRAILS 3B City Project No.: 101022 City's Attachments - - — - - --- -- Final Pay Estimate ❑x Change Order(s): ❑x Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 130 CD Days Charged: 130 Work Start Date: 11/17/2017 Work Complete Date: 8/9/2018 4I Page 2 of 2 5100b1 - 10)00a City Project Numbers 101022 DOE Number 1022 Contract Name OAK CREEK TRAILS PHASE 3B Estimate Number I Contract Limits Payment Number 1 Project Type DRAINAGE For Period Ending 8/9/2018 Project Funding Project Manager NA City Secretary Contract Number Inspectors GREGORY / FLUTE Contract Date 9/6/2017 Contractor BURNSCO CONSTRUCTION,INC. Contract Time 130 CD 6331 SOUTHWEST BLVD Days Charged to Date 130 CD FORT WORTH, TX 76132 Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded Total Cost of Wo•k Completed $444,477.50 Less %Retained $0.00 Net Earned $444,477.50 Earned This Period $444,477.50 Retainage This Period $0.00 Less Liquidated Damages 0 Days c@i $0.00 /Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 u Plus Material on Hand Less 15% $0.00 r Balance Due This Payment $444,477.50 Friday,August 17,2018 Page 4 of 4 1 FORTWORTH 3 CITY OF FORT WORTH ---- FINAL PAYMENT REQUEST Contract Name OAK CREEK TRAILS PHASE 3B Contract Limits Project Type DRAINAGE City Project Numbers 101022 DOE Number 1022 Estimate Number 1 Payment Number 1 For Period Ending 8/9/2018 CD City Secretary Contract Number Contract Time 13(ED Contract Date 9/6/2017 Days Charged to Date 130 Project Manager NA Contract is 100.00 Complete Contractor BURNSCO CONSTRUCTION,INC. 6331 SOUTHWEST BLVD FORT WORTH, TX 76132 Inspectors GREGORY / FLUTE s t a a 1 ti Friday,August 17,2018 Page 1 of 4 A i i City Project Numbers 101022 DOENumber 1022 Contract Name OAK CREEK TRAILS PHASE 3B Estimate Number 1 Contract Limits Payment Number 1 Project Type DRAINAGE For Period Ending 8/9/2018_ Project Funding UNIT III:DRAINAGE IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Qwmity Total Quanity Total 1 10'DEPRESSED CURB INLET 12 EA $3,600.00 $43,200.00 12 $43,200.00 2 15'DEPRESSED CURB INLET 4 EA $4,900.00 $19,600.00 4 $19,600.00 3 21"CLASS III RCP 281 LF $55.00 $15,455.00 281 $15,455.00 4 24"CLASS III RCP 2247 LF $65.00 $146,055.00 2247 $146,055.00 5 27"CLASS RCP 77 LF $71.00 $5,467.00 77 $5,467.00 6 30"CLASS III RCP 113 LF $82.00 $9,266.00 113 $9,266.00 7 42"CLASS III RCP 633 LF $158.00 $100,014.00 633 $100,014.00 8 48"CLASS III RCP(CO#1) 286 LF $192.00 $54,912.00 286 $54,912.00 9 4'STORM JUNCTION BOX 2 EA $3,800.00 $7,600.00 2 $7,600.00 10 6'X4'STORM JUNCTION BOX 3 EA $5,400.00 $16,200.00 3 $16,200.00 11 6'X5' STORM JUNCTION BOX I EA $5,600.00 $5,600.00 I $5,600.00 12 TRENCH SAFETY 3657 LF $0.50 $1,828.50 3657 $1,828.50 13 24"FLARED HEADWALL, 1 PIPE 2 EA $1,800.00 $3,600.00 2 $3,600.00 14 42"FLARED HEADWALL, 1 PIPE 1 EA $3,000.00 $3,000.00 1 $3,000.00 15 48"FLARED HEADWALL,1 PIPE I EA $3,200.00 $3,200.00 1 $3,200.00 16 INSTALL TWISTED GABION MATRESS 68 SY $110.00 $7,480.00 68 $7,480.00 17 CONNECT TO EXISTING 24" 1 EA $500.00 $500.00 l $500.00 18 CONCRETE COLLAR 5 EA $300.00 $1,500.00 5 $1,500.00 Sub-Total of Previous Unit $444,477.50 $444,477.50 Friday,August 17,2018 Page 2 of 4 City Project Numbers 101022 DOE Number 1022 Contract Name OAK CREEK TRAILS PHASE 3B Estimate Number I Contract Limits Payment Number I Project Type DRAINAGE For Period Ending 8/9/2018 Project Funding Contract Information Summaiy Original Contract Amount $448,317.50 Chanl4e Orders Change Order Number 1 ($3,840.00) Total Contract Price $444,477.50 Total Cost of Work Completed $444,477.50 Less %Retained $0.00 Net Earned $444,477.50 Earned This Period $444,477.50 Retainage This Period $0.00 Less Liquidated Damages Days @ /Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $444,477.50 Friday,August 17,2018 Page 3 of 4 �a o °z m -xs x Z rt to O o�C .0 � -G 0 (7 0 ocm mo np t D Q p m �t�t C2 C'1 ro a m m .. 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L�LLJff W� I - !, r _, r -r- i j' Tv - i r - . s i.-.- 1 - yy 0 qPM r j � I r ! ! ` | ! | � ' ` / | | ILL It 4-1 | i T11- A / | | � | � � | 14 yah t�i1r-7 JJ r LU n En lk I r � � � I i - } Ii a- 'tE� l . J - � I � j-44 ( f t�1 .......-•1{ ��-."'.._ISI � Q g 1 t .......... u ' 1 IA Qa� • m1�I( J� __ __ I , tl • Q �� 4tw�m I li Q V LF gg �� L ! _ t - g � t 4Q _ 1,,4cy_¢p!y WyoSU lj�, 2�WQN ti`W i�C��h¢VUQ (� AFFIDAVIT STATE OF TEXAS COUNTY OF TARRANT Before me,the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Ab Grantges, Contract Mgr, Of Burnsco Construction,known to me to be a credible person,who being by me duly sworn,upon his oath deposed and said; That all persons, firms, associations, corporations, or other organizations furnishing labor and/or materials have been paid in full; That the wage scale established by the City Council in the City of Fort Worth has been paid in full; That there are no claims pending for personal injury and/or property damages; On Contract described as; Oak Creek Trails Ph. 3B -Water, Sanitary Se er and Storm Drain BY Ab Grfkntga-s--�,rCogtract Manager Subscribed and sworn before me on this date 17th of August, 2018. Notary Public Tarrant County,Texas = ,,�P,�P��,, LEIA MCQUIEN _z~P' ��,Notary Public,State of Texas E' *"i' Comm.Expires 06-26-2022 Notary ID 125446481 CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ SURETY ❑ Conforms with the American Institute of OTHER Architects,AIA Document G707 Bond No 022058109 PROJECT: (name, address)Oak Creek Trails Phase 3B TO (Owner) Fort Worth TX [D.R.HORTON-TEXAS,LTD AND CITY OF FORT —] ARCHITECT'S PROJECT NO: WORTH CONTRACT FOR: 6751 North Freeway Oak Creek Trails Phase 36-Water,Sanitary Sewer and Drainage Fort Worth TX 76131 Improvements ._.I CONTRACT DATE: CONTRACTOR:BURNSCO CONSTRUCTION, INC. In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (here insert name and address of Surety Company) LIBERTY MUTUAL INSURANCE COMPANY 175 Berkeley Street Boston MA 02116 , SURETY COMPANY on bond of (here insert name and address of Contractor) BURNSCO CONSTRUCTION, INC. 6331 Southwest Boulevard Benbrook TX 76132 , CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to (here insert name and address of Ownerl D.R. HORTON-TEXAS.LTD AND CITY OF FORT WORTH 6751 North Freeway Fort Worth TX 76131 OWNER, as set forth in the said Surety Company's bond. IN WITNESS,WHEREOF, the Surety Company has hereunto set its hand this 17th day of July,2018 LIBERTY MUTUAL INSURANCE COMPANY I,� Surety Company A es :K W y.A. Wes�F , n� (Seal): Signa re of Authorized Representative Sophinie Hunter Attorney-in-Fact Title '— NOTE: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Current Edition ONE PAGE THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. Certificate No.$138303 Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company i POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the Slate of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duty organized under the laws of the State of Indiana{herein collectively called the"Companies'},pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Robbi Morales;Don E.Comell;Sophinie Hunter V.DeLene Marshall;Tina McEwarr Ricardo J Reyna;Kelly A Westbrook all of the city of Dallas state of TX each individually if there he more than one named,its true and lawful attorney-in-fact to make,execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 26th day of June 2016 cc r The Ohio Casualty Insurance Company m 0 913 a �912 y � � 1491 0 Liberty Mutual Insurance Company aNi y ... . ll WestAmerican Insurance Com pany 40) tC STATE OF PENNSYLVANIA ss David M.Carey;Assistant Secretary C �± COUNTY OF MONTGOMERYCis = N On this 26th = O ,,, is day of June 2018,before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance v h U ai Company,The Ohio Casualty Company, and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes y,0 0.2 therein contained bysigning on behalf of the corporations by himself as a duly authorized officer. O W C Q') > IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. O CL A Phs. COMMONWEALTH OFPENNSYLVANW +'p Notarial Seal. Tesa Pastetla,Notary'Public By; O re O i� OF i Up1w Marion Twp.,Montgomery County Teresa Pastella,Nota Public L Notary C L o�. �T��P i My Commission Expires March 28.?.6.1 ry .90 w 4��SYL14 Metnba.Pennsylvania AsSQw6atien u(Nofaries �O W LC C 0 This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual ut p N ,, Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: .0 o ... Ls ARTICLE IV-OFFICERS-Section 12.Power of Attorney.Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject O = 4) to such limitation as the Chairman or the President may prescribe,shall appoint such attorneys-fn-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal, �+m 0,S acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surely obligations. Such attorneys-in-fact,subject to the limitations set forth in their respective E 4i powers of attorney,shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so O p executed,such instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attomey-in-fact under > Q the provisions of this article may be revoked at any lime by the Board,the Chairman,the President or by the officer or officers granting such power or authority. O 0 Co c ARTICLE XIII-Execution of Contracts-SECTION 5.Surety Bonds and Undertakings.Any officer of the Company authorized for that purpose in writing by the chairman or the president, Go and subject to such limitations as the chairman or the president may prescribe,shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Company to make,execute, 1 Z v seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attorneys-in-fact subject to the limitations set forth in their =?Q respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such instruments and,to attach thereto the seal of the Company. When so O o executed such instruments shall be as binding as if signed by the president and attested by the secretary. 0 T- o Certificate of Designation-The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys-in- F_-.- fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. j Authorization-By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the ' Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with.surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed: I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power of Attomey executed by said Companies,is in full force and effect and has not been revoked. t IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this I I . day of 20 _, a n 1aia r11917 19)? Y1 13y. 1.3 .. .. T u a Renee C.Llew ssistanf Secretary t I 14 of 300 LMS 12873 022Dt7 Liber Mutual. SURETY TEXAS _ TEXAS IMPORTANT NOTICE AVISO IMPORTANTE To obtain information or make a complaint: Para obtener information o para someter una queja: You may call toll-free for information or to Usted puede hamar al numero de telefono gratis make a complaint at para information o para someter una queja al 1-877-751-2640 1-877-751-2640 You may also write to: Usted tambien puede escribir a: 2200 Renaissance Blvd., Ste. 400 2200 Renaissance Blvd., Ste. 400 King of Prussia, PA 19406-2755 King of Prussia, PA 19406-2755 You may contact the Texas Department of Puede comunicarse con el Departamento de Insurance to obtain information on companies, Seguros de Texas para obtener information coverages, rights or complaints at acerca de companias, coberturas, dereehos o 1-800-252-3439 quejas al 1-800-252-3439 You may y write the Texas Department of Insurance Puede escribir al Departamento de Seguros Consumer Protection (111-1 A) de Texas Consumer Protection (111-1A) P. 0. Box 149091 P. 0. Box 149091 Austin, TX 78714-9091 Austin, TX 78714-9091 FAX: (512) 490-1007 FAX # (512) 490-1007 Web: http://www.tdi.texas,gov Web: http://www tdi texas.gov E-mail: ConsumerProtectionna td� i texas.gov E-mail: ConsumerProtectionna tdi texas. ov PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS 0 RECLAMOS: Should you have a dispute concerning your Si tiena una disputa concerniente a su prima o a first un reclamo, debe comunicarse con el age premium or about a claim you should puede contact the agent or call 1-800-843-6446. primero. Si no se resuelve la disputa, p If the dispute is not resolved, you may contact the entonces comunicarse con el departamento (TDI) Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR UNA ESTE AVISO A SU POLIZA: POLICY: This notice is for information only and does not Este aviso es solo para proposito de information become a part or condition of the attached y no se convierte en parte o condition del document. documento adjunto. NP 70 68 09 01 LMS-15292 10115 I' r� =— Green Sheet Oak Creek Trails 313 CPN 101022 Drainage Adobe Sign Document History 09/07/2018 - - - Created: 08/17/2018 By: Etta Bacy(etta.bacy@fortworthtexas.gov) Status: Signed Transaction ID: CBJCHBCAABAAhcskwUBL7oQCfYt2o_air6j8GfHw2euJ "Green Sheet Oak Creek Trails 313 CPN 101022 Drainage" Histo ry Document created by Etta Bacy(etta.bacy@fortworthtexas.gov) 08/17/2018-2:59:20 PM CDT-IP address:209.194.29.100 Document emailed to Ab Grantges (burnscoinc2@aol.com)for signature 08/17/2018-3:11:09 PM CDT `j Document viewed by Ab Grantges (burnscoinc2@aol.com) 08/20/2018-10:23:48 AM CDT-IP address:98.138.219.12 (9 Ab Grantges (burnscoinc2@aol.com) uploaded the following supporting documents: (?/ File Attachment 1 (O/ File Attachment 2 08/20/2018-10:26:06 AM CDT Document e-signed by Ab Grantges (burnscoinc2@aol.com) Signature Date:08/20/2018-10:26:06 AM CDT-Time Source:server-IP address:12.246.109.114 Document emailed to Michael Flute (michael.flute@freese.com)for signature 08/20/2018-10:26:08 AM CDT Document viewed by Michael Flute (michael.flute@freese.com) 08/20/2018-3:25:10 PM CDT-IP address:209.194.29.90 Uo, Document e-signed by Michael Flute (michael.flute@freese.com) Signature Date:08/20/2018-3:29:37 PM CDT-Time Source:server-IP address:209.194.29.90-Signature captured from device with phone number XXXXXXX8999 y Document emailed to Ariel Duarte (ariel.duarte@fortworthtexas.gov)for approval 08/20/2018-3:29:39 PM CDT FORTWORTH. I Adobe Sign �I Document viewed by Ariel Duarte(ariel.duarte@fortworthtexas.gov) 08/20/2018-3:31:15 PM CDT-IP address:209.194.29.100 i q& Document approved by Ariel Duarte (ariel.duarte@fortworthtexas.gov) Approval Date:08/20/2018-3:46:28 PM CDT-Time Source:server-IF address:209.194.29.100 z+ Document emailed to G.SAHU, PM (gopal.sahu@fortworthtexas.gov)for signature 08/20/2018-3:46:30 PM CDT Document viewed by G.SAHU, PM (gopal.sahu@fortworthtexas.gov) 08/20/2018-3:54:32 PM CDT-IP address:209.194.29.100 6Q Document e-signed by G.SAHU, PM (gopal.sahu@fortworthtexas.gov) Signature Date:08/20/2018-3:55:18 PM CDT-Time Source:server-IP address:209.194.29.100 P-► Document emailed to Janie Scarlett Morales Qanie.morales@fortworthtexas.gov)for signature 08/20/2018-3:55:19 PM CDT 60 Document e-signed by Janie Scarlett Morales (Janie.morales@fortworthtexas.gov) Signature Date:09/05/2018-2:41:23 PM CDT-Time Source:server-IP address:209.194.29.100 P4 Document emailed to Susan Alanis (susan.alanis@fortworthtexas.gov)for signature 09/05/2018-2:41:25 PM CDT u Document viewed by Susan Alanis (susan.alanis@fortworthtexas.gov) 09/05/2018-7:28:13 PM CDT-IP address:209.194.29.100 t Document e-signed by Susan Alanis (susan.alanis@fortworthtexas.gov) Signature Date:09/05/2018-7:28:34 PM CDT-Time Source:server-IP address:209.194.29.100 C`y Document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov)for filling 09/05/2018-7:28:36 PM CDT �Ll Document viewed by Allison Tidwell (cso_finalpay@fortworthtexas.gov) 09/06/2018-8:06:51 AM CDT-IP address:209.194.29.100 Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov) Form filling Date:09/06/2018-8:07:19 AM CDT-Time Source:server-IP address:209.194.29.100 C Document emailed to Trudy Brotherton (therese.brotherton@fortworthtexas.gov)for delivery 09/06/2018-8:07:20 AM CDT Document viewed by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) 09/06/2018-8:07:50 AM CDT-IP address:68.116.135.3 bQ Document receipt acknowledged by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) Receipt Acknowledgement Date:09/06/2018-8:08:08 AM CDT-Time Source:server-IP address:68.116.135.3 FORT WORTHS „R::,, J Adobe Sign 1 Document emailed to Julie A Geho Oulie.geho@fortworthtexas.gov)for delivery 09/06/2018-8:08:10 AM CDT Document viewed by Julie A Geho Qulie.geho@fortworthtexas.gov) 09/06/2018-8:14:52 AM CDT-IP address:209.194.29.100 r'Sp Document receipt acknowledged by Julie A Geho Qulie.geho@fortworthtexas.gov) Receipt Acknowledgement Date:09/06/2018-8:15:11 AM CDT-Time Source:server-IP address:209.194.29.100 C'4 Document emailed to Sylvia Kelley(tpwcfafiscal@fortworthtexas.gov)for delivery 09/06/2018-8:15:13 AM CDT Document viewed by Sylvia Kelley(tpwcfafiscal@fortworthtexas.gov) 09/07/2018-11:00:09 AM CDT-IP address:209.194.29.100 Document receipt acknowledged by Sylvia Kelley(tpwcfafiscal@fortworthtexas.gov) Receipt Acknowledgement Date:09/07/2018-11:00:25 AM CDT-Time Source:server-IP address:209.194.29.100 Signed document emailed to Janie Scarlett Morales Qanie.morales@fortworthtexas.gov), Susan Alanis (susan.alanis@fortworthtexas.gov), Julie A Geho Oulie.geho@fortworthtexas.gov), G.SAHU, PM (gopal.sahu@fortworthtexas.gov), and 7 more 09/07/2018-11:00:25 AM CDT Fox�Jy I Adobe e Sign